Terra Bella Health And Wellness Suites
12262 CITYSCAPE AVE, Houston, TX, 77047
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 Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
Special Focus Candidate
CMS has identified this facility as a Special Focus Candidate — a track record of serious quality issues that places it one step away from full Special Focus Facility designation.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Fundamental Healthcare
- Certified beds
- 128 · avg 110 residents/day
- Total nursing staff turnover
- 66.4% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 50% — near the Texas averageTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 6 fines · $168,542 total
State licensing & capacity
- License number
- 311773
- Service type
- Medicare/medicaid
- Licensed capacity
- 128 beds
- Bed type breakdown
- 10 Medicare-only · 118 Medicaid/Medicare
- Current license effective
- January 1, 2024
- Current license expires
- January 1, 2027
- Initial license date
- June 28, 2018
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- South Limestone Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- City Park Care Center, Llc
- Administrator
- Bernard Moore
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Fundamental Healthcare chain — 69 facilities across 7 states. Chain-wide average overall rating 2.4 / 5.
Disclosed owners (7 on record)
- City Park Care Center Llc
Operational/managerial Control · 100% · since 2024
- Fundamental Administrative Services Llc
Adp of The Snf · since 2024
- Fundamental Clinical And Operational Services, Llc
Adp of The Snf · since 2024
- Larry n Price
Corporate Officer · since 2024
- South Limestone Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2024
- Christopher r Lockhart
Adp of The Snf · since 2023
+ 1 additional owner on the federal record.
Recent change of ownership
January 2024 (2 years ago) · acquired from Terra Bella Health And Wellness Suites
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + 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 60)
- E0880·Jan 13, 2026Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0726·Jan 13, 2026Complaint
Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- D0689·Nov 26, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0684·Nov 26, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D0755·Nov 20, 2025Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0761·Jul 21, 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.
- K0687·Jul 21, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate foot care.
- K0656·Jul 21, 2025Complaint
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.
Federal penalties
By year
- 20252 fines · $73K
- 20241 fine · $39K
- 20233 fines · $57K
Most recent events
- Jul 21, 2025Fine · $46K
- Feb 7, 2025Fine · $27K
- Jan 18, 2024Fine · $39K
- Nov 14, 2023Fine · $33K
- Oct 10, 2023Fine · $13K
- Apr 14, 2023Fine · $12K
Largest single fine on record: $46K.
Fire-safety citations
6 Life-Safety-Code citations on file. Most recent: Dec 23, 2024. 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
Terra Bella Health And Wellness Suites is a 128-bed nursing home in Houston licensed under South Limestone Hospital District and managed by City Park Care Center, LLC. CMS rates it 1 star overall, with a 1-star health inspection rating. CMS has substantiated abuse or neglect findings here and has flagged it as a Special Focus candidate. Six fines totaling $168,542 have been assessed — more than eight times the Texas median fine amount of $20,699.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates this facility 1 star on staffing, placing it among the bottom third of Texas nursing homes on that measure. Each resident receives about 195 minutes of nursing care per day — roughly 46 minutes less than at a 4-star-staffing facility in Texas. Residents here require more hands-on help than at a typical nursing home — more dependent or medically complex on average — so those 195 minutes stretch thinner than the raw number suggests.
About 7 in 10 nursing staff left in the past year. Texas's 75th-percentile cutoff for turnover is 60%, and this facility's 66.4% rate exceeds even that mark. A long-stay resident will likely go through two or three primary caregivers over the course of a year.
Six CMS fines totaling $168,542 have been assessed. The Texas median across fined facilities is $20,699 — this facility's total is more than eight times that figure. Roughly 30% of Texas nursing homes have zero fines in the same period.
CMS has substantiated findings of resident abuse or neglect here within the past 36 months. Additionally, CMS has flagged this as a Special Focus candidate — a step below outright Special Focus Facility designation, signaling a pattern of serious deficiencies across multiple inspection cycles.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Abuse findings and corrective steps
CMS has substantiated abuse or neglect here within the past 36 months — ask what specifically occurred, what changed in policy or staffing afterward, and how incidents are reported today.
Special Focus candidate designation
CMS flagged this facility as a Special Focus candidate, signaling a pattern of serious deficiencies — ask what the outstanding deficiencies are and what the current corrective action plan requires.
Staff continuity for long-stay residents
About 7 in 10 nursing staff left in the past year — ask how the facility assigns consistent caregivers to residents and how it fills open shifts.
Six fines totaling $168,542
Ask what each of the six CMS fines was issued for and which deficiencies, if any, remain unresolved on the most recent inspection report.
Management company role day to day
The facility is licensed under a hospital district but operated by City Park Care Center, LLC — ask which entity makes staffing, budget, and care-policy decisions on a daily basis.
Resident Council access and meetings
A Resident Council exists here but no Family Council — ask when the Resident Council meets, how families receive updates, and who the staff liaison is.
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.