Skilled nursing facility · CMS certification number 676450
Terra Bella Health and Wellness Suites
Houston, Texas · Medicare and Medicaid · 128 certified beds in Care Compare
CMS lists this facility as a Special Focus Facility candidate (Care Compare Special Focus Status: SFF Candidate)
In Care Compare’s provider information: Penalties: 5 · Fines: 5 · Fines, total amount: $166,655.00 · Payment denials: 0. The most recent penalty on file: May 23, 2026, Fine, $24,740. Every penalty on file ↓
Terra Bella Health and Wellness Suites: its citable report, full history — $295 · an email when it changes — $99/month
What stands out
- Its latest cost report on file is for fiscal year 2025, covering June 1, 2024 to May 31, 2025 (364 days), and CMS processed it on December 22, 2025.
- Net patient revenue rose from $3.6M in fiscal year 2024 to $8.7M in fiscal year 2025.
- Its result from service to patients: −$1.5M (2023), −$708K (2024), −$1.7M (2025).
- Its cost reports on file run from fiscal year 2019 to fiscal year 2025.
- Since its cost report for fiscal year 2025 was filed on December 22, 2025, 11 changes are listed on this record: 2 deficiencies, a penalty, 2 owner changes and 6 owner changes.
- Its net patient revenue of $8.7M ranks 150th of the 484 nursing facilities in Texas whose latest cost report on file is fiscal year 2025.
- 2 of the 5 nursing facilities in Texas closest in size to it, whose latest cost report on file is fiscal year 2025, also report a loss on service to patients.
Terra Bella Health and Wellness Suites: Medicare cost reports
Form CMS-2540-10: every report is settled.
| Form CMS-2540-10 | 2025 · report 1445261 | 2024 · report 1401314 | 2023 · report 1398461 | 2022 · report 1365301 | 2021 · report 1343826 | 2020 · report 1315424 | 2019 · report 1245703 |
|---|---|---|---|---|---|---|---|
| Period began | June 1, 2024 | January 1, 2024 | June 1, 2022 | June 1, 2021 | June 1, 2020 | June 1, 2019 | June 28, 2018 |
| Period ended | May 31, 2025 | May 31, 2024 | May 31, 2023 | May 31, 2022 | May 31, 2021 | May 31, 2020 | May 31, 2019 |
| Days, where not a full year | — | 151 | — | — | — | — | — |
| Processed by CMS | December 22, 2025 | December 19, 2024 | October 30, 2024 | September 22, 2023 | March 3, 2023 | May 5, 2022 | November 14, 2019 |
| Total patient revenue | $14,236,083 | $5,634,276 | $12,173,017 | $11,199,599 | $9,408,250 | $8,950,912 | $5,178,621 |
| Contractual allowances and discounts | $5,499,721 | $2,076,886 | $3,766,883 | $3,303,619 | $2,430,481 | $2,615,822 | $1,523,999 |
| Net patient revenue | $8,736,362 | $3,557,390 | $8,406,134 | $7,895,980 | $6,977,769 | $6,335,090 | $3,654,622 |
| Total operating expenses | $10,398,519 | $4,265,286 | $9,940,855 | $9,399,809 | $8,510,269 | $7,483,242 | $4,883,669 |
| Net income from service to patients | −$1,662,157 | −$707,896 | −$1,534,721 | −$1,503,829 | −$1,532,500 | −$1,148,152 | −$1,229,047 |
| Total other income | $974,766 | $285,604 | $1,144,562 | $1,321,069 | $1,236,155 | $93,674 | $7,072 |
| Net income after other income | −$687,391 | −$422,292 | −$390,159 | −$182,760 | −$296,345 | −$1,054,478 | −$1,221,975 |
| Net income | −$687,391 | −$422,292 | −$390,159 | −$182,760 | −$296,345 | −$1,054,478 | −$1,221,975 |
| Total facility beds, all components | 128 | 128 | 128 | 128 | 128 | 128 | 128 |
| Bed days available, all components | 46,720 | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 923 | — | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 34,646 | — | — | — | — | — | — |
| Other-payer patient days | 3,369 | — | — | — | — | — | — |
| Total patient days, all components | 38,938 | 15,147 | 38,298 | 34,770 | 29,987 | 26,557 | 14,478 |
| Medicare discharges | 9 | — | — | — | — | — | — |
| Medicaid discharges | 36 | — | — | — | — | — | — |
| Other-payer discharges | 63 | — | — | — | — | — | — |
| Total discharges, all components | 108 | 35 | 268 | 238 | 173 | 144 | 88 |
| Average length of stay, Medicare, in days | 102.56 | 83.33 | 69.63 | 67.11 | 62.64 | 43.47 | 68.44 |
| Average length of stay, Medicaid, in days | 962.39 | 834.63 | 176.31 | 195.62 | 241.13 | 395.09 | 301.49 |
| Average length of stay, all patients, in days | 360.54 | 432.77 | 142.9 | 146.09 | 173.34 | 184.42 | 164.52 |
Net income, fiscal years 2025, 2024, 2023, 2022, 2021, 2020, 2019. Checked against the form’s own arithmetic: what that check shows.
