The nursing home failed to protect residents from abuse and neglect by others. Cited September 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: K
Nursing home report
Misty Willow Healthcare and Rehabilitation Center
Houston, TX · Medicare-certified · 124 beds
Needs attention
Special Focus candidateAbuse citationFor-profitChain member
1 of 5 overall
Misty Willow Healthcare and Rehabilitation Center in Houston has a 1 out of 5 overall rating, with 1-star health inspection and staffing ratings, even though its quality measures are 4 stars. It is a special focus facility/SFF candidate with $84,397 in fines over the last 24 months, and recent citations included abuse and neglect protections and response policies.
Facility ratings
Health inspections
Staffing
Quality measures
Last inspection: March 9, 2026Penalties, last 24 months: $84,397special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports not reported.
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
4.6%Worsening
Residents with a fall causing major injury
3.1%Steady
Residents with pressure ulcers (bedsores)
4.3%Improving
Residents with a urinary tract infection
0.3%Improving
Residents who lost too much weight
3.3%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
19.4%Improving
Residents whose ability to walk got worse
21%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
12.7%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
17.8%Worsening
Residents with depressive symptoms
1.9%Steady
Long-stay residents given the seasonal flu vaccine
98.8%Steady
Long-stay residents given the pneumonia vaccine
98.7%Improving
Short-stay residents given the seasonal flu vaccine
88.5%Steady
Short-stay residents given the pneumonia vaccine
86.5%Steady
What the inspectors found
The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited September 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 607 — 42 CFR §483.12 — S/S: K
The home failed to respond appropriately to all reported abuse or neglect concerns. Cited September 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 610 — 42 CFR §483.12 — S/S: K
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited September 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: K
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited March 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: K
Recent history
- PENALTY
A federal fine of $37,720 was recorded.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $31,530 was recorded.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $15,147 was recorded.
Penalties & enforcement
On record with Medicare: 3 fines · $84,397 in total fines.
- $37,720
Federal fine
Mar 9, 2026
- $31,530
Federal fine
Sep 24, 2025
- $15,147
Federal fine
Mar 29, 2025
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of THE ENSIGN GROUP · 338 homes · 3.2 stars avg
- Occupancy
- 90.3 residents on an average day (73% of 124 beds)
- Medicare history
- Certified for 16 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.