Deficiency Index

Copperfield Healthcare and Rehabilitation

Houston, Texas · CCN 676230

22 surveys since 2011. The first finding at harm level was recorded in 2025.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
112
Surveys
22
Harm or worse
3
Immediate jeopardy
3
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy3

Findings at the most serious level CMS records.

Beyond CMS’s monthly file17/22

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
124
Ownership
For profit - Corporation
Chain
THE ENSIGN GROUP
County
Harris
Medicare-certified since
2009

CMS ratings

Overall
3
Health inspection
2
Staffing
2
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.

Weighted by harm level, against 377 for-profit facilities of 100–127 beds in Texas.

Last survey on record

Apr 7, 2026

216 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.243.25
Registered-nurse hours per resident day0.60—
Annual nurse turnover55.0%54.0%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$23,029 across 1 penalty

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ27.1%K13.6%L—
Actual harmG—H—I—
No harm, potential for more than minimalD1450.0%E1139.3%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 28 of the 112 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6402×

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

  • F6932×

    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.

  • F6952×

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

  • F7592×

    Ensure medication error rates are not 5 percent or greater.

  • F7612×

    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.

In the surveyor’s words

From the most serious findings on record at Copperfield Healthcare and Rehabilitation, in the surveyor’s own words.

  • Immediate jeopardy, patternF700Sep 17, 2025

    Based on observation, interview, and record review the facility failed to ensure appropriate alternatives prior to installing a side or bed rail were used and if bed or side rails are used, the facility failed to ensure correct installation, use and maintenance of bed rails, including, but not limited to assessing the resident for risk of entrapment from bed rails prior to installation, reviewed the risks and benefits of bed rails with the resident or resident representative and obtained informed consent prior to installation for 11 of 11 residents (Resident #8, #15, #22, #25, #44, # 60, #84, #90, #134, #145, and #149) reviewed for mobility bars/bedrails. 1. […]

  • Immediate jeopardy, isolatedF580Sep 17, 2025

    Number of residents sampled: Number of residents cited: Based on observation, interview, and record review, the facility failed to immediately inform the resident, consult with the resident's physician, and notify, consistent with his or her authority, the resident representative when there was a significant change in the resident's physical, mental, or psychosocial status and a need to alter treatment significantly for 1 of 8 residents (CR #1) reviewed for notification of changes. The facility failed to notify CR #1's physician when the resident's family member reported slurred speech and altered mental status on 08/24/25. […]

  • Immediate jeopardy, isolatedF684Sep 17, 2025

    Based on observation, interview and record review the facility failed to ensure, based on the comprehensive assessment of a resident, residents received treatment and care and services in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for 1 of 8 residents (CR #1) reviewed for quality of care. - The facility failed to act on 08/24/25 when CR #1's family member notified the nurse of slurred speech and altered mental status that indicated a stroke until 08/25/25. - On 08/25/25 CR #1 was transferred to the hospital where he was diagnosed with acute ischemic infarct (a type of stroke where blood flow to a part of the brain is interrupted, causing brain tissue to die). […]

  • No harm, potential for more than minimal, widespreadF812Mar 31, 2022

    Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for food procurement in that: The facility failed to maintain proper holding temperature for the following food A pan of Hard boiled eggs had a temperature of 74.2 degrees Fahrenheit A pan of Breakfast Beef sausage had a temperature of 107.7 degrees Fahrenheit A pan of Chicken Gumbo had a temperature of 124 5 degrees Fahrenheit. This failure could place residents at risk of foodborne illness and disease. […]

  • No harm, potential for more than minimal, patternF656Sep 17, 2025

    Based on observation, interview, and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident that included measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that were identified in the comprehensive assessment describing services that were to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being for 3 of 12 residents (Residents #12, Residents #80 and Resident #84) reviewed for comprehensive care plans. […]

Read 20 findings in full →The most serious and the most recent: 20 of 112 on record.

Every survey on record

FindingsAt actual harm or above

  • Apr 7, 2026Complaint1 finding
  • Sep 17, 2025Standard and complaint14 findings · 3 harm
  • Mar 6, 2025Complaint1 finding
  • Jul 26, 2024Standard3 findings
  • May 18, 2023Standard9 findings
  • Mar 9, 2023Complaint1 finding
  • Mar 31, 2022Standard2 findings
  • Nov 20, 2019Standard8 findings
Show the 14 earlier surveys
  • Dec 13, 2018Standard1 finding
  • May 23, 2018Complaint2 findings
  • Dec 8, 2017Standard and complaint4 findings
  • Apr 6, 2017Complaint3 findings
  • Feb 15, 2017Complaint1 finding
  • Jan 4, 2017Complaint3 findings
  • Nov 18, 2016Standard14 findings
  • Aug 14, 2015Standard10 findings
  • Jul 31, 2014Standard4 findings
  • Aug 22, 2013—8 findings
  • Oct 11, 2012—11 findings
  • Oct 14, 2011—9 findings
  • Jun 1, 2011—2 findings
  • Mar 16, 2011—1 finding

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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