Terra Bella Health and Wellness Suites: nurse staffing hours by quarter →
Who owns Terra Bella Health and Wellness Suites, as filed with CMS
Care Compare
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: SOUTH LIMESTONE HOSPITAL DISTRICT (organization), 100%%, since 01/01/2024
- ADP OF THE SNF: DAY, WENDY (individual), NOT APPLICABLE, since 12/30/2022; FUNDAMENTAL ADMINISTRATIVE SERVICES LLC (organization), NOT APPLICABLE, since 01/01/2024; FUNDAMENTAL CLINICAL AND OPERATIONAL SERVICES, LLC (organization), NOT APPLICABLE, since 01/01/2024; LOCKHART, CHRISTOPHER (individual), NOT APPLICABLE, since 04/20/2023
- CORPORATE OFFICER: PRICE, LARRY (individual), NOT APPLICABLE, since 01/01/2024
- INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF: FORMAN, MURRAY (individual), NOT APPLICABLE, since 11/30/2025
- OPERATIONAL/MANAGERIAL CONTROL: CITY PARK CARE CENTER LLC (organization), NOT APPLICABLE, since 01/01/2024; DAY, WENDY (individual), NOT APPLICABLE, since 12/30/2022
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of SOUTH LIMESTONE HOSPITAL DISTRICT (enrollment ID O20240516001801).
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: SOUTH LIMESTONE HOSPITAL DISTRICT (organization), 100.00%, since 01/01/2024
- ADP OF THE SNF: CHRISTOPHER R LOCKHART (individual), since 04/20/2023; FUNDAMENTAL ADMINISTRATIVE SERVICES LLC (organization), since 01/01/2024; FUNDAMENTAL CLINICAL AND OPERATIONAL SERVICES, LLC (organization), since 01/01/2024; WENDY LOU DAY (individual), since 12/30/2022
- CORPORATE OFFICER: LARRY N PRICE (individual), since 01/01/2024
- OPERATIONAL/MANAGERIAL CONTROL: CITY PARK CARE CENTER LLC (organization), 100.00%, since 01/01/2024; WENDY LOU DAY (individual), since 12/30/2022
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company, real estate investment trust and holding company: No: SOUTH LIMESTONE HOSPITAL DISTRICT; FUNDAMENTAL ADMINISTRATIVE SERVICES LLC; FUNDAMENTAL CLINICAL AND OPERATIONAL SERVICES, LLC; CITY PARK CARE CENTER LLC.
Private equity company, real estate investment trust and holding company: Paused by CMS: CHRISTOPHER R LOCKHART; WENDY LOU DAY; LARRY N PRICE; WENDY LOU DAY.
