Houston, TX

Magnolia Crossing Nursing and Rehabilitation Cente

3-star overall rating with 4-star inspections with 10 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

10800 Flora Mae Meadows Rd, Houston, TX

(832) 328-2350

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

128

Certified beds

Average residents

104

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

Wellsential Health

Operator or chain grouping

Approved since

2013-03-06

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.00

Registered nurse staffing

LPN hours / resident day

0.00

Licensed practical nurse staffing

Aide hours / resident day

0.00

Nurse aide staffing

Weekend hours

0.00

Weekend nurse staffing

RN turnover

100%

Annual RN turnover

Total nurse turnover

57%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 3.1
2.1
1 pts worse
1.9
1.2 pts worse
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 2.8
2.1
0.7 pts worse
1.8
1 pts worse
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.4%
97.1%
1.3 pts better
93.4%
5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 91.3%
97.9%
6.6 pts worse
95.5%
4.2 pts worse
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 4.1%
3.3%
0.8 pts worse
3.3%
0.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 0.3%
2.7%
2.4 pts better
11.4%
11.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 1.9%
3.3%
1.4 pts better
5.4%
3.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 7.3%
18.9%
11.6 pts better
19.6%
12.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 6.7%
10.8%
4.1 pts better
16.7%
10 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.0%
About the same
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 0.9%
15.4%
14.5 pts better
16.3%
15.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 4.0%
16.1%
12.1 pts better
14.9%
10.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.5%
0.5%
About the same
1.0%
0.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.0%
0.8%
0.8 pts better
1.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 2.0%
15.0%
13 pts better
19.8%
17.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 5.0%
4.2%
0.8 pts worse
5.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 79.7%
89.7%
10 pts worse
81.7%
2 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 18.3%
12.0%
6.3 pts worse
12.0%
6.3 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 2.2%
1.5%
0.7 pts worse
1.6%
0.6 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 53.2%
88.0%
34.8 pts worse
79.7%
26.5 pts worse
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 32.7%
25.9%
6.8 pts worse
23.9%
8.8 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-22 · Fire 2025-05-22

10 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-03-21 · Fire 2024-03-21

0 health deficiencies

No concentrated health issue counts in this cycle.

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 3 Health 2023-02-09 · Fire 2023-02-09

8 health deficiencies

Top issue: Infection Control (2 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-05-22

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-05-23

E · Potential for more than minimal harm 2025-05-22

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-05-23

E · Potential for more than minimal harm 2024-03-21

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-04-10

E · Potential for more than minimal harm 2023-02-09

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-03-06

E · Potential for more than minimal harm 2023-02-09

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-03-06

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-01

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-12-02

D · Potential for more than minimal harm 2025-08-19

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2025-08-20

D · Potential for more than minimal harm 2025-08-19

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-08-20

E · Potential for more than minimal harm 2025-05-22

F700 · Quality of Life and Care Deficiencies

Health

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Corrected 2025-06-26

D · Potential for more than minimal harm 2025-05-22

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-06-26

D · Potential for more than minimal harm 2025-05-22

F790 · Quality of Life and Care Deficiencies

Health

Provide routine and 24-hour emergency dental care for each resident.

Corrected 2025-06-26

D · Potential for more than minimal harm 2025-05-22

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-06-26

E · Potential for more than minimal harm 2025-05-09

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2025-05-23

E · Potential for more than minimal harm 2025-05-09

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-05-23

D · Potential for more than minimal harm 2025-04-24

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-05-02

E · Potential for more than minimal harm 2023-11-13

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2023-12-08

D · Potential for more than minimal harm 2023-11-13

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-12-08

D · Potential for more than minimal harm 2023-06-01

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-06-15

F · Potential for more than minimal harm 2023-02-09

F563 · Resident Rights Deficiencies

Health

Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

Corrected 2023-03-06

E · Potential for more than minimal harm 2023-02-09

F850 · Administration Deficiencies

Health

Hire a qualified full-time social worker in a facility with more than 120 beds.

Corrected 2023-03-06

D · Potential for more than minimal harm 2023-02-09

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2023-03-06

D · Potential for more than minimal harm 2023-02-09

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2023-03-06

D · Potential for more than minimal harm 2023-02-09

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-03-06

Penalties and ownership

What sits behind the stars

Ownership

Booker Hospital District

5% Or Greater Direct Ownership Interest · Organization

100% 6 facilities 2021-12-01
Armstrong, Dwayne

Operational/Managerial Control · Individual

0% 2 facilities 2004-03-01
Armstrong, Dwayne

Corporate Director · Individual

0% 2 facilities 2004-03-01
Baird, Daniel

Operational/Managerial Control · Individual

0% 4 facilities 2021-04-13
Baird, Daniel

Corporate Director · Individual

0% 4 facilities 2021-04-13
Bartosiewiez, Matthew

Operational/Managerial Control · Individual

0% 1 facilities 2008-01-17
Bartosiewiez, Matthew

Corporate Director · Individual

0% 1 facilities 2008-01-17
Booker Hospital District

Operational/Managerial Control · Organization

0% 6 facilities 2021-12-01
Carvajal, Antonio

Operational/Managerial Control · Individual

0% 3 facilities 2024-05-16
Carvajal, Antonio

Corporate Director · Individual

0% 3 facilities 2024-05-16
Clapp, Barbara

Operational/Managerial Control · Individual

0% 5 facilities 2021-06-01
Clapp, Barbara

Corporate Director · Individual

0% 5 facilities 2021-06-01
Clevenger, Josh

Operational/Managerial Control · Individual

0% 1 facilities 2021-08-05
Clevenger, Josh

Corporate Director · Individual

0% 1 facilities 2021-08-05
Cortese, Daren

Operational/Managerial Control · Individual

0% 4 facilities 2021-08-10
Cortese, Daren

Corporate Director · Individual

0% 4 facilities 2021-08-10
Csv Rhea Management Holdco, LLC

Operational/Managerial Control · Organization

0% 6 facilities 2024-12-16
Dekowski, Donovan

Operational/Managerial Control · Individual

0% 59 facilities 2024-12-16
Dwd Tx Holdings LLC

Operational/Managerial Control · Organization

0% 5 facilities 2024-12-16
Garman, Kara

Operational/Managerial Control · Individual

0% 1 facilities 2024-12-16
Gibson, Patricia

Operational/Managerial Control · Individual

0% 4 facilities 2021-08-01
Gibson, Patricia

Corporate Director · Individual

0% 4 facilities 2021-08-01
Gonzales, Veronica

Operational/Managerial Control · Individual

0% 3 facilities 2024-05-16
Gonzales, Veronica

Corporate Director · Individual

0% 3 facilities 2024-05-16
Hoover, Shawn

Operational/Managerial Control · Individual

0% 6 facilities 2021-12-01
Hoover, Shawn

Corporate Director · Individual

0% 6 facilities 2021-12-01
Jack And Nancy Dwyer Workforce Development Center Inc

Operational/Managerial Control · Organization

0% 5 facilities 2024-12-16
Kaufman, Nicole

Operational/Managerial Control · Individual

0% 3 facilities 2021-08-01
Kaufman, Nicole

Corporate Director · Individual

0% 3 facilities 2021-08-10
Mandelbaum, Elliot

Operational/Managerial Control · Individual

0% 1 facilities 2024-12-16
Mougouris, Taso

Operational/Managerial Control · Individual

0% 1 facilities 2024-12-16
Reg Hg Opco 1, LLC

Operational/Managerial Control · Organization

0% 2 facilities 2024-12-16
Reg Operator Holdco LLC

Operational/Managerial Control · Organization

0% 5 facilities 2024-12-16
Regency Ihs Clinical Consulting, LLC

Operational/Managerial Control · Organization

0% 3 facilities 2024-12-16
Regency Ihs Rehab LLC

Operational/Managerial Control · Organization

0% 4 facilities 2024-12-16
Regency Integrated Health Services LLC

Operational/Managerial Control · Organization

0% 55 facilities 2024-12-16
Regency Texas Holdings LLC

Operational/Managerial Control · Organization

0% 5 facilities 2024-12-16
Sheppard, Richard

Operational/Managerial Control · Individual

0% 1 facilities 2002-01-15
Sheppard, Richard

Corporate Director · Individual

0% 1 facilities 2002-01-15
Wade, Hunter

Operational/Managerial Control · Individual

0% 1 facilities 2020-12-17
Wade, Hunter

Corporate Director · Individual

0% 1 facilities 2020-12-17
Wellsential Of Magnolia LLC

Operational/Managerial Control · Organization

0% 1 facilities 2024-12-16

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#3

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Staffing
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Fines
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