F52

WEST HOUSTON REHABILITATION AND HEALTHCARE CENTER

Grade F 52/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
1/5
Health Insp.
1/5
Quality
2/5
Staffing
1/5
RN Staffing
Not rated

Certified Beds

124

Ownership

For profit - Limited Liability company

Total Fines

$205,193

Last Survey

N/A

13428 BISSONNET, HOUSTON, TX 77083
7133514300

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.20h
LPN
1.04h
CNA
1.78h
Total
3.02h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

WEST WHARTON COUNTY HOSPITAL DISTRICT

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince May 2021

100%

LTC OF WEST HOUSTON LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince May 2021

THREADGILL, SHARLYN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince May 2021

THOMPSON, JOHNNY

IndividualCORPORATE OFFICERSince Jul 2024

COMPTON3 HOLDINGS, LLC

Organization5% OR GREATER MORTGAGE INTERESTSince May 2021

MARTEL HEALTHCARE MANAGEMENT LLC

Organization5% OR GREATER MORTGAGE INTERESTSince May 2021

MISSION BEND HEALTHCARE INVESTMENTS, LLC

Organization5% OR GREATER MORTGAGE INTERESTSince May 2021

THE SMITHERS MANAGEMENT TRUST

Organization5% OR GREATER MORTGAGE INTERESTSince May 2021

COMPTON, CHARLES

Individual5% OR GREATER MORTGAGE INTERESTSince Sep 2024

COMPTON, JAMES

Individual5% OR GREATER MORTGAGE INTERESTSince Sep 2024

COMPTON, KRIS

Individual5% OR GREATER MORTGAGE INTERESTSince Sep 2024

MARTEL, MICHAEL

Individual5% OR GREATER MORTGAGE INTERESTSince Sep 2024

Penalties & Fines (3)

$205,193total fines
DateTypeDescriptionAmount
Oct 25, 2024Fine$182,988
Oct 25, 2024Payment Denial
Mar 11, 2024Fine$22,205

Health Inspection Deficiencies (32)

January 30, 2025Health7 deficiencies
0558DMinimal harm, Isolated

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies

Corrected Jan 31, 2025
0677DMinimal harm, Isolated

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Jan 31, 2025
0693DMinimal harm, Isolated

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Quality of Life and Care Deficiencies

Corrected Jan 31, 2025
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Jan 31, 2025
0755DMinimal harm, Isolated

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected Jan 31, 2025
0761DMinimal harm, Isolated

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Pharmacy Service Deficiencies

Corrected Jan 31, 2025
0759DMinimal harm, Isolated

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Jan 31, 2025
December 31, 2024Health3 deficiencies
0677EMinimal harm, Pattern

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Jan 1, 2025
0686DMinimal harm, Isolated

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Corrected Jan 1, 2025
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jan 1, 2025
November 21, 2024Health1 deficiency
0656DMinimal harm, Isolated

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Dec 13, 2024
October 25, 2024Health8 deficiencies6 severe
0580JImmediate jeopardy, Isolated

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Resident Rights Deficiencies

Corrected Oct 26, 2024
0600KImmediate jeopardy, Pattern

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Oct 26, 2024
0607KImmediate jeopardy, Pattern

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Oct 26, 2024
0609KImmediate jeopardy, Pattern

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Oct 26, 2024
0610KImmediate jeopardy, Pattern

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Oct 26, 2024
0684KImmediate jeopardy, Pattern

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Oct 26, 2024
0761DMinimal harm, Isolated

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Pharmacy Service Deficiencies

Corrected Oct 26, 2024
0835EMinimal harm, Pattern

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Administration Deficiencies

Corrected Oct 26, 2024
March 11, 2024Health2 deficiencies1 severe
0557DMinimal harm, Isolated

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Resident Rights Deficiencies

Corrected Mar 28, 2024
0678JImmediate jeopardy, Isolated

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Quality of Life and Care Deficiencies

Corrected Mar 28, 2024
December 7, 2023Health4 deficiencies
0755DMinimal harm, Isolated

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected Dec 29, 2023
0690DMinimal harm, Isolated

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Quality of Life and Care Deficiencies

Corrected Dec 29, 2023
0761EMinimal harm, Pattern

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Pharmacy Service Deficiencies

Corrected Dec 29, 2023
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Dec 29, 2023
June 16, 2023Health1 deficiency
0656DMinimal harm, Isolated

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Jun 30, 2023
January 20, 2023Health2 deficiencies
0580DMinimal harm, Isolated

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Resident Rights Deficiencies

Corrected Feb 8, 2023
0656DMinimal harm, Isolated

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Feb 8, 2023
September 29, 2022Health4 deficiencies
0677DMinimal harm, Isolated

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Oct 31, 2022
0690DMinimal harm, Isolated

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Quality of Life and Care Deficiencies

Corrected Oct 31, 2022
0757DMinimal harm, Isolated

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Pharmacy Service Deficiencies

Corrected Oct 31, 2022
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Oct 31, 2022

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Frequently Asked Questions

What is the CareGrader rating for WEST HOUSTON REHABILITATION AND HEALTHCARE CENTER?

WEST HOUSTON REHABILITATION AND HEALTHCARE CENTER in HOUSTON, Texas has a CareGrader grade of F (Poor), with a composite score of 51.5 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for WEST HOUSTON REHABILITATION AND HEALTHCARE CENTER?

WEST HOUSTON REHABILITATION AND HEALTHCARE CENTER has an overall CMS star rating of 1 out of 5, a health inspection rating of 1/5, and a staffing rating of 1/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does WEST HOUSTON REHABILITATION AND HEALTHCARE CENTER have?

WEST HOUSTON REHABILITATION AND HEALTHCARE CENTER has 32 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has WEST HOUSTON REHABILITATION AND HEALTHCARE CENTER been fined?

Yes. WEST HOUSTON REHABILITATION AND HEALTHCARE CENTER has $205,193 in total fines from CMS enforcement actions across 3 penalties.

How many beds does WEST HOUSTON REHABILITATION AND HEALTHCARE CENTER have?

WEST HOUSTON REHABILITATION AND HEALTHCARE CENTER has 124 certified beds with approximately 89 current residents (72% occupancy). The facility is located at 13428 BISSONNET, HOUSTON, Texas 77083. It is a for profit - limited liability company facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.