Changes in ownership
- January 1, 2026, enrollment ownership file; no longer listed: WENDY LOU DAY (W-2 MANAGING EMPLOYEE); WENDY LOU DAY (CORPORATE OFFICER); first listed: SOUTH LIMESTONE HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST), associated since January 1, 2024; FUNDAMENTAL ADMINISTRATIVE SERVICES LLC (ADP OF THE SNF), associated since January 1, 2024; WENDY LOU DAY (ADP OF THE SNF), associated since December 30, 2022; WENDY LOU DAY (OPERATIONAL/MANAGERIAL CONTROL), associated since December 30, 2022; CHRISTOPHER R LOCKHART (ADP OF THE SNF), associated since April 20, 2023; FUNDAMENTAL CLINICAL AND OPERATIONAL SERVICES, LLC (ADP OF THE SNF), associated since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- September 1, 2024, enrollment ownership file; no longer listed: HUNT VALLEY HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST); THI OF BALTIMORE, INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST); THI OF TEXAS LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST); ANDREW AHO (W-2 MANAGING EMPLOYEE); ANDREW AHO (OFFICER); MURRAY FORMAN (5% OR GREATER INDIRECT OWNERSHIP INTEREST); first listed: WENDY LOU DAY (W-2 MANAGING EMPLOYEE), associated since January 1, 2024; WENDY LOU DAY (OFFICER), associated since January 1, 2024; CITY PARK CARE CENTER LLC (OPERATIONAL/MANAGERIAL CONTROL), associated since January 1, 2024; LARRY N PRICE (OFFICER), associated since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
Recent changes on this record
- August 5, 2026: A deficiency was cited under tag F 0770, scope and severity D. NH_HealthCitations_Oct2026.csv
- August 5, 2026: A deficiency was cited under tag F 0656, scope and severity D. NH_HealthCitations_Oct2026.csv
- May 23, 2026: A penalty was recorded: Fine. NH_Penalties_Sep2026_2.csv
Inspections of Terra Bella Health and Wellness Suites
- Cycle 1: health March 26, 2026 (13 deficiencies), fire safety March 26, 2026 (6)
- Cycle 2: health December 23, 2024 (15 deficiencies), fire safety December 23, 2024 (2)
- Cycle 3: health October 28, 2023 (18 deficiencies), fire safety October 28, 2023 (2)
Deficiencies cited at Terra Bella Health and Wellness Suites
47 deficiencies on file, by tag, newest citation first
every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 43 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0656, resident assessment and care planning: August 5, 2026 (D, from a complaint, corrected August 14, 2026); July 21, 2025 (K, from a complaint, corrected August 8, 2025); January 18, 2024 (D, from a complaint, corrected January 21, 2024); October 10, 2023 (D, from a complaint, corrected October 30, 2023).
- F 0770, administration: August 5, 2026 (D, from a complaint, corrected August 14, 2026); October 28, 2023 (D, from a complaint, corrected November 10, 2023).
- F 0689, quality of life and care: June 9, 2026 (D, from a complaint, corrected June 24, 2026); May 23, 2026 (G, from a complaint, corrected June 19, 2026); November 26, 2025 (D, from a complaint, corrected December 1, 2025).
- F 0550, resident rights: May 23, 2026 (D, from a complaint, corrected June 19, 2026).
- F 0580, resident rights: May 23, 2026 (G, from a complaint, corrected June 19, 2026); October 28, 2023 (E, from a complaint, corrected November 10, 2023).
- F 0697, quality of life and care: May 23, 2026 (H, from a complaint, corrected June 19, 2026).
- F 0759, pharmacy service: March 26, 2026 (E, corrected April 20, 2026); October 28, 2023 (D, corrected November 10, 2023).
- F 0726, nursing and physician services: January 13, 2026 (D, from a complaint, corrected January 23, 2026).
- F 0880, infection control: January 13, 2026 (E, from a complaint, corrected January 23, 2026); February 7, 2025 (D, from a complaint, corrected March 3, 2025); January 18, 2024 (E, from a complaint, corrected January 21, 2024).
- F 0684, quality of life and care: November 26, 2025 (D, from a complaint, corrected December 1, 2025).
- F 0755, pharmacy service: November 20, 2025 (D, from a complaint, corrected December 11, 2025); November 14, 2023 (K, from a complaint, corrected November 24, 2023).
- F 0600, freedom from abuse, neglect, and exploitation: July 21, 2025 (K, from a complaint, corrected August 8, 2025).
