Misty Willow Healthcare and Rehabilitation Center

Special Focus Facility candidate · CMS abuse icon · CCN 676251 · LIBERTY COUNTY HOSPITAL DISTRICT NO 1 · For profit - Limited Liability company · THE ENSIGN GROUP chain · 124 certified beds · Harris · TX


Misty Willow Healthcare and Rehabilitation Center is a 124-bed nursing home in Houston, Texas. CMS has certified it for Medicare and Medicaid since 2010-04-21. It averages 89.8 residents a day.

What harm was found in the violations cited at Misty Willow Healthcare and Rehabilitation Center?

CMS lists 30 health-inspection deficiencies for Misty Willow Healthcare and Rehabilitation Center since 2023-06-16, 23 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 2026-03-09.

Survey dateTagDeficiencySeverity
2026-03-09F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.J
2026-03-09F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D
2025-12-04F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2025-12-04F0805, F0813Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. / Have a policy regarding use and storage of foods brought to residents by family and other visitors.E
2025-12-04F0689, F0694, F0755, F0761Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide for the safe, appropriate administration of IV fluids for a resident when needed. / 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
2025-09-24F0600, F0607, F0610, F0656Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Respond appropriately to all alleged violations. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.K
2025-09-24F0564Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges.D
2025-03-29F0684, F0689Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.K
2025-03-29F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.J
2024-08-30F0880Provide and implement an infection prevention and control program.E
2024-08-30F0583, F0686, F0690, F0695, F0761Keep residents' personal and medical records private and confidential. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / 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 safe and appropriate respiratory care for a resident when needed. / 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
2023-06-16F0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.E
2023-06-16F0583, F0655, F0656, F0695, F0759, F0761Keep residents' personal and medical records private and confidential. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure medication error rates are not 5 percent or greater. / 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 Misty Willow Healthcare and Rehabilitation Center fined 3 times?

DateTypeAmount
2026-03-09Fine$43,770
2025-09-24Fine$20,495
2025-03-29Fine$15,147

How is Misty Willow Healthcare and Rehabilitation Center staffed relative to the TX average?

MeasureThis facilityTX average
Total nurse staffing hours per resident per day3.301003.38539
Average number of residents per day89.875.8

Who owns Misty Willow Healthcare and Rehabilitation Center, and what chain is it in?

Misty Willow Healthcare and Rehabilitation Center is registered with CMS as For profit - Limited Liability company, operates under the legal business name LIBERTY COUNTY HOSPITAL DISTRICT NO 1 and belongs to the THE ENSIGN GROUP chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTLIBERTY COUNTY HOSPITAL DISTRICT NO 1since 04/01/2017
MANAGING CONTROL - GOVERNING BODYALI, NIDA, FITZGERALD, TAMIsince 04/01/2017
CORPORATE OFFICERBURNAM, SOON, KEETCH, CHAD, STRATTON, CHARLESsince 02/07/2005
OPERATIONAL/MANAGERIAL CONTROLMISTY WILLOW HEALTHCARE, INC., ALI, NIDA, FITZGERALD, TAMIsince 04/01/2017
ADP OF THE SNFENSIGN SERVICES INC, MISTY WILLOW HEALTHCARE, INC., NATIONAL HEALTH INVESTORS, INC., TEXAS NHI INVESTORS, LLC, ALI, NIDA, FITZGERALD, TAMIsince 04/01/2017

Were you or a family member harmed at Misty Willow Healthcare and Rehabilitation Center?