Cypress Creek Rehabilitation and Healthcare Center
13600 Birdcall Lane · Cypress, TX · 77429 · 2814777771
122 certified beds For profit - Individual Chain: Momentum Skilled Services
Why this verdict
- Staffing levels are well below research benchmarks for safe care.
- Federal penalties on record: $10,361 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
RN staffing in the bottom 10% nationally
0.19 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
69% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.01 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.19 | 0.55–0.75 |
| Weekend hours / resident-day | 2.68 | ≈ weekday level |
| Nursing turnover / year | 69% | median 45% |
| Fines (3-yr window) | 2 · $74,263 |
Inspection citations (21 in the current record)
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Potential for harm · D April 30, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Deficient, Provider has no plan of correction · Pharmacy Service
-
Potential for harm · D January 30, 2026 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected February 2, 2026 · Resident Rights
-
Potential for harm · D January 30, 2026 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 2, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D January 30, 2026 · found via 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.
Corrected February 2, 2026 · Pharmacy Service
-
Immediate jeopardy · J May 29, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 22, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D May 29, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected August 6, 2025 · Pharmacy Service
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Potential for harm · D May 29, 2025
Provide and implement an infection prevention and control program.
Corrected August 6, 2025 · Infection Control
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Potential for harm · E May 29, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 6, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D May 9, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 10, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Immediate jeopardy · K March 7, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 26, 2024 · Quality of Life and Care
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Potential for harm · E March 7, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected March 26, 2024 · Quality of Life and Care
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Potential for harm · E March 7, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 26, 2024 · Quality of Life and Care
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Potential for harm · E March 7, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 26, 2024 · Pharmacy Service
-
Potential for harm · D March 7, 2024 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected March 26, 2024 · Pharmacy Service
-
Potential for harm · D June 30, 2023 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 28, 2023 · Resident Assessment and Care Planning
-
Potential for harm · E November 10, 2022
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.
Corrected November 16, 2022 · Resident Rights
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Potential for harm · E November 10, 2022
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.
Corrected November 16, 2022 · Nursing and Physician Services
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Potential for harm · D November 10, 2022
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected November 16, 2022 · Pharmacy Service
-
Potential for harm · E November 10, 2022
Ensure medication error rates are not 5 percent or greater.
Corrected November 16, 2022 · Pharmacy Service
-
Potential for harm · D November 10, 2022
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.
Corrected November 16, 2022 · Pharmacy Service
-
Potential for harm · F November 10, 2022
Dispose of garbage and refuse properly.
Corrected November 16, 2022 · Nutrition and Dietary
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 9, 2025 | Fine | $10,361 |
| March 7, 2024 | Fine | $63,902 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676467 · certified since August 22, 2019. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.