Nursing Home Record

For profit - Corporation · 126 certified beds · CMS number 455497

Creekside Terrace Rehabilitation, Belton, TX

CMS records 18 health deficiencies at Creekside Terrace Rehabilitation in Belton, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Mar 26, 2026. The highest severity cited is J (immediate jeopardy to resident health or safety). 1 citation was at the immediate jeopardy level, 1 of them recorded as past non-compliance (fixed before the inspection). CMS lists 1 fine totaling $13,070 in the last three years.

Inspections and deficiencies

CMS findings for Creekside Terrace Rehabilitation as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Creekside Terrace Rehabilitation may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare

Most recent cycle (4 deficiencies)

Standard inspection Mar 26, 2026. CMS counts 4 health deficiencies and 1 fire safety deficiency in this cycle.

Jun 8, 2026 · Complaint inspection

2 deficiencies, highest J

F689 · Accident prevention and supervision

Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity
J Immediate jeopardy to resident health or safety, isolated
Status
Past non-compliance (fixed before the inspection), Jun 6, 2026

F638 · Quarterly assessment reviews

Requirement cited (CMS): Assure that each resident’s assessment is updated at least once every 3 months.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 9, 2026

Mar 26, 2026 · Standard inspection

1 deficiency, highest E

F812 · Food safety and sanitation

Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Mar 27, 2026

Dec 12, 2025 · Complaint inspection

1 deficiency, highest D

F644 · Coordinating with PASARR screening

Requirement cited (CMS): Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Dec 19, 2025
Previous cycle: 4 deficiencies (standard inspection Jan 9, 2025)

Standard inspection Jan 9, 2025. CMS counts 4 health deficiencies and 1 fire safety deficiency in this cycle.

Jan 9, 2025 · Standard + complaint inspection

3 deficiencies, highest E

F921 · Safe, functional, sanitary building

Requirement cited (CMS): Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Feb 12, 2025

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Feb 12, 2025

F644 · Coordinating with PASARR screening

Requirement cited (CMS): Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Feb 12, 2025

Dec 4, 2024 · Complaint inspection

1 deficiency, highest D

F684 · Quality of care

Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Dec 5, 2024
Earlier cycle: 10 deficiencies (standard inspection Nov 30, 2023)

Standard inspection Nov 30, 2023. CMS counts 10 health deficiencies and 1 fire safety deficiency in this cycle.

Aug 7, 2024 · Complaint inspection

1 deficiency, highest D

F550 · Dignity and the right to exercise rights

Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 11, 2024

Nov 30, 2023 · Standard + complaint inspection

8 deficiencies, highest F

F919 · Working call system

Requirement cited (CMS): Make sure that a working call system is available in each resident's bathroom and bathing area.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Dec 8, 2023

F812 · Food safety and sanitation

Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity
F No actual harm, potential for more than minimal harm, widespread
Status
Correction date Dec 8, 2023

F803 · Menus that meet nutritional needs

Requirement cited (CMS): Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Dec 8, 2023

F761 · Drug labeling and secure storage

Requirement cited (CMS): 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.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Dec 8, 2023

F759 · Medication error rate under 5 percent

Requirement cited (CMS): Ensure medication error rates are not 5 percent or greater.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Dec 8, 2023

F690 · Bladder, bowel, and catheter care

Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Dec 8, 2023

F689 · Accident prevention and supervision

Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Dec 8, 2023

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Dec 8, 2023

Nov 21, 2023 · Complaint inspection

1 deficiency, highest D

F602 · Protecting residents' money and belongings

Requirement cited (CMS): Protect each resident from the wrongful use of the resident's belongings or money.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Nov 22, 2023

Tags cited in more than one inspection

3 tags cited on more than one inspection date at Creekside Terrace Rehabilitation; each date counts once and does not mean the same incident. PNC = past non-compliance.

TagInspectionsDates
F644 Coordinating with PASARR screening2Dec 12, 2025; Jan 9, 2025
F689 Accident prevention and supervision2Jun 8, 2026 (PNC); Nov 30, 2023
F812 Food safety and sanitation2Mar 26, 2026; Nov 30, 2023

Fines and payment denials

DateTypeAmount / length
Jun 8, 2026Fine$13,070

Staffing and CMS ratings

Total nurse staff hours per resident per day
3.41 h (about the same as the Texas median of 3.27 h)
RN hours per resident per day
0.42 h (above the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
3.06 h
Nursing staff turnover
50.0% (Texas median 52.1%)
Administrators who left
0
CMS overall rating
4 of 5
Health inspection rating
4 of 5
Staffing rating
2 of 5
Quality measure rating
4 of 5

CMS figures for Creekside Terrace Rehabilitation, copied as published; Texas medians are ours.

Facility details

Address
1555 Powell Avenue, Belton, TX 76513
Phone
(254) 831-6200
County
Bell
Accepts
Medicare and Medicaid
Ownership
For profit - Corporation
Chain (CMS)
Fundamental Healthcare
Certified beds
126
Average residents per day
101.1
In Medicare/Medicaid since
Oct 25, 1984
Inside a hospital
No
Continuing care retirement community
No
Resident and family council
Resident
Sprinklers in all required areas
Yes

Questions to ask on a visit

Based on the tags cited most often here.

  • If a resident has a mental health condition or intellectual disability, how are PASARR recommendations included in their care? (F644, cited 2 times)
  • How does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 2 times)
  • When was the kitchen last inspected, and how are food temperatures checked? (F812, cited 2 times)
  • How do staff learn about and respect each resident's personal routines and choices? (F550, cited 1 time)

Other nursing homes in Belton and the same chain

Source

CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.

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