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Nursing homeFAID #14619

Misty Willow Healthcare and Rehabilitation Center

12921 MISTY WILLOW DR, HOUSTON, TX, 77070
(281) 469-7881
ensignservices.net
124 licensed beds

CMS rates Misty Willow Healthcare and Rehabilitation Center 1 out of 5 overall. Federal inspectors issued 33 citations across 10 inspections in the last three years, with $64,093 in fines. Listing last updated 2026-11-06.

★★★★★1/5CMS Five-Star overall1/5 health inspections1/5 staffing4/5 quality measuresSource: CMS Care Compare

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Photo of MISTY WILLOW HEALTHCARE AND REHABILITATION CENTER
Photo via Google · Misty Willow Healthcare & Rehabilitation Center

Public record summary

What we can show you for free.
Bed capacity
124
CMS facility ID
676251
Care type
Nursing home
County
Harris
Facility name
Misty Willow Healthcare and Rehabilitation Center
Street address
12921 MISTY WILLOW DR
City / state / ZIP
Houston, TX 77070
Phone
(281) 469-7881
Website
ensignservices.net

About this facility — Misty Willow Healthcare and Rehabilitation Center

Misty Willow Healthcare and Rehabilitation Center is a Medicare/Medicaid-certified skilled nursing facility in Houston, Texas. It is licensed for 124 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 720 senior care facilities in Houston and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of The Ensign Group, a group of 347 facilities on this site.

Federal inspectors have cited Misty Willow Healthcare and Rehabilitation Center 33 times across 10 inspections in the last three years, including 4 food-safety citations, and CMS has imposed $64,093 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
The Ensign Group
Ownership type
For profit - Limited Liability company

Registered owners & officers

Liberty County Hospital District No 1
Direct owner — 100% stake — since 2017
Ali, Nida
Governing body · Operational control · Additional disclosable party — since 2024
Burnam, Soon
Officer — since 2017
Ensign Services Inc
Additional disclosable party — since 2016
Fitzgerald, Tami
Governing body · Operational control · Additional disclosable party — since 2017
Keetch, Chad
Officer — since 2011
Misty Willow Healthcare, Inc.
Operational control · Additional disclosable party — since 2017
National Health Investors, Inc.
Additional disclosable party — since 2017
Stratton, Charles
Officer — since 2005
Texas Nhi Investors, Llc
Additional disclosable party — since 2017

Regulatory standing

Federal court records
11 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
2010-04-21
CMS overall rating
1 of 5 stars
Health deficiencies
9 at the last standard inspection
Federal fines
$64,093 total
Last standard inspection
2025-12-04
Nurse staffing
3.3 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$481 per day (≈ $14,620/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
69% Medicaid · 8% Medicare · 23% private/other
Occupancy
71% (fiscal year 2023)
Vs. state median
74% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
124
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 4 food-safety citations on its three-year record — flagged below among the inspections.
2026-03-09Health inspectionComplaint-triggered2 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2026-03-11
F-0684
J · Immediate jeopardyFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-03-11
2025-12-04Health inspection7 citations
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-12-06
F-0694
D · No harm found
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2025-12-06
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-12-06
F-0761
D · No harm found
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.
Corrected 2025-12-06
F-0805
E · No harm foundFood safety
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2025-12-06
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-12-06
F-0813
E · No harm foundFood safety
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2025-12-06
6 earlier / fire-safety inspections (24 citations)
2025-09-24Health inspectionComplaint-triggered5 citations
F-0564
D · No harm foundFrom a complaint
Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges.
Corrected 2025-10-16
F-0600
K · Immediate jeopardyFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-10-16
F-0607
K · Immediate jeopardyFrom a complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-10-16
F-0610
K · Immediate jeopardyFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2025-10-16
F-0656
K · Immediate jeopardyFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-10-16
2025-03-29Health inspectionComplaint-triggered3 citations
F-0684
K · Immediate jeopardyFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-03-31
F-0689
K · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-03-31
F-0755
J · Immediate jeopardyFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-03-31
2024-08-30Health inspectionComplaint-triggered6 citations
F-0583
D · No harm found
Keep residents' personal and medical records private and confidential.
Corrected 2024-09-03
F-0686
D · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-09-03
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-09-03
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-09-03
F-0761
D · No harm found
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.
Corrected 2024-09-03
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-09-03
2023-06-16Health inspection7 citations
F-0583
D · No harm found
Keep residents' personal and medical records private and confidential.
Corrected 2023-07-14
F-0655
D · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-07-14
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-07-14
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-07-14
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-07-14
F-0761
D · No harm found
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.
Corrected 2023-07-14
F-0803
E · No harm foundFood safety
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2023-07-14
2025-12-04Fire-safety inspection2 citations
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-12-06
K-0929
E · No harm found
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Corrected 2025-12-06
2023-06-16Fire-safety inspection1 citation
K-0342
E · No harm found
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Corrected 2023-06-23

Federal penalties

2026-03-09Fine$28,451
2025-09-24Fine$20,495
2025-03-29Fine$15,147
Total fines$64,093
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 676251.

