Cypress Creek Rehabilitation and Healthcare Center
Cypress Creek Rehabilitation and Healthcare Center is a 122-bed nursing home in Cypress, Texas. CMS has certified it for Medicare and Medicaid since 2019-08-22. It averages 91.5 residents a day.
What harm was found in the violations cited at Cypress Creek Rehabilitation and Healthcare Center?
CMS lists 20 health-inspection deficiencies for Cypress Creek Rehabilitation and Healthcare Center since 2022-11-10, 14 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2026-04-30.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-04-30 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2026-01-30 | F0583, F0656, F0761 | Keep residents' personal and medical records private and confidential. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / 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. | D |
| 2025-05-29 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J |
| 2025-05-29 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E |
| 2025-05-29 | F0759, F0880 | Ensure medication error rates are not 5 percent or greater. / Provide and implement an infection prevention and control program. | D |
| 2025-05-09 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| 2024-03-07 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | K |
| 2024-03-07 | F0684, F0690, F0755 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E |
| 2024-03-07 | F0759 | Ensure medication error rates are not 5 percent or greater. | D |
| 2022-11-10 | F0814 | Dispose of garbage and refuse properly. | F |
| 2022-11-10 | F0584, F0727, F0759 | 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. / 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. / Ensure medication error rates are not 5 percent or greater. | E |
| 2022-11-10 | F0755, F0761 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. | D |
Why was Cypress Creek Rehabilitation and Healthcare Center fined 2 times?
| Date | Type | Amount |
|---|---|---|
| 2025-05-09 | Fine | $10,361 |
| 2024-03-07 | Fine | $63,902 |
How is Cypress Creek Rehabilitation and Healthcare Center staffed relative to the TX average?
| Measure | This facility | TX average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.22702 | 3.38539 |
| Total nursing staff turnover (%) | 66.7 | 55.3 |
| Average number of residents per day | 91.5 | 75.8 |
Who owns Cypress Creek Rehabilitation and Healthcare Center, and what chain is it in?
Cypress Creek Rehabilitation and Healthcare Center is registered with CMS as For profit - Individual, operates under the legal business name WEST WHARTON COUNTY HOSPITAL DISTRICT and belongs to the MOMENTUM SKILLED SERVICES chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER MORTGAGE INTEREST | BROAD RIVER HEALTHCARE, LLC, CLOVER MODERN INVESTMENTS, LLC, CLOVER PARENT, LLC, MARTEL FINANCIAL INVESTMENTS, LLC, THE SMITHERS MANAGEMENT TRUST, COMPTON, CHARLES, COMPTON, JAMES, COMPTON, KRIS, MARTEL, MICHAEL | since 05/01/2022 |
| CORPORATE OFFICER | THOMPSON, JOHNNY | since 07/01/2024 |
| OPERATIONAL/MANAGERIAL CONTROL | NWH REHAB LLC, THREADGILL, SHARLYN | since 05/01/2022 |
| INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | SMITHERS, JEFFREY, THREADGILL, FORREST, THREADGILL, MORGAN | since 03/26/2025 |
| ADP OF THE SNF | BROAD RIVER HEALTHCARE, LLC, CLOVER MODERN INVESTMENTS, LLC, CLOVER PARENT, LLC, MARTEL FINANCIAL INVESTMENTS, LLC, THE SMITHERS MANAGEMENT TRUST, COMPTON, CHARLES, COMPTON, JAMES, COMPTON, KRIS, MARTEL, MICHAEL, SUTER, RACHEL, WHITE, KARA | since 05/01/2022 |
Were you or a family member harmed at Cypress Creek Rehabilitation and Healthcare Center?