Nursing home in Houston, Texas
Misty Willow Healthcare and Rehabilitation Center
Medicare and Medicaid
12921 Misty Willow Dr, Houston, TX 77070
(281) 469-7881
- CMS shows its abuse icon for this nursing home: it was cited for abuse or neglect at the harm level or above on the most recent inspection cycle, or at the potential-harm level on both of the last two cycles.
- CMS lists this nursing home as a candidate for the Special Focus Facility program.
CMS star ratings
CMS gives this nursing home an overall star rating of 1 out of 5. Each rating is compared with the mean of rated nursing homes in Texas (1,165 for the overall rating) and in the U.S. (14,565). How to read an inspection report.
Overall rating
- This nursing home1
- Texas average2.7 (1,165 rated)
- U.S. average3.0 (14,565 rated)
Health inspections
- This nursing home1
- Texas average2.8 (1,165 rated)
- U.S. average2.8 (14,565 rated)
Staffing
- This nursing home2
- Texas average1.9 (1,163 rated)
- U.S. average2.9 (14,494 rated)
Quality measures
- This nursing home4
- Texas average3.7 (1,162 rated)
- U.S. average3.6 (14,495 rated)
Health inspections
Most recent standard health inspection (rating cycle 1): Dec 4, 2025. CMS counts 14 health deficiencies in rating cycle 1.
- This nursing home14
- Texas average9.4 (1,171 with data)
- U.S. average9.2 (14,652 with data)
Rating cycle 1 health deficiencies. Averages include every nursing home with a count in the CMS file; fewer is better.
Deficiencies since Sep 30, 2023
Inspectors cited 23 health deficiencies on 5 inspection dates since Sep 30, 2023. By level of harm: 8 immediate jeopardy, 15 potential for harm.
- 8 Immediate jeopardy to resident health or safety
- 0 Actual harm
- 15 No actual harm, potential for more than minimal harm
- 0 No actual harm, potential for minimal harm
| Date | Tag | Deficiency | Scope and severity | Inspection type | Status |
|---|---|---|---|---|---|
| Mar 9, 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals.Quality of Life and Care Deficiencies | J Immediate jeopardy, isolated | Complaint | Deficient, Provider has date of correction Mar 11, 2026 |
| Mar 9, 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Resident Rights Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Mar 11, 2026 |
| Dec 4, 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies | F Potential for harm, widespread | Standard | Deficient, Provider has date of correction Dec 6, 2025 |
| Dec 4, 2025 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.Nutrition and Dietary Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Dec 6, 2025 |
| Dec 4, 2025 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors.Nutrition and Dietary Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Dec 6, 2025 |
| Dec 4, 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Dec 6, 2025 |
| Dec 4, 2025 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Dec 6, 2025 |
| Dec 4, 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Pharmacy Service Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Dec 6, 2025 |
| Dec 4, 2025 | F0761 | 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.Pharmacy Service Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Dec 6, 2025 |
| Sep 24, 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Freedom from Abuse, Neglect, and Exploitation Deficiencies | K Immediate jeopardy, pattern | Complaint | Deficient, Provider has date of correction Oct 16, 2025 |
Show the other 13 deficiencies
| Date | Tag | Deficiency | Scope and severity | Inspection type | Status |
|---|---|---|---|---|---|
| Sep 24, 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft.Freedom from Abuse, Neglect, and Exploitation Deficiencies | K Immediate jeopardy, pattern | Complaint | Deficient, Provider has date of correction Oct 16, 2025 |
| Sep 24, 2025 | F0610 | Respond appropriately to all alleged violations.Freedom from Abuse, Neglect, and Exploitation Deficiencies | K Immediate jeopardy, pattern | Complaint | Deficient, Provider has date of correction Oct 16, 2025 |
| Sep 24, 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care Planning Deficiencies | K Immediate jeopardy, pattern | Complaint | Deficient, Provider has date of correction Oct 16, 2025 |
| Sep 24, 2025 | F0564 | Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges.Resident Rights Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Oct 16, 2025 |
| Mar 29, 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals.Quality of Life and Care Deficiencies | K Immediate jeopardy, pattern | Complaint | Deficient, Provider has date of correction Mar 31, 2025 |
| Mar 29, 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care Deficiencies | K Immediate jeopardy, pattern | Complaint | Deficient, Provider has date of correction Mar 31, 2025 |
| Mar 29, 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Pharmacy Service Deficiencies | J Immediate jeopardy, isolated | Complaint | Deficient, Provider has date of correction Mar 31, 2025 |
| Aug 30, 2024 | F0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies | E Potential for harm, pattern | Standard, Complaint | Deficient, Provider has date of correction Sep 3, 2024 |
| Aug 30, 2024 | F0583 | Keep residents' personal and medical records private and confidential.Resident Rights Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Sep 3, 2024 |
| Aug 30, 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Sep 3, 2024 |
| Aug 30, 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Sep 3, 2024 |
| Aug 30, 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Sep 3, 2024 |
| Aug 30, 2024 | F0761 | 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.Pharmacy Service Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Sep 3, 2024 |
Staffing
Total nurse staffing
Reported hours per resident per day.
