Cypress Creek Rehabilitation And Healthcare Center has received an F grade based on CMS data, with a score of 28/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Cypress facility should carefully review its inspection history and quality metrics.
With 3.27 total nurse hours per resident per day, Cypress Creek Rehabilitation And Healthcare 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 22 deficiencies at Cypress Creek Rehabilitation And Healthcare Center, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: keep residents' personal and medical records private and confidential..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.27 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.24 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.11 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.91 | 2.4 | Below Average |
| Weekend Total Nursing | 2.68 | 3.8 | Below Average |
| Weekend RN Hours | 0.11 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0583 Severity DKeep residents' personal and medical records private and confidential.Jan 29, 2026 · Resident Rights Deficiencies
- Tag 0656 Severity DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Jan 29, 2026 · Resident Assessment and Care Planning Deficiencies
- Tag 0761 Severity DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiJan 29, 2026 · Pharmacy Service Deficiencies
- Tag 0600 Severity JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.May 28, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0609 Severity ETimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.May 28, 2025 · Freedom from Abuse, Neglect, and Exploitation 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 | 2.2% | 4.5% | Better |
| Falls with major injury | 2.8% | 3.0% | Average |
| On antipsychotic medication | 7.0% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 14.3% | 14.0% | Average |
| Excessive weight loss | 1.1% | 7.5% | Better |
| New/worsened incontinence | 13.3% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $74,263
How This Grade Was Calculated
This facility's grade of F is based on a score of 28 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -7 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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