Deficiency Index

The Methodist Hospital SNF

Houston, Texas · CCN 675370

6 surveys since 2011, and no finding has been recorded at harm level.

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

Citations on record
22
Surveys
6
Harm or worse
0
Immediate jeopardy
0
The record, 2011–2023
’11’15’20’23
No harm recordedHarm or worseNot surveyed
Harm or worseNone

No finding on record has been cited at harm level or above.

Beyond CMS’s monthly file5/6

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

The facility

Certified beds
25
Ownership
Non profit - Church related
Chain
Independent
County
Harris
Medicare-certified since
1994

CMS ratings

Overall
5
Health inspection
5
Staffing
5
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=2, floor 20).

Last survey on record

Jun 9, 2023

1,249 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 day10.854.47
Registered-nurse hours per resident day7.04—
Annual nurse turnover25.0%37.8%

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

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD2100.0%E—F—
No harm, potential for minimalA—B—C—
CMS’s current file: 2 of the 22 citations on record.

In the surveyor’s words

From the most serious findings on record at The Methodist Hospital SNF, in the surveyor’s own words.

  • No harm, potential for more than minimal, isolatedF640Jun 9, 2023

    Based on interview and record review, the facility failed to ensure MDS data was transmitted within 14 days of completion for 1 of 10 residents (CR #4), in that: - CR #4's discharge assessment was never completed and submitted following discharge on 12/12/2022. This failure could place residents at risk for receiving unnecessary services or inadequate care. Finding included: Record review of CR #4's face sheet, printed 6/8/2023 revealed an [AGE] year-old female who was admitted on [DATE] and discharged [DATE]. […]

  • No harm, potential for more than minimal, isolatedF759Jun 9, 2023

    Based on observation, interview, and record review the facility failed to ensure that the medication error rate was not five percent or greater. The facility had a medication error rate of 10%, based on 3 errors out of 30 opportunities, which involved 1 of 4 residents (Resident #7) and 1 of 3 staff (RN A) reviewed for medication errors in that: -RN A failed to administer Resident #7's medications via G-Tube ( A tube inserted into the abdomen directly into the stomach to provide nutrition, liquid and medications) individually and failed to administer a water flush between each medication. These failures could place residents who receive medications via gastrostomy tube by placing them at risk of inadequate therapeutic outcomes and a decline in health. […]

Read 20 findings in full →The most serious and the most recent: 20 of 22 on record.

Every survey on record

FindingsAt actual harm or above

  • Jun 9, 2023Standard2 findings
  • Oct 18, 2019Standard4 findings
  • Oct 11, 2018Standard3 findings
  • Sep 9, 2016Standard4 findings
  • Oct 30, 2013—4 findings
  • Sep 28, 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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