Fallbrook Rehabilitation And Care Center
10851 CRESCENT MOON DR., Houston, TX, 77064
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Government - Hospital district
- Certified beds
- 202 · avg 61 residents/day
- Total nursing staff turnover
- 77.2% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 85.7% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 2 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $173,479 total
- Payment denials
- 1 denial
State licensing & capacity
- License number
- 311818
- Service type
- Medicare/medicaid
- Licensed capacity
- 202 beds
- Bed type breakdown
- 111 Medicare-only · 91 Medicaid/Medicare
- Current license effective
- February 1, 2024
- Current license expires
- February 1, 2027
- Initial license date
- August 17, 1982
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Frio Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Crescent Moon Dr Heathcare Llc
- Administrator
- Ray Baker
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Disclosed owners (6 on record)
- Crescent Moon dr Consulting Llc
Adp of The Snf · since 2025
- Kenneth Hiscox
Adp of The Snf · since 2025
- Rupesh Manoj Vakil
Adp of The Snf · since 2025
- Frio Hospital District
5% or Greater Direct Ownership Interest · since 2024
- Michael Ruff
Corporate Officer · since 2024
- William Miller
Operational/managerial Control · since 2024
Recent change of ownership
February 2024 (2 years ago) · acquired from Fallbrook Rehabilitation And Care Center
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Change of Ownership, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 52)
- D0842·Jan 14, 2026Complaint
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D0689·Jan 14, 2026Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0656·Jan 14, 2026Complaint
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D0677·Jan 5, 2026Complaint
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E0761·Nov 20, 2025Complaint
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- J0684·Oct 10, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D0580·Oct 10, 2025Complaint
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D0919·Sep 8, 2025Complaint
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Federal penalties
By year
- 20251 payment denial
- 20241 fine · $46K
- 20231 fine · $127K
Most recent events
- Aug 16, 2025Payment denial · 24 days · starting Sep 17, 2025
- Feb 11, 2024Fine · $46K
- Jul 5, 2023Fine · $127K
Largest single fine on record: $127K.
Fire-safety citations
23 Life-Safety-Code citations on file. Most recent: Apr 11, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Fallbrook Rehabilitation and Care Center is a 202-bed nursing home in Houston licensed to accept Medicare and Medicaid. CMS rates it 1 star overall, with 1-star ratings on both health inspections and staffing. Two CMS fines totaling $173,479 have been assessed, and the facility is currently operating at roughly 30% of its licensed beds — about 60 residents out of 202. It is licensed through February 2027 and managed by Crescent Moon Dr Healthcare LLC under a Hospital District license.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 1 star — the bottom tier, shared by about 38% of Texas nursing homes. Residents receive roughly 193 minutes of nursing care per day, about 48 minutes less than at a 4-star-staffing facility in Texas. Beyond the raw number, residents here require more hands-on care than at a typical facility — more dependent, or sicker on average — so those nursing hours stretch thinner than they appear.
Roughly 8 in 10 nursing staff left in the past year. For RNs specifically, that figure reaches 9 in 10. A long-stay resident will likely cycle through multiple primary caregivers, and the institutional knowledge that comes from consistent staffing does not accumulate at that pace.
Two administrators have left in the past year, a level of leadership turnover that residents and remaining staff typically feel in day-to-day operations.
CMS has recorded 2 fines totaling $173,479. That total is more than eight times the Texas median fine amount of $20,699 among facilities that received any fine at all, and about 30% of Texas facilities have received no fines.
The facility is operating at roughly 30% of its 202 licensed beds — approximately 60 residents on any given day. That figure sits alongside the staffing, turnover, and fine signals already present in this record.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Administrator continuity going forward
Two administrators have left in the past year — ask who is currently in that role, how long they have been in place, and whether the position is considered stable.
Cause of the two CMS fines
CMS assessed two fines totaling $173,479 — ask what deficiencies triggered each fine and what specific corrective steps were taken.
Staffing coverage on nights and weekends
Weekend nursing hours average about 2.77 hours per resident per day — ask how many nurses and aides are on the floor during overnight and weekend shifts specifically.
Why occupancy is at 30 percent
About 60 of 202 licensed beds are occupied — ask whether the low census reflects a recent change in admissions policy, staffing constraints, or another operational factor.
Staff retention efforts in place
8 in 10 nursing staff and 9 in 10 RNs left in the past year — ask what the facility is doing differently now to reduce that turnover rate.
Resident Council meeting schedule
The facility has a Resident Council but no Family Council — ask how often the Resident Council meets and how family members receive information from those meetings.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.