Nursing homes › Texas › Cypress Creek Rehabilitation and Healthcare Center
13600 Birdcall Lane, Cypress, TX 77429 · 2814777771 · 122 certified beds
Per CMS filings, this facility is affiliated with Momentum Skilled Services, a group operating 9 facilities in 1 states. Group record: average rating 2.0/5, 1 abuse citation icons, 0 facilities on the Special Focus list, $496,225 in federal fines. This facility rates the same as its group average (2.0/5).
Total nurse staffing: 3.23 (Texas median: 3.27). RN hours: 0.21. Weekend total: 2.70. Nursing staff turnover: 67%.
All-time on record: 20 deficiency citations, including 2 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-04-30 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2026-05-01 |
| 2026-01-30 | Keep residents' personal and medical records private and confidential. | D | complaint | corrected 2026-02-02 |
| 2026-01-30 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2026-02-02 |
| 2026-01-30 | 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. | D | complaint | corrected 2026-02-02 |
| 2025-05-29 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2025-08-06 |
| 2025-05-29 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-08-06 |
| 2025-05-29 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | complaint | corrected 2025-04-22 |
| 2025-05-29 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | complaint | corrected 2025-08-06 |
| 2025-05-09 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2025-05-10 |
| 2024-03-07 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | K | Health | corrected 2024-03-26 |
| 2024-03-07 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | complaint | corrected 2024-03-26 |
| 2024-03-07 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Health | corrected 2024-03-26 |
| 2024-03-07 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | complaint | corrected 2024-03-26 |
| 2024-03-07 | Ensure medication error rates are not 5 percent or greater. | D | complaint | corrected 2024-03-26 |
| Date | Type | Amount |
|---|---|---|
| 2025-05-09 | Fine | $10,361 |
| 2024-03-07 | Fine | $63,902 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| THOMPSON, JOHNNY | Corporate Officer | Individual | NOT APPLICABLE | since 07/01/2024 |
| NWH REHAB LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 05/01/2022 |
| THREADGILL, SHARLYN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/01/2022 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 676467. Corrections: data@carerecords.org.