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Nursing home report

Zion Healthcare Cypress

Registered name: Fallbrook Rehabilitation and Care Center

Houston, TX · Medicare-certified · 202 beds

Needs attention
Special Focus candidateGovernment-run
Data as of July 1, 2026
1 of 5 overall

Zion Healthcare Cypress in Houston has a 1-star overall rating, with 1-star health inspection and staffing ratings and a 3-star quality measures rating. It is a Special Focus Facility candidate with $37,670 in fines over the last 24 months, and its reported staffing is below the federal benchmark (3.33 vs. 4.1 hours per resident per day).

Facility ratings

Health inspections

Staffing

3.3279 hrs/resident/day

Quality measures

Last inspection: April 29, 2026Penalties, last 24 months: $37,670special focus facility

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3279.

Staffing detail

Registered nurses
0.39
Licensed practical nurses
0.85
Nurse aides
2.09
Weekend nursing
2.94

Hours per resident per day.

Total staff turnover: 60%
Registered nurse turnover: 80%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

10.3%15.4%Worsening

Residents with a fall causing major injury

0%1.7%Worsening

Residents with pressure ulcers (bedsores)

16.6%8.7%Improving

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

4.2%3.5%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

19.6%20%No change

Residents whose ability to walk got worse

20.2%

Long-stay residents on antianxiety or sleep medication

24%32.8%Worsening

Short-stay residents newly given an antipsychotic

0%

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

16.3%5%Improving

Residents with depressive symptoms

0%0%No change

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

92.2%

Long-stay residents given the pneumonia vaccine

71.2%100%Improving

Short-stay residents given the seasonal flu vaccine

63.8%

Short-stay residents given the pneumonia vaccine

55.1%85.7%Improving

What the inspectors found

The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited February 2026 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 726 — 42 CFR §483.35 — S/S: K

The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited August 2023 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 755 — 42 CFR §483.45 — S/S: K

The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited July 2023 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 686 — 42 CFR §483.25(b) — S/S: K

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited February 2026 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited October 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: J

Recent history

  1. PENALTY

    A federal fine of $19,610 was recorded.

  2. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  3. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  4. PENALTY

    A federal fine of $18,060 was recorded.

  5. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  6. PENALTY

    A federal fine of $12,460 was recorded.

  7. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  8. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  9. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  10. PENALTY

    A federal payment denial was recorded.

Penalties & enforcement

On record with Medicare: 3 fines · $83,678 in total fines · 1 payment denial.

  • Federal fine

    Apr 29, 2026

    $19,610
  • Federal fine

    Feb 27, 2026

    $18,060
  • Medicare/Medicaid payment denial

    Aug 16, 2025

    24 days
  • Federal fine

    Feb 11, 2024

    $46,008

Operator & ownership

Recent ownership change · Feb 1, 2024

Now operated by Frio Hospital District, previously Crescent Moon Dr Healthcare LLC.

Ownership
Government - Hospital district
Occupancy
62.6 residents on an average day (31% of 202 beds)
Resident voice
Resident council
Medicare history
Certified for 37 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.