- F 0641, resident assessment and care planning: July 21, 2025 (D, from a complaint, corrected August 8, 2025); August 29, 2024 (E, from a complaint, corrected September 27, 2024).
- F 0687, quality of life and care: July 21, 2025 (K, from a complaint, corrected August 8, 2025).
- F 0761, pharmacy service: July 21, 2025 (D, from a complaint, corrected August 8, 2025).
- F 0805, nutrition and dietary: April 25, 2025 (D, from a complaint, corrected May 10, 2025).
- F 0677, quality of life and care: February 24, 2025 (H, from a complaint, corrected March 14, 2025); August 29, 2024 (D, from a complaint, corrected September 27, 2024); October 10, 2023 (D, from a complaint, corrected October 30, 2023).
- F 0686, quality of life and care: February 24, 2025 (K, from a complaint, corrected March 14, 2025); January 18, 2024 (K, from a complaint, corrected January 21, 2024).
- F 0557, resident rights: February 7, 2025 (D, from a complaint, corrected March 3, 2025).
- F 0645, resident assessment and care planning: December 23, 2024 (D, from a complaint, corrected January 17, 2025).
- F 0693, quality of life and care: December 23, 2024 (D, corrected January 17, 2025).
- F 0812, nutrition and dietary: December 23, 2024 (E, from a complaint, corrected January 17, 2025); October 28, 2023 (E, corrected November 10, 2023).
- F 0814, nutrition and dietary: December 23, 2024 (D, from a complaint, corrected January 17, 2025).
- F 0695, quality of life and care: November 14, 2024 (D, from a complaint, corrected November 14, 2024).
- F 0688, quality of life and care: August 29, 2024 (D, from a complaint, corrected September 27, 2024).
- F 0921, environmental: June 10, 2024 (D, from a complaint, corrected June 24, 2024).
- F 0690, quality of life and care: January 18, 2024 (E, from a complaint, corrected January 21, 2024).
- F 0760, pharmacy service: November 14, 2023 (K, from a complaint, corrected November 24, 2023); October 28, 2023 (K, from a complaint, corrected November 10, 2023).
- F 0609, freedom from abuse, neglect, and exploitation: October 28, 2023 (D, from a complaint, corrected November 10, 2023); August 11, 2023 (D, from a complaint, corrected August 12, 2023).
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| May 23, 2026 | Fine | $24,740 | 139402 | ||
| May 23, 2026 | Fine | $22,780 | 142938 | ||
| July 21, 2025 | Fine | $45,679 | 134602 | ||
| February 7, 2025 | Fine | $26,943 | 113669 | ||
| January 18, 2024 | Fine | $38,705 | 112174 | ||
| November 14, 2023 | Fine | $32,548 | 111784 | ||
| October 10, 2023 | Fine | $13,029 | 111676 |
From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on August 1, 2026.
Terra Bella Health and Wellness Suites in Care Compare
- Ownership Type: For profit - Corporation
- Legal Business Name: SOUTH LIMESTONE HOSPITAL DISTRICT
- Date First Approved to Provide Medicare and Medicaid Services: 2018-06-28
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: Harris
- Telephone Number: 3469983500
- Chain Name: FUNDAMENTAL HEALTHCARE
- Chain ID: 231
- Special Focus Status: SFF Candidate
- Provider Changed Ownership in Last 12 Months: N
- With a Resident and Family Council: Resident
- Automatic Sprinkler Systems in All Required Areas: Yes
- Average Number of Residents per Day: 105.5
- Overall Rating: 2
- Health Inspection Rating: 1
- QM Rating: 5
- Long-Stay QM Rating: 5
Care Compare: provider information NH_ProviderInfo_Oct2026.csv, October 1, 2026 · inspections NH_SurveySummary_Oct2026.csv, October 1, 2026 · citations NH_HealthCitations_Oct2026.csv, October 1, 2026 · penalties NH_Penalties_Aug2026.csv, August 1, 2026 · ownership NH_Ownership_Oct2026.csv, October 1, 2026.
Other nursing facilities in Houston
Report a figure on Terra Bella Health and Wellness Suites’s record that differs from its CMS file, quoting 676450.