- This nursing home3.30 hours
- Texas average3.39 hours (1,148 with data)
- U.S. average3.86 hours (14,351 with data)
Registered nurse staffing
Reported hours per resident per day.
- This nursing home0.35 hours
- Texas average0.43 hours (1,148 with data)
- U.S. average0.69 hours (14,351 with data)
Nursing staff turnover
Share of nursing staff who left during the year, as reported to CMS.[27]
- This nursing homeNot available
- Texas average55.3% (1,051 with data)
- U.S. average45.8% (13,538 with data)
Penalties
CMS lists 3 penalties for this nursing home: 3 fines totaling $64,093, and 0 payment denials. CMS counts penalties from the last 3 years.
Facility details
| Certified beds | 124 |
|---|---|
| Average residents per day | 89.8 |
| Ownership | For profit - Limited Liability company |
| Provider type | Medicare and Medicaid |
| Inside a hospital | No |
| Continuing care retirement community | No |
| Resident and family council | None |
| Automatic sprinklers in all required areas | Yes |
| Chain | The Ensign Group (344 facilities) |
| Legal business name | LIBERTY COUNTY HOSPITAL DISTRICT NO 1 |
| First approved for Medicare and Medicaid | Apr 21, 2010 |
| County | Harris |
| CMS certification number | 676251 |
Also in Houston
| Nursing home | CMS overall rating | Health inspection rating | Certified beds | Ownership |
|---|---|---|---|---|
| Avir at Courtyard | 120 | For profit - Limited Liability company | ||
| The Vosswood Nursing Center | 224 | For profit - Limited Liability company | ||
| Focused Care at Beechnut | 146 | For profit - Limited Liability company | ||
| Afton Oaks Nursing and Rehabilitation Center | 169 | For profit - Individual | ||
| Fallbrook Rehabilitation and Care Center | 202 | For profit - Partnership | ||
| Golfcrest Nursing and Rehabilitation | 120 | For profit - Corporation | ||
| Jacinto Nursing and Rehabilitation Center | 148 | For profit - Limited Liability company | ||
| Paradigm Northwest | 148 | For profit - Corporation | ||
| Sharpview Residence and Rehabilitation Center | 134 | Non profit - Corporation | ||
| The Lev at Town Park | 180 | Government - Hospital district | ||
| Paradigm at Woodwind Lakes | Not available | Not available | 180 | For profit - Limited Liability company |
| Woodway Nursing & Rehab | Not available | Not available | 112 | For profit - Limited Liability company |
| Hospital | CMS overall rating | Type | Emergency services |
|---|---|---|---|
| Houston Methodist Hospital | Acute Care Hospitals | Yes | |
| Baylor St Lukes Medical Center | Acute Care Hospitals | Yes | |
| Memorial Hermann - Texas Medical Center | Acute Care Hospitals | Yes | |
| Memorial Hermann Memorial City Hospital | Acute Care Hospitals | Yes | |
| Harris Health | Acute Care Hospitals | Yes | |
| Memorial Hermann Hospital System | Acute Care Hospitals | Yes | |
| St Joseph Medical Center | Acute Care Hospitals | Yes | |
| HCA Houston Healthcare Northwest | Acute Care Hospitals | Yes |
CMS footnotes on this page
- [27]
- This facility submitted staffing data that did not meet the criteria required to calculate a turnover measure. This measure will be excluded from the staffing rating and the staffing score will be rescaled.