For profit - Limited Liability company · 122 certified beds · CMS number 676467
Cypress Creek Rehabilitation and Healthcare Center, Cypress, TX
CMS records 17 health deficiencies at Cypress Creek Rehabilitation and Healthcare Center in Cypress, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jul 2, 2026. The highest severity cited is K (immediate jeopardy to resident health or safety). 2 citations were at the immediate jeopardy level, 1 of them recorded as past non-compliance (fixed before the inspection). CMS lists 2 fines totaling $74,263 in the last three years.
- 17deficiencies, 3 cycles (TX median 25)
- 7in the latest cycle (TX median 8)
- Khighest severity · Immediate jeopardy
- $74,263fines, last 3 years
- 3CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Cypress Creek Rehabilitation and Healthcare Center as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Cypress Creek Rehabilitation and Healthcare Center may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (7 deficiencies)
Standard inspection Jul 2, 2026. CMS counts 7 health deficiencies and 0 fire safety deficiencies in this cycle.
Jul 2, 2026 · Standard inspection
3 deficiencies, highest D
F925 · Pest control
Requirement cited (CMS): Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 3, 2026
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 3, 2026
F644 · Coordinating with PASARR screening
Requirement cited (CMS): Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 3, 2026
Apr 30, 2026 · Complaint inspection
1 deficiency, highest D
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 1, 2026
Jan 30, 2026 · Complaint inspection
3 deficiencies, highest D
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 2, 2026
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 2, 2026
F583 · Personal privacy and confidential records
Requirement cited (CMS): Keep residents' personal and medical records private and confidential.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 2, 2026
Previous cycle: 5 deficiencies (standard inspection May 29, 2025)
Standard inspection May 29, 2025. CMS counts 5 health deficiencies and 0 fire safety deficiencies in this cycle.
May 29, 2025 · Standard + complaint inspection
4 deficiencies, highest J
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 6, 2025
F759 · Medication error rate under 5 percent
Requirement cited (CMS): Ensure medication error rates are not 5 percent or greater.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 6, 2025
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 6, 2025
F600 · Freedom from abuse and neglect
Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Past non-compliance (fixed before the inspection), Apr 22, 2025
May 9, 2025 · Complaint inspection
1 deficiency, highest D
F600 · Freedom from abuse and neglect
Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 10, 2025
Earlier cycle: 5 deficiencies (standard inspection Mar 7, 2024)
Standard inspection Mar 7, 2024. CMS counts 5 health deficiencies and 1 fire safety deficiency in this cycle.
Mar 7, 2024 · Standard + complaint inspection
5 deficiencies, highest K
F759 · Medication error rate under 5 percent
Requirement cited (CMS): Ensure medication error rates are not 5 percent or greater.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 26, 2024
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 26, 2024
F690 · Bladder, bowel, and catheter care
Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 26, 2024
F686 · Pressure ulcer prevention and care
Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Mar 26, 2024
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 26, 2024
Tags cited in more than one inspection
4 tags cited on more than one inspection date at Cypress Creek Rehabilitation and Healthcare Center; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F600 Freedom from abuse and neglect | 2 | May 29, 2025 (PNC); May 9, 2025 |
| F755 Pharmacy services and a consultant pharmacist | 2 | Apr 30, 2026; Mar 7, 2024 |
| F759 Medication error rate under 5 percent | 2 | May 29, 2025; Mar 7, 2024 |
| F880 Infection prevention and control program | 2 | Jul 2, 2026; May 29, 2025 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| May 9, 2025 | Fine | $10,361 |
| Mar 7, 2024 | Fine | $63,902 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.23 h (about the same as the Texas median of 3.27 h)
- RN hours per resident per day
- 0.21 h (below the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.70 h
- Nursing staff turnover
- 66.7% (Texas median 52.1%)
- Administrators who left
- 1
- CMS overall rating
- 3 of 5
- Health inspection rating
- 4 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 4 of 5
CMS figures for Cypress Creek Rehabilitation and Healthcare Center, copied as published; Texas medians are ours.
Facility details
- Address
- 13600 Birdcall Lane, Cypress, TX 77429
- Phone
- (281) 477-7771
- County
- Harris
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Chain (CMS)
- Momentum Skilled Services
- Certified beds
- 122
- Average residents per day
- 91.5
- In Medicare/Medicaid since
- Aug 22, 2019
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How does the home screen, train, and supervise staff to protect residents? (F600, cited 2 times)
- How are new medication orders filled, and how quickly can urgent medications arrive? (F755, cited 2 times)
- How do nurses double-check medications before giving them? (F759, cited 2 times)
- How do staff track and report infections among residents? (F880, cited 2 times)
Other nursing homes in Cypress and the same chain
- Lakewest Rehabilitation and Skilled Care
Dallas · 44 deficiencies - Kingwood Rehabilitation and Healthcare Center
Kingwood · 30 deficiencies - West Houston Rehabilitation and Healthcare Center
Houston · 30 deficiencies - Park Bend Rehabilitation and Healthcare Center
Burleson · 25 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.