Misty Willow Healthcare and Rehabilitation Center
12921 Misty Willow Dr · Houston, TX · 77070 · 2814697881
124 certified beds For profit - Limited Liability company Chain: The Ensign Group
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (5 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
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
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
5 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
3 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$79,412 in federal fines in the last 24 months
3 fines — CMS fines are reserved for verified, serious non-compliance.
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: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 3 · $79,412 |
Inspection citations (30 in the current record)
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Immediate jeopardy · J March 9, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 11, 2026 · Quality of Life and Care
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Potential for harm · D March 9, 2026 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 11, 2026 · Resident Rights
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Potential for harm · D December 4, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 6, 2025 · Quality of Life and Care
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Potential for harm · D December 4, 2025
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected December 6, 2025 · Quality of Life and Care
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Potential for harm · D December 4, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected December 6, 2025 · Pharmacy Service
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Potential for harm · D December 4, 2025
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 December 6, 2025 · Pharmacy Service
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Potential for harm · E December 4, 2025
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected December 6, 2025 · Nutrition and Dietary
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Potential for harm · F December 4, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 6, 2025 · Nutrition and Dietary
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Potential for harm · E December 4, 2025
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected December 6, 2025 · Nutrition and Dietary
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Immediate jeopardy · K September 24, 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 October 16, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K September 24, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected October 16, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K September 24, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected October 16, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K September 24, 2025 · 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 October 16, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 24, 2025 · found via complaint
Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges.
Corrected October 16, 2025 · Resident Rights
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Immediate jeopardy · K March 29, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 31, 2025 · Quality of Life and Care
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Immediate jeopardy · K March 29, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 31, 2025 · Quality of Life and Care
-
Immediate jeopardy · J March 29, 2025 · 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 31, 2025 · Pharmacy Service
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Potential for harm · D August 30, 2024
Keep residents' personal and medical records private and confidential.
Corrected September 3, 2024 · Resident Rights
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Potential for harm · D August 30, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected September 3, 2024 · Quality of Life and Care
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Potential for harm · D August 30, 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 September 3, 2024 · Quality of Life and Care
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Potential for harm · D August 30, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected September 3, 2024 · Quality of Life and Care
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Potential for harm · D August 30, 2024
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 September 3, 2024 · Pharmacy Service
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Potential for harm · E August 30, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected September 3, 2024 · Infection Control
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Potential for harm · D June 16, 2023 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected July 14, 2023 · Resident Rights
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Potential for harm · D June 16, 2023 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected July 14, 2023 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 9, 2026 | Fine | $43,770 |
| September 24, 2025 | Fine | $20,495 |
| March 29, 2025 | Fine | $15,147 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676251 · certified since April 21, 2010. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.