Misty Willow Healthcare and Rehabilitation Center
Houston, Texas · CCN 676251
44 surveys since 2010, 44 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
- 169
- Surveys
- 44
- Harm or worse
- 44
- Immediate jeopardy
- 26
Findings at the most serious level CMS records.
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
- THE ENSIGN GROUP
- County
- Harris
- Medicare-certified since
- 2010
CMS ratings
- Overall
- 1
- Health inspection
- 1
- Staffing
- 2
- 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
Mar 9, 2026
245 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.30 | 3.25 |
| Registered-nurse hours per resident day | 0.35 | — |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $64,093 across 3 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
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J26.7% | K620.0% | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1756.7% | E413.3% | F13.3% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F7613×
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.
- F5832×
Keep residents' personal and medical records private and confidential.
- F6562×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F6842×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F6892×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
In the surveyor’s words
From the most serious findings on record at Misty Willow Healthcare and Rehabilitation Center, in the surveyor’s own words.
- Immediate jeopardy, patternF600Sep 24, 2025
Based on observation, interviews, and record review, the facility failed to ensure each resident was free from abuse for 2 of 17 residents (CR #2, Resident #5) reviewed for abuse in that: 1. CR #1 sexually abused Resident #5 on 4/19/25 when he touched her breast.2. CR #1 sexually abused an unknown female resident on 5/21/25 when he touched her thigh.3. CR #1 sexually abuse CR #2 on 7/14/25 when he touched her breast and on 8/3/25 when he touched her breast and in between her thighs. An IJ was identified on 9/19/25. The IJ template was provided to the facility on 9/19/25 at 4:52pm. […]
- Immediate jeopardy, patternF607Sep 24, 2025
Based on observation, interviews and record review, the facility failed to implement written policies and procedures that prohibit and prevent abuse for 2 of 17 residents (CR #2, Resident #5) reviewed for abuse. The facility failed to implement written policies regarding abuse prevention and protection when CR #1 sexually abused Resident #5, an unidentified female resident, and CR #2 within a 4-month period between 4/19/25 and 8/3/25. The facility failed to ensure LVN B and CNA A, with knowledge of an allegation of sexual abuse on 5/21/25, reported the abuse immediately to the Administrator. An IJ was identified on 9/19/25. The IJ template was provided to the facility on 9/19/25 at 4:52pm. […]
- Immediate jeopardy, patternF610Sep 24, 2025
Based on observations, interviews and record review, the facility failed to have evidence that all alleged violations of sexual abuse were thoroughly investigated for 2 of 17 residents (CR #2, Resident #5) reviewed for abuse. The facility failed to take steps to prevent further potential abuse and take appropriate corrective action as a result of investigation findings when CR #1 sexually abused CR #2, an unidentified female resident and Resident #5 within a 4-month period between 4/19/25 and 8/3/25. An IJ was identified on 9/19/25. The IJ template was provided to the facility on 9/19/25 at 4:52pm. […]
- Immediate jeopardy, patternF656Sep 24, 2025
Based on observation, interviews, and record reviews, 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 nursing, mental and psychosocial needs for 1 of 17 residents (CR #1) reviewed for comprehensive care plans in that: CR #1's care plan was not revised when he sexually abused Resident #5, an unidentified resident and CR #2 and had one sexual inappropriate behavior within a 4-month period between 4/19/25 and 8/3/25. Nursing staff, including LVN B, CNA A, LVN C, CNA B, LVN D and CNA C, were unaware of interventions for CR #1 that would prevent further sexual abuse from occurring. An IJ was identified on 9/19/25. […]
- Immediate jeopardy, patternF684Mar 29, 2025
Based on interviews, and record review, the facility failed to ensure residents were receiving person-centered Quality of Care for 1 residents (CR#1 ) of 8 residents reviewed. The facility failed to ensure CR #1 was properly transferred from the floor to the bed when displaying signs/symptoms of a fracture (pain, deformity, etc). CR #1 sustained a hip fracture. The facility failed to acknowledge CR#1's verbal complaint of pain by picking her up off the floor possibly causing more harm. The facility failed to follow physician orders and administer CR #1's pain medication (PRN). […]
Read 56 findings in full →The most serious and the most recent: 56 of 169 on record.
Every survey on record
FindingsAt actual harm or above
- Mar 9, 2026Complaint2 findings · 1 harm
- Dec 4, 2025Standard7 findings
- Sep 24, 2025Complaint5 findings · 4 harm
- Mar 29, 2025Complaint3 findings · 3 harm
- Aug 30, 2024Standard and complaint6 findings
- Jun 16, 2023Standard7 findings
- Apr 6, 2023Complaint2 findings
- Mar 1, 2023Complaint1 finding · 1 harm
Show the 36 earlier surveys
- Jan 19, 2022Infection control1 finding
- May 13, 2021Complaint2 findings
- Jan 17, 2020Standard2 findings
- Jan 12, 2019Standard and complaint4 findings · 3 harm
- Jul 13, 2018Standard6 findings
- May 30, 2018Complaint3 findings
- Apr 24, 2018Complaint2 findings · 2 harm
- Apr 20, 2018Complaint1 finding
- Jan 12, 2018Standard12 findings · 2 harm
- Oct 10, 2017Complaint3 findings · 2 harm
- May 4, 2017Standard6 findings
- Feb 3, 2017Complaint11 findings · 11 harm
- Jan 12, 2017Complaint3 findings · 1 harm
- Sep 26, 2016Complaint6 findings · 6 harm
- Aug 24, 2016Complaint2 findings · 2 harm
- Jun 2, 2016Complaint1 finding
- Mar 17, 2016Standard7 findings
- Nov 23, 2015Complaint3 findings
- Mar 19, 2015Standard5 findings · 2 harm
- Jan 28, 2015Complaint1 finding
- Mar 7, 2014Standard and complaint6 findings
- Nov 4, 2013—2 findings
- Oct 17, 2013—3 findings
- Mar 14, 2013—8 findings
- Nov 9, 2012—1 finding
- Oct 16, 2012—1 finding
- Sep 26, 2012—5 findings · 3 harm
- Jun 12, 2012—5 findings
- Apr 26, 2012—10 findings
- Apr 18, 2012—2 findings
- Apr 6, 2012—1 finding · 1 harm
- Dec 29, 2011—1 finding
- Apr 29, 2011—3 findings
- Mar 18, 2011—4 findings
- Feb 3, 2011—2 findings
- Dec 31, 2010—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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