Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Falcon Ridge Rehabilitation

Hutto, TX · 140 certified beds · Last Life Safety survey July 1, 2026

CMS Certification Number 676382 · first certified April 2015

Ownership

Operated by FUNDAMENTAL HEALTHCARE · For profit - Corporation

  • Ownership changed June 1, 2019 (change of ownership)from RETAMA MANOR DEL RIO LLC
10
Citations on file
CMS's current file
3
Life Safety surveys
CMS's current file
2
Tags cited more than once
Across separate surveys
4
Inspection & testing records
Of the citations on file

Position within TX

10 citations — more than 62% of the 1,177 certified nursing homes in TX. Compared within TX rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in CMS's current file.

The latest survey found 1 citation; the earlier surveys on file averaged 4.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens August 2027 — about 9 months from now. This facility’s last Life Safety survey was July 2026. Facilities in TX are typically surveyed 13–14 months after the last one (median 14), measured over 1,923 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to about three years in Virginia. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities cited for sprinkler inspection and testing in CMS’s current file are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

1 of the 10 citations on file is Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 10 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations in CMS's current file

Compared with the median facility in TX, and nationally. Surveyors differ markedly between states, so the TX figure is the meaningful one.

This facility10TX median7National median11
Citations in CMS's current file, compared
MeasureCitations
This facility10
Median facility in TX7
Median facility nationally11

Survey history

Citations at each Life Safety survey
22024-0172025-0312026-07
Citations at each Life Safety survey
Survey dateCitations
January 25, 20242
March 20, 20257
July 1, 20261

Most-cited tags

Most-cited tags at this facility
K-03742K-03532K-03521E-00391K-03211K-05111K-07411K-09181
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.22025-03-20
K-0353Inspect, test, and maintain automatic sprinkler systems.22026-07-01
K-0352Properly install and monitor supervisory attachments on automatic sprinkler systems.12025-03-20
E-0039Conduct testing and exercise requirements.12025-03-20
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12025-03-20
K-0511Have properly installed electrical wiring and gas equipment.12025-03-20
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.12025-03-20
K-0918Have generator or other power source capable of supplying service within 10 seconds.12025-03-20

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 6
  • Miscellaneous Deficiencies 1
  • Services Deficiencies 1
  • Gas, Vacuum, and Electrical Systems Deficiencies 1
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies6
Miscellaneous Deficiencies1
Services Deficiencies1
Gas, Vacuum, and Electrical Systems Deficiencies1
Emergency Preparedness Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

July 1, 2026 — 1 citation

Citations issued on July 1, 2026
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (August 10, 2026)

March 20, 2025 — 7 citations

Citations issued on March 20, 2025
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (March 28, 2025)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (March 28, 2025)
K-0352Properly install and monitor supervisory attachments on automatic sprinkler systems.Deficient, Provider has date of correction (March 28, 2025)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (March 28, 2025)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (March 28, 2025)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (March 28, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (March 28, 2025)

January 25, 2024 — 2 citations

Citations issued on January 25, 2024
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (January 30, 2024)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (January 27, 2024)

Reflects the CMS posting of October 1, 2026. Surveys conducted in the last few months may not appear yet.