{"schema_version":"1.0.0","facility":{"id":"cms-676263","ccn":"676263","name":"Deerbrook Skilled Nursing and Rehab Center","source_name":"Deerbrook Skilled Nursing and Rehab Center","facility_types":["skilled_nursing_facility","nursing_home"],"primary_type":"skilled_nursing_facility","universe":"cms_certified_nursing_homes","source_type_label":"Medicare and Medicaid","status":"active","status_label":"Active CMS certification","status_evidence":"VERIFIED","state":"TX","address":{"line1":"9250 Humble-Westfield Rd","city":"Humble","state":"TX","zip":"77338","county_name":"Harris County","county_fips":"48201","county_method":"name_match","ssa_county_code":"610","urban":true},"location":{"lat":30.0015,"lon":-95.284,"method":"cms_published_coordinates"},"phone":"2814465160","certification":{"authority":"CMS","ccn":"676263","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"2010-12-02","certified_beds":124,"resides_in_hospital":true,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/676263"},"licenses":[],"license_note":"State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.","capacity":{"certified_beds":124,"avg_residents_per_day":93.6},"ownership_type":"For profit - Limited Liability company","ownership_class":"for_profit","legal_business_name":"WINNIE-STOWELL HOSPITAL DISTRICT","flags":{"ccrc":false,"special_focus":"SFF Candidate","abuse_icon":true,"high_performing":false,"inspection_over_2y":false,"changed_ownership_12mo":false,"resident_family_council":"Resident","sprinklers_all_areas":"Yes"},"ratings":{"overall":{"value":1},"health_inspection":{"value":1},"quality_measures":{"value":4},"long_stay_qm":{"value":5},"short_stay_qm":{"value":3},"staffing":{"value":1},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":2.04517,"lpn_hprd":1.08285,"rn_hprd":0.25793,"licensed_hprd":1.34078,"total_nurse_hprd":3.38594,"weekend_total_nurse_hprd":3.09288,"weekend_rn_hprd":0.18432,"pt_hprd":0.05507,"nursing_turnover_pct":55.6,"rn_turnover_pct":64.3,"administrators_left":1,"case_mix_index":1.362,"case_mix_index_ratio":0.96578,"case_mix_total_nurse_hprd":3.76737,"adjusted_total_nurse_hprd":3.4784,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2026-05-16","cycle1_deficiencies":20,"cycle1_score":417,"cycle2_date":"2025-02-28","cycle23_deficiencies":16,"cycle23_score":284,"total_weighted_score":383.75},"cms_penalty_counts":{"fines":6,"fine_total":202382,"payment_denials":0,"total":6},"chain":{"id":"cms-chain-272","cms_chain_id":"272","name":"HMG HEALTHCARE"},"operator_id":"op-winnie-stowell-hospital-district","first_seen":"2026-11-07T00:15:24.640Z","last_changed":"2026-11-07T00:15:24.640Z","profile_url":"https://www.medicare.gov/care-compare/details/nursing-home/676263","provenance":[{"source_id":"cms_provider_info","source_record_id":"676263","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=676263&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["name","address","phone","certification","certified_beds","ownership_type","legal_business_name","chain"],"evidence_class":"VERIFIED","status":"current"},{"source_id":"cms_provider_info","source_record_id":"676263","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=676263&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["ratings","staffing","health_survey_score"],"evidence_class":"VERIFIED","status":"current","note":"Five-Star ratings and PBJ staffing apply to the CMS-certified universe only."}],"inspection_summary":{"count":12,"health_count":9,"fire_count":3,"complaint_count":9,"latest_date":"2026-08-19","latest_standard_health":"2026-05-16","earliest_date":"2023-11-16","window_note":"CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.","evidence_class":"VERIFIED"},"deficiency_summary":{"count":41,"health_count":36,"fire_count":5,"open_count":0,"actual_harm_count":0,"immediate_jeopardy_count":7,"serious_count":7,"complaint_count":31,"by_severity":{"immediate_jeopardy":7,"potential":34},"by_scope_severity":{"J":4,"D":24,"F":2,"E":8,"K":3},"by_concept":{"clinical_care":20,"resident_rights":4,"environment_life_safety":8,"medication":4,"food_nutrition":1,"infection_prevention":4},"type_ids":["cms-f0689","cms-f0609","cms-k0351","cms-k0353","cms-f0600","cms-f0686","cms-f0656","cms-f0677","cms-f0690","cms-f0755","cms-f0627","cms-f0810","cms-f0880","cms-f0908","cms-f0919","cms-f0684","cms-k0929","cms-f0695","cms-k0352","cms-k0324","cms-f0657","cms-f0658","cms-f0759","cms-f0760"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":6,"fines":6,"fine_total":202382,"payment_denials":0,"latest_date":"2026-08-19"},"ownership_summary":{"disclosures":27,"organizations":1,"individuals":25,"not_available":false}},"row":{"id":"cms-676263","ccn":"676263","name":"Deerbrook