WEST HOUSTON REHABILITATION AND HEALTHCARE CENTER
13428 BISSONNET, HOUSTON, TX 77083 · CCN 676381
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★☆☆☆ 2
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 124
- Avg residents/day
- 89.9
- Phone
- 7133514300
Inspection history vs Texas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-01-30 | 7 | 9.1 | 9.5 | -2.1 better |
| 2 | 2023-12-07 | 17 | 9.4 | 9.8 | +7.6 worse |
| 3 | 2022-09-29 | 5 | 8.1 | 9.3 | -3.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 3 |
| Resident rights | 1 |
| Pharmacy service | 3 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.06 | 55.1% |
| RN staffing (reported) | 0.21 | 70.0% |
| Total nurse staffing (adjusted) | 3.02 | — |
Fines & penalties
- Total fines
- $205,193
- Number of fines
- 2
- Number of penalties
- 3
- Payment denials
- 1
Chain
- Chain
- MOMENTUM SKILLED SERVICES
- Facilities in chain
- 10
- Chain avg overall
- 2.00 / 5
Inspection citations (29)7 immediate jeopardy
- DF0558Reasonably accommodate the needs and preferences of each resident.2025-01-30 · Health · corrected 2025-01-31
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-01-30 · Health · corrected 2025-01-31
Potential for more than minimal harm
- DF0693Ensure 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.2025-01-30 · Health · corrected 2025-01-31
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-01-30 · Health · corrected 2025-01-31
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-01-30 · Health · corrected 2025-01-31
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2025-01-30 · Health · corrected 2025-01-31
Potential for more than minimal harm
- DF0761Ensure 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.2025-01-30 · Health · corrected 2025-01-31
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-12-31 · Health · corrected 2025-01-01
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-12-31 · Health · corrected 2025-01-01
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-12-31 · Health · corrected 2025-01-01
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-11-21 · Health · corrected 2024-12-13
Potential for more than minimal harm
- JF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-10-25 · Health · corrected 2024-10-26
Immediate jeopardy
- KF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-10-25 · Health · corrected 2024-10-26
Immediate jeopardy
- KF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-10-25 · Health · corrected 2024-10-26
Immediate jeopardy
- KF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-10-25 · Health · corrected 2024-10-26
Immediate jeopardy
- KF0610Respond appropriately to all alleged violations.2024-10-25 · Health · corrected 2024-10-26
Immediate jeopardy
- KF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-10-25 · Health · corrected 2024-10-26
Immediate jeopardy
- DF0761Ensure 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.2024-10-25 · Health · corrected 2024-10-26
Potential for more than minimal harm
- EF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2024-10-25 · Health · corrected 2024-10-26
Potential for more than minimal harm
- JF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2024-03-11 · Health · corrected 2024-03-28
Immediate jeopardy
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-12-07 · Health · corrected 2023-12-29
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-12-07 · Health · corrected 2023-12-29
Potential for more than minimal harm
- EF0761Ensure 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.2023-12-07 · Health · corrected 2023-12-29
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-12-07 · Health · corrected 2023-12-29
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-06-16 · Health · corrected 2023-06-30
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-09-29 · Health · corrected 2022-10-31
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2022-09-29 · Health · corrected 2022-10-31
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2022-09-29 · Health · corrected 2022-10-31
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2022-09-29 · Health · corrected 2022-10-31
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| WEST WHARTON COUNTY HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2021-05-01 |
| LTC OF WEST HOUSTON LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-05-01 |
| THREADGILL, SHARLYN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-05-01 |
| THOMPSON, JOHNNY | Individual | CORPORATE OFFICER | — | 2024-07-01 |
| COMPTON3 HOLDINGS, LLC | Organization | 5% OR GREATER MORTGAGE INTEREST | — | 2021-05-01 |
| MARTEL HEALTHCARE MANAGEMENT LLC | Organization | 5% OR GREATER MORTGAGE INTEREST | — | 2021-05-01 |
| MISSION BEND HEALTHCARE INVESTMENTS, LLC | Organization | 5% OR GREATER MORTGAGE INTEREST | — | 2021-05-01 |
| THE SMITHERS MANAGEMENT TRUST | Organization | 5% OR GREATER MORTGAGE INTEREST | — | 2021-05-01 |
| COMPTON, CHARLES | Individual | 5% OR GREATER MORTGAGE INTEREST | — | 2024-09-17 |
| COMPTON, JAMES | Individual | 5% OR GREATER MORTGAGE INTEREST | — | 2024-09-17 |
| COMPTON, KRIS | Individual | 5% OR GREATER MORTGAGE INTEREST | — | 2024-09-17 |
| MARTEL, MICHAEL | Individual | 5% OR GREATER MORTGAGE INTEREST | — | 2024-09-17 |
Other facilities in HOUSTON
| Name | Overall | Beds |
|---|---|---|
| THE HALLMARK | ★★★★★ | 32 |
| THE METHODIST HOSPITAL SNF | ★★★★★ | 25 |
| PARK MANOR OF CYFAIR | ★★★★★ | 120 |
| BAYOU MANOR | ★★★★★ | 37 |
| HOUSTON TRANSITIONAL CARE | ★★★★★ | 70 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.