Misty Willow Healthcare And Rehabilitation Center has received an F grade based on CMS data, with a score of 16/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Houston facility should carefully review its inspection history and quality metrics.
With 3.36 total nurse hours per resident per day, Misty Willow Healthcare And Rehabilitation Center falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent CMS inspections identified 31 deficiencies at Misty Willow Healthcare And Rehabilitation Center, including 7 classified as serious — among the most concerning citation levels. The most notable finding involved: procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.36 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.52 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.88 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.96 | 2.4 | Below Average |
| Weekend Total Nursing | 2.83 | 3.8 | Below Average |
| Weekend RN Hours | 0.41 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Dec 3, 2025 · Nutrition and Dietary Deficiencies
- Tag 0805 Severity EEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.Dec 3, 2025 · Nutrition and Dietary Deficiencies
- Tag 0813 Severity EHave a policy regarding use and storage of foods brought to residents by family and other visitors.Dec 3, 2025 · Nutrition and Dietary Deficiencies
- Tag 0689 Severity DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Dec 3, 2025 · Quality of Life and Care Deficiencies
- Tag 0694 Severity DProvide for the safe, appropriate administration of IV fluids for a resident when needed.Dec 3, 2025 · Quality of Life and Care Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 5.4% | 4.5% | Worse |
| Falls with major injury | 3.2% | 3.0% | Average |
| On antipsychotic medication | 3.9% | 14.5% | Better |
| Urinary tract infections | 0.3% | 2.5% | Better |
| ADL decline (daily activities) | 27.4% | 14.0% | Worse |
| Excessive weight loss | 2.0% | 7.5% | Better |
| New/worsened incontinence | 18.0% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $46,677
How This Grade Was Calculated
This facility's grade of F is based on a score of 16 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -4 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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