Nursing homes › Texas › Houston › Misty Willow Healthcare and Rehabilitation Center
12921 Misty Willow Dr, Houston, TX 77070 · (281) 469-7881 · 124 certified beds
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Open your comparisonCMS overall star rating: this provider 1/5; median among 1,165 providers with a published value in the same state and provider category: 3/5.
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Per CMS filings, this facility is affiliated with The Ensign Group, a group operating 342 facilities in 17 states. Group record: average rating 3.2/5, 33 abuse citation icons, 6 facilities on the Special Focus list, $7,057,363 in federal fines. This facility rates below its group average (3.2/5).
Total nurse staffing: 3.30 (Texas median: 3.27). RN hours: 0.35. Weekend total: 2.87.
In the downloaded CMS dataset: 30 deficiency citations, including 8 at immediate-jeopardy level. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-03-09 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | complaint | corrected 2026-03-11 |
| 2026-03-09 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2026-03-11 |
| 2025-12-04 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2025-12-06 |
| 2025-12-04 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | Health | corrected 2025-12-06 |
| 2025-12-04 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | E | Health | corrected 2025-12-06 |
| 2025-12-04 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2025-12-06 |
| 2025-12-04 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Health | corrected 2025-12-06 |
| 2025-12-04 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2025-12-06 |
| 2025-12-04 | 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 | Health | corrected 2025-12-06 |
| 2025-09-24 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | complaint | corrected 2025-10-16 |
| 2025-09-24 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | K | complaint | corrected 2025-10-16 |
| 2025-09-24 | Respond appropriately to all alleged violations. | K | complaint | corrected 2025-10-16 |
| 2025-09-24 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | K | complaint | corrected 2025-10-16 |
| 2025-09-24 | Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges. | D | complaint | corrected 2025-10-16 |
| 2025-03-29 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | K | complaint | corrected 2025-03-31 |
| 2025-03-29 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | complaint | corrected 2025-03-31 |
| 2025-03-29 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | J | complaint | corrected 2025-03-31 |
| 2024-08-30 | Provide and implement an infection prevention and control program. | E | complaint | corrected 2024-09-03 |
| 2024-08-30 | Keep residents' personal and medical records private and confidential. | D | Health | corrected 2024-09-03 |
| 2024-08-30 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2024-09-03 |
| 2024-08-30 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Health | corrected 2024-09-03 |
| 2024-08-30 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2024-09-03 |
| 2024-08-30 | 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 | Health | corrected 2024-09-03 |
| 2023-06-16 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Health | corrected 2023-07-14 |
| 2023-06-16 | Keep residents' personal and medical records private and confidential. | D | Health | corrected 2023-07-14 |
| 2023-06-16 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Health | corrected 2023-07-14 |
| 2023-06-16 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2023-07-14 |
| 2023-06-16 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2023-07-14 |
| 2023-06-16 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2023-07-14 |
| 2023-06-16 | 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 | Health | corrected 2023-07-14 |
| Date | Type | Amount |
|---|---|---|
| 2026-03-09 | Fine | $43,770 |
| 2025-09-24 | Fine | $20,495 |
| 2025-03-29 | Fine | $15,147 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| LIBERTY COUNTY HOSPITAL DISTRICT NO 1 | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 04/01/2017 |
| ALI, NIDA | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 09/18/2024 |
| FITZGERALD, TAMI | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 04/01/2017 |
| BURNAM, SOON | Corporate Officer | Individual | NOT APPLICABLE | since 04/01/2017 |
| KEETCH, CHAD | Corporate Officer | Individual | NOT APPLICABLE | since 03/01/2011 |
| STRATTON, CHARLES | Corporate Officer | Individual | NOT APPLICABLE | since 02/07/2005 |
| MISTY WILLOW HEALTHCARE, INC. | Operational/Managerial Control | Organization | NOT APPLICABLE | since 04/01/2017 |
| ALI, NIDA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 09/18/2024 |
| FITZGERALD, TAMI | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/01/2017 |
How to cite this page: CareRecords, “Misty Willow Healthcare and Rehabilitation Center — compliance, penalty and ownership record” (CCN 676251), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/misty-willow-healthcare-and-rehabilitation-center-houston-tx/
Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 676251. Corrections: data@carerecords.org.