Skilled Nursing and Rehab Center","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"TX","city":"Humble","zip":"77338","county_fips":"48201","county_name":"Harris County","address":"9250 Humble-Westfield Rd","beds":124,"residents":93.6,"ownership":"for_profit","operator_id":"op-winnie-stowell-hospital-district","operator_name":"Winnie-Stowell Hospital District","chain_id":"cms-chain-272","chain_name":"Hmg Healthcare","lat":30.0015,"lon":-95.284,"overall":1,"health_rating":1,"staffing_rating":1,"qm_rating":4,"nurse_hprd":3.39,"turnover":55.6,"sff":"SFF Candidate","abuse":true,"inspections":12,"last_inspection":"2026-08-19","deficiencies":41,"serious":7,"ij":7,"open":0,"penalties":6,"fines_total":202382,"deficiency_type_ids":["cms-f0689","cms-f0609","cms-k0351","cms-k0353","cms-f0600","cms-f0686","cms-f0656","cms-f0677","cms-f0690","cms-f0755","cms-f0627","cms-f0810","cms-f0880","cms-f0908","cms-f0919","cms-f0684","cms-k0929","cms-f0695","cms-k0352","cms-k0324","cms-f0657","cms-f0658","cms-f0759","cms-f0760"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-winnie-stowell-hospital-district","name":"Winnie-Stowell Hospital District","legal_name":"WINNIE-STOWELL HOSPITAL DISTRICT","facility_count":77,"states":["TX"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"chain":{"id":"cms-chain-272","name":"Hmg Healthcare","cms_chain_id":"272","facility_count":31,"states":["KS","TX"],"cms_reported":{"facility_count":31,"avg_overall_rating":3.2,"avg_health_inspection_rating":2.9,"avg_staffing_rating":1.7,"avg_qm_rating":4.5}},"ownership":[{"owner_id":"org-hmg-park-manor-of-deerbrook-llc","owner_type":"organization","owner_name":"Hmg Park Manor of Deerbrook, LLC","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":100,"percentage_raw":"100%","association_date":"2018-04-01"},{"owner_id":"org-hmg-park-manor-of-deerbrook-llc","owner_type":"organization","owner_name":"Hmg Park Manor of Deerbrook, LLC","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2018-04-01"},{"owner_type":"individual","owner_name":"Krystal Balsamo","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2021-04-01","owner_name_raw":"BALSAMO, KRYSTAL"},{"owner_type":"individual","owner_name":"Roland Culp","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2021-04-01","owner_name_raw":"CULP, ROLAND"},{"owner_type":"individual","owner_name":"Laurence Daspit","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2021-04-01","owner_name_raw":"DASPIT, LAURENCE"},{"owner_type":"individual","owner_name":"William Dohn","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2021-04-01","owner_name_raw":"DOHN, WILLIAM"},{"owner_type":"individual","owner_name":"Edward Murrell","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2018-04-01","owner_name_raw":"MURRELL, EDWARD"},{"owner_type":"individual","owner_name":"Ana Pico","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2021-04-01","owner_name_raw":"PICO, ANA"},{"owner_type":"individual","owner_name":"Derek Prince","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2021-04-01","owner_name_raw":"PRINCE, DEREK"},{"owner_type":"individual","owner_name":"Christian Reinarz","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2021-04-01","owner_name_raw":"REINARZ, CHRISTIAN"},{"owner_type":"individual","owner_name":"Jeffery Rollo","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2021-04-01","owner_name_raw":"ROLLO, JEFFERY"},{"owner_type":"individual","owner_name":"Anthony Stramecki","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2021-04-01","owner_name_raw":"STRAMECKI, ANTHONY"},{"owner_type":"individual","owner_name":"Kacey Vratis","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2021-04-01","owner_name_raw":"VRATIS, KACEY"},{"owner_type":"individual","owner_name":"George Way","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2021-04-01","owner_name_raw":"WAY, GEORGE"},{"owner_type":"individual","owner_name":"Celeste Zalesky","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-12-16","owner_name_raw":"ZALESKY, CELESTE"},{"owner_type":"individual","owner_name":"Anthony