Nursing homes › Texas › West Houston Rehabilitation and Healthcare Center
13428 Bissonnet, Houston, TX 77083 · 7133514300 · 124 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 below its group average (2.0/5).
Total nurse staffing: 3.26 (Texas median: 3.27). RN hours: 0.24. Weekend total: 2.77. Nursing staff turnover: 43%.
All-time on record: 30 deficiency citations, including 7 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-20 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | complaint | corrected 2026-05-25 |
| 2026-04-08 | Provide safe and appropriate respiratory care for a resident when needed. | D | complaint | corrected 2026-04-10 |
| 2025-01-30 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2025-01-31 |
| 2025-01-30 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2025-01-31 |
| 2025-01-30 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Health | corrected 2025-01-31 |
| 2025-01-30 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2025-01-31 |
| 2025-01-30 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2025-01-31 |
| 2025-01-30 | Ensure medication error rates are not 5 percent or greater. | D | complaint | corrected 2025-01-31 |
| 2025-01-30 | 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 | Health | corrected 2025-01-31 |
| 2024-12-31 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | complaint | corrected 2025-01-01 |
| 2024-12-31 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | complaint | corrected 2025-01-01 |
| 2024-12-31 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2025-01-01 |
| 2024-11-21 | 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 2024-12-13 |
| 2024-10-25 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | complaint | corrected 2024-10-26 |
| 2024-10-25 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | K | complaint | corrected 2024-10-26 |
| 2024-10-25 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | K | complaint | corrected 2024-10-26 |
| 2024-10-25 | Respond appropriately to all alleged violations. | K | complaint | corrected 2024-10-26 |
| 2024-10-25 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | K | complaint | corrected 2024-10-26 |
| 2024-10-25 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | complaint | corrected 2024-10-26 |
| 2024-10-25 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E | complaint | corrected 2024-10-26 |
| 2024-10-25 | 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 2024-10-26 |
| 2024-03-11 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | complaint | corrected 2024-03-28 |
| 2023-12-07 | 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. | E | complaint | corrected 2023-12-29 |
| 2023-12-07 | Provide and implement an infection prevention and control program. | E | complaint | corrected 2023-12-29 |
| 2023-12-07 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Health | corrected 2023-12-29 |
| 2023-12-07 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2023-12-29 |
| Date | Type | Amount |
|---|---|---|
| 2024-10-25 | Fine | $182,988 |
| 2024-10-25 | Payment Denial | 9 days payment denial |
| 2024-03-11 | Fine | $22,205 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| THOMPSON, JOHNNY | Corporate Officer | Individual | NOT APPLICABLE | since 07/01/2024 |
| LTC OF WEST HOUSTON LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 05/01/2021 |
| THREADGILL, SHARLYN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/01/2021 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 676381. Corrections: data@carerecords.org.