Cypress Creek Rehabilitation and Healthcare Center
Nursing Home · Cypress, TX
CMS certification number676467
Contact & location
13600 Birdcall LaneCypress, TX 77429
Harris County
- Phone
- (281) 477-7771
- ZIP code
- 77429 – all care providers
Facility details
- Certified beds
- 122
- Residents per day
- 91.5 (75% occupied)
- Ownership
- For profit - Individual
- Legal name
- West Wharton County Hospital District
- Chain
- Momentum Skilled Services (9 facilities, avg 2.0★)
- Medicare certified since
- August 22, 2019
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.23 (state 3.39 · U.S. 3.86)
- Registered nurses (RN)
- 0.21 (state 0.43 · U.S. 0.69)
- Licensed practical nurses
- 0.98 (state 0.95 · U.S. 0.86)
- Nurse aides
- 2.04 (state 2.00 · U.S. 2.32)
- Weekend total
- 2.70 (state 2.98 · U.S. 3.42)
- Nursing staff turnover
- 66.7 (state 55.3 · U.S. 45.8)%
- RN turnover
- 87.5 (state 54.6 · U.S. 42.9)%
- Administrators who left
- 1 in the last year
Inspections
- Last standard inspection
- May 29, 2025
- Health deficiencies (last cycle)
- 6.0 (state 9.3 · U.S. 9.3)
- From complaints
- 4
- Citations on record (3 years)
- 20 health · 1 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-04-30 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-01 |
| 2026-01-30 | Keep residents' personal and medical records private and confidential. F0583 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-02-02 |
| 2026-01-30 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-02-02 |
| 2026-01-30 | 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. F0761 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-02-02 |
| 2025-05-29 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-08-06 |
| 2025-05-29 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-08-06 |
| 2025-05-29 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2025-04-22 |
| 2025-05-29 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-08-06 |
| 2025-05-09 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-10 |
| 2024-03-07 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies |
K Immediate jeopardy to resident health or safety |
Corrected 2024-03-26 |
| 2024-03-07 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-03-26 |
| 2024-03-07 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-03-26 |
| 2024-03-07 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-03-26 |
| 2024-03-07 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-26 |
| 2022-11-10 | Dispose of garbage and refuse properly. F0814 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2022-11-16 |
| 2022-11-10 | 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. F0584 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2022-11-16 |
| 2022-11-10 | 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. F0727 · Nursing and Physician Services Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2022-11-16 |
| 2022-11-10 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2022-11-16 |
| 2022-11-10 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-11-16 |
| 2022-11-10 | 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-11-16 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
2 penalties in the last three years, including $74,263 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-05-09 | Fine | $10,361 |
| 2024-03-07 | Fine | $63,902 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Broad River Healthcare, LLC (organization) | 5%+ Mortgage Interest · NOT APPLICABLE | |
| Clover Modern Investments, LLC (organization) | 5%+ Mortgage Interest · NOT APPLICABLE | |
| Clover Parent, LLC (organization) | 5%+ Mortgage Interest · NOT APPLICABLE | |
| Compton, Charles (individual) | 5%+ Mortgage Interest · NOT APPLICABLE | |
| Compton, James (individual) | 5%+ Mortgage Interest · NOT APPLICABLE | |
| Compton, Kris (individual) | 5%+ Mortgage Interest · NOT APPLICABLE | |
| Martel Financial Investments, LLC (organization) | 5%+ Mortgage Interest · NOT APPLICABLE | |
| Martel, Michael (individual) | 5%+ Mortgage Interest · NOT APPLICABLE | |
| The Smithers Management Trust (organization) | 5%+ Mortgage Interest · NOT APPLICABLE | |
| Broad River Healthcare, LLC (organization) | Administrator · NOT APPLICABLE | |
| Clover Modern Investments, LLC (organization) | Administrator · NOT APPLICABLE | |
| Clover Parent, LLC (organization) | Administrator · NOT APPLICABLE | |
| Compton, Charles (individual) | Administrator · NOT APPLICABLE | |
| Compton, James (individual) | Administrator · NOT APPLICABLE | |
| Compton, Kris (individual) | Administrator · NOT APPLICABLE | |
| Martel Financial Investments, LLC (organization) | Administrator · NOT APPLICABLE | |
| Martel, Michael (individual) | Administrator · NOT APPLICABLE | |
| Suter, Rachel (individual) | Administrator · NOT APPLICABLE | |
| The Smithers Management Trust (organization) | Administrator · NOT APPLICABLE | |
| White, Kara (individual) | Administrator · NOT APPLICABLE | |
| Thompson, Johnny (individual) | Corporate Officer · NOT APPLICABLE | |
| Smithers, Jeffrey (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| Threadgill, Forrest (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| Threadgill, Morgan (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| NWH Rehab LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Threadgill, Sharlyn (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Cypress Creek Rehabilitation and Healthcare Center?
Cypress Creek Rehabilitation and Healthcare Center has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.
How many beds does Cypress Creek Rehabilitation and Healthcare Center have?
It has 122 certified beds and cares for about 92 residents per day.
Has Cypress Creek Rehabilitation and Healthcare Center been fined?
Yes. CMS lists 2 penalties totaling $74,263 in the last three years.
Who owns Cypress Creek Rehabilitation and Healthcare Center?
It is part of Momentum Skilled Services and is classified as for profit - individual. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Cypress Creek Rehabilitation and Healthcare Center?
(281) 477-7771. The facility is located at 13600 Birdcall Lane, Cypress, TX 77429.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.