Federal inspection record · CMS data as of October 1, 2026

Memorial City Nursing and Rehabilitation Center

1341 Blalock, Houston, TX · (713) 468-7821

  • Cited for abuse (CMS abuse icon)

CMS overall rating

2 of 5

Compare with a nearby home →
Certified beds
187
Residents per day
145
Ownership
Government
Chain
Wellsential Health
Medicare / Medicaid
Medicare + Medicaid
Certified since
September 28, 2010

1

How this home got 2 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.

  2. Staffing

    −1 star

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    +1 star

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    2 of 5

    Matches the rating CMS publishes on Care Compare.

This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.

2

Where it sits among Texas homes

Memorial City Nursing and Rehabilitation Center carries 152.25 inspection points. That is fewer than 17% of Texas's 1,166 rated homes.

5★4★3★2★1★+35 homes above 292.505102550100200inspection points → fewer is better on the leftThis home · 152.25 pts · 2★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–26 pts
  • 4★ 26–51 pts
  • 3★ 51–85 pts
  • 2★ 85–145.75 pts
  • 1★ over 145.75 pts

Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

32 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 2 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 4 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 14 4 pts
E 11 8 pts
F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (6)

  1. G

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    April 28, 2026 · Standard inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected April 29, 2026

  2. G

    Provide safe, appropriate pain management for a resident who requires such services.

    April 28, 2026 · Standard inspection · Quality of Life and Care · F697 · Corrected April 29, 2026

  3. G

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    January 15, 2025 · Complaint inspection · Quality of Life and Care · F686 · Corrected January 18, 2025

  4. K

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    September 23, 2024 · Complaint inspection · Resident Assessment and Care Planning · F656 · Corrected September 26, 2024

  5. K

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

    September 23, 2024 · Complaint inspection · Quality of Life and Care · F689 · Corrected September 26, 2024

  6. G

    Provide safe and appropriate respiratory care for a resident when needed.

    May 19, 2024 · Complaint inspection · Quality of Life and Care · F695 · Corrected May 20, 2024

Everything else, by area of care

Resident Rights7E
  1. D

    Reasonably accommodate the needs and preferences of each resident.

    April 28, 2026 · Standard · F558 · Corrected April 29, 2026

  2. D

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    April 28, 2026 · Standard · F628 · Corrected April 29, 2026

  3. E

    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.

    February 13, 2025 · Standard · F584 · Corrected February 17, 2025

  4. D

    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.

    January 24, 2025 · Complaint · F584 · Corrected January 27, 2025

  5. E

    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.

    September 23, 2024 · Complaint · F584 · Corrected September 26, 2024

  6. E

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

    July 31, 2024 · Complaint · F550 · Corrected August 5, 2024

  7. D

    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.

    July 31, 2024 · Complaint · F584 · Corrected August 5, 2024

Environmental6E
  1. D

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    November 19, 2025 · Complaint · F919 · Corrected November 20, 2025

  2. E

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    July 1, 2025 · Complaint · F925 · Corrected July 10, 2025

  3. D

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    February 13, 2025 · Standard · F925 · Corrected February 17, 2025

  4. E

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    September 23, 2024 · Complaint · F925 · Corrected September 26, 2024

  5. D

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    July 31, 2024 · Complaint · F925 · Corrected August 5, 2024

  6. E

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    October 11, 2023 · Complaint · F925 · Corrected October 16, 2023

Infection Control4F
  1. F

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

    April 28, 2026 · Standard · F887 · Corrected April 29, 2026

  2. D

    Provide and implement an infection prevention and control program.

    February 13, 2025 · Standard · F880 · Corrected February 17, 2025

  3. D

    Provide and implement an infection prevention and control program.

    April 13, 2024 · Complaint · F880 · Corrected April 20, 2024

  4. E

    Provide and implement an infection prevention and control program.

    December 15, 2023 · Standard · F880 · Corrected January 3, 2024

Quality of Life and Care3E
  1. E

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

    November 19, 2025 · Complaint · F677 · Corrected November 20, 2025

  2. E

    Provide safe and appropriate respiratory care for a resident when needed.

    February 13, 2025 · Standard · F695 · Corrected February 17, 2025

  3. D

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    December 15, 2023 · Standard · F690 · Corrected January 3, 2024

Resident Assessment and Care Planning2D
  1. D

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    April 28, 2026 · Standard · F640 · Corrected April 29, 2026

  2. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    January 24, 2025 · Complaint · F842 · Corrected January 27, 2025

Pharmacy Service2D
  1. D

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

    April 28, 2026 · Standard · F755 · Corrected April 29, 2026

  2. D

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

    December 15, 2023 · Standard · F755 · Corrected January 3, 2024

Nutrition and Dietary2E
  1. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    December 15, 2023 · Standard · F812 · Corrected January 3, 2024

  2. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    November 21, 2023 · Complaint · F812 · Corrected November 24, 2023

Inspection history

  1. 2026-04-28

    9 health deficiencies · 1 fire-safety deficiencies

    Top issue: Quality of Life and Care (2 deficiencies)

  2. 2025-02-13

    8 health deficiencies · 3 fire-safety deficiencies

    Top issue: Environmental (2 deficiencies)

  3. 2023-12-15

    15 health deficiencies · 3 fire-safety deficiencies

    Top issue: Environmental (3 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 17 min of nursing staff time a day, 15 min of it from a registered nurse.

This home

3 h 17 min

Texas average

3 h 25 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 51% of nursing staff and 50% of registered nurses left in the past year, along with 2 administrators.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$68,624 in federal fines on record over the past three years.

DatePenaltyAmount
2026-04-28Fine$7,371
2025-01-15Fine$21,057
2024-09-23Fine$22,376
2024-05-19Fine$17,820

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.5 pts better98.9%96.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.4 pts better98.4%97.0%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.5 pts better1.7%3.2%3.2%
Percentage of long-stay residents who have depressive symptoms2 pts better0.3%2.3%13.5%
Percentage of long-stay residents who lose too much weight1.2 pts worse4.1%2.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication15.6 pts better2.2%17.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication5.8 pts better4.0%9.8%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened9.7 pts better3.2%12.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased8.9 pts better6.9%15.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better0.1%0.3%0.7%
Percentage of long-stay residents with a urinary tract infection0.8 pts better0.0%0.8%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence8.4 pts better4.1%12.5%18.3%
Percentage of long-stay residents with pressure ulcers0.5 pts better3.2%3.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine8.7 pts better97.4%88.7%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit9.6 pts better2.6%12.2%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.4 pts worse1.8%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine3.2 pts better88.6%85.4%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission5.1 pts worse30.6%25.5%23.4%

·

Who owns and runs it

37 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Oakbend Medical Center5% Or Greater Direct Ownership Interest · Organization100%32 facilities
Baird, DanielManaging Control - Governing Body · Individual0%58 facilities
Carruth, SusanManaging Control - Governing Body · Individual0%1 facilities
Carruth, SusanCorporate Officer · Individual0%1 facilities
Clapp, BarbaraManaging Control - Governing Body · Individual0%69 facilities
Cortese, DarenManaging Control - Governing Body · Individual0%58 facilities
Csv Rhea Management Holdco, LLCIndirect Ownership Interest · Organization0%63 facilities
Dekowski, DonovanOperational/Managerial Control · Individual0%69 facilities
Dekowski, DonovanAdp Of The SNF · Individual0%69 facilities
Dwd Tx Holdings LLCIndirect Ownership Interest · Organization0%63 facilities
Freudenberger, JosephManaging Control - Governing Body · Individual0%35 facilities
Freudenberger, JosephCorporate Officer · Individual0%35 facilities
Gibson, PatriciaManaging Control - Governing Body · Individual0%57 facilities
Haley, JeffManaging Control - Governing Body · Individual0%17 facilities
Hughes, RustonManaging Control - Governing Body · Individual0%7 facilities
Jack And Nancy Dwyer Workforce Development Center IncIndirect Ownership Interest · Organization0%68 facilities
Jackson, WymonaAdp Of The SNF · Individual0%1 facilities
King, ElizabethManaging Control - Governing Body · Individual0%10 facilities
Mandelbaum, ElliotManaging Control - Governing Body · Individual0%61 facilities
Noble, CassandraOperational/Managerial Control · Individual0%1 facilities
Noble, CassandraAdp Of The SNF · Individual0%1 facilities
Oakbend Medical CenterOperational/Managerial Control · Organization0%32 facilities
Oakbend Medical CenterAdp Of The SNF · Organization0%32 facilities
Ofield, EllenAdp Of The SNF · Individual0%1 facilities
Pisani, AdamManaging Control - Governing Body · Individual0%10 facilities
Reg Leased Opco LLCIndirect Ownership Interest · Organization0%24 facilities
Reg Operator Holdco LLCIndirect Ownership Interest · Organization0%63 facilities
Regency Ihs Clinical Consulting, LLCAdp Of The SNF · Organization0%70 facilities
Regency Ihs Of Memorial City LLCDirect Ownership Interest · Organization0%1 facilities
Regency Ihs Of Memorial City LLCOperational/Managerial Control · Organization0%1 facilities
Regency Ihs Of Memorial City LLCAdp Of The SNF · Organization0%1 facilities
Regency Ihs Rehab LLCAdp Of The SNF · Organization0%68 facilities
Regency Integrated Health Services LLCIndirect Ownership Interest · Organization0%70 facilities
Regency Integrated Health Services LLCOperational/Managerial Control · Organization0%70 facilities
Regency Integrated Health Services LLCAdp Of The SNF · Organization0%70 facilities
Regency Texas Holdings LLCIndirect Ownership Interest · Organization0%63 facilities
Zaharia, AdrianAdp Of The SNF · Individual0%2 facilities

·

Fire safety

7 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke4F
  1. E

    Have approved installation, maintenance and testing program for fire alarm systems.

    April 28, 2026 · K345 · Corrected April 29, 2026

  2. E

    Inspect, test, and maintain automatic sprinkler systems.

    February 13, 2025 · K353 · Corrected February 17, 2025

  3. F

    Properly install and monitor supervisory attachments on automatic sprinkler systems.

    December 15, 2023 · K352 · Corrected December 18, 2023

  4. E

    Properly select, install, inspect, or maintain portable fire extinguishes.

    December 15, 2023 · K355 · Corrected December 18, 2023

Gas, Vacuum, and Electrical Systems3F
  1. F

    Have generator or other power source capable of supplying service within 10 seconds.

    February 13, 2025 · K918 · Corrected February 17, 2025

  2. D

    Ensure operating rooms are properly protected and written records are maintained and available for inspection.

    February 13, 2025 · K913 · Corrected February 17, 2025

  3. F

    Have generator or other power source capable of supplying service within 10 seconds.

    December 15, 2023 · K918 · Corrected December 18, 2023

·

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