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
Nursing home report
Terra Bella Health and Wellness Suites
Houston, TX · Medicare-certified · 128 beds
Needs attention
Special Focus candidateAbuse citationFor-profitChain member
1 of 5 overall
Terra Bella Health and Wellness Suites in Houston has a 1 out of 5 overall rating, with a 1-star health inspection rating and 2-star staffing rating; it is a Special Focus Facility candidate. Reported nurse staffing is 3.41 hours per resident per day, below the federal benchmark of 4.1, and it had $72,622 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.4097 hrs/resident/day
Quality measures
Last inspection: March 26, 2026Penalties, last 24 months: $72,622special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4097.
Staffing detail
- Registered nurses
- 0.47
- Licensed practical nurses
- 0.92
- Nurse aides
- 2.03
- Weekend nursing
- 3.20
Hours per resident per day.
Total staff turnover: 62%
Registered nurse turnover: 50%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
5.8%Worsening
Residents with a fall causing major injury
1.9%Improving
Residents with pressure ulcers (bedsores)
6.6%Improving
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
1.8%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
5.6%Improving
Residents whose ability to walk got worse
14.6%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
18.4%Improving
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
1.3%Improving
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
97.3%Steady
Long-stay residents given the pneumonia vaccine
97.2%Worsening
Short-stay residents given the seasonal flu vaccine
59.2%Steady
Short-stay residents given the pneumonia vaccine
67.6%Improving
What the inspectors found
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 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
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
- 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: 5 fines · $156,904 in total fines.
- $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
- Ownership
- For profit - Corporation
- Chain
- Part of FUNDAMENTAL HEALTHCARE · 69 homes · 2.4 stars avg
- Occupancy
- 112.8 residents on an average day (88% of 128 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 7 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.