Deficiency Index

Deerbrook Skilled Nursing and Rehab Center

Humble, Texas · CCN 676263

47 surveys since 2011, 20 of them producing a finding at harm level or worse.

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

Citations on record
157
Surveys
47
Harm or worse
20
Immediate jeopardy
9
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy9

Findings at the most serious level CMS records. 1 of these were recorded as past non-compliance — corrected before the survey.

Beyond CMS’s monthly file37/47

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 - Limited Liability company
Chain
HMG HEALTHCARE
County
Harris
Medicare-certified since
2010

CMS ratings

Overall
1
Health inspection
1
Staffing
1
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more weighted findings than most of its peer group.

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

Last survey on record

May 16, 2026

177 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 day3.353.25
Registered-nurse hours per resident day0.31—
Annual nurse turnover60.7%54.0%

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

Enforcement

Fines
$176,222 across 5 penalties
Special focus
SFF Candidate
Abuse icon
Flagged by CMS on Care Compare

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 jeopardyJ37.7%K37.7%L—
Actual harmG—H—I—
No harm, potential for more than minimalD2666.7%E717.9%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 39 of the 157 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6775×

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

  • F8805×

    Provide and implement an infection prevention and control program.

  • F6564×

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

  • F6843×

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

  • F6903×

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

In the surveyor’s words

From the most serious findings on record at Deerbrook Skilled Nursing and Rehab Center, in the surveyor’s own words.

  • Immediate jeopardy, patternF600May 16, 2026

    Based on observation, interview and record review the facility failed to ensure residents were free from abuse, neglect, misappropriation of resident property, and exploitation for 1 of 6 residents (Resident CR# 1) reviewed for neglect.The facility failed to develop and implement an effective system to accurately identify, assess, and treat residents with wounds when CR#1 had wounds (unstageable DTI of the right, medial heel, stage 4 pressure wound of the left hip, stage 3 pressure wound of the right sacrum, and unstageable [due to necrosis] scrotum) that were not identified upon initial assessment, reported to physician, or treated for 12 days which resulted in worsening of wounds and development of new wounds. […]

  • Immediate jeopardy, patternF686May 16, 2026

    Based on observation, interview and record review the facility failed to ensure a resident with pressure ulcers received necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent new ulcers from developing for 1 of 6 residents (Resident CR# 1) reviewed for pressure ulcers.1. The facility failed to identify and provide wound treatment from 3/13/26 to 3/25/26 for CR #1 who experienced a decrease in skin integrity to the left hip that resulted in a stage 4 pressure wound, stage 3 pressure wound to the right sacrum, unstageable wound to the scrotum and an unstageable DTI of the right heel that were all identified on 3/25/26 by the wound care doctor. 2. […]

  • Immediate jeopardy, patternF684Feb 14, 2025

    Based on interview and record review, the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice for 1 (CR #1) of 5 residents reviewed for quality of care. -The facility failed to ensure treatment and care was provided to CR #1 for approximately 4 hours after she had a change in condition with sudden onset of mental status and neurological deficits on 10/02/24 at approximately 12:37 p.m. CR #1 was not transported to the ER until approximately 4:39 p.m. where she passed away on 10/15/24. -The facility failed to monitor CR #1 after having a change in condition on 10/02/24 for approximately 4 hours. An IJ was identified on 01/24/25. The IJ template was provided to the facility on [DATE] at 5:34 p.m. […]

  • Immediate jeopardy, isolatedF689Aug 19, 2026

    Based on observation, interview and record review the facility failed to ensure the residents' environment remained free of accident hazards, and each resident received adequate supervision to prevent accidents for 1 (CR #1) of 10 residents reviewed for accidents and supervision.The facility failed to ensure CR #1, who was wearing a wander guard for safety, did not leave the facility unsupervised on 8/10/26 around 8:30 p.m. CR #1 was found by the police down the street in a church parking lot approximately 15 minutes later.The non-compliance was identified as Past Non-Compliance. The Immediate Jeopardy (IJ) began on 8/10/26 and ended on 8/11/26. […]

  • Immediate jeopardy, isolatedF689Oct 27, 2025

    Based on observation, interview and record review the facility failed to ensure the resident environment remained free of accident hazards, and each resident received adequate supervision to prevent accidents for 1 (CR #1) of 7 residents reviewed for accidents and supervision.The facility failed to ensure CR #1 did not leave the facility unattended on 3/21/25. CR #1 was found by another staff member approximately 1 mile away in a parking lot near the freeway. An immediate jeopardy (IJ) was identified on 10/22/25. The IJ template was provided to the facility on [DATE] at 5:01 p.m. […]

Read 36 findings in full →The most serious and the most recent: 36 of 157 on record.

Every survey on record

FindingsAt actual harm or above

  • Aug 19, 2026Complaint2 findings · 1 harm
  • May 16, 2026Standard and complaint6 findings · 2 harm
  • Nov 20, 2025Complaint7 findings
  • Oct 27, 2025Complaint5 findings · 1 harm
  • Jul 31, 2025Complaint1 finding
  • Feb 28, 2025Standard and complaint4 findings · 1 harm
  • Feb 20, 2025Complaint1 finding · 1 harm
  • Feb 14, 2025Complaint1 finding · 1 harm
Show the 39 earlier surveys
  • Nov 16, 2023Standard9 findings
  • Jul 21, 2023Complaint3 findings
  • Sep 14, 2022Standard2 findings
  • Sep 1, 2022Complaint1 finding
  • May 20, 2022Complaint1 finding · 1 harm
  • Sep 29, 2021Infection control2 findings
  • Jul 16, 2021Standard5 findings
  • Jun 17, 2021Complaint1 finding
  • Aug 23, 2019Standard5 findings
  • Aug 16, 2019Complaint1 finding · 1 harm
  • Apr 10, 2019Complaint2 findings
  • Aug 3, 2018Standard and complaint7 findings
  • Mar 2, 2018Complaint2 findings
  • Nov 2, 2017Complaint6 findings · 5 harm
  • Sep 29, 2017Standard6 findings
  • Jun 6, 2017Complaint2 findings
  • Aug 25, 2016Standard1 finding
  • Oct 16, 2015Standard7 findings · 2 harm
  • May 7, 2015Complaint2 findings
  • Apr 30, 2015Complaint5 findings
  • Apr 2, 2015Complaint2 findings
  • Mar 6, 2015Complaint6 findings
  • Nov 6, 2014Standard6 findings
  • Dec 6, 2013—2 findings
  • Oct 23, 2013—3 findings · 1 harm
  • Sep 11, 2013—2 findings
  • Mar 6, 2013—2 findings
  • Jan 4, 2013—2 findings
  • Nov 30, 2012—3 findings · 2 harm
  • Aug 12, 2012—2 findings
  • Mar 29, 2012—3 findings
  • Dec 14, 2011—5 findings
  • Oct 27, 2011—2 findings
  • Sep 29, 2011—5 findings · 1 harm
  • Sep 2, 2011—2 findings
  • May 27, 2011—2 findings
  • Apr 19, 2011—4 findings
  • Mar 8, 2011—2 findings
  • Jan 4, 2011—5 findings

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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