Terra Bella Health and Wellness Suites

Nursing home in Houston, TX

Medicare & Medicaid certified2★ overall (CMS)SFF candidate (CMS)

Call (346) 998-3500 Send a message Map ↗

Public-record details

Address: 12262 Cityscape Ave, Houston, TX 77047
Phone: (346) 998-3500
Listed under: For-profit
Medicare CCN: 676450
Overall star rating: 2 of 5 ★★☆☆☆
Health inspection rating: 1 of 5
Staffing rating: 2 of 5
Quality measures rating: 5 of 5
Certified beds: 128
Average residents per day: 107
Ownership: For-profit, corporation
Legal business name: South Limestone Hospital District
Chain: Fundamental Healthcare (66 facilities)
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: Jun 28, 2018
Changed ownership in last 12 months: No
Continuing care retirement community: No
Located inside a hospital: No
Resident or family council: Resident council
Sprinklers in all required areas: Yes

CMS certification number 676450. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Mar 26, 2026. CMS lists 45 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 11, 2023 to Jun 9, 2026): 41 from complaint inspections, 12 at the “actual harm” level or higher, including 8 at “immediate jeopardy”. CMS lists this facility as a candidate for its Special Focus Facility program.

Inspection	Citation	Severity
Jun 9, 2026	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care · complaint inspection	D Potential for more than minimal harm, isolated
May 23, 2026	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights · complaint inspection	D Potential for more than minimal harm, isolated
May 23, 2026	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights · complaint inspection	G Actual harm, isolated
May 23, 2026	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care · complaint inspection	G Actual harm, isolated
May 23, 2026	Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care · complaint inspection	H Actual harm, pattern
Mar 26, 2026	Ensure medication error rates are not 5 percent or greater. Pharmacy Service	E Potential for more than minimal harm, pattern
Jan 13, 2026	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. Nursing and Physician Services · complaint inspection	D Potential for more than minimal harm, isolated
Jan 13, 2026	Provide and implement an infection prevention and control program. Infection Control · complaint inspection	E Potential for more than minimal harm, pattern
Nov 26, 2025	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care · complaint inspection	D Potential for more than minimal harm, isolated
Nov 26, 2025	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care · complaint inspection	D Potential for more than minimal harm, isolated
Nov 20, 2025	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service · complaint inspection	D Potential for more than minimal harm, isolated
Jul 21, 2025	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning · complaint inspection	D Potential for more than minimal harm, isolated

Showing the 12 most recent of 45. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 6 fines totalling $181,644 in the last three years.

May 23, 2026	Fine: $24,740
Jul 21, 2025	Fine: $45,679
Feb 7, 2025	Fine: $26,943
Jan 18, 2024	Fine: $38,705
Nov 14, 2023	Fine: $32,548
Oct 10, 2023	Fine: $13,029

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day: 3.36 hours
Registered nurse (RN) time per resident per day: 0.55 hours
Nurse aide time per resident per day: 1.94 hours
Total nurse staffing on weekends: 2.97 hours
Nursing staff turnover (yearly): 62%
RN turnover (yearly): 50%
Administrators who left in the past year: 1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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