For profit - Corporation · 172 certified beds · CMS number 675399

Navasota Nursing & Rehabilitation, Navasota, TX

CMS records 50 health deficiencies at Navasota Nursing & Rehabilitation in Navasota, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jun 5, 2025. The highest severity cited is J (immediate jeopardy to resident health or safety). 6 citations were at the immediate jeopardy level, 1 of them recorded as past non-compliance (fixed before the inspection). CMS lists 6 fines totaling $105,594 in the last three years.

Inspections and deficiencies

CMS findings for Navasota Nursing & Rehabilitation as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Navasota Nursing & Rehabilitation may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare

Most recent cycle (21 deficiencies)

Standard inspection Jun 5, 2025. CMS counts 21 health deficiencies and 2 fire safety deficiencies in this cycle.

Jul 31, 2026 · Complaint inspection

2 deficiencies, highest D

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 Aug 1, 2026

F585 · Grievances and how they are handled

Requirement cited (CMS): Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 1, 2026

Jun 23, 2026 · Complaint inspection

1 deficiency, 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 Jun 24, 2026

May 6, 2026 · Complaint inspection

4 deficiencies, highest E

F919 · Working call system

Requirement cited (CMS): Make sure that a working call system is available in each resident's bathroom and bathing area.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 7, 2026

F732 · Daily posting of nurse staffing

Requirement cited (CMS): Post nurse staffing information every day.

Severity
B No actual harm, potential for minimal harm, pattern
Status
Correction date May 7, 2026

F686 · Pressure ulcer prevention and care

Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date May 7, 2026

F550 · Dignity and the right to exercise rights

Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 7, 2026

Mar 4, 2026 · Complaint inspection

1 deficiency, highest D

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 Mar 5, 2026

Dec 12, 2025 · Complaint inspection

4 deficiencies, highest E

F742 · Treatment for mental health and trauma

Requirement cited (CMS): 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.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Dec 13, 2025

F689 · Accident prevention and supervision

Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Dec 13, 2025

F679 · Activities program

Requirement cited (CMS): Provide activities to meet all resident's needs.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Dec 13, 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
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Dec 13, 2025

Sep 18, 2025 · Complaint inspection

1 deficiency, highest J

F686 · Pressure ulcer prevention and care

Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Severity
J Immediate jeopardy to resident health or safety, isolated
Status
Correction date Sep 19, 2025

Jun 5, 2025 · Standard inspection

8 deficiencies, highest F

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 Jun 6, 2025

F812 · Food safety and sanitation

Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jun 6, 2025

F790 · Dental care in skilled nursing facilities

Requirement cited (CMS): Provide routine and 24-hour emergency dental care for each resident.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 6, 2025

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 Jun 6, 2025

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 Jun 6, 2025

F677 · Help with daily care

Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jun 6, 2025

F585 · Grievances and how they are handled

Requirement cited (CMS): Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Severity
F No actual harm, potential for more than minimal harm, widespread
Status
Correction date Jun 6, 2025

F577 · Seeing inspection results

Requirement cited (CMS): Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Severity
C No actual harm, potential for minimal harm, widespread
Status
Correction date Jun 6, 2025
Previous cycle: 21 deficiencies (standard inspection May 9, 2024)

Standard inspection May 9, 2024. CMS counts 21 health deficiencies and 1 fire safety deficiency in this cycle.

Aug 12, 2025 · Complaint inspection

1 deficiency, highest J

F689 · Accident prevention and supervision

Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity
J Immediate jeopardy to resident health or safety, isolated
Status
Past non-compliance (fixed before the inspection)

Jul 1, 2025 · Complaint inspection

1 deficiency, 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 Jul 15, 2025

Apr 23, 2025 · Complaint inspection

1 deficiency, highest E

F725 · Enough nursing staff every shift

Requirement cited (CMS): Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Apr 23, 2025

Jan 30, 2025 · Complaint inspection

4 deficiencies, highest E

F732 · Daily posting of nurse staffing

Requirement cited (CMS): Post nurse staffing information every day.

Severity
C No actual harm, potential for minimal harm, widespread
Status
Correction date Jan 31, 2025

F657 · Care plan timing and team review

Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 31, 2025

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 Jan 31, 2025

F558 · Accommodating individual needs and preferences

Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jan 31, 2025

Dec 12, 2024 · Complaint inspection

1 deficiency, highest E

F580 · Telling residents and families about changes

Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Dec 13, 2024

May 9, 2024 · Standard inspection

13 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 May 10, 2024

F812 · Food safety and sanitation

Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date May 10, 2024

F804 · Palatable, attractive food at safe temperatures

Requirement cited (CMS): Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date May 10, 2024

F744 · Dementia care

Requirement cited (CMS): Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 10, 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
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 10, 2024

F688 · Range of motion and mobility

Requirement cited (CMS): Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 10, 2024

F686 · Pressure ulcer prevention and care

Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Severity
J Immediate jeopardy to resident health or safety, isolated
Status
Correction date May 10, 2024

F679 · Activities program

Requirement cited (CMS): Provide activities to meet all resident's needs.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date May 10, 2024

F677 · Help with daily care

Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date May 10, 2024

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 May 10, 2024

F565 · Resident and family councils

Requirement cited (CMS): Honor the resident's right to organize and participate in resident/family groups in the facility.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date May 10, 2024

F558 · Accommodating individual needs and preferences

Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 10, 2024

F550 · Dignity and the right to exercise rights

Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 10, 2024
Earlier cycle: 8 deficiencies (standard inspection Mar 23, 2023)

Standard inspection Mar 23, 2023. CMS counts 8 health deficiencies and 3 fire safety deficiencies in this cycle.

Jul 17, 2024 · Complaint inspection

1 deficiency, highest D

F699 · Trauma-informed, culturally competent care

Requirement cited (CMS): Provide care or services that was trauma informed and/or culturally competent.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 22, 2024

Mar 8, 2024 · Complaint inspection

2 deficiencies, highest J

F684 · Quality of care

Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Severity
J Immediate jeopardy to resident health or safety, isolated
Status
Correction date Mar 9, 2024

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 Mar 9, 2024

Jan 30, 2024 · Complaint inspection

1 deficiency, highest J

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
J Immediate jeopardy to resident health or safety, isolated
Status
Correction date Jan 31, 2024

Dec 7, 2023 · Complaint inspection

1 deficiency, highest J

F578 · Refusing treatment and advance directives

Requirement cited (CMS): Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Severity
J Immediate jeopardy to resident health or safety, isolated
Status
Correction date Dec 8, 2023

Mar 23, 2023 · Standard inspection

3 deficiencies, highest D

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 Mar 24, 2023

F645 · Pre-admission screening for mental disorder or intellectual disability

Requirement cited (CMS): PASARR screening for Mental disorders or Intellectual Disabilities

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Mar 24, 2023

F637 · Reassessment after a significant change

Requirement cited (CMS): Assess the resident when there is a significant change in condition

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Mar 24, 2023

Tags cited in more than one inspection

13 tags cited on more than one inspection date at Navasota Nursing & Rehabilitation; each date counts once and does not mean the same incident. PNC = past non-compliance.

TagInspectionsDates
F656 Comprehensive person-centered care plan4Jul 31, 2026; Mar 4, 2026; Jan 30, 2025; May 9, 2024
F686 Pressure ulcer prevention and care3May 6, 2026; Sep 18, 2025; May 9, 2024
F880 Infection prevention and control program3Jun 5, 2025; May 9, 2024; Mar 23, 2023
F550 Dignity and the right to exercise rights2May 6, 2026; May 9, 2024
F558 Accommodating individual needs and preferences2Jan 30, 2025; May 9, 2024
F585 Grievances and how they are handled2Jul 31, 2026; Jun 5, 2025
F677 Help with daily care2Jun 5, 2025; May 9, 2024
F679 Activities program2Dec 12, 2025; May 9, 2024
F684 Quality of care2Jun 5, 2025; Mar 8, 2024
F689 Accident prevention and supervision2Dec 12, 2025; Aug 12, 2025 (PNC)
F732 Daily posting of nurse staffing2May 6, 2026; Jan 30, 2025
F761 Drug labeling and secure storage2Jun 23, 2026; Jul 1, 2025
F812 Food safety and sanitation2Jun 5, 2025; May 9, 2024

Fines and payment denials

DateTypeAmount / length
Sep 18, 2025Fine$54,365
Aug 12, 2025Fine$10,361
May 9, 2024Fine$6,422
Mar 8, 2024Fine$17,329
Jan 30, 2024Fine$8,924
Dec 7, 2023Fine$8,193

Staffing and CMS ratings

Total nurse staff hours per resident per day
2.49 h (below the Texas median of 3.27 h)
RN hours per resident per day
0.27 h (below the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
2.05 h
Nursing staff turnover
not reported
Administrators who left
2
CMS overall rating
1 of 5
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measure rating
1 of 5

CMS figures for Navasota Nursing & Rehabilitation, copied as published; Texas medians are ours.

Facility details

Address
1405 E Washington, Navasota, TX 77868
Phone
(936) 825-6463
County
Grimes
Accepts
Medicare and Medicaid
Ownership
For profit - Corporation
Chain (CMS)
Creative Solutions in Healthcare
Certified beds
172
Average residents per day
65.8
In Medicare/Medicaid since
Sep 7, 1994
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 are a resident's goals and preferences written into the care plan? (F656, cited 4 times)
  • How often are residents who spend a lot of time in bed or a wheelchair repositioned and checked for skin problems? (F686, cited 3 times)
  • How do staff track and report infections among residents? (F880, cited 3 times)
  • How do staff learn about and respect each resident's personal routines and choices? (F550, cited 2 times)

Other nursing homes in Navasota and the same chain

Source

CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.

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