For profit - Corporation · 128 certified beds · CMS number 676450

Terra Bella Health and Wellness Suites, Houston, TX

CMS records 44 health deficiencies at Terra Bella Health and Wellness Suites in Houston, 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 K (immediate jeopardy to resident health or safety). 8 citations were at the immediate jeopardy level. CMS lists 6 fines totaling $179,684 in the last three years.

Inspections and deficiencies

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

Most recent cycle (11 deficiencies)

Standard inspection Mar 26, 2026. CMS counts 11 health deficiencies and 6 fire safety deficiencies in this cycle.

Jun 9, 2026 · Complaint inspection

1 deficiency, highest D

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 Jun 24, 2026

May 23, 2026 · Complaint inspection

4 deficiencies, highest H

F697 · Pain management

Requirement cited (CMS): Provide safe, appropriate pain management for a resident who requires such services.

Severity
H Actual harm (not immediate jeopardy), pattern
Status
Correction date Jun 19, 2026

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
G Actual harm (not immediate jeopardy), isolated
Status
Correction date Jun 19, 2026

F580 · Telling residents and families about changes

Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Severity
G Actual harm (not immediate jeopardy), isolated
Status
Correction date Jun 19, 2026

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 Jun 19, 2026

Mar 26, 2026 · Standard inspection

1 deficiency, highest E

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 Apr 20, 2026

Jan 13, 2026 · Complaint inspection

2 deficiencies, highest E

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 Jan 23, 2026

F726 · Competent nurses and nurse aides

Requirement cited (CMS): 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.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 23, 2026

Nov 26, 2025 · Complaint inspection

2 deficiencies, highest D

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 1, 2025

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 1, 2025

Nov 20, 2025 · Complaint inspection

1 deficiency, highest D

F755 · Pharmacy services and a consultant pharmacist

Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Dec 11, 2025
Previous cycle: 15 deficiencies (standard inspection Dec 23, 2024)

Standard inspection Dec 23, 2024. CMS counts 15 health deficiencies and 2 fire safety deficiencies in this cycle.

Jul 21, 2025 · Complaint inspection

5 deficiencies, highest K

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
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 8, 2025

F687 · Foot care

Requirement cited (CMS): Provide appropriate foot care.

Severity
K Immediate jeopardy to resident health or safety, pattern
Status
Correction date Aug 8, 2025

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
K Immediate jeopardy to resident health or safety, pattern
Status
Correction date Aug 8, 2025

F641 · Accurate resident assessments

Requirement cited (CMS): Ensure each resident receives an accurate assessment.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 8, 2025

F600 · Freedom from abuse and neglect

Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Severity
K Immediate jeopardy to resident health or safety, pattern
Status
Correction date Aug 8, 2025

Apr 25, 2025 · Complaint inspection

1 deficiency, highest D

F805 · Food prepared for individual needs

Requirement cited (CMS): Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 10, 2025

Feb 24, 2025 · Complaint inspection

2 deficiencies, highest K

F686 · Pressure ulcer prevention and care

Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Severity
K Immediate jeopardy to resident health or safety, pattern
Status
Correction date Mar 14, 2025

F677 · Help with daily care

Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.

Severity
H Actual harm (not immediate jeopardy), pattern
Status
Correction date Mar 14, 2025

Feb 7, 2025 · Complaint inspection

2 deficiencies, highest D

F880 · Infection prevention and control program

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

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Mar 3, 2025

F557 · Respect and personal belongings

Requirement cited (CMS): Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Mar 3, 2025

Dec 23, 2024 · Standard + complaint inspection

4 deficiencies, highest E

F814 · Garbage disposal

Requirement cited (CMS): Dispose of garbage and refuse properly.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 17, 2025

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 Jan 17, 2025

F693 · Feeding tube use and care

Requirement cited (CMS): Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 17, 2025

F645 · Pre-admission screening for mental disorder or intellectual disability

Requirement cited (CMS): PASARR screening for Mental disorders or Intellectual Disabilities

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 17, 2025

Nov 14, 2024 · Complaint inspection

1 deficiency, highest D

F695 · Respiratory and oxygen care

Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Nov 14, 2024
Earlier cycle: 18 deficiencies (standard inspection Oct 28, 2023)

Standard inspection Oct 28, 2023. CMS counts 18 health deficiencies and 2 fire safety deficiencies in this cycle.

