Federal inspection record · CMS data as of October 1, 2026
West Houston Rehabilitation And Healthcare Center
13428 Bissonnet, Houston, TX · (713) 351-4300
- Cited for abuse (CMS abuse icon)
- Certified beds
- 124
- Residents per day
- 95
- Ownership
- For-Profit
- Chain
- Momentum Skilled Services
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 9, 2015
1
How this home got 1 star
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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
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Staffing
★★★★★no change (already 1)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change (already 1)
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 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
West Houston Rehabilitation And Healthcare Center carries 248.5 inspection points. That is fewer than 5% of Texas's 1,166 rated homes.
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
34 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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 (7)
-
K
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
K
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
-
K
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
-
K
Respond appropriately to all alleged violations.
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K
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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J
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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J
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Everything else, by area of care
Quality of Life and Care11E
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 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.
- E
Provide routine and 24-hour emergency dental care for each resident.
- 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.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 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.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- 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.
Pharmacy Service6E
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure medication error rates are not 5 percent or greater.
- 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.
- 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.
- E
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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Resident Rights3E
- D
Keep residents' personal and medical records private and confidential.
- 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.
- D
Reasonably accommodate the needs and preferences of each resident.
Resident Assessment and Care Planning3E
- E
Ensure each resident receives an accurate assessment.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Infection Control2E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Administration1E
- E
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Inspection history
2026-04-08
10 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2025-01-30
19 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
2023-12-07
5 health deficiencies · 3 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 3 min of nursing staff time a day, 11 min of it from a registered nurse.
This home
3 h 3 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 39% of nursing staff and 40% of registered nurses left in the past year.
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
$205,193 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-10-25 | Fine | $182,988 |
| 2024-10-25 | Payment Denial · 9 day denial | $0 |
| 2024-03-11 | Fine | $22,205 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.4 pts worse | 2.4 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.2 pts worse | 3.2 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine9 pts worse | 87.4% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine7.4 pts worse | 89.6% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.7 pts worse | 3.9% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.3 pts better | 0.0% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.6 pts better | 0.3% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6.6 pts better | 11.2% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.8 pts better | 5.0% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.7 pts worse | 14.6% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.8 pts worse | 19.6% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts better | 0.0% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.4 pts better | 7.1% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.7 pts worse | 5.4% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.7 pts worse | 77.0% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.2 pts worse | 12.4% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.3 pts worse | 2.7% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine5.7 pts worse | 79.7% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.6 pts worse | 30.1% | 25.5% | 23.4% |
·
Who owns and runs it
25 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Compton, Charles | 5% Or Greater Mortgage Interest · Individual | 0% | 5 facilities |
| Compton, Charles | Adp Of The SNF · Individual | 0% | 5 facilities |
| Compton, James | 5% Or Greater Mortgage Interest · Individual | 0% | 5 facilities |
| Compton, James | Adp Of The SNF · Individual | 0% | 5 facilities |
| Compton, Kris | 5% Or Greater Mortgage Interest · Individual | 0% | 5 facilities |
| Compton, Kris | Adp Of The SNF · Individual | 0% | 5 facilities |
| Compton3 Holdings, LLC | 5% Or Greater Mortgage Interest · Organization | 0% | 2 facilities |
| Compton3 Holdings, LLC | Adp Of The SNF · Organization | 0% | 2 facilities |
| Koch, Justus | Adp Of The SNF · Individual | 0% | 1 facilities |
| Ltc Of West Houston LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Martel Healthcare Management LLC | 5% Or Greater Mortgage Interest · Organization | 0% | 4 facilities |
| Martel Healthcare Management LLC | Adp Of The SNF · Organization | 0% | 4 facilities |
| Martel, Michael | 5% Or Greater Mortgage Interest · Individual | 0% | 7 facilities |
| Martel, Michael | Adp Of The SNF · Individual | 0% | 7 facilities |
| Mission Bend Healthcare Investments, LLC | 5% Or Greater Mortgage Interest · Organization | 0% | 1 facilities |
| Mission Bend Healthcare Investments, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Reed, Michael | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 13 facilities |
| Reed, Stacie | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 2 facilities |
| Tanguilig-Robinson, Cynthia | Adp Of The SNF · Individual | 0% | 3 facilities |
| The Smithers Management Trust | 5% Or Greater Mortgage Interest · Organization | 0% | 5 facilities |
| The Smithers Management Trust | Adp Of The SNF · Organization | 0% | 5 facilities |
| Thompson, Johnny | Corporate Officer · Individual | 0% | 79 facilities |
| Threadgill, Forrest | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 9 facilities |
| Threadgill, Morgan | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 9 facilities |
| Threadgill, Sharlyn | Operational/Managerial Control · Individual | 0% | 10 facilities |
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Fire safety
5 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke2E
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Egress1F
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Miscellaneous1F
- F
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems1F
- F
Have generator or other power source capable of supplying service within 10 seconds.
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Other homes nearby
-
Focused Care at Beechnut
Houston, TX · Focused Post Acute Care Partners
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 2 h 46 min
- Fines
- $90,403
-
Focused Care at Westwood
Houston, TX · Focused Post Acute Care Partners
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 16 min
- Fines
- $0
-
Park Manor of Westchase
Houston, TX · Hmg Healthcare
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 13 min
- Fines
- $33,494