Gulf Shores Rehabilitation and Healthcare Center

Name: Gulf Shores Rehabilitation and Healthcare Center
Address: 1301 S Terrell St, Falfurrias, TX, 78355, US
Telephone: 3613253658

1301 S Terrell St, Falfurrias, TX 78355 · Brooks County · 96 certified beds · avg 42 residents/day · certified since Jul 31, 1996

Part of chain: NEXION HEALTH (51 facilities, chain avg rating 2.2★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.40

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (23)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jun 17, 2026	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Apr 27, 2026	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Apr 27, 2026	D · Potential for harm, one-off	The facility did not allow a resident's chosen representative — often a family member or someone with power of attorney — to exercise the resident's rights on their behalf. When a resident can't speak for themselves, their representative steps into that role. · from a complaint
Feb 19, 2026	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential.
Feb 19, 2026	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Feb 19, 2026	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jul 16, 2025	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint
Jul 7, 2025	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Jul 7, 2025	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Jul 7, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Mar 22, 2025	C · Minimal risk, facility-wide	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · from a complaint
Dec 4, 2024	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Dec 4, 2024	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Dec 4, 2024	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Dec 4, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Dec 4, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Dec 4, 2024	D · Potential for harm, one-off	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Dec 4, 2024	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint
Sep 14, 2023	F · Potential for harm, facility-wide	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Sep 14, 2023	E · Potential for harm, repeated	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint
Sep 14, 2023	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint
Sep 14, 2023	D · Potential for harm, one-off	The facility did not develop, carry out, or maintain an effective training program for all new and existing staff members.
Aug 17, 2023	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (7 → 3).

Year	Citations	Worst severity that year
2023	5	F
2024	7	E
2025	5	D
2026	6	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Texas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.40	3.46	3.95	top 42% in Texas; bottom 32% in the U.S.
Registered Nurse hours	0.43	0.44	0.69	top 39% in Texas; bottom 28% in the U.S.
Weekend total nurse staffing	3.09	3.04	3.50	top 35% in Texas; bottom 36% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.60	0.34	0.48	top 8% in Texas; top 23% in the U.S.
Total nursing staff turnover (%)	34.9	55.3	45.8	top 11% in Texas; top 24% in the U.S.
RN turnover (%)	0.0	54.6	42.9	top 1% in Texas; top 1% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.62, RN 0.46, weekend 3.29. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 5/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Fallon, John	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2021
Kirley, Francis	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2021
Lee, Brian	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2021
Mak, David	Individual	Corporate Officer	NOT APPLICABLE	05/18/2021
Nexion Health at Falfurrias, INC.	Organization	Operational/Managerial Control	NOT APPLICABLE	04/01/2021
Riner, Meera	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2021
Santana, Mary	Individual	W-2 Managing Employee	NOT APPLICABLE	04/01/2021
Santana, Mary	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2021

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you keep residents' medical records accurate, complete, and secure?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you involve a resident's representative in care decisions, and how quickly are they consulted?"
"How do you protect residents' privacy, both in their medical records and in day-to-day care?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Lone Star Ranch Rehabilitation and Healthcare Cent	25.7 mi	Kingsville, TX	★★★☆☆	2/5	abuse
Kingsville Nursing and Rehabilitation Center	26.1 mi	Kingsville, TX	★★★★☆	4/5
Meridian Care of Hebbronville	33.7 mi	Hebbronville, TX	★★☆☆☆	2/5	abuse
Windsor Nursing and Rehabilitation Center of San D	37.5 mi	San Diego, TX	★★★★★	5/5
Meridian Care of Alice	37.6 mi	Alice, TX	★☆☆☆☆	1/5	abuse
The Premier SNF of Alice	38.2 mi	Alice, TX	★★★☆☆	4/5
Windsor Nursing and Rehabilitation Center of Alice	38.3 mi	Alice, TX	★★☆☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Falfurrias →

Facility data as of CMS processing date 2026-08-01. CCN 675630.

The Care File

Visit checklist — Gulf Shores Rehabilitation and Healthcare Center

1301 S Terrell St, Falfurrias, TX 78355 · 3613253658

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you involve a resident's representative in care decisions, and how quickly are they consulted?"
☐ "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 675630 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)