Misty Willow Healthcare and Rehabilitation Center

Nursing home in Houston, TX

Medicare & Medicaid certified1★ overall (CMS)SFF candidate (CMS)CMS abuse icon

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Public-record details

Address: 12921 Misty Willow Dr, Houston, TX 77070
Phone: (281) 469-7881
Listed under: For-profit
Medicare CCN: 676251
Overall star rating: 1 of 5 ★☆☆☆☆
Health inspection rating: 1 of 5
Staffing rating: 2 of 5
Quality measures rating: 4 of 5
Certified beds: 124
Average residents per day: 90
Ownership: For-profit, limited Liability company
Legal business name: Liberty County Hospital District No 1
Chain: The Ensign Group (342 facilities)
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: Apr 21, 2010
Changed ownership in last 12 months: No
Continuing care retirement community: No
Located inside a hospital: No
Sprinklers in all required areas: Yes

CMS certification number 676251. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Dec 4, 2025. CMS lists 30 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jun 16, 2023 to Mar 9, 2026): 11 from complaint inspections, 8 at the “actual harm” level or higher, including 8 at “immediate jeopardy”. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years. CMS lists this facility as a candidate for its Special Focus Facility program.

Inspection	Citation	Severity
Mar 9, 2026	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights · complaint inspection	D Potential for more than minimal harm, isolated
Mar 9, 2026	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care · complaint inspection	J Immediate jeopardy, isolated
Dec 4, 2025	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care	D Potential for more than minimal harm, isolated
Dec 4, 2025	Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care	D Potential for more than minimal harm, isolated
Dec 4, 2025	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service	D Potential for more than minimal harm, isolated
Dec 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… Pharmacy Service	D Potential for more than minimal harm, isolated
Dec 4, 2025	Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary	E Potential for more than minimal harm, pattern
Dec 4, 2025	Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary	E Potential for more than minimal harm, pattern
Dec 4, 2025	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary	F Potential for more than minimal harm, widespread
Sep 24, 2025	Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges. Resident Rights · complaint inspection	D Potential for more than minimal harm, isolated
Sep 24, 2025	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation · complaint inspection	K Immediate jeopardy, pattern
Sep 24, 2025	Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation · complaint inspection	K Immediate jeopardy, pattern

Showing the 12 most recent of 30. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 3 fines totalling $79,412 in the last three years.

Mar 9, 2026	Fine: $43,770
Sep 24, 2025	Fine: $20,495
Mar 29, 2025	Fine: $15,147

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day: 3.30 hours
Registered nurse (RN) time per resident per day: 0.35 hours
Nurse aide time per resident per day: 1.94 hours
Total nurse staffing on weekends: 2.87 hours

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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