The home failed to provide appropriate foot care for residents. Cited July 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 687 — 42 CFR §483.25 — S/S: K
Nursing home report
Terra Bella Health and Wellness Suites
Houston, TX · Medicare-certified · 128 beds
Needs attention
Special Focus candidateFor-profitChain member
Data as of September 1, 2026
2 of 5 overall
Terra Bella Health and Wellness Suites in Houston has a 2-star overall rating, with a 1-star health inspection rating and 2-star staffing, while quality measures are 5 stars. It is a Special Focus Facility candidate/flagged for special focus, has $95,402 in fines over the last 24 months, and reported nurse staffing of 3.36 hours per resident per day versus the 4.1-hour federal benchmark.
Facility ratings
Health inspections
Staffing
3.3561 hrs/resident/day
Quality measures
Last inspection: June 9, 2026Penalties, last 24 months: $95,402special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3561.
Staffing detail
- Registered nurses
- 0.55
- Licensed practical nurses
- 0.87
- Nurse aides
- 1.94
- Weekend nursing
- 2.97
Hours per resident per day.
Total staff turnover: 62%
Registered nurse turnover: 50%
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
5.3%4%Improving
Residents with a fall causing major injury
1.9%1%Improving
Residents with pressure ulcers (bedsores)
7.5%2%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%1.1%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
8.9%1.1%Improving
Residents whose ability to walk got worse
4.6%8.6%Worsening
Long-stay residents on antianxiety or sleep medication
18.6%17.2%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
1%1%No change
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
—97.3%—
Long-stay residents given the pneumonia vaccine
95.2%100%Improving
Short-stay residents given the seasonal flu vaccine
—59.2%—
Short-stay residents given the pneumonia vaccine
45.1%100%Improving
What the inspectors found
The nursing home failed to protect residents from abuse and neglect by others. Cited July 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: K
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited July 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: K
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited February 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: K
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited November 2023 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: K
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $22,780 was recorded.
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $24,740 was recorded.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $45,679 was recorded.
- PENALTY
A federal fine of $26,943 was recorded.
Penalties & enforcement
On record with Medicare: 6 fines · $179,684 in total fines.
- $22,780
Federal fine
May 23, 2026
- $45,679
Federal fine
Jul 21, 2025
- $26,943
Federal fine
Feb 7, 2025
- $38,705
Federal fine
Jan 18, 2024
- $32,548
Federal fine
Nov 14, 2023
- $13,029
Federal fine
Oct 10, 2023
Operator & ownership
Recent ownership change · Jan 1, 2024
Now operated by South Limestone Hospital District, previously City Park Care Center LLC.
- Ownership
- For profit - Corporation
- Chain
- Part of FUNDAMENTAL HEALTHCARE · 66 homes · 2.5 stars avg
- Occupancy
- 106.8 residents on an average day (83% of 128 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 8 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.