Misty Willow Healthcare And Rehabilitation Center
12921 MISTY WILLOW DR, Houston, TX, 77070
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.
Special Focus Candidate
CMS has identified this facility as a Special Focus Candidate — a track record of serious quality issues that places it one step away from full Special Focus Facility designation.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: The Ensign Group
- Certified beds
- 124 · avg 96 residents/day
- Total nursing staff turnover
- 58.4% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 60% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $46,677 total
State licensing & capacity
- License number
- 147743
- Service type
- Medicare/medicaid
- Licensed capacity
- 124 beds
- Bed type breakdown
- 124 Medicaid/Medicare
- Current license effective
- April 1, 2023
- Current license expires
- April 1, 2026
- Initial license date
- April 21, 2010
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Liberty County Hospital District No 1 (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Misty Willow Healthcare Inc
- Administrator
- Narinderpal Gill
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the The Ensign Group chain — 329 facilities across 17 states. Chain-wide average overall rating 3.2 / 5.
Disclosed owners (10 on record)
- Misty Willow Healthcare, Inc.
Adp of The Snf · since 2025
- Nida Fatema Ali
Operational/managerial Control · since 2024
- Liberty County Hospital District No. 1
5% or Greater Direct Ownership Interest · 100% · since 2017
- National Health Investors, Inc.
Adp of The Snf · since 2017
- Soon Burnam
Corporate Officer · since 2017
- Tami Fitzgerald
Operational/managerial Control · 100% · since 2017
+ 4 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, 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 31)
- E0813·Dec 4, 2025
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- F0812·Dec 4, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E0805·Dec 4, 2025
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- D0761·Dec 4, 2025
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.
- D0755·Dec 4, 2025
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0694·Dec 4, 2025
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- D0689·Dec 4, 2025
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- K0656·Sep 24, 2025Complaint
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.
Federal penalties
By year
- 20252 fines · $47K
Most recent events
- Sep 24, 2025Fine · $32K
- Mar 29, 2025Fine · $15K
Largest single fine on record: $32K.
Fire-safety citations
3 Life-Safety-Code citations on file. Most recent: Dec 4, 2025. 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
Misty Willow Healthcare and Rehabilitation Center is a 124-bed nursing home in Houston, Harris County, accepting Medicare and Medicaid, managed by Misty Willow Healthcare Inc under the Ensign Group chain. CMS rates it 1 star overall, with a 1-star health inspection rating and a 2-star staffing rating. CMS has flagged it as a Special Focus Facility candidate and recorded substantiated findings of abuse or neglect within the past 36 months. Two CMS fines totaling $46,677 have been issued.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 2 stars — each resident receives about 202 minutes of nursing care per day, roughly 39 minutes less than at a 4-star-staffing facility in Texas. Residents here need more hands-on care than at a typical facility — sicker, or less mobile on average — so the same staffing hours stretch thinner than the raw minutes suggest.
CMS has flagged this facility as a Special Focus Facility candidate — a step below outright SFF designation, signaling a pattern of serious deficiencies that prompted heightened federal scrutiny.
CMS has substantiated findings of resident abuse or neglect here within the past 36 months.
Two CMS fines totaling $46,677 have been issued. The statewide median fine total is $20,699, and about 30% of Texas nursing homes have no fines at all.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Abuse findings and current safeguards
CMS has substantiated abuse or neglect findings here within the past 36 months — ask what specific incidents occurred and what policy or staffing changes followed.
SFF candidate designation status
CMS has flagged this facility as a Special Focus Facility candidate — ask what deficiency patterns triggered that designation and what the correction plan looks like.
Staffing levels on nights and weekends
Reported weekend staffing averages 2.83 hours of nursing care per resident per day, below the already-low weekday figure — ask how many nurses and aides are on a typical overnight or weekend shift.
Resident and family council access
No resident or family council is on record here — ask whether one exists, how residents and families currently raise concerns, and who receives those concerns.
Ensign Group oversight and local accountability
This facility operates under the Ensign Group chain but is licensed to a hospital district authority — ask who holds day-to-day decision-making authority and how corporate oversight is exercised.
Waitlist and current bed availability
With 95.8 residents per day against 124 licensed beds, occupancy runs at about 77% — ask whether specific care needs affect placement timing or unit availability.
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.