Navasota Nursing & Rehabilitation
1405 EAST WASHINGTON AVENUE, Navasota, TX, 77868
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 Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Creative Solutions In Healthcare
- Certified beds
- 172 · avg 56 residents/day
- Total nursing staff turnover
- 63.6% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 75% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 3 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 5 fines · $123,093 total
State licensing & capacity
- License number
- 308097
- Service type
- Medicare/medicaid
- Licensed capacity
- 172 beds
- Bed type breakdown
- 71 Medicare-only · 101 Medicaid/Medicare
- Current license effective
- February 1, 2025
- Current license expires
- February 1, 2028
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Navasota I Enterprises, Llc (Limited Liability Company (LLC))
- Operator / manager
- Creative Solutions In Healthcare, Inc
- Administrator
- Keizeya Thomas
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Creative Solutions in Healthcare chain — 149 facilities. Chain-wide average overall rating 2.7 / 5.
Disclosed owners (5 on record)
- Honor x Enterprises, Llc
5% or Greater Direct Ownership Interest · 100% · since 2021
- Creative Solutions in Healthcare Inc
Operational/managerial Control · 100% · since 2021
- Gary r Blake
5% or Greater Indirect Ownership Interest · 50% · since 2021
- Linda f Huggins
W-2 Managing Employee · since 2021
- Malisa a Blake
5% or Greater Indirect Ownership Interest · 50% · since 2021
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 42)
- E0742·Dec 12, 2025Complaint
Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
- D0689·Dec 12, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E0679·Dec 12, 2025Complaint
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
- D0600·Dec 12, 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.
- J0686·Sep 18, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- J0689·Aug 12, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0761·Jul 1, 2025Complaint
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.
- D0880·Jun 5, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Federal penalties
By year
- 20251 fine · $82K
- 20243 fines · $33K
- 20231 fine · $8,193
Most recent events
- Sep 18, 2025Fine · $82K
- May 9, 2024Fine · $6,422
- Mar 8, 2024Fine · $17K
- Jan 30, 2024Fine · $8,924
- Dec 7, 2023Fine · $8,193
Largest single fine on record: $82K.
Fire-safety citations
6 Life-Safety-Code citations on file. Most recent: Jun 5, 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
Navasota Nursing & Rehabilitation is a 172-bed Medicare/Medicaid nursing home in Navasota, Grimes County, managed by Creative Solutions In Healthcare. CMS rates it 1 star overall, 1 star on health inspections, and 1 star on staffing. Five fines totaling $123,093 have been levied, and three administrators have turned over in the past year. The facility is currently operating at about 33% of licensed capacity.
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 roughly 38% of Texas nursing homes. Each resident receives about 174 minutes of nursing care per day, approximately 67 minutes less than at a 4-star-staffing facility in Texas. Residents here need more hands-on care than at a typical facility — more dependent or medically complex on average — so those 174 minutes stretch thinner than the raw number suggests. Registered nurses account for only 27 of those minutes, compared to 37 minutes at a 4-star-staffing Texas facility.
About 6 in 10 nursing staff left in the past year — above the 75th percentile for Texas, meaning turnover is worse than at least three-quarters of nursing homes in the state. A long-stay resident will likely go through two or three primary caregivers over that same period. RN turnover runs even higher: roughly 8 in 10 registered nurses left within the year.
Three administrators have turned over in the past year. That level of leadership churn affects scheduling, staffing decisions, and day-to-day operations throughout the building.
Five CMS fines totaling $123,093 have been assessed. About 30% of Texas nursing homes have received no fines at all; $123,093 is nearly six times the Texas median fine total of $20,699.
The facility is operating at roughly 33% of its 172 licensed beds — about 56 residents in a building certified for 172. That occupancy level, combined with the other signals in this record, is a pattern families should examine closely.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on nights and weekends
Weekend nursing hours average 2.46 per resident per day — lower than the already-low weekday figure; ask how many nurses and aides are on duty overnight and on weekends.
Three administrators in one year
Three administrators have left in the past 12 months; ask who is currently in charge, how long they have been in the role, and whether a permanent hire is in place.
Context behind five CMS fines
CMS issued five fines totaling $123,093 — ask what deficiencies triggered each fine and what specific changes were made in response.
Why occupancy is so low
Only about 56 of 172 beds are occupied; ask whether the facility is actively admitting residents and what accounts for the low census.
Nursing staff retention efforts
About 6 in 10 nursing staff and 8 in 10 RNs left in the past year; ask what the facility is doing differently now to reduce that turnover.
Resident Council participation
A Resident Council meets here but there is no Family Council; ask how families are formally notified of concerns raised in Resident Council meetings.
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.