Stramecki","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2016-11-01","owner_name_raw":"STRAMECKI, ANTHONY"},{"owner_type":"individual","owner_name":"Edward Murrell","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2012-11-01","owner_name_raw":"MURRELL, EDWARD"},{"owner_type":"individual","owner_name":"Jeffery Rollo","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2012-11-01","owner_name_raw":"ROLLO, JEFFERY"},{"owner_type":"individual","owner_name":"Krystal Balsamo","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2021-04-01","owner_name_raw":"BALSAMO, KRYSTAL"},{"owner_type":"individual","owner_name":"Roland Culp","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2021-04-01","owner_name_raw":"CULP, ROLAND"},{"owner_type":"individual","owner_name":"Laurence Daspit","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2021-04-01","owner_name_raw":"DASPIT, LAURENCE"},{"owner_type":"individual","owner_name":"William Dohn","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2021-04-01","owner_name_raw":"DOHN, WILLIAM"},{"owner_type":"individual","owner_name":"Ana Pico","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2021-04-01","owner_name_raw":"PICO, ANA"},{"owner_type":"individual","owner_name":"Derek Prince","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2021-04-01","owner_name_raw":"PRINCE, DEREK"},{"owner_type":"individual","owner_name":"Christian Reinarz","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2021-04-01","owner_name_raw":"REINARZ, CHRISTIAN"},{"owner_type":"individual","owner_name":"Norma Stanbridge","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2021-04-01","owner_name_raw":"STANBRIDGE, NORMA"},{"owner_type":"individual","owner_name":"Celeste Zalesky","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-12-16","owner_name_raw":"ZALESKY, CELESTE"}],"inspections":[{"id":"cms-676263-20260819-health","ccn":"676263","date":"2026-08-19","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":2,"max_severity_level":4,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0689","ss":"J","sl":4,"cs":"past_noncompliance","cmp":1},{"t":"cms-f0609","ss":"D","sl":2,"cs":"corrected","cd":"2026-08-20","cmp":1}]},{"id":"cms-676263-20260516-fire","ccn":"676263","date":"2026-05-16","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0351","ss":"F","sl":2,"cs":"corrected","cd":"2026-06-05","std":1,"tv":"New"},{"t":"cms-k0353","ss":"E","sl":2,"cs":"corrected","cd":"2026-06-05","std":1,"tv":"New"}]},{"id":"cms-676263-20260516-health","ccn":"676263","date":"2026-05-16","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","Health Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":6,"max_severity_level":4,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0600","ss":"K","sl":4,"cs":"corrected","cd":"2026-05-17","cmp":1},{"t":"cms-f0686","ss":"K","sl":4,"cs":"corrected","cd":"2026-05-17","cmp":1,"std":1},{"t":"cms-f0656","ss":"E","sl":2,"cs":"corrected","cd":"2026-05-17","std":1},{"t":"cms-f0677","ss":"D","sl":2,"cs":"corrected","cd":"2026-05-17","std":1},{"t":"cms-f0690","ss":"D","sl":2,"cs":"corrected","cd":"2026-05-17","std":1},{"t":"cms-f0755","ss":"D","sl":2,"cs":"corrected","cd":"2026-05-17","std":1}]},{"id":"cms-676263-20251120-health","ccn":"676263","date":"2025-11-20","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":7,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0627","ss":"D","sl":2,"cs":"corrected","cd":"2025-11-21","cmp":1},{"t":"cms-f0656","ss":"D","sl":2,"cs":"corrected","cd":"2025-11-21","cmp":1},{"t":"cms-f0677","ss":"D","sl":2,"cs":"corrected","cd":"2025-11-21","cmp":1},{"t":"cms-f0810","ss":"D","sl":2,"cs":"corrected","cd":"2025-11-21","cmp":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2025-11-21","cmp":1},{"t":"cms-f0908","ss":"D","sl":2,"cs":"corrected","cd":"2025-11-21","cmp":1},{"t":"cms-f0919","ss":"D","sl":2,"cs":"corrected","cd":"2025-11-21","cmp":1}]},{"id":"cms-676263-20251027-health","ccn":"676263","date":"2025-10-27","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":5,"max_severity_level":4,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0689","ss":"J","sl":4,"cs":"corrected","cd":"2025-10-28","cmp":1},{"t":"cms-f0609","ss":"D","sl":2,"cs":"corrected","cd":"2025-10-28","cmp":1},{"t":"cms-f0690","ss":"D","sl":2,"cs":"corrected","cd":"2025-10-28","cmp":1},{"t":"cms-f0755","ss":"D","sl":2,"cs":"corrected","cd":"2025-10-28","cmp":1},{"t":"cms-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2025-11-21","cmp":1}]},{"id":"cms-676263-20250731-health","ccn":"676263","date":"2025-07-31","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0684","ss":"D","sl":2,"cs":"corrected","cd":"2025-08-01","cmp":1}]},{"id":"cms-676263-20250228-fire","ccn":"676263","date":"2025-02-28","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0929","ss":"E","sl":2,"cs":"corrected","cd":"2025-02-27","std":1,"tv":"New"}]},{"id":"cms-676263-20250228-health","ccn":"676263","date":"2025-02-28","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":4,"max_severity_level":4,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0689","ss":"J","sl":4,"cs":"corrected","cd":"2025-03-01","cmp":1},{"t":"cms-f0656","ss":"D","sl":2,"cs":"corrected","cd":"2025-03-01","cmp":1,"std":1},{"t":"cms-f0677","ss":"E","sl":2,"cs":"corrected","cd":"2025-03-01","cmp":1,"std":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2025-03-01","std":1}]},{"id":"cms-676263-20250220-health","ccn":"676263","date":"2025-02-20","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":4,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0695","ss":"J","sl":4,"cs":"past_noncompliance","cd":"2024-06-13","cmp":1}]},{"id":"cms-676263-20250214-health","ccn":"676263","date":"2025-02-14","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":4,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0684","ss":"K","sl":4,"cs":"corrected","cd":"2025-02-15","cmp":1}]},{"id":"cms-676263-20231116-fire","ccn":"676263","date":"2023-11-16","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0324","ss":"E","sl":2,"cs":"corrected","cd":"2023-11-28","std":1,"tv":"New"},{"t":"cms-k0352","ss":"F","sl":2,"cs":"corrected","cd":"2023-11-28","std":1,"tv":"New"}]},{"id":"cms-676263-20231116-health","ccn":"676263","date":"2023-11-16","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":9,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0656","ss":"E","sl":2,"cs":"corrected","cd":"2023-11-28","cmp":1,"std":1},{"t":"cms-f0657","ss":"D","sl":2,"cs":"corrected","cd":"2023-12-08","cmp":1,"std":1},{"t":"cms-f0658","ss":"D","sl":2,"cs":"corrected","cd":"2023-11-28","cmp":1,"std":1},{"t":"cms-f0677","ss":"D","sl":2,"cs":"corrected","cd":"2023-11-28","cmp":1,"std":1},{"t":"cms-f0684","ss":"D","sl":2,"cs":"corrected","cd":"2023-11-28","cmp":1,"std":1},{"t":"cms-f0759","ss":"D","sl":2,"cs":"corrected","cd":"2023-11-28","cmp":1,"std":1},{"t":"cms-f0760","ss":"D","sl":2,"cs":"corrected","cd":"2023-11-28","cmp":1,"std":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2023-11-28","cmp":1,"std":1},{"t":"cms-f0919","ss":"E","sl":2,"cs":"corrected","cd":"2023-11-28","cmp":1,"std":1}]}],"deficiency_types":{"cms-f0689":{"code":"F-0689","title":"Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0609":{"code":"F-0609","title":"Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-k0351":{"code":"K-0351","title":"Install an approved automatic sprinkler system.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0353":{"code":"K-0353","title":"Inspect, test, and maintain automatic sprinkler systems.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0600":{"code":"F-0600","title":"Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0686":{"code":"F-0686","title":"Provide appropriate pressure ulcer care and prevent new ulcers from developing.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0656":{"code":"F-0656","title":"Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0677":{"code":"F-0677","title":"Provide care and assistance to perform activities of daily living for any resident who is unable.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0690":{"code":"F-0690","title":"Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care,  and appropriate care  to prevent urinary tract infections.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0755":{"code":"F-0755","title":"Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0627":{"code":"F-0627","title":"Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0810":{"code":"F-0810","title":"Provide special eating equipment and utensils for residents who need them and appropriate assistance.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0880":{"code":"F-0880","title":"Provide and implement an infection prevention and control program.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"cms-f0908":{"code":"F-0908","title":"Keep all essential equipment working safely.","category":"Environmental Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0919":{"code":"F-0919","title":"Make sure that a working call system is available in each resident's  bathroom and bathing area.","category":"Environmental Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0684":{"code":"F-0684","title":"Provide appropriate treatment and care according to orders, resident’s preferences and goals.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-k0929":{"code":"K-0929","title":"Ensure precautions for handling oxygen cylinders and equipment are correctly followed.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0695":{"code":"F-0695","title":"Provide safe and appropriate respiratory care for a resident when needed.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-k0352":{"code":"K-0352","title":"Properly install and monitor supervisory attachments on automatic sprinkler systems.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0324":{"code":"K-0324","title":"Provide properly protected cooking facilities.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0657":{"code":"F-0657","title":"Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0658":{"code":"F-0658","title":"Ensure services provided by the nursing facility meet professional standards of quality.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0759":{"code":"F-0759","title":"Ensure medication error rates are not 5 percent or greater.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0760":{"code":"F-0760","title":"Ensure that residents are free from significant medication errors.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"}},"penalties":[{"id":"cms-676263-pen-f144623","type":"fine","type_label":"Civil money penalty (fine)","date":"2026-08-19","amount":26160,"fine_id":"144623","evidence_class":"VERIFIED","source_record_id":"676263|Fine|144623"},{"id":"cms-676263-pen-f141610","type":"fine","type_label":"Civil money penalty (fine)","date":"2026-05-16","amount":103390,"fine_id":"141610","evidence_class":"VERIFIED","source_record_id":"676263|Fine|141610"},{"id":"cms-676263-pen-f135578","type":"fine","type_label":"Civil money penalty (fine)","date":"2025-10-27","amount":10361,"fine_id":"135578","evidence_class":"VERIFIED","source_record_id":"676263|Fine|135578"},{"id":"cms-676263-pen-f113651","type":"fine","type_label":"Civil money penalty (fine)","date":"2025-02-28","amount":17345,"fine_id":"113651","evidence_class":"VERIFIED","source_record_id":"676263|Fine|113651"},{"id":"cms-676263-pen-f113634","type":"fine","type_label":"Civil money penalty (fine)","date":"2025-02-20","amount":13822,"fine_id":"113634","evidence_class":"VERIFIED","source_record_id":"676263|Fine|113634"},{"id":"cms-676263-pen-f113594","type":"fine","type_label":"Civil money penalty (fine)","date":"2025-02-14","amount":31304,"fine_id":"113594","evidence_class":"VERIFIED","source_record_id":"676263|Fine|113594"}],"state_actions":[],"record_urls":{"cms_provider_info":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=676263&conditions%5B0%5D%5Boperator%5D=%3D","cms_ownership":"https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=676263&conditions%5B0%5D%5Boperator%5D=%3D","cms_health_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=676263&conditions%5B0%5D%5Boperator%5D=%3D","cms_fire_safety_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=676263&conditions%5B0%5D%5Boperator%5D=%3D","cms_penalties":"https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=676263&conditions%5B0%5D%5Boperator%5D=%3D","cms_inspection_dates":"https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=676263&conditions%5B0%5D%5Boperator%5D=%3D"},"compact_keys":{"t":"deficiency_type_id","ss":"scope_severity_code","sl":"severity_level (1–4)","cs":"correction_status","cd":"correction_date","cmp":"complaint","std":"standard survey","ic":"infection control","idr":"under IDR","iidr":"under IIDR","tv":"tag version"},"benchmarks":{"state":{"key":"TX","overall_rating":2.8,"health_inspection_rating":2.8,"qm_rating":3.8,"staffing_rating":1.9,"avg_residents_per_day":75.9,"cycle1_health_deficiencies":9.6,"cycle1_fire_deficiencies":3.2,"nurse_aide_hprd":2.03,"lpn_hprd":0.94,"rn_hprd":0.44127,"licensed_hprd":1.39,"total_nurse_hprd":3.41615,"weekend_total_nurse_hprd":2.99221,"weekend_rn_hprd":0.35,"pt_hprd":0.07,"nursing_turnover_pct":50.8,"rn_turnover_pct":49.8,"administrators_left":0.6,"case_mix_index":1.39704,"fines":1.4,"fine_amount":42987,"processing_note":"CMS State and US Averages"},"nation":{"key":"NATION","overall_rating":3,"health_inspection_rating":2.8,"qm_rating":3.7,"staffing_rating":3,"avg_residents_per_day":85.7,"cycle1_health_deficiencies":9.2,"cycle1_fire_deficiencies":4.4,"nurse_aide_hprd":2.35,"lpn_hprd":0.86,"rn_hprd":0.69164,"licensed_hprd":1.55,"total_nurse_hprd":3.90085,"weekend_total_nurse_hprd":3.43303,"weekend_rn_hprd":0.48,"pt_hprd":0.07,"nursing_turnover_pct":45.3,"rn_turnover_pct":42.5,"administrators_left":0.5,"case_mix_index":1.41025,"fines":0.9,"fine_amount":30351,"processing_note":"CMS State and US Averages"}},"geo":{"state":{"code":"TX","name":"Texas"},"county":{"fips":"48201","name":"Harris County"},"zip":"77338","city":"Humble"},"related":{"same_operator":[{"id":"cms-455515","ccn":"455515","name":"Copperas Cove Nursing & Rehabilitation","address":"607 W. Ave. B","city":"Copperas Cove","state":"TX","zip":"76522","beds":123,"overall":1,"inspections":15,"last_inspection":"2026-08-19","deficiencies":47,"serious":2,"ij":2,"open":0,"fines_total":24242,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-455561","ccn":"455561","name":"Beaumont Health Care Center","address":"795 Lindbergh Dr","city":"Beaumont","state":"TX","zip":"77707","beds":82,"overall":5,"inspections":8,"last_inspection":"2026-07-08","deficiencies":24,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-455565","ccn":"455565","name":"Avir at Town Creek","address":"1816 Tile Factory Rd","city":"Palestine","state":"TX","zip":"75801","beds":102,"overall":3,"inspections":10,"last_inspection":"2026-02-18","deficiencies":30,"serious":2,"ij":0,"open":0,"fines_total":49065,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-455646","ccn":"455646","name":"Marshall Manor Nursing & Rehabilitation Center","address":"1007 S Washington Ave","city":"Marshall","state":"TX","zip":"75670","beds":179,"overall":4,"inspections":9,"last_inspection":"2026-07-29","deficiencies":31,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-455682","ccn":"455682","name":"Afton Oaks Nursing and Rehabilitation Center","address":"7514 Kingsley St","city":"Houston","state":"TX","zip":"77087","beds":169,"overall":1,"inspections":15,"last_inspection":"2026-08-28","deficiencies":46,"serious":10,"ij":8,"open":2,"fines_total":71838,"sff":"SFF Candidate","abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-455700","ccn":"455700","name":"Willowbrook Nursing Center","address":"227 Russell Blvd","city":"Nacogdoches","state":"TX","zip":"75965","beds":166,"overall":3,"inspections":8,"last_inspection":"2025-07-09","deficiencies":27,"serious":1,"ij":1,"open":0,"fines_total":153439,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-455715","ccn":"455715","name":"Monument Hill Nursing and Rehabilitation Center","address":"120 State Loop 92","city":"La Grange","state":"TX","zip":"78945","beds":104,"overall":2,"inspections":10,"last_inspection":"2026-08-06","deficiencies":31,"serious":1,"ij":1,"open":0,"fines_total":8281,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-455753","ccn":"455753","name":"Oak Brook Health Care Center","address":"107 Stacy Dr.","city":"Whitehouse","state":"TX","zip":"75791","beds":120,"overall":3,"inspections":6,"last_inspection":"2026-06-17","deficiencies":24,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]}],"same_operator_total":76,"same_chain":[{"id":"cms-455700","ccn":"455700","name":"Willowbrook Nursing Center","address":"227 Russell Blvd","city":"Nacogdoches","state":"TX","zip":"75965","beds":166,"overall":3,"inspections":8,"last_inspection":"2025-07-09","deficiencies":27,"serious":1,"ij":1,"open":0,"fines_total":153439,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-455761","ccn":"455761","name":"Mission Nursing and Rehabilitation Center","address":"1013 S. Bryan Rd.","city":"Mission","state":"TX","zip":"78572","beds":170,"overall":4,"inspections":11,"last_inspection":"2026-04-02","deficiencies":30,"serious":1,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-675431","ccn":"675431","name":"Red Oak Health and Rehabilitation Center","address":"101 Reese Dr.","city":"Red Oak","state":"TX","zip":"75154","beds":144,"overall":2,"inspections":12,"last_inspection":"