Aug 29, 2024 · Complaint inspection

3 deficiencies, highest E

F688 · Range of motion and mobility

Requirement cited (CMS): Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Sep 27, 2024

F677 · Help with daily care

Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Sep 27, 2024

F641 · Accurate resident assessments

Requirement cited (CMS): Ensure each resident receives an accurate assessment.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Sep 27, 2024

Jun 10, 2024 · Complaint inspection

1 deficiency, highest D

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
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 24, 2024

Jan 18, 2024 · Complaint inspection

4 deficiencies, highest K

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 Jan 21, 2024

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
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jan 21, 2024

F686 · Pressure ulcer prevention and care

Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Severity
K Immediate jeopardy to resident health or safety, pattern
Status
Correction date Jan 21, 2024

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
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 21, 2024

Nov 14, 2023 · Complaint inspection

2 deficiencies, highest K

F760 · No significant medication errors

Requirement cited (CMS): Ensure that residents are free from significant medication errors.

Severity
K Immediate jeopardy to resident health or safety, pattern
Status
Correction date Nov 24, 2023

F755 · Pharmacy services and a consultant pharmacist

Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Severity
K Immediate jeopardy to resident health or safety, pattern
Status
Correction date Nov 24, 2023

Oct 28, 2023 · Standard + complaint inspection

6 deficiencies, highest K

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 Nov 10, 2023

F770 · Timely laboratory services

Requirement cited (CMS): Provide timely, quality laboratory services/tests to meet the needs of residents.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Nov 10, 2023

F760 · No significant medication errors

Requirement cited (CMS): Ensure that residents are free from significant medication errors.

Severity
K Immediate jeopardy to resident health or safety, pattern
Status
Correction date Nov 10, 2023

F759 · Medication error rate under 5 percent

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

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Nov 10, 2023

F609 · Reporting suspected abuse and crimes

Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Nov 10, 2023

F580 · Telling residents and families about changes

Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Nov 10, 2023

Oct 10, 2023 · Complaint inspection

2 deficiencies, highest D

F677 · Help with daily care

Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Oct 30, 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
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Oct 30, 2023

Tags cited in more than one inspection

11 tags cited on more than one inspection date at Terra Bella Health and Wellness Suites; each date counts once and does not mean the same incident. PNC = past non-compliance.

TagInspectionsDates
F656 Comprehensive person-centered care plan3Jul 21, 2025; Jan 18, 2024; Oct 10, 2023
F677 Help with daily care3Feb 24, 2025; Aug 29, 2024; Oct 10, 2023
F689 Accident prevention and supervision3Jun 9, 2026; May 23, 2026; Nov 26, 2025
F880 Infection prevention and control program3Jan 13, 2026; Feb 7, 2025; Jan 18, 2024
F580 Telling residents and families about changes2May 23, 2026; Oct 28, 2023
F641 Accurate resident assessments2Jul 21, 2025; Aug 29, 2024
F686 Pressure ulcer prevention and care2Feb 24, 2025; Jan 18, 2024
F755 Pharmacy services and a consultant pharmacist2Nov 20, 2025; Nov 14, 2023
F759 Medication error rate under 5 percent2Mar 26, 2026; Oct 28, 2023
F760 No significant medication errors2Nov 14, 2023; Oct 28, 2023
F812 Food safety and sanitation2Dec 23, 2024; Oct 28, 2023

Fines and payment denials

DateTypeAmount / length
May 23, 2026Fine$22,780
Jul 21, 2025Fine$45,679
Feb 7, 2025Fine$26,943
Jan 18, 2024Fine$38,705
Nov 14, 2023Fine$32,548
Oct 10, 2023Fine$13,029

Staffing and CMS ratings

Total nurse staff hours per resident per day
3.36 h (about the same as the Texas median of 3.27 h)
RN hours per resident per day
0.55 h (above the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
2.97 h
Nursing staff turnover
61.6% (Texas median 52.1%)
Administrators who left
1
CMS overall rating
2 of 5
Health inspection rating
1 of 5
Staffing rating
2 of 5
Quality measure rating
5 of 5

CMS figures for Terra Bella Health and Wellness Suites, copied as published; Texas medians are ours.

Facility details

Address
12262 Cityscape Ave, Houston, TX 77047
Phone
(346) 998-3500
County
Harris
Accepts
Medicare and Medicaid
Ownership
For profit - Corporation
Chain (CMS)
Fundamental Healthcare
Certified beds
128
Average residents per day
106.8
In Medicare/Medicaid since
Jun 28, 2018
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.

  • How are a resident's goals and preferences written into the care plan? (F656, cited 3 times)
  • How often do residents who need help get assistance with bathing, grooming, and mouth care? (F677, cited 3 times)
  • How does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 3 times)
  • How do staff track and report infections among residents? (F880, cited 3 times)

Other nursing homes in Houston 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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