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

© 2026 NursingHomes.us. All data from CMS.gov.
HomeTexasMisty Willow Healthcare and Rehabilitation Center

Misty Willow Healthcare and Rehabilitation Center

12921 Misty Willow Dr, Houston, TX 770702814697881
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
2/5
Quality
3/5
Beds
124
certified
This facility has been flagged for abuse.
Special Focus Facility: SFF Candidate
3 fine(s) totaling $54,578

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 124 certified beds with an average of 95.8 residents per day (77% occupancy)

• Last health inspection found 15 deficiencies (inspected Dec 4, 2025)

• Has been fined a total of $54,578 across 3 fine(s)

• Total nursing staff: 3.36 hours per resident per day

• Staff turnover rate: 58.4% (high)

• Part of the The Ensign Group chain (324 facilities)

Misty Willow Healthcare and Rehabilitation Center is a 1-star Medicare and Medicaid certified nursing home in Houston, Texas with 124 certified beds. It has been operating since 2010. The facility scored below average compared to Texas facilities.

Beds
124
Avg Residents/Day
95.8
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Apr 21, 2010
Sprinklers
Yes
Council
None
County
Harris
Last Inspection
Dec 4, 2025
Deficiencies (Cycle 1)
15
Weighted Score
642.3
Infection Citations
0

Deficiency Citations (31)

F0564Potential for Harm

Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges.

Survey: Sep 24, 2025Corrected: NoCycle: 1
F0600Immediate Jeopardy

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

Survey: Sep 24, 2025Corrected: NoCycle: 1
F0607Immediate Jeopardy

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey: Sep 24, 2025Corrected: NoCycle: 1
F0610Immediate Jeopardy

Respond appropriately to all alleged violations.

Survey: Sep 24, 2025Corrected: NoCycle: 1
F0656Immediate Jeopardy

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

Survey: Sep 24, 2025Corrected: NoCycle: 1
F0684Immediate Jeopardy

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

Survey: Mar 29, 2025Corrected: NoCycle: 1
F0689Immediate Jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Mar 29, 2025Corrected: NoCycle: 1
F0755Immediate Jeopardy

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

Survey: Mar 29, 2025Corrected: NoCycle: 1
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Dec 4, 2025Corrected: NoCycle: 1
F0694Potential for Harm

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Survey: Dec 4, 2025Corrected: NoCycle: 1
F0755Potential for Harm

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

Survey: Dec 4, 2025Corrected: NoCycle: 1
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: Dec 4, 2025Corrected: NoCycle: 1
F0805Potential for Harm

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Survey: Dec 4, 2025Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Dec 4, 2025Corrected: NoCycle: 1
F0813Potential for Harm

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Survey: Dec 4, 2025Corrected: NoCycle: 1
F0583Potential for Harm

Keep residents' personal and medical records private and confidential.

Survey: Aug 30, 2024Corrected: NoCycle: 2
F0686Potential for Harm

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

Survey: Aug 30, 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: Aug 30, 2024Corrected: NoCycle: 2
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Aug 30, 2024Corrected: NoCycle: 2
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: Aug 30, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Aug 30, 2024Corrected: NoCycle: 2
F0677Potential for Harm

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

Survey: Apr 6, 2023Corrected: NoCycle: 3
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Apr 6, 2023Corrected: NoCycle: 3
F0684Actual Harm

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

Survey: Mar 1, 2023Corrected: NoCycle: 3
F0583Potential for Harm

Keep residents' personal and medical records private and confidential.

Survey: Jun 16, 2023Corrected: NoCycle: 3
F0655Potential for Harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey: Jun 16, 2023Corrected: NoCycle: 3
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 16, 2023Corrected: NoCycle: 3
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Jun 16, 2023Corrected: NoCycle: 3
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Jun 16, 2023Corrected: 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: Jun 16, 2023Corrected: NoCycle: 3

+ 1 more deficiencies

Total Fines
$54,578
Number of Fines
3
Payment Denials
0
Total Penalties
3

Penalty History

FineMar 1, 2023
$7,901
FineMar 29, 2025
$15,147
FineSep 24, 2025
$31,530

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

Nurse Aide1.96 hrs
National avg: 2.35 hrs
LPN0.88 hrs
National avg: 0.86 hrs
RN0.52 hrs
National avg: 0.68 hrs
Total Nursing3.36 hrs
National avg: 3.89 hrs
Weekend Total2.83 hrs
National avg: 0.00 hrs
Physical Therapist0.20 hrs
National avg: 0.07 hrs
Total Turnover
58.4%
RN Turnover
60.0%
Administrators Left
0

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

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (5)

NameRoleTypeOwnership %Since
LIBERTY COUNTY HOSPITAL DISTRICT NO. 15% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%May 1, 2016
MISTY WILLOW HEALTHCARE, INC.OPERATIONAL/MANAGERIAL CONTROLOrganizationN/AApr 1, 2017
BURNAM, SOONOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMay 1, 2016
FITZGERALD, TAMIOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 1, 2017
STRATTON, CHARLESCORPORATE OFFICERIndividualN/AFeb 7, 2005

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Frequently Asked Questions

What is the CMS rating for Misty Willow Healthcare and Rehabilitation Center?▾
Misty Willow Healthcare and Rehabilitation Center has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 2/5, and quality measures rating of 3/5. This facility is rated below average.
Has Misty Willow Healthcare and Rehabilitation Center had any health inspection violations?▾
Misty Willow Healthcare and Rehabilitation Center had 15 deficiency citations in its most recent health inspection (Dec 4, 2025). The facility has been fined a total of $54,578 across 3 fine(s).
What are the staffing levels at Misty Willow Healthcare and Rehabilitation Center?▾
Misty Willow Healthcare and Rehabilitation Center provides 3.36 total nursing staff hours per resident per day, including 0.52 RN hours, 0.88 LPN hours, and 1.96 nurse aide hours. The total staff turnover rate is 58.4%.
How many beds does Misty Willow Healthcare and Rehabilitation Center have?▾
Misty Willow Healthcare and Rehabilitation Center has 124 certified beds with an average of 95.8 residents per day, resulting in approximately 77% occupancy. The facility is For profit - Limited Liability company owned and is part of the The Ensign Group chain.
Are there other nursing homes near Misty Willow Healthcare and Rehabilitation Center?▾
Yes, there are 59 other nursing homes in Houston, Texas with an average rating of 2.8/5. You can compare all facilities on the Houston nursing homes page.

Part of The Ensign Group

This chain operates 324 facilities. View all →