Cypress Creek Rehabilitation and Healthcare Center
13600 Birdcall Lane, Cypress, TX 77429
Phone: 2814777771
CMS ratings and facility information
Cypress Creek Rehabilitation and Healthcare Center is a Medicare-certified nursing facility in Cypress, Harris County, Texas. CMS data for this profile was updated October 2026. Ratings and facility details can change; confirm current information with CMS and the facility.
| CMS overall rating | 3 of 5 stars |
|---|---|
| Health inspection rating | 4 of 5 |
| Staffing rating | 1 of 5 |
| Quality measures rating | 3 of 5 |
| Certified beds | 122 |
| Ownership | For profit - Limited Liability company |
| CMS certification number | 676467 |
Staffing
| Total nurse hours per resident day | 3.08 |
|---|---|
| RN hours per resident day | 0.18 |
| Nurse aide hours per resident day | 1.92 |
| Total nursing staff turnover percent | 66.3 |
| RN turnover percent | 85.7 |
Resident outcome measures
| Measure | Value | Unit | Period |
|---|---|---|---|
| Hospitalizations | 2.9 | events_per_1000_resident_days | 20250401-20260331 |
| Emergency-department visits | 2.44 | events_per_1000_resident_days | 20250401-20260331 |
| Falls with major injury | 5.44 | percent | 2025Q3-2026Q2 |
| Pressure ulcers | 2.99 | percent | 2025Q3-2026Q2 |
| Urinary tract infections | 0 | percent | 2025Q3-2026Q2 |
| Antipsychotic medication use | 9.17 | percent | 2025Q3-2026Q2 |
Health inspection citations
| Survey date | Tag | Citation | Severity |
|---|---|---|---|
| 2026-07-02 | 0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D |
| 2026-07-02 | 0880 | Provide and implement an infection prevention and control program. | D |
| 2026-07-02 | 0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D |
| 2025-05-29 | 0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J |
| 2025-05-29 | 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E |
| 2025-05-29 | 0759 | Ensure medication error rates are not 5 percent or greater. | D |
| 2025-05-29 | 0880 | Provide and implement an infection prevention and control program. | D |
| 2024-03-07 | 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | K |
| 2024-03-07 | 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E |
| 2024-03-07 | 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. | E |
| 2024-03-07 | 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E |
| 2024-03-07 | 0759 | Ensure medication error rates are not 5 percent or greater. | D |
Penalties
| Date | Type | Amount |
|---|---|---|
| 2025-05-09 | Fine | ,361 |
| 2024-03-07 | Fine | ,902 |
Ownership records
| Name | Type | Role |
|---|---|---|
| BROAD RIVER HEALTHCARE, LLC | Organization | 5% OR GREATER MORTGAGE INTEREST |
| CLOVER MODERN INVESTMENTS, LLC | Organization | 5% OR GREATER MORTGAGE INTEREST |
| CLOVER PARENT, LLC | Organization | 5% OR GREATER MORTGAGE INTEREST |
| MARTEL FINANCIAL INVESTMENTS, LLC | Organization | 5% OR GREATER MORTGAGE INTEREST |
| THE SMITHERS MANAGEMENT TRUST | Organization | 5% OR GREATER MORTGAGE INTEREST |
| COMPTON, CHARLES | Individual | 5% OR GREATER MORTGAGE INTEREST |
| COMPTON, JAMES | Individual | 5% OR GREATER MORTGAGE INTEREST |
| COMPTON, KRIS | Individual | 5% OR GREATER MORTGAGE INTEREST |
| MARTEL, MICHAEL | Individual | 5% OR GREATER MORTGAGE INTEREST |
| THOMPSON, JOHNNY | Individual | CORPORATE OFFICER |
| NWH REHAB LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL |
| THREADGILL, SHARLYN | Individual | OPERATIONAL/MANAGERIAL CONTROL |
| SMITHERS, JEFFREY | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF |
| THREADGILL, FORREST | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF |
| THREADGILL, MORGAN | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF |
| BROAD RIVER HEALTHCARE, LLC | Organization | ADP OF THE SNF |
| CLOVER MODERN INVESTMENTS, LLC | Organization | ADP OF THE SNF |
| CLOVER PARENT, LLC | Organization | ADP OF THE SNF |
| MARTEL FINANCIAL INVESTMENTS, LLC | Organization | ADP OF THE SNF |
| THE SMITHERS MANAGEMENT TRUST | Organization | ADP OF THE SNF |
| COMPTON, CHARLES | Individual | ADP OF THE SNF |
| COMPTON, JAMES | Individual | ADP OF THE SNF |
| COMPTON, KRIS | Individual | ADP OF THE SNF |
| MARTEL, MICHAEL | Individual | ADP OF THE SNF |
| SUTER, RACHEL | Individual | ADP OF THE SNF |
| WHITE, KARA | Individual | ADP OF THE SNF |
Compare nursing homes in Harris County, Texas.
Source: Centers for Medicare & Medicaid Services Care Compare data. Data snapshot: October 2026. Read Our Data & Methodology. This directory does not provide medical or legal advice.