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

Oakmont Healthcare and Rehabilitation Center of Ka

1525 Tull Dr, Katy, TX · (281) 578-1600

CMS overall rating

2 of 5

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Certified beds
130
Residents per day
75
Ownership
For-Profit
Chain
Creative Solutions In Healthcare
Medicare / Medicaid
Medicare + Medicaid
Certified since
April 30, 1987

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

    no change

    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.

2

Where it sits among Texas homes

Oakmont Healthcare and Rehabilitation Center of Ka carries 86 inspection points. That is fewer than 42% 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 · 86 pts · 3★

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

27 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 1 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 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 10 8 pts
F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 1 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 (1)

  1. J

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

    October 6, 2025 · Complaint inspection · Quality of Life and Care · F689 · Corrected September 12, 2025

Everything else, by area of care

Quality of Life and Care6E
  1. D

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

    February 26, 2026 · Standard · F677 · Corrected February 27, 2026

  2. 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.

    February 26, 2026 · Standard · F690 · Corrected February 27, 2026

  3. D

    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.

    February 26, 2026 · Standard · F693 · Corrected February 27, 2026

  4. D

    Provide appropriate foot care.

    November 15, 2024 · Standard · F687 · Corrected November 16, 2024

  5. D

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

    November 15, 2024 · Standard · F695 · Corrected November 16, 2024

  6. E

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

    November 6, 2024 · Complaint · F677 · Corrected November 7, 2024

Resident Assessment and Care Planning5E
  1. E

    Ensure each resident receives an accurate assessment.

    February 26, 2026 · Standard · F641 · Corrected February 27, 2026

  2. D

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

    February 26, 2026 · Standard · F656 · Corrected February 27, 2026

  3. D

    Ensure each resident receives an accurate assessment.

    October 6, 2025 · Complaint · F641 · Corrected October 7, 2025

  4. D

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

    November 15, 2024 · Standard · F656 · Corrected November 16, 2024

  5. E

    Ensure services provided by the nursing facility meet professional standards of quality.

    November 6, 2024 · Complaint · F658 · Corrected November 7, 2024

Pharmacy Service5E
  1. E

    Ensure medication error rates are not 5 percent or greater.

    February 26, 2026 · Standard · F759 · Corrected February 27, 2026

  2. D

    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.

    February 26, 2026 · Standard · F761 · Corrected February 27, 2026

  3. D

    Ensure that residents are free from significant medication errors.

    November 15, 2024 · Standard · F760 · Corrected November 16, 2024

  4. E

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

    October 14, 2024 · Complaint · F755 · Corrected October 15, 2024

  5. D

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

    September 28, 2023 · Standard · F755 · Corrected October 13, 2023

Resident Rights3E
  1. E

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

    February 26, 2026 · Standard · F550 · Corrected February 27, 2026

  2. E

    Keep residents' personal and medical records private and confidential.

    November 15, 2024 · Standard · F583 · Corrected November 16, 2024

  3. C

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

    November 15, 2024 · Standard · F577 · Corrected November 16, 2024

Nutrition and Dietary3F
  1. E

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

    February 26, 2026 · Standard · F812 · Corrected February 27, 2026

  2. F

    Dispose of garbage and refuse properly.

    November 15, 2024 · Standard · F814 · Corrected November 16, 2024

  3. E

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

    November 15, 2024 · Standard · F812 · Corrected November 16, 2024

Infection Control3E
  1. E

    Provide and implement an infection prevention and control program.

    February 26, 2026 · Standard · F880 · Corrected February 27, 2026

  2. D

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    February 26, 2026 · Standard · F883 · Corrected February 27, 2026

  3. D

    Provide and implement an infection prevention and control program.

    November 15, 2024 · Standard · F880 · Corrected November 16, 2024

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

    Respond appropriately to all alleged violations.

