Cycle 1
Health 2025-08-29 · Fire 2025-08-29
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Houston, TX
The Methodist Hospital SNF
5-star overall rating with 5-star inspections
6565 Fannin, Houston, TX
(713) 441-7828
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
25
Certified beds
Average residents
17
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1994-08-05
CMS approved date
Coverage
Medicare
Participation flags
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
Hours and turnover
RN hours / resident day
6.89
Registered nurse staffing · state 0.44 · national 0.68
LPN hours / resident day
0.00
Licensed practical nurse staffing
Aide hours / resident day
3.65
Nurse aide staffing · state 2.01 · national 2.35
Total nurse hours
10.54
All reported nurse hours · state 3.40 · national 3.89
Licensed hours
6.89
RN + LPN hours · state 1.38 · national 1.54
Weekend hours
9.58
Weekend nurse staffing · state 2.99 · national 3.43
Weekend RN hours
5.97
Weekend registered nurse coverage · state 0.34 · national 0.47
Physical therapist
0.72
Reported PT staffing · state 0.07 · national 0.07
Adjusted RN hours
6.14
CMS adjusted RN staffing hours
Adjusted total hours
9.39
CMS adjusted total nurse staffing hours
Case-mix index
1.53
Higher values indicate more complex resident acuity
RN turnover
27%
Annual RN turnover · state 52% · national 45%
Total nurse turnover
32%
Annual nurse turnover · state 52% · national 46%
SNF VBP
Value-based purchasing
Program rank
69
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
89.05
Composite VBP score used to determine payment impact.
Payment multiplier
1.0272
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
6.71
Baseline 19.96% · Performance 18.32% · Measure score 6.71 · Achievement 6.71 · Improvement 5.09
Healthcare-associated infections
10
Baseline 4.29% · Performance 4.37% · Measure score 10 · Achievement 10 · Improvement 0
Total nurse turnover
10
Baseline 24.44% · Performance 15.00% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.46% |
10.72%
0.3 pts better
|
No Different than the National Rate · Eligible stays 258 · Observed rate 13.18% · Lower 95% interval 8.24% |
| Discharge to community | 78.22% |
50.57%
27.6 pts better
|
Better than the National Rate · Eligible stays 224 · Observed rate 61.61% · Lower 95% interval 68.38% |
| Medicare spending per beneficiary | 0.87 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 99.4% |
95.27%
4.1 pts better
|
Numerator 167 · Denominator 168 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 168 |
| Discharge self-care score | 55.71% |
53.69%
2 pts better
|
Numerator 78 · Denominator 140 |
| Discharge mobility score | 52.14% |
50.94%
1.2 pts better
|
Numerator 73 · Denominator 140 |
| Pressure ulcers or injuries, new or worsened | 2.38% |
2.29%
0.1 pts worse
|
Numerator 4 · Denominator 168 · Adjusted rate 2.62% |
| Healthcare-associated infections requiring hospitalization | 4.37% |
7.12%
2.8 pts better
|
Better than the National Rate · Eligible stays 143 · Observed rate 2.1% · Lower 95% interval 2.82% |
| Staff COVID-19 vaccination coverage | 7.14% |
8.2%
1.1 pts worse
|
Numerator 4 · Denominator 56 |
| Staff flu vaccination coverage | 55.17% |
42%
13.2 pts better
|
Numerator 32 · Denominator 58 |
| Discharge function score | 51.43% |
56.45%
5 pts worse
|
Numerator 72 · Denominator 140 |
| Transfer of health information to provider | 94.81% |
95.95%
1.1 pts worse
|
Numerator 146 · Denominator 154 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 30.11% |
25.2%
4.9 pts better
|
Numerator 28 · Denominator 93 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.7% |
89.7%
6 pts better
|
81.7%
14 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 94.1% · Q2 92.4% · Q3 96.3% · Q4 100.0% · 4Q avg 95.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 1.2% |
12.0%
10.8 pts better
|
12.0%
10.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 1.2% · Observed 1.4% · Expected 13.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.7% |
1.5%
0.2 pts worse
|
1.6%
0.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 1.4% · Q3 1.3% · Q4 2.6% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.6% |
88.0%
8.6 pts better
|
79.7%
16.9 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 96.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 16.3% |
25.9%
9.6 pts better
|
23.9%
7.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 16.3% · Observed 21.4% · Expected 31.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-08-15 · Fire 2024-08-15
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-06-09 · Fire 2023-06-09
2 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2023-06-09
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-06-29
Inspection history
Recent health citations
D · Potential for more than minimal harm
2023-06-09
F640 · Resident Assessment and Care Planning Deficiencies
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2023-06-10
D · Potential for more than minimal harm
2023-06-09
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-06-30
Penalties and ownership
What sits behind the stars
Ownership
Baucum, Carlton
Corporate Director · Individual
Bookout, John
Corporate Director · Individual
Boom, Marc
Corporate Officer · Individual
Crosswell, Emily
Corporate Director · Individual
Daffin, Mary
Corporate Director · Individual
Ellis, Juliet
Corporate Director · Individual
Gonzalez, Ricardo
Corporate Director · Individual
Harvey, Cynthia
Corporate Director · Individual
Houser, Mark
Corporate Director · Individual
Kurrelmeyer, Karla
Corporate Director · Individual
Levingston, Kenneth
Corporate Director · Individual
Malone-Wardley, Romonica
Corporate Director · Individual
Martinez, Vidal
Corporate Director · Individual
Moreland, W
Corporate Director · Individual
Nelson, Gregory
Corporate Director · Individual
Pace, Thomas
Corporate Director · Individual
Perez, Armando
Corporate Director · Individual
Perkins, Joe
Corporate Director · Individual
Robb, Edmund
Corporate Director · Individual
Schwartz, Roberta
Operational/Managerial Control · Individual
Schwartz, Roberta
Corporate Officer · Individual
Smith, Martha
Corporate Director · Individual
Swanson, Douglas
Corporate Director · Individual
The Methodist Hospital
Operational/Managerial Control · Organization
Thekdi, Apurva
Corporate Director · Individual
Tillman, Spencer
Corporate Director · Individual
Underwood, David
Corporate Director · Individual
Walter, Joseph
Corporate Director · Individual
Wareing, Elizabeth
Corporate Director · Individual
Werlein, Ewing
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Garden Terrace Healthcare Center Of Houston
Houston, TX
3-star overall rating with 2-star inspections with $154,564 in total fines with 2 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
Holly Hall
Houston, TX
3-star overall rating with 3-star inspections with 13 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Bayou Manor
Houston, TX
5-star overall rating with 5-star inspections with $57,184 in total fines with 2 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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