Nursing homeActive
Cypress Creek Rehabilitation and Healthcare Center
13600 Birdcall Lane, Cypress, TX 774292814777771122 certified beds · 92 residentsFor profit - IndividualMedicare and Medicaid
Surveys on file
6
since 2022
Deficiencies
20
● 0● 18● 2
Penalties · 3 yrs
$74,263
2 fines
Last survey
2026-04-30
Complaint
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 3
Staffing 1
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Texas Health and Human Services Commission · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-04-30 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2026-01-30 | Complaint | 030 | CMS-2567 (Care Compare) | — |
| 2025-05-29 | Standard | 031 | CMS-2567 (Care Compare) | — |
| 2025-05-09 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-03-07 | Standard | 041 | CMS-2567 (Care Compare) | — |
| 2022-11-10 | Standard | 060 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Texas Health and Human Services Commission publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-01Record 676467-20260430-F755
F583Keep residents' personal and medical records private and confidential.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-02Record 676467-20260130-F583
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-02Record 676467-20260130-F656
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-02Record 676467-20260130-F761
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity JHarm
Abuse & neglect
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-04-22Record 676467-20250529-F600
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-08-06Record 676467-20250529-F609
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-06Record 676467-20250529-F759
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-06Record 676467-20250529-F880
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-10Record 676467-20250509-F600
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity KHarm
Care planning
Pattern; immediate jeopardy to resident health or safety.Corrected 2024-03-26Record 676467-20240307-F686
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-26Record 676467-20240307-F684
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-26Record 676467-20240307-F690
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-26Record 676467-20240307-F755
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-26Record 676467-20240307-F759
F584Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-11-16Record 676467-20221110-F584
F727Have 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.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-11-16Record 676467-20221110-F727
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-11-16Record 676467-20221110-F755
F759Ensure medication error rates are not 5 percent or greater.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-11-16Record 676467-20221110-F759
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-11-16Record 676467-20221110-F761
F814Dispose of garbage and refuse properly.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-11-16Record 676467-20221110-F814
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-05-09 | Civil money penalty | $10,361 | CMS · Penalties |
| 2024-03-07 | Civil money penalty | $63,902 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.21
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day3.23
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours2.70
Facility
Texas
National
Texas 2.98 · National 3.42
Total nursing staff turnover67%
Facility
Texas
National
Texas 55% · National 46%
Registered nurse turnover88%
Facility
Texas
National
Texas 55% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Texas | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 2.4% | 3.8% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 4.6% | 3.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 8.6% | 9.6% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 0.8% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 16.6% | 15.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 1.1% | 3.0% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 10.1% | 18.0% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Nwh Rehab LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Threadgill, Sharlyn Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Broad River Healthcare, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Broad River Healthcare, LLC Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Clover Modern Investments, LLC Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Clover Modern Investments, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Clover Parent, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Clover Parent, LLC Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Compton, Charles Individual | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Compton, Charles Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Compton, James Individual | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Compton, James Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Compton, Kris Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Compton, Kris Individual | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Martel Financial Investments, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Martel Financial Investments, LLC Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Martel, Michael Individual | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Martel, Michael Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Smithers, Jeffrey Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Suter, Rachel Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| The Smithers Management Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| The Smithers Management Trust Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Thompson, Johnny Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Threadgill, Forrest Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Threadgill, Morgan Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| White, Kara Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Momentum Skilled Services — 9 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Texas.
No county cost figures on file for Harris.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Eagle Crest Rapid Recovery Houston | 2.5 mi | 2026-04-02 | 1158 |
| Cypress Pointe Health & Wellness Houston | 3.5 mi | 2026-03-06 | 1112 |
| Park Manor Of Cyfair Houston | 3.3 mi | 2026-05-01 | 030 |
| Fallbrook Rehabilitation and Care Center Houston | 3.3 mi | 2026-04-29 | 0308 |
| North Houston Transitional Care Houston | 4.0 mi | 2026-05-21 | 062 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |