Deficiency Index

West Houston Rehabilitation and Healthcare Center

Houston, Texas · CCN 676381

35 surveys since 2015, 28 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
127
Surveys
35
Harm or worse
28
Immediate jeopardy
25
The record, 2015–2026
’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy25

Findings at the most serious level CMS records.

Beyond CMS’s monthly file26/35

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
MOMENTUM SKILLED SERVICES
County
Harris
Medicare-certified since
2015

CMS ratings

Overall
1
Health inspection
1
Staffing
2
Quality measures
1

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 20, 2026

173 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 day3.263.25
Registered-nurse hours per resident day0.24—
Annual nurse turnover43.1%54.0%

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

Enforcement

Fines
$205,193 across 2 penalties
Payment denials
1

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 jeopardyJ25.9%K514.7%L—
Actual harmG—H—I—
No harm, potential for more than minimalD1955.9%E823.5%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 34 of the 127 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6773×

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

  • 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.

  • 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.

  • F8803×

    Provide and implement an infection prevention and control program.

  • F6562×

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

In the surveyor’s words

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

  • Immediate jeopardy, patternF600Oct 25, 2024

    Based on observation, interviews, and record reviews, the facility failed to ensure each resident was free from abuse and neglect for 1 (CR #1) of 21 residents reviewed for abuse and neglect. -The facility failed to ensure that CR #1 was free from sexual abuse after facility staff assessed the resident to have unexplained vaginal bleeding, a sign and symptom of sexual abuse on 09/14/2024 and 09/24/2024 that resulted in CR#1 being transferred to a local hospital on 09/24/2024 with semen being found in her urine culture and acute injury found during genital exam. An Immediate Jeopardy (IJ) was identified on 9/27/2024. The IJ template was provided to the facility on [DATE] at 5:20pm. […]

  • Immediate jeopardy, patternF607Oct 25, 2024

    Based on interview and record review the facility failed to implement their written policies and procedures that prohibit and prevent abuse for 1 (CR#1) of 21residents reviewed for reporting abuse. -The facility failed to implement their written policy of Abuse, when facility staff failed to report to the Administrator and investigate when CR #1 was assessed with vaginal bleeding on 09/14/2024 and refused perineal care (washing the genital and anal areas), requested not to be touched, and feared being touched all signs and symptoms(s/s) of sexual abuse on 09/24/2024. CR#1 was transferred to a local hospital on 9/24/2024 and semen was present in her urine sample. An Immediate Jeopardy (IJ) was identified on 9/27/2024. The IJ template was provided to the facility on [DATE] at 5:20pm. […]

  • Immediate jeopardy, patternF609Oct 25, 2024

    Based on observation, interview, and record review, the facility failed to ensure that all alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source and misappropriation of resident property, are reported immediately, but not later than 2 hours after the allegation is made, if the events that cause the allegation involve abuse or result in serious bodily injury, or not later than 24 hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury, to the administrator of the facility and to other officials (including to the State Survey Agency and adult protective services where state law provides for jurisdiction in long-term care facilities) in accordance with State law through established… […]

  • Immediate jeopardy, patternF610Oct 25, 2024

    Based on observation, interview, and record review, the facility failed to have evidence that all alleged violations of abuse or mistreatment were thoroughly investigated and prevent further potential abuse or mistreatment while the investigation was in progress for 1 of 21 residents (CR#1) reviewed for abuse. 1. The Administrator, who was the facility's abuse coordinator and was responsible for investigating and reporting abuse incidents, failed to thoroughly investigate and report when CR#1 was assessed with unexplained vaginal bleeding on 09/14/2024, refused perineal care (washing the genital and anal areas), requested not to be touched, and feared being touched all signs and symptoms (s/s) of sexual abuse on 09/24/2024. […]

  • Immediate jeopardy, patternF684Oct 25, 2024

    Based on observation, interview, and record review, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice and the comprehensive person-centered care plan for 2 (CR #2 and CR#3) out of 21 residents reviewed for quality of care in that: 1. LVN F failed to notify the hospice nurse, Non-Emergency Medical Service (EMS), and local hospital that CR#2 required assessment for sexual abuse after being observed with vaginal bleeding a sign and symptom of sexual abuse. CR#2 arrived at the hospital on [DATE] at 7:52am and had not been assessed for the concern for sexual abuse at 11:19am. An IJ was identified on [DATE]. The IJ template was provided to the facility on [DATE]at 10:26am. […]

Read 48 findings in full →The most serious and the most recent: 48 of 127 on record.

Every survey on record

FindingsAt actual harm or above

  • Aug 5, 2026Complaint4 findings
  • May 20, 2026Complaint1 finding
  • Apr 8, 2026Standard and complaint5 findings
  • Jan 30, 2025Standard and complaint7 findings
  • Dec 31, 2024Complaint3 findings
  • Nov 21, 2024Complaint1 finding
  • Oct 25, 2024Complaint8 findings · 6 harm
  • Mar 11, 2024Complaint2 findings · 1 harm
Show the 27 earlier surveys
  • Dec 7, 2023Standard4 findings
  • Jun 16, 2023Complaint1 finding
  • Jan 20, 2023Complaint2 findings
  • Sep 29, 2022Standard and complaint4 findings
  • Sep 3, 2021Complaint2 findings · 1 harm
  • Jul 28, 2021Standard4 findings
  • Jun 16, 2021Complaint1 finding
  • Jan 21, 2021Complaint2 findings · 1 harm
  • Dec 30, 2020Infection control2 findings
  • Oct 20, 2020Complaint1 finding
  • Jan 22, 2020Complaint2 findings
  • Oct 29, 2019Standard and complaint11 findings · 2 harm
  • Oct 1, 2019Complaint1 finding
  • May 22, 2019Complaint1 finding
  • Feb 14, 2019Complaint2 findings
  • Sep 28, 2018Standard5 findings
  • Aug 24, 2017Standard and complaint3 findings
  • Feb 17, 2017Standard9 findings
  • Sep 17, 2016Complaint3 findings · 3 harm
  • Aug 23, 2016Complaint1 finding · 1 harm
  • May 6, 2016Standard8 findings
  • Jan 14, 2016Complaint1 finding
  • Dec 31, 2015Complaint4 findings · 4 harm
  • Nov 19, 2015Complaint5 findings · 4 harm
  • Aug 15, 2015Complaint5 findings · 5 harm
  • Jul 30, 2015Complaint11 findings
  • Apr 9, 2015Standard1 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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