Navasota, TX

Navasota Nursing & Rehabilitation

1-star overall rating with 1-star inspections with $123,093 in total fines with 16 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

1405 E Washington, Navasota, TX

(936) 825-6463

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 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

172

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Creative Solutions In Healthcare

Operator or chain grouping

Approved since

1994-09-07

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

149 facilities

Chain averages 3 overall / 3 health / 2 staffing / 4 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.45

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

0.70

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

1.75

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

2.90

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.15

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

2.46

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.39

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.47

CMS adjusted RN staffing hours

Adjusted total hours

3.00

CMS adjusted total nurse staffing hours

Case-mix index

1.32

Higher values indicate more complex resident acuity

RN turnover

75%

Annual RN turnover · state 52% · national 45%

Total nurse turnover

64%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,967

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

14.49

Composite VBP score used to determine payment impact.

Payment multiplier

0.9813

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

0.99

Baseline 18.75% · Performance 59.61% · Measure score 0.99 · Achievement 0.99 · Improvement 0

Adjusted total nurse staffing

1.90

Baseline 3.39 hours · Performance 3.62 hours · Measure score 1.90 · Achievement 1.90 · Improvement 0.46

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 24 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 15 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	1.07	1.02 0.1 pts worse
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 10 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 6 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 84
Staff flu vaccination coverage	20.86%	42% 21.1 pts worse	Numerator 29 · Denominator 139
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.3	2.1 0.2 pts worse	1.9 0.4 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 1.6 · Expected 1.3 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	3.1	2.1 1 pts worse	1.8 1.3 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.1 · Observed 2.5 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.6%	97.1% 1.5 pts better	93.4% 5.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 96.6% · Q2 98.1% · Q3 100.0% · Q4 100.0% · 4Q avg 98.6%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	97.9% 2.1 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	3.3%	3.3% About the same	3.3% About the same	Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 3.8% · Q3 1.9% · Q4 3.9% · 4Q avg 3.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	1.7%	2.7% 1 pts better	11.4% 9.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.5% · Q4 5.6% · 4Q avg 1.7%
Percentage of long-stay residents who lose too much weight	4.2%	3.3% 0.9 pts worse	5.4% 1.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 4.2% · Q4 13.0% · 4Q avg 4.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	12.8%	18.9% 6.1 pts better	19.6% 6.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.7% · Q2 13.0% · Q3 10.4% · Q4 15.2% · 4Q avg 12.8%
Percentage of long-stay residents who received an antipsychotic medication	16.2%	10.8% 5.4 pts worse	16.7% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 12.5% · Q3 22.9% · Q4 22.9% · 4Q avg 16.2% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	34.7%	15.4% 19.3 pts worse	16.3% 18.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 45.6% · Q3 74.7% · Q4 12.8% · 4Q avg 34.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	30.7%	16.1% 14.6 pts worse	14.9% 15.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 37.2% · Q3 69.8% · Q4 9.3% · 4Q avg 30.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.5% 0.5 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.5%	0.8% 0.3 pts better	1.7% 1.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.9% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	18.0%	15.0% 3 pts worse	19.8% 1.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 19.3% · Q2 18.7% · Q3 16.7% · Q4 17.3% · 4Q avg 18.0%
Percentage of long-stay residents with pressure ulcers	4.0%	4.2% 0.2 pts better	5.1% 1.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 3.6% · Q3 5.4% · Q4 2.9% · 4Q avg 4.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	93.5%	89.7% 3.8 pts better	81.7% 11.8 pts better	Short Stay · 2024Q4-2025Q3 · Q1 86.4% · Q2 92.0% · Q3 95.8% · Q4 100.0% · 4Q avg 93.5%
Percentage of short-stay residents who newly received an antipsychotic medication	4.5%	1.5% 3 pts worse	1.6% 2.9 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 4.5% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	92.3%	88.0% 4.3 pts better	79.7% 12.6 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 92.3%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-05 · Fire 2025-06-05

16 health deficiencies

Top issue: Quality of Life and Care (8 deficiencies)

2 fire-safety deficiencies

Top issue: Services (1 deficiency)

Cycle 2 Health 2024-05-09 · Fire 2024-05-09

21 health deficiencies

Top issue: Quality of Life and Care (8 deficiencies)

1 fire-safety deficiencies

Top issue: Services (1 deficiency)

Cycle 3 Health 2023-03-23 · Fire 2023-03-23

5 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-06-05

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-07-18

C · Minimal harm 2025-06-05

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Not marked corrected

C · Minimal harm 2024-05-09

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2024-12-25

E · Potential for more than minimal harm 2023-03-23

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-07-25

D · Potential for more than minimal harm 2023-03-23

K200 · Egress Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2023-07-25

C · Minimal harm 2023-03-23

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-07-25

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-12-12

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2025-12-13

E · Potential for more than minimal harm 2025-12-12

F742 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

Corrected 2025-12-13

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

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2025-12-13

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

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 2025-12-13

J · Immediate jeopardy 2025-09-18

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-09-19

J · Immediate jeopardy 2025-08-12

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.

Not marked corrected

D · Potential for more than minimal harm 2025-07-01

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2025-07-15

F · Potential for more than minimal harm 2025-06-05

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2025-06-06

E · Potential for more than minimal harm 2025-06-05

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 2025-06-06

E · Potential for more than minimal harm 2025-06-05

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-06-06

E · Potential for more than minimal harm 2025-06-05

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-06-06

D · Potential for more than minimal harm 2025-06-05

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 2025-06-06

D · Potential for more than minimal harm 2025-06-05

F790 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-06-06

D · Potential for more than minimal harm 2025-06-05

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-06-06

C · Minimal harm 2025-06-05

F577 · Resident Rights Deficiencies

Health

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Corrected 2025-06-06

E · Potential for more than minimal harm 2025-04-23

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2025-04-23

E · Potential for more than minimal harm 2025-01-30

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-01-31

D · Potential for more than minimal harm 2025-01-30

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-01-31

D · Potential for more than minimal harm 2025-01-30

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-01-31

C · Minimal harm 2025-01-30

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2025-01-31

E · Potential for more than minimal harm 2024-12-12

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-12-13

D · Potential for more than minimal harm 2024-07-17

F699 · Quality of Life and Care Deficiencies

Health

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2024-07-22

J · Immediate jeopardy 2024-05-09

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-05-10

E · Potential for more than minimal harm 2024-05-09

F565 · Resident Rights Deficiencies

Health

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2024-05-10

E · Potential for more than minimal harm 2024-05-09

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 2024-05-10

E · Potential for more than minimal harm 2024-05-09

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2024-05-10

E · Potential for more than minimal harm 2024-05-09

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2024-05-10

E · Potential for more than minimal harm 2024-05-09

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-05-10