Above average — CMS composite of the measures below.
The next survey window likely opens around February 2027
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at The Hallmark during CMS and state inspections, most recent first.
Incomplete medication orders were administered without clarification. Two LVNs gave polyethylene glycol mixed with an unmeasured amount of water and applied diclofenac gel without confirming the intended body area for three residents. The MD and DON stated the orders should have included the fluid amount and application site, and staff should have contacted the provider for clarification before administration.
A resident with an indwelling catheter was found with the catheter bag improperly positioned in bed, leading to inadequate drainage and increased infection risk. Despite the resident's medical history, staff failed to ensure proper catheter care after a transfer from a sister facility. Interviews revealed a lack of communication and oversight, with staff acknowledging the importance of correct catheter positioning but failing to verify it.
Incomplete medication orders were administered without clarification
Penalty
Summary
The facility failed to provide pharmaceutical services to meet residents’ needs and failed to ensure incomplete medication orders were clarified before administration for Residents #3, #20, and #36, as well as during medication administration observations of two LVNs. The report states that staff administered polyethylene glycol powder to residents without specifying how much fluid to use for mixing, and applied diclofenac gel without an order specifying the body area to be treated. The facility’s medication administration observations showed LVN A and LVN B preparing and giving polyethylene glycol with an unmeasured amount of water, and preparing diclofenac gel without confirming the intended application site. Resident #3 was a female with diagnoses including multiple rib and thoracic vertebra fractures and cognitive communication deficit. Her care plan addressed pain in both legs and directed diclofenac gel to both legs four times daily, while the physician order only said to apply the gel to the affected area. Her order for polyethylene glycol directed one scoop by mouth daily for constipation but did not specify the amount of fluid to mix with the powder. During observation, LVN A mixed the powder with an unmeasured amount of water and gave it to the resident, then asked where she usually received the gel; the resident could not answer and said she did not have pain at that moment, so the medication was held. Resident #36 was a male with diagnoses including contusion of the lower back and pelvis, and his care plan addressed pain in both knees with diclofenac gel to both knees four times daily. His physician order for diclofenac gel also lacked the application site, and his polyethylene glycol order lacked the amount of fluid for mixing. During observation, LVN A mixed and administered polyethylene glycol with an unmeasured amount of water, then applied diclofenac gel to the resident’s leg near a lidocaine patch after asking where he usually received it; the resident said he was not aware where it should have been applied. Resident #20 had diagnoses including multiple fractures of the left femur, dementia, constipation, and cognitive communication deficit, with a BIMS score of 6. His diclofenac gel and polyethylene glycol orders were also incomplete, and during observation LVN B mixed polyethylene glycol with an unmeasured amount of water and administered it. In interviews, the MD and DON stated the orders should have included the fluid amount and application area, and that nurses should have contacted the provider for clarification.
Improper Catheter Care Leads to Deficiency
Penalty
Summary
The facility failed to provide appropriate care for a resident with an indwelling catheter, which is necessary to prevent urinary tract infections and ensure proper drainage. The resident, who had a history of urinary tract infection and neuromuscular dysfunction of the bladder, was observed with her catheter bag and tubing positioned incorrectly in her bed, rather than hanging below the bladder as required. This improper positioning was discovered when the resident called for assistance, and it was confirmed that the catheter was not draining properly, posing a risk for infection. Interviews with facility staff revealed a lack of communication and oversight regarding the resident's catheter care. The resident had been transferred from a sister facility earlier that day, and the assigned nurse did not verify the catheter's position or ensure it was draining. The Agency LPN and CNA both acknowledged the importance of proper catheter positioning but failed to check on the resident's catheter status. The Director of Nursing confirmed that the nurse should have ensured the catheter was draining and highlighted the need for staff to communicate resident needs during shift changes.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Houston
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Brookdale Galleria | 0.9 mi | ★★★★★ | 8 | 1 |
| The Vosswood Nursing Center | 2.7 mi | ★★★★★ | 0 | 0 |
| Woodway Nursing & Rehab | 3 mi | — | 14 | 2 |
| Ffiii Houston Snf Tenant Llc | 3.5 mi | ★★★★★ | 0 | 0 |
| Spring Branch Transitional Care Center | 4 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.