NursingHomes.us
StatesRankingsCompare

Browse

  • All States
  • Rankings
  • Compare

Resources

  • About Us
  • Data Sources
  • Contact

About

  • About Us
  • Data Sources
  • Contact
  • Privacy Policy
  • Terms of Use

Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeTexasCypress Creek Rehabilitation and Healthcare Center

Cypress Creek Rehabilitation and Healthcare Center

13600 Birdcall Lane, Cypress, TX 774292814777771
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
1/5
Quality
5/5
Beds
122
certified
This facility has been flagged for abuse.
2 fine(s) totaling $79,842

Key Findings

• CMS rates this facility 2/5 stars (below average)

• Has 122 certified beds with an average of 98.2 residents per day (80% occupancy)

• Last health inspection found 5 deficiencies (inspected May 29, 2025)

• Has been fined a total of $79,842 across 2 fine(s)

• Total nursing staff: 3.27 hours per resident per day

• Staff turnover rate: 67.8% (high)

• Part of the Momentum Skilled Services chain (9 facilities)

Cypress Creek Rehabilitation and Healthcare Center is a 2-star Medicare and Medicaid certified nursing home in Cypress, Texas with 122 certified beds. It has been operating since 2019. The facility scored below average compared to Texas facilities.

Beds
122
Avg Residents/Day
98.2
Ownership
For profit - Individual
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Aug 22, 2019
Sprinklers
Yes
Council
Resident
County
Harris
Last Inspection
May 29, 2025
Deficiencies (Cycle 1)
5
Weighted Score
73.3
Infection Citations
0

Deficiency Citations (19)

F0600Immediate Jeopardy

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: May 29, 2025Corrected: NoCycle: 1
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: May 29, 2025Corrected: NoCycle: 1
F0600Potential for Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: May 9, 2025Corrected: NoCycle: 1
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: May 29, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: May 29, 2025Corrected: NoCycle: 1
F0686Immediate Jeopardy

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Mar 7, 2024Corrected: NoCycle: 2
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: Mar 7, 2024Corrected: NoCycle: 2
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Mar 7, 2024Corrected: NoCycle: 2
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Mar 7, 2024Corrected: NoCycle: 2
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Mar 7, 2024Corrected: NoCycle: 2
F0656Potential for Harm

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

Survey: Jun 30, 2023Corrected: NoCycle: 3
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: May 9, 2023Corrected: NoCycle: 3
F0677Potential for Harm

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

Survey: May 2, 2023Corrected: NoCycle: 3
F0584Potential for Harm

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.

Survey: Nov 10, 2022Corrected: NoCycle: 3
F0727Potential for Harm

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Survey: Nov 10, 2022Corrected: NoCycle: 3
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Nov 10, 2022Corrected: NoCycle: 3
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Nov 10, 2022Corrected: NoCycle: 3
F0761Potential for Harm

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.

Survey: Nov 10, 2022Corrected: NoCycle: 3
F0814Potential for Harm

Dispose of garbage and refuse properly.

Survey: Nov 10, 2022Corrected: NoCycle: 3
Total Fines
$79,842
Number of Fines
2
Payment Denials
0
Total Penalties
2

Penalty History

FineMay 9, 2025
$15,940
FineMar 7, 2024
$63,902

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.91 hrs
National avg: 2.35 hrs
LPN1.11 hrs
National avg: 0.86 hrs
RN0.24 hrs
National avg: 0.68 hrs
Total Nursing3.27 hrs
National avg: 3.89 hrs
Weekend Total2.68 hrs
National avg: 0.00 hrs
Physical Therapist0.06 hrs
National avg: 0.07 hrs
Total Turnover
67.8%
RN Turnover
66.7%
Administrators Left
1

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Individual
Recent Change
No

Owners & Managers (13)

NameRoleTypeOwnership %Since
WEST WHARTON COUNTY HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%May 1, 2022
NWH REHAB LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AMay 1, 2022
THREADGILL, SHARLYNOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMay 1, 2022
THOMPSON, JOHNNYCORPORATE OFFICERIndividualN/AJul 1, 2024
BROAD RIVER HEALTHCARE, LLC5% OR GREATER MORTGAGE INTERESTOrganizationN/AMay 1, 2022
CLOVER MODERN INVESTMENTS, LLC5% OR GREATER MORTGAGE INTERESTOrganizationN/AMay 1, 2022
CLOVER PARENT, LLC5% OR GREATER MORTGAGE INTERESTOrganizationN/AMay 1, 2022
MARTEL FINANCIAL INVESTMENTS, LLC5% OR GREATER MORTGAGE INTERESTOrganizationN/AMay 1, 2022
THE SMITHERS MANAGEMENT TRUST5% OR GREATER MORTGAGE INTERESTOrganizationN/AMay 1, 2022
COMPTON, CHARLES5% OR GREATER MORTGAGE INTERESTIndividualN/AMay 1, 2022
COMPTON, JAMES5% OR GREATER MORTGAGE INTERESTIndividualN/AMay 1, 2022
COMPTON, KRIS5% OR GREATER MORTGAGE INTERESTIndividualN/AMay 1, 2022
MARTEL, MICHAEL5% OR GREATER MORTGAGE INTERESTIndividualN/AMay 1, 2022

Frequently Asked Questions

What is the CMS rating for Cypress Creek Rehabilitation and Healthcare Center?▾
Cypress Creek Rehabilitation and Healthcare Center has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 1/5, and quality measures rating of 5/5. This facility is rated below average.
Has Cypress Creek Rehabilitation and Healthcare Center had any health inspection violations?▾
Cypress Creek Rehabilitation and Healthcare Center had 5 deficiency citations in its most recent health inspection (May 29, 2025). The facility has been fined a total of $79,842 across 2 fine(s).
What are the staffing levels at Cypress Creek Rehabilitation and Healthcare Center?▾
Cypress Creek Rehabilitation and Healthcare Center provides 3.27 total nursing staff hours per resident per day, including 0.24 RN hours, 1.11 LPN hours, and 1.91 nurse aide hours. The total staff turnover rate is 67.8%.
How many beds does Cypress Creek Rehabilitation and Healthcare Center have?▾
Cypress Creek Rehabilitation and Healthcare Center has 122 certified beds with an average of 98.2 residents per day, resulting in approximately 80% occupancy. The facility is For profit - Individual owned and is part of the Momentum Skilled Services chain.

Part of Momentum Skilled Services

This chain operates 9 facilities. View all →