Quality of care & staffing

How it compares in Texas.
Inspection citations, 3 years
33
More than 48% of nursing homes in the state
State median: 33
Federal fines, 3 years
$64,093
More than 80% of nursing homes in the state
State median: $15,642
Nurse staffing, hours per resident per day
3.3
Higher than 52% of nursing homes in the state
State median: 3.3

Resident outcomes

On 19 federal quality measures, this facility does better than the Texas average on 10 and worse on 5. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased17.1%15.8%13.5%Near state average
Lose too much weight4.0%2.9%5.1%Worse than state
With a catheter inserted and left in their bladder0.0%0.3%0.7%Better than state
With a urinary tract infection0.3%0.8%1.5%Better than state
Have depressive symptoms0.0%2.3%13.5%Better than state
Were physically restrained0.0%0.0%0.1%Better than state
Experiencing one or more falls with major injury2.6%3.2%3.2%Better than state
Assessed and appropriately given the pneumococcal vaccine99.0%96.4%93.7%Near state average
Ability to walk independently worsened18.9%12.9%12.7%Worse than state
Received an antianxiety or hypnotic medication11.7%17.8%19.5%Better than state
Assessed and appropriately given the seasonal influenza vaccine100.0%97.0%95.3%Near state average
With pressure ulcers4.2%3.7%4.5%Worse than state
With new or worsened bowel or bladder incontinence15.7%12.5%18.3%Worse than state
Received an antipsychotic medication5.0%9.8%15.4%Better than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine91.9%88.7%82.3%Near state average
Newly received an antipsychotic medication0.5%1.4%1.5%Better than state
Were assessed and appropriately given the seasonal influenza vaccine96.9%85.4%80.1%Better than state
Were rehospitalized after a nursing home admission30.1%25.5%23.4%Worse than state
Had an outpatient emergency department visit10.6%12.2%11.8%Better than state
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0761 3 inspections. 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.
  • F-0684 2 inspections. Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  • F-0689 2 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0755 2 inspections. Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  • F-0656 2 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  • F-0583 2 inspections. Keep residents' personal and medical records private and confidential.

What its owners also hold

  • Liberty County Hospital District No 1 has an ownership stake on file at 35 nursing homes, averaging 2.9 of 5 on CMS's overall rating.
Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

  • Licensing: Texas Health and Human Services
  • File a complaint: 800-458-9858 · Online
  • Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
  • Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • St Luke's Hospital At the Vintage, about 1.9 miles. CMS rating 4 of 5.
  • Cypress Creek Hospital, about 7.9 miles.
  • Hca Houston Healthcare Tomball, about 9.5 miles. CMS rating 3 of 5.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Visitor reviews

What people say on Google.
4.1120 ratings on Google
★CowboyMIke Tracy · 2025-07-15 · via Google

“This place is disgusting. DO NOT TAKE YOUR LOVED ONES HERE. My Mother was told they were not allowed to help her to the restroom and that she would have to go to the restroom in a diaper and then they would come and clean her up. She could not hold it and had to humiliate herself and go in the diaper and then it leaked through and soaked her clothing and the bedding and they made her sit in her ur…”

★Monroe Payton · 2026-03-02 · via Google

“This facility needs to be reported to the state you have cna in the hallways asleep not tending to the residents 2 other cna outside in the back smoking marijuana. The poor lady that was working the front all she can say they always like this on the weekend. Let's not forget when you first come into the facility the ladies in the middle has music blasting dancing singing, as you come down the hal…”

★★★★★Shelia Sims · 2026-03-16 · via Google

“Recently placed our love one at Misty Willow Home. I am satisfied with the accommodations. Facilities are nice and clean. The staff is professional, informative and pleasant. We’re happy with our choice of choosing this home for our love one😇🙏🏼❤️”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 33 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered