Cypress Creek Rehabilitation And Healthcare Center
13600 BIRDCALL LANE, Cypress, TX, 77429
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Individual · Chain: Momentum Skilled Services
- Certified beds
- 122 · avg 98 residents/day
- Total nursing staff turnover
- 67.8% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 66.7% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $74,263 total
State licensing & capacity
- License number
- 308595
- Service type
- Medicare/medicaid
- Licensed capacity
- 122 beds
- Bed type breakdown
- 32 Medicare-only · 90 Medicaid/Medicare
- Current license effective
- May 1, 2025
- Current license expires
- May 1, 2028
- Initial license date
- August 22, 2019
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- West Wharton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Nwh Rehab, Llc
- Administrator
- Victoria Johnson Clark
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Momentum Skilled Services chain — 10 facilities. Chain-wide average overall rating 2.0 / 5.
Disclosed owners (16 on record)
- Kara White
Adp of The Snf · since 2024
- Johnny Thompson
Corporate Officer · since 2024
- Broad River Healthcare, Llc
5% or Greater Mortgage Interest · 33% · since 2022
- Charles Compton
5% or Greater Mortgage Interest · 8% · since 2022
- Clover Modern Investments, Llc
5% or Greater Mortgage Interest · 100% · since 2022
- Clover Parent, Llc
5% or Greater Mortgage Interest · 100% · since 2022
+ 10 additional owners on the federal record.
Recent change of ownership
May 2022 (4 years ago) · acquired from Cypress Creek Rehabilitation And Healthcare Center
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 22)
- D0761·Jan 30, 2026Complaint
Pharmacy Service Deficiencies
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.
- D0656·Jan 30, 2026Complaint
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D0583·Jan 30, 2026Complaint
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
- D0880·May 29, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0759·May 29, 2025
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
- E0609·May 29, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- J0600·May 29, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D0600·May 9, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Federal penalties
By year
- 20251 fine · $10K
- 20241 fine · $64K
Most recent events
- May 9, 2025Fine · $10K
- Mar 7, 2024Fine · $64K
Largest single fine on record: $64K.
Fire-safety citations
1 Life-Safety-Code citation on file. Most recent: Mar 7, 2024. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Cypress Creek Rehabilitation And Healthcare Center is a 122-bed nursing home in Cypress, Harris County, accepting Medicare and Medicaid. CMS rates it 2 stars overall, with 1-star staffing and a substantiated abuse or neglect finding in the past 36 months. Two CMS fines total $74,263. Quality-of-care measures rate 5 stars — the sharpest contrast in this record. Managed by Nwh Rehab, Llc under a license active through May 2028.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star — the bottom tier, shared by about 38% of Texas nursing homes. Each resident receives roughly 196 minutes of nursing care per day, about 45 minutes less than at a 4-star-staffing facility in Texas. Registered nurses account for only 15 of those minutes. Residents here require more hands-on care than at a typical facility — less mobile or more medically complex on average — so those hours stretch thinner than the raw numbers suggest.
Roughly 7 in 10 nursing staff left in the past year. Texas's median turnover is around 50%; a rate of 67.8% places this facility above the 75th percentile statewide. A long-stay resident will likely go through two or three primary caregivers over the course of a year.
CMS has substantiated findings of resident abuse or neglect here within the past 36 months. This is the most serious flag in the record and applies regardless of how other metrics read.
Two CMS fines totaling $74,263 have been assessed. The state median for fined facilities in Texas is about $20,699; this facility's total is roughly 3.6 times that figure. About 30% of Texas nursing homes have no fines at all.
Quality-of-care measures rate 5 stars — both long-stay and short-stay. These measures track clinical outcomes such as pressure wounds, falls, and rehospitalization rates. That rating sits alongside 1-star staffing and an abuse finding — a pairing the underlying numbers alone do not explain.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Substantiated abuse finding details
CMS shows a substantiated abuse or neglect finding here in the past 36 months — ask what happened, what changed, and how staff are trained now.
Staffing levels on nights and weekends
Reported weekend nursing hours average 2.68 per resident per day, below the already-low weekday figure — ask how many nurses and aides are on each overnight and weekend shift.
Nursing staff retention efforts
About 7 in 10 nursing staff left in the past year — ask what the facility is doing to reduce turnover and how it assigns consistent caregivers to each resident.
How 5-star outcomes are achieved
Quality-of-care measures rate 5 stars despite 1-star staffing — ask specifically which care protocols or oversight systems produce those results.
Current administrator tenure
Records show one administrator change in the past year — ask how long the current administrator has been in this role and who supervises daily operations.
Current bed availability and wait process
The facility is running about 98 residents in 122 licensed beds — ask whether the unit relevant to your family member's needs has current openings or a waitlist.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.