SNF
WEST HOUSTON REHABILITATION AND HEALTHCARE CENTER
CCN: 676381 · HOUSTON, TX 77083 · Harris County
Overview
- Address
- 13428 BISSONNET, HOUSTON, TX 77083
- Phone
- 7133514300
- Certified beds
- 124
- Avg daily residents
- 90 (73% of beds filled)
- Ownership
- For-profit LLC
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 2015-04-09
- Setting
- Urban
1 /5
★★★★★
CMS Overall Rating
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.
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 | 3.06 | 3.91 | 3.02 | ≥ 3.48 | Below floor |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.21 | 0.68 | 0.20 | ≥ 0.55 | Below floor |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 1.05 | 0.87 | 1.04 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 1.80 | 2.36 | 1.78 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.26 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.01 | — | — | — |
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)
2.58
hrs / resident / day
RN (weekend)
0.11
hrs / resident / day
Total nurse (adjusted, weekend)
2.55
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
55.1%
annual
RN turnover
70.0%
annual
Administrators departed
0
last 12 months
Resident acuity
Nursing Case-Mix Index
1.38
higher acuity than avg
Case-Mix Index Ratio
1.01
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) | 2025-01-30 | 7 | 7 | 1 | 28 | 1 | 28 |
| Cycle 2/3 (prior) | 2023-12-07 | 18 | 4 | 16 | 810 | 1 | 810 |
Total weighted health score
223.5
lower is better
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).
22 D/E/F Actual harm — potential for minor
7 J/K/L Immediate jeopardy
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2025-01-30 | 2025-01-31 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-01-30 | 2025-01-31 |
| 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. | D | 2025-01-30 | 2025-01-31 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-01-30 | 2025-01-31 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-01-30 | 2025-01-31 |
| 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 | 2025-01-30 | 2025-01-31 |
| 0759 | Ensure medication error rates are not 5 percent or greater. | D | 2025-01-30 | 2025-01-31 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2024-12-31 | 2025-01-01 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-12-31 | 2025-01-01 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2024-12-31 | 2025-01-01 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-11-21 | 2024-12-13 |
| 0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | 2024-10-25 | 2024-10-26 |
| 0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | 2024-10-25 | 2024-10-26 |
| 0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | K | 2024-10-25 | 2024-10-26 |
| 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | K | 2024-10-25 | 2024-10-26 |
| 0610 | Respond appropriately to all alleged violations. | K | 2024-10-25 | 2024-10-26 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | K | 2024-10-25 | 2024-10-26 |
| 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 | 2024-10-25 | 2024-10-26 |
| 0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E | 2024-10-25 | 2024-10-26 |
| 0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | 2024-03-11 | 2024-03-28 |
| 0690 | 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 | 2023-12-07 | 2023-12-29 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2023-12-07 | 2023-12-29 |
| 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. | E | 2023-12-07 | 2023-12-29 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2023-12-07 | 2023-12-29 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2023-06-16 | 2023-06-30 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2022-09-29 | 2022-10-31 |
| 0690 | 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 | 2022-09-29 | 2022-10-31 |
| 0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2022-09-29 | 2022-10-31 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2022-09-29 | 2022-10-31 |
Penalties (3)
Fines issued
2
last 3 years
Total fines
$205,193
Payment denials
1
| Date | Type | Fine amount |
|---|---|---|
| 2024-03-11 | Fine | $22,205 |
| 2024-10-25 | Fine | $182,988 |
| 2024-10-25 | Payment Denial | — |
Source: CMS Nursing Home Penalties.
Financial Health (FY 2024)
Payer mix (share of resident days)
Medicare 7.3% Medicaid 76.9% Other 15.8%
Operating performance
Operating Margin
3.1%
Total Margin
9.1%
Occupancy Rate
78.6%
Cost per Resident Day
$28
Revenue & costs
Net Patient Revenue
$9.2M
Total Costs
$986K
Net Income
$885K
Balance sheet
Total Assets
$2.8M
Total Liabilities
$521K
Fund Balance
$2.3M
Current Ratio
5.12
Source: CMS SNF Cost Report (FY 2024). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: MOMENTUM SKILLED SERVICES
- Chain ID
360- Facilities in chain
- 10
- Legal business name
- WEST WHARTON COUNTY HOSPITAL DISTRICT
Chain-average star ratings (for peer context)
Overall
2.0
Health
2.2
Staffing
1.3
QM
3.4
Owner / manager organizations (6)
| Organization | Role | Association |
|---|---|---|
| WEST WHARTON COUNTY HOSPITAL DISTRICT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 05/01/2021 |
| LTC OF WEST HOUSTON LLC | OPERATIONAL/MANAGERIAL CONTROL | since 05/01/2021 |
| COMPTON3 HOLDINGS, LLC | 5% OR GREATER MORTGAGE INTEREST | since 05/01/2021 |
| MARTEL HEALTHCARE MANAGEMENT LLC | 5% OR GREATER MORTGAGE INTEREST | since 05/01/2021 |
| MISSION BEND HEALTHCARE INVESTMENTS, LLC | 5% OR GREATER MORTGAGE INTEREST | since 05/01/2021 |
| THE SMITHERS MANAGEMENT TRUST | 5% OR GREATER MORTGAGE INTEREST | since 05/01/2021 |
Owner / manager individuals (6)
| Name | Role | Association |
|---|---|---|
| THREADGILL, SHARLYN | OPERATIONAL/MANAGERIAL CONTROL | since 05/01/2021 |
| THOMPSON, JOHNNY | CORPORATE OFFICER | since 07/01/2024 |
| COMPTON, CHARLES | 5% OR GREATER MORTGAGE INTEREST | since 09/17/2024 |
| COMPTON, JAMES | 5% OR GREATER MORTGAGE INTEREST | since 09/17/2024 |
| COMPTON, KRIS | 5% OR GREATER MORTGAGE INTEREST | since 09/17/2024 |
| MARTEL, MICHAEL | 5% OR GREATER MORTGAGE INTEREST | since 09/17/2024 |
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
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Penalties (
nh-penalties), vintage 2026, downloaded 2026-04-14 , 16,915 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2024, downloaded 2026-04-14 , 14,120 rows.
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.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $28 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 5.12 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,024 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 76.9% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 7.3% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $885,085 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $9,160,750 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 78.6% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | 3.1% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $2,828,677 | metrics.total_assets |
| Cost Report | Total Costs ($) | $985,704 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $2,307,878 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $520,799 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 9.1% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 1.04096 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 1.77635 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.20403 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.02134 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 2.55157 | 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 | 89.9 | 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 | 0.86757 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.35787 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.68384 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.90928 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.44562 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 2.2 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 2.0 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 3.4 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 1.3 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 360 | Chain ID |
| Provider Information | Chain Name | MOMENTUM SKILLED SERVICES | Chain Name |
| Provider Information | City/Town | HOUSTON | City/Town |
| Provider Information | CMS Certification Number (CCN) | 676381 | 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 | 2015-04-09 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 1 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 29.6811 | Latitude |
| Provider Information | Legal Business Name | WEST WHARTON COUNTY HOSPITAL DISTRICT | Legal Business Name |
| Provider Information | Location | 13428 BISSONNET,HOUSTON,TX,77083 | Location |
| Provider Information | Long-Stay QM Rating | 4 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -95.617 | 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 | 0 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 124 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 10 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 2 | Number of Fines |
| Provider Information | Number of Payment Denials | 1 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.38488 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 1.00525 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 1 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Limited Liability company | 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 | 13428 BISSONNET | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | WEST HOUSTON REHABILITATION AND HEALTHCARE CENTER | 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 | 2 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 28 | 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 | 1 | 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 | 7 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-01-30 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 28 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 7 | 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 | 2023-12-07 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 810 | 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 | 16 | 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 | 810 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 18 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.11136 | 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 | 1.26058 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 1.05400 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 1.79860 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.00511 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.20658 | 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 | 3.05918 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 1 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 1 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | TX | State |
| Provider Information | Telephone Number | 7133514300 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 205193.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 2.58353 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 3 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 55.1 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 223.500 | 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 | 77083 | ZIP Code |