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
Data as of July 1, 2026
1 of 5 overall
Misty Willow Healthcare and Rehabilitation Center in Houston has a 1-star overall rating, with a 1-star health inspection rating, 2-star staffing, and 4-star quality measures. It is a Special Focus Facility candidate/flagged special focus facility, had $79,412 in fines in the last 24 months, and reported nurse staffing of 3.30 hours per resident per day versus the 4.1 federal benchmark.
Facility ratings
Health inspections
Staffing
3.301 hrs/resident/day
Quality measures
Last inspection: March 9, 2026Penalties, last 24 months: $79,412special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.301.
Staffing detail
- Registered nurses
- 0.35
- Licensed practical nurses
- 1.01
- Nurse aides
- 1.94
- Weekend nursing
- 2.87
Hours per resident per day.
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
4.8%4.3%No change
Residents with a fall causing major injury
5%3.8%Improving
Residents with pressure ulcers (bedsores)
5.8%4.2%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
2.6%6.5%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
14.5%17.5%Worsening
Residents whose ability to walk got worse
17.2%16.3%Improving
Long-stay residents on antianxiety or sleep medication
14.3%10.4%Improving
Short-stay residents newly given an antipsychotic
0%1.4%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
9.9%12.4%Worsening
Residents with depressive symptoms
7.4%0%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—98.8%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—88.5%—
Short-stay residents given the pneumonia vaccine
80.7%98.9%Improving
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
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $43,770 was recorded.
- 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 $20,495 was recorded.
- 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 · $79,412 in total fines.
- $43,770
Federal fine
Mar 9, 2026
- $20,495
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 · 346 homes · 3.2 stars avg
- Occupancy
- 89.8 residents on an average day (72% 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.