nursing home in Cypress, TX
Cypress Creek Rehabilitation and Healthcare Center
13600 Birdcall Lane, Cypress, TX 77429 · (281) 477-7771
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★1
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Cypress Creek Rehabilitation and Healthcare Center at a glance
Cypress Creek Rehabilitation and Healthcare Center is a 122-bed for-profit nursing home in Cypress, Texas (Harris County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Texas average of 2.7.
Residents receive about 3.2 hours of nursing care per day (0.2 of them from registered nurses), close to the state average of 3.4 hours.
Its most recent standard health inspection (July 2, 2026) found 7 health citations. The Texas average is 9.4.
Federal regulators fined it 2 times in the past three years, totaling $74,263.
Nursing staff turnover is 66.7% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 122
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Momentum Skilled Services
- Medicare-certified since
- August 22, 2019
- Resident/family council
- Resident
- County
- Harris County
- CMS Certification Number
- 676467
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 2.7 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.7 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 4 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3.2 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.23 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.21 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.04 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.70 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 66.7% | 55.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 87.5% | 54.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 7 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 4 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 36 | 102 | 80.6 | Better |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $74,263 | $44,141 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 2 | 2 | 1 | Worse |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 122 | 113 | 107 | |
| Average residents per day | 92 | 76 | 86 | |
| Occupancy | 75% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 4.6% | 3.3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 2.4% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 8.6% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 16.6% | 15.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 13.5% | 14% | 14.1% | Average |
| Long-stay residents who lose too much weight (lower is better) | 1.1% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 1.6% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 10.1% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 15.4% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 92.5% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 96.6% | 96.6% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.6% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 53.7% | 88% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 66.2% | 88.9% | 82% | Worse |
Inspection citations
State inspectors cited this home for 17 health deficiencies and 1 fire safety deficiency in the inspection records CMS currently publishes. 2 citations involved actual harm, including 2 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 2, 2026 Standard | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | D Potential harm, isolated | Corrected July 3, 2026 |
| July 2, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected July 3, 2026 |
| July 2, 2026 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected July 3, 2026 |
| April 30, 2026 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected May 1, 2026 |
| January 30, 2026 Complaint | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected February 2, 2026 |
| January 30, 2026 Complaint | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected February 2, 2026 |
| January 30, 2026 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected February 2, 2026 |
| May 29, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | J Immediate jeopardy, isolated | Corrected April 22, 2025 |
| May 29, 2025 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | E Potential harm, pattern | Corrected August 6, 2025 |
| May 29, 2025 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected August 6, 2025 |
| May 29, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected August 6, 2025 |
| May 9, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected May 10, 2025 |
| March 7, 2024 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | E Potential harm, pattern | Corrected March 26, 2024 |
| March 7, 2024 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | K Immediate jeopardy, pattern | Corrected March 26, 2024 |
| March 7, 2024 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected March 26, 2024 |
| March 7, 2024 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | E Potential harm, pattern | Corrected March 26, 2024 |
| March 7, 2024 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | E Potential harm, pattern | Corrected March 26, 2024 |
| March 7, 2024 Complaint | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected March 26, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 2 federal penalties in the past three years, including $74,263 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| May 9, 2025 | Fine | $10,361 |
| March 7, 2024 | Fine | $63,902 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| BROAD RIVER HEALTHCARE, LLC Organization | 5% or greater mortgage interest | NOT APPLICABLE | 05/01/2022 |
| CLOVER MODERN INVESTMENTS, LLC Organization | 5% or greater mortgage interest | NOT APPLICABLE | 05/01/2022 |
| CLOVER PARENT, LLC Organization | 5% or greater mortgage interest | NOT APPLICABLE | 05/01/2022 |
| COMPTON, CHARLES Individual | 5% or greater mortgage interest | NOT APPLICABLE | 05/01/2022 |
| COMPTON, JAMES Individual | 5% or greater mortgage interest | NOT APPLICABLE | 05/01/2022 |
| COMPTON, KRIS Individual | 5% or greater mortgage interest | NOT APPLICABLE | 05/01/2022 |
| MARTEL FINANCIAL INVESTMENTS, LLC Organization | 5% or greater mortgage interest | NOT APPLICABLE | 05/01/2022 |
| MARTEL, MICHAEL Individual | 5% or greater mortgage interest | NOT APPLICABLE | 05/01/2022 |
| THE SMITHERS MANAGEMENT TRUST Organization | 5% or greater mortgage interest | NOT APPLICABLE | 05/01/2022 |
| BROAD RIVER HEALTHCARE, LLC Organization | adp of the snf | NOT APPLICABLE | 05/01/2022 |
| CLOVER MODERN INVESTMENTS, LLC Organization | adp of the snf | NOT APPLICABLE | 05/01/2022 |
| CLOVER PARENT, LLC Organization | adp of the snf | NOT APPLICABLE | 05/01/2022 |
| COMPTON, CHARLES Individual | adp of the snf | NOT APPLICABLE | 05/01/2022 |
| COMPTON, JAMES Individual | adp of the snf | NOT APPLICABLE | 05/01/2022 |
| COMPTON, KRIS Individual | adp of the snf | NOT APPLICABLE | 05/01/2022 |
| MARTEL FINANCIAL INVESTMENTS, LLC Organization | adp of the snf | NOT APPLICABLE | 05/01/2022 |
| MARTEL, MICHAEL Individual | adp of the snf | NOT APPLICABLE | 05/01/2022 |
| SUTER, RACHEL Individual | adp of the snf | NOT APPLICABLE | 06/27/2016 |
| THE SMITHERS MANAGEMENT TRUST Organization | adp of the snf | NOT APPLICABLE | 05/01/2022 |
| WHITE, KARA Individual | adp of the snf | NOT APPLICABLE | 09/17/2024 |
| THOMPSON, JOHNNY Individual | corporate officer | NOT APPLICABLE | 07/01/2024 |
| SMITHERS, JEFFREY Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 03/26/2025 |
| THREADGILL, FORREST Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 03/26/2025 |
| THREADGILL, MORGAN Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 03/26/2025 |
| NWH REHAB LLC Organization | operational/managerial control | NOT APPLICABLE | 05/01/2022 |
| THREADGILL, SHARLYN Individual | operational/managerial control | NOT APPLICABLE | 05/01/2022 |
Other nursing homes near Cypress Creek Rehabilitation and Healthcare Center
Eagle Crest Rapid Recovery
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For-profit · 125 beds · Part of Cross Healthcare Management
- Abuse citation
★★★★★1Much below averageFallbrook Rehabilitation and Care Center
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- Special Focus candidate
★★★★★1Much below averagePark Manor of Cyfair
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★★★★★5Much above averageCypress Pointe Health & Wellness
8561 Easton Commons Dr., Houston, TX 77095 · 3.5 mi
For-profit · 124 beds · Part of Ml Healthcare
★★★★★3AverageNorth Houston Transitional Care
9814 Grant Rd, Houston, TX 77070 · 4 mi
For-profit · 70 beds · Part of Pacs Group
★★★★★3AverageMisty Willow Healthcare and Rehabilitation Center
12921 Misty Willow Dr, Houston, TX 77070 · 4.3 mi
For-profit · 124 beds · Part of The Ensign Group
- Special Focus candidate
- Abuse citation
★★★★★1Much below average
Frequently asked questions
What is Cypress Creek Rehabilitation and Healthcare Center's rating?
Cypress Creek Rehabilitation and Healthcare Center has 3 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Cypress Creek Rehabilitation and Healthcare Center receive?
Its most recent standard health inspection found 7 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Cypress Creek Rehabilitation and Healthcare Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Cypress Creek Rehabilitation and Healthcare Center?
It is for profit - limited liability company and part of Momentum Skilled Services. The ownership section on this page lists the owners and managers reported to CMS.
Where is Cypress Creek Rehabilitation and Healthcare Center and how do I contact it?
Cypress Creek Rehabilitation and Healthcare Center is at 13600 Birdcall Lane, Cypress, TX 77429. Phone: (281) 477-7771.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.