    November 15, 2024 · Standard · F610 · Corrected November 16, 2024

Inspection history

  1. 2026-02-26

    13 health deficiencies · 4 fire-safety deficiencies

    Top issue: Quality of Life and Care (4 deficiencies)

  2. 2024-11-15

    13 health deficiencies · 1 fire-safety deficiencies

    Top issue: Quality of Life and Care (3 deficiencies)

  3. 2023-09-28

    1 health deficiencies · 3 fire-safety deficiencies

    Top issue: Pharmacy Service (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 2 h 51 min of nursing staff time a day, 35 min of it from a registered nurse.

This home

2 h 51 min

Texas average

3 h 25 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 66% of nursing staff and 81% 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

$8,407 in federal fines on record over the past three years.

DatePenaltyAmount
2025-10-06Fine$8,407

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 vaccine0.9 pts worse95.5%96.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better100.0%97.0%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.2 pts better2.0%3.2%3.2%
Percentage of long-stay residents who have depressive symptoms0.6 pts better1.7%2.3%13.5%
Percentage of long-stay residents who lose too much weight0.3 pts better2.6%2.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication14.3 pts better3.5%17.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication0.7 pts better9.1%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 worsened6 pts worse18.9%12.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased3.3 pts worse19.1%15.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better0.0%0.3%0.7%
Percentage of long-stay residents with a urinary tract infection1.2 pts worse2.0%0.8%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.6 pts worse13.1%12.5%18.3%
Percentage of long-stay residents with pressure ulcers1.4 pts worse5.1%3.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine20.9 pts worse67.8%88.7%82.3%
Percentage of short-stay residents who newly received an antipsychotic medication0.5 pts better0.9%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine22.7 pts worse62.7%85.4%80.1%

·

Who owns and runs it

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

Show ownership list
NameRoleShareHomes
Alexander, AlmaManaging Control - Governing Body · Individual0%8 facilities
Alexander, AlmaCorporate Officer · Individual0%8 facilities
Blake, GaryOperational/Managerial Control · Individual0%139 facilities
Blake, GaryAdp Of The SNF · Individual0%139 facilities
Blake, MalisaOperational/Managerial Control · Individual0%139 facilities
Culp, HannahAdp Of The SNF · Individual0%1 facilities
Frels, JohnManaging Control - Governing Body · Individual0%10 facilities
Kahlich, KristyeManaging Control - Governing Body · Individual0%1 facilities
Katy I Enterprises, L.l.c.Operational/Managerial Control · Organization0%1 facilities
Katy I Enterprises, L.l.c.Adp Of The SNF · Organization0%1 facilities
Leske, Iii, MartinManaging Control - Governing Body · Individual0%1 facilities
Lockhart, ChristopherAdp Of The SNF · Individual0%8 facilities
Sheppard, AnnaManaging Control - Governing Body · Individual0%5 facilities
Sheppard, CynthiaManaging Control - Governing Body · Individual0%10 facilities
Willig, ZacharyCorporate Director · Individual0%84 facilities

·

Fire safety

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

Gas, Vacuum, and Electrical Systems2F
  1. F

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

    February 26, 2026 · K918 · Corrected March 2, 2026

  2. E

    Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

    November 15, 2024 · K929 · Corrected November 13, 2024

Egress2E
  1. E

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    February 26, 2026 · K222 · Corrected March 2, 2026

  2. E

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    September 28, 2023 · K222 · Corrected October 13, 2023

Smoke2E
  1. E

    Provide properly protected cooking facilities.

    September 28, 2023 · K324 · Corrected October 13, 2023

  2. E

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

    September 28, 2023 · K372 · Corrected October 13, 2023

Miscellaneous1F
  1. F

    Have simulated fire drills held at unexpected times.

    February 26, 2026 · K712 · Corrected February 28, 2026

Services1E
  1. E

    Have properly installed electrical wiring and gas equipment.

    February 26, 2026 · K511 · Corrected March 2, 2026

·

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