01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-06-19 | 9 | 2025-06-19 | 5 |
| Cycle 2 | 2024-04-24 | 5 | 2024-04-24 | 3 |
| Cycle 3 | 2023-02-23 | 13 | 2023-02-23 | 2 |
CMS CCN 6758342026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Brookdale Galleria
2929 Post Oak Blvd · Houston, TX 77056 · Harris County
Certified beds56CMS provider file
Recent citation rows37current CMS citation release
Penalty rows4current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
37 rows in the current release
5 rows carry G–L scope/severity codes; 3 carry J–L. 8 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-03-23 · HEALTHF0689Severity J · isolated immediate jeopardy
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2026-03-26 · complaint2025-11-25 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2025-11-26 · complaint2025-11-25 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2025-11-26 · complaint2025-11-25 · HEALTHF0684Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2025-11-26 · complaint2025-11-25 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2025-11-26 · complaint2025-11-25 · HEALTHF0732Severity C · widespread; potential for minimal harm
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Correction field: Deficient, Provider has date of correction · 2025-11-26 · complaint2025-11-25 · HEALTHF0842Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2025-11-26 · complaint2025-11-18 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2025-11-19 · complaint2025-06-19 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-06-202025-06-19 · FIREK0324Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2025-06-272025-06-19 · FIREK0355Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Correction field: Deficient, Provider has date of correction · 2025-06-272025-06-19 · FIREK0372Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2025-06-272025-06-19 · FIREK0521Severity C · widespread; potential for minimal harm
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: Deficient, Provider has date of correction · 2025-06-272025-06-19 · FIREK0712Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2025-06-272024-12-17 · HEALTHF0686Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2025-01-10 · complaint2024-12-17 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-01-10 · complaint2024-04-24 · HEALTHF0638Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Assure that each resident’s assessment is updated at least once every 3 months.
Correction field: Deficient, Provider has date of correction · 2024-05-152024-04-24 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2024-05-15 · complaint2024-04-24 · HEALTHF0759Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Correction field: Deficient, Provider has date of correction · 2024-05-152024-04-24 · FIREK0211Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has date of correction · 2024-05-152024-04-24 · FIREK0223Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Correction field: Deficient, Provider has date of correction · 2024-05-152024-04-24 · FIREK0363Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2024-05-152024-04-04 · HEALTHF0580Severity K · pattern of immediate jeopardy
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Deficient, Provider has date of correction · 2024-04-05 · complaint2024-04-04 · HEALTHF0686Severity K · pattern of immediate jeopardy
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2024-04-05 · complaint03 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2026-03-23 | Fine | $16,355 | 0 |
| 2024-12-17 | Fine | $10,033 | 0 |
| 2024-04-04 | Fine | $40,203 | 0 |
| 2023-12-11 | Fine | $12,253 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- SH OPCO HOLDCO LLCOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 03/19/2026
- CCRC PROPCO VENTURES, LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 03/19/2026
- HCP MA3 GP HOLDING, LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 03/19/2026
- HCP MA3, LPOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 03/19/2026
- HCP PARTNERS LPOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 03/19/2026
- HCP S-H 2014 MEMBER LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 03/19/2026
- HCP VENTURES II TRS LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 03/19/2026
- HCP/LS 2011 REIT, LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 03/19/2026
- HEALTHPEAK OP LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 03/19/2026
- JANUS LIVING OP LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 03/19/2026
- JANUS LIVING TRS LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 03/19/2026
- JANUS LIVING, INC.Organization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 03/19/2026
- JANUS MEMBER, LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 03/19/2026
- OCEAN ACQUISITION I LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 03/19/2026
- CHENG, PATRICKIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 01/01/2022
- RUSSO, FRANKIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 01/01/2022
- CHENG, PATRICKIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2022
- HARRIS BATES, LASHONIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/05/2026
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.62per resident day
RN hours1.09per resident day
Weekend nurse hours3.91per resident day
Staff turnover65.4%CMS reported field
06 / LOCAL RECORDS
Open the Houston ledger →Other published facilities nearby
Afton Oaks Nursing And Rehabilitation Center169 beds · CMS overall 1/544 citation rowsAshford Gardens202 beds · CMS overall 2/537 citation rowsAvir At Arden Wood174 beds · CMS overall 2/550 citation rowsAvir At Courtyard120 beds · CMS overall 4/526 citation rowsAvir At Golfcrest200 beds · CMS overall 2/532 citation rowsAvir At Houston148 beds · CMS overall 1/551 citation rowsAvir At Orem120 beds · CMS overall 4/537 citation rowsAvir At Veterans Memorial120 beds · CMS overall 1/538 citation rows