SNF

Oakmont Healthcare and Rehabilitation of Humble

CCN: 455725 · Humble, TX 77338 · Harris County

⚠ Special Focus Facility

Overview

Address
8450 Will Clayton Pkwy, Humble, TX 77338
Phone
2814468484
Certified beds
134
Avg daily residents
61 (45% of beds filled)
Ownership
For-profit corporation
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1987-12-14
Setting
Urban
—
Rating not available

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
Footnote 18.
— Not Available
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
Footnote 18.
— Not Available
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
Footnote 18.
— Not Available
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
Footnote 18.
— Not Available

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
 3.44 3.55 3.75 ≥ 3.48 Below floor
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.37 0.62 0.40 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 0.97 0.79 1.06 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 2.11 2.14 2.29 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.34 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.03 — — —

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
2.97
hrs / resident / day
RN (weekend)
0.27
hrs / resident / day
Total nurse (adjusted, weekend)
3.23
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
62.7%
annual
RN turnover
70.0%
annual
Administrators departed
2
last 12 months

Resident acuity

Nursing Case-Mix Index
1.26
higher acuity than avg
Case-Mix Index Ratio
0.91
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-09-18 4 1 3 24 1 24
Cycle 2/3 (prior) 2024-11-02 24 4 21 924 1 924
Total weighted health score
249.0
lower is better
Infection-control citations
0
last cycle

Deficiencies (29)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

19 D/E/F Actual harm — potential for minor
1 G/H/I Actual harm
9 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2026-01-28 —
0688 Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. E 2026-01-28 —
0584 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. E 2025-09-18 2025-09-19
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2025-07-10 2025-07-11
0694 Provide for the safe, appropriate administration of IV fluids for a resident when needed. D 2025-01-16 2025-01-17
0644 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. D 2024-11-02 2024-11-03
0790 Provide routine and 24-hour emergency dental care for each resident. D 2024-11-02 2024-11-03
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2024-11-02 2024-11-03
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. K 2024-11-02 2024-11-03
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. J 2024-06-20 2024-01-03
0880 Provide and implement an infection prevention and control program. D 2024-06-20 2024-06-21
0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. E 2024-06-07 2024-06-08
0760 Ensure that residents are free from significant medication errors. D 2023-09-18 2023-10-24
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. K 2023-09-18 2023-10-24
0584 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 2023-09-18 2023-10-24
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. E 2023-09-18 2023-10-24
0658 Ensure services provided by the nursing facility meet professional standards of quality. K 2023-09-18 2023-10-24
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. K 2023-09-18 2023-10-24
0693 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. K 2023-09-18 2023-11-23
0697 Provide safe, appropriate pain management for a resident who requires such services. J 2023-09-18 2023-10-24
0726 Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. K 2023-09-18 2023-10-24
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. J 2023-09-18 2023-10-24
0756 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. D 2023-09-18 2023-10-24
0758 Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. D 2023-09-18 2023-10-24
0759 Ensure medication error rates are not 5 percent or greater. E 2023-09-18 2023-10-24
0761 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 2023-09-18 2023-10-24
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2023-09-18 2023-10-24
0584 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. E 2023-03-09 2023-03-10
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. G 2023-03-09 2023-03-10

Penalties (6)

Fines issued
3
last 3 years
Total fines
$418,615
Payment denials
3
Date Type Fine amount
2024-06-07 Fine $13,627
2023-09-18 Fine $192,336
2024-11-02 Fine $212,652
2024-11-02 Payment Denial —
2023-10-06 Payment Denial —
2023-09-18 Payment Denial —

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 2.5% Medicaid 80.0% Other 17.5%

Operating performance

Operating Margin
-23.2%
Total Margin
-4.8%
Occupancy Rate
49.3%
Cost per Resident Day
$25

Revenue & costs

Net Patient Revenue
$5.5M
Total Costs
$612K
Net Income
-$315K

Balance sheet

Total Assets
$7.5M
Total Liabilities
$7.8M
Fund Balance
-$315K
Current Ratio
0.89

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: CREATIVE SOLUTIONS IN HEALTHCARE

Chain ID
169
Facilities in chain
149
Legal business name
DEWITT MEDICAL DISTRICT
Chain-average star ratings (for peer context)
Overall
2.7
Health
2.7
Staffing
2.0
QM
3.6

Owner / manager individuals (11)

Name Role Association
FRELS, JOHN CORPORATE DIRECTOR since 11/04/2014
PAPACEK, CHARLES CORPORATE DIRECTOR since 10/01/1997
SHEPPARD, CYNTHIA CORPORATE DIRECTOR since 06/25/2013
STAKES, HARRY CORPORATE DIRECTOR since 02/01/2016
WHEELER, RICHARD CORPORATE DIRECTOR since 07/27/2010
PAPACEK, CHARLES CORPORATE OFFICER since 10/01/1997
PRITCHETT, GREGORY CORPORATE OFFICER since 08/29/1994
SHEPPARD, CYNTHIA CORPORATE OFFICER since 06/25/2013
WEISHAAR, MATTHEW CORPORATE OFFICER since 12/01/2003
WHEELER, RICHARD CORPORATE OFFICER since 07/27/2010
CHARLOT, SHERREL W-2 MANAGING EMPLOYEE since 02/19/2018

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Special focus status
SFF
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $25 metrics.cost_per_resident_day
Cost Report Current Ratio 0.89 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 80.0% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 2.5% metrics.medicare_day_share
Cost Report Net Income ($) $-314,908 metrics.net_income
Cost Report Net Patient Revenue ($) $5,545,007 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 49.3% metrics.occupancy_rate
Cost Report Operating Margin (%) -23.2% metrics.operating_margin
Cost Report Total Assets ($) $7,490,656 metrics.total_assets
Cost Report Total Costs ($) $612,101 metrics.total_costs
Cost Report Total Fund Balances ($) $-314,908 metrics.fund_balance
Cost Report Total Liabilities ($) $7,771,299 metrics.total_liabilities
Cost Report Total Margin (%) -4.8% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.05524 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.29270 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.40014 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.74808 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.23138 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote — Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 60.5 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote — Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.78741 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.14000 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.62065 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.54806 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.12724 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.7 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.7 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 3.6 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 2.0 Chain Average Staffing Rating
Provider Information Chain ID 169 Chain ID
Provider Information Chain Name CREATIVE SOLUTIONS IN HEALTHCARE Chain Name
Provider Information City/Town Humble City/Town
Provider Information CMS Certification Number (CCN) 455725 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Harris County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1987-12-14 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating — Health Inspection Rating
Provider Information Health Inspection Rating Footnote 18 Health Inspection Rating Footnote
Provider Information Latitude 29.979 Latitude
Provider Information Legal Business Name DEWITT MEDICAL DISTRICT Legal Business Name
Provider Information Location 8450 Will Clayton Pkwy,Humble,TX,77338 Location
Provider Information Long-Stay QM Rating — Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote 18 Long-Stay QM Rating Footnote
Provider Information Longitude -95.259 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 2 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 134 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections 0 Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 149 Number of Facilities in Chain
Provider Information Number of Fines 3 Number of Fines
Provider Information Number of Payment Denials 3 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.25692 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.91237 Nursing Case-Mix Index Ratio
Provider Information Overall Rating — Overall Rating
Provider Information Overall Rating Footnote 18 Overall Rating Footnote
Provider Information Ownership Type For profit - Corporation Ownership Type
Provider Information Physical Therapist Staffing Footnote — Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 8450 Will Clayton Pkwy Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name Oakmont Healthcare and Rehabilitation of Humble Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 610 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating — QM Rating
Provider Information QM Rating Footnote 18 QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 24 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 3 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 1 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-09-18 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 24 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 4 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 4 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-11-02 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 924 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 21 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 924 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 24 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.26796 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 70.0 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.33745 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.96973 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.10691 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.03301 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.36771 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote — Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 3.44436 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating — Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote 18 Short-Stay QM Rating Footnote
Provider Information Special Focus Status SFF Special Focus Status
Provider Information Staffing Rating — Staffing Rating
Provider Information Staffing Rating Footnote 18 Staffing Rating Footnote
Provider Information State TX State
Provider Information Telephone Number 2814468484 Telephone Number
Provider Information Total Amount of Fines in Dollars 418615.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 2.96953 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 6 Total Number of Penalties
Provider Information Total nursing staff turnover 62.7 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 249.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 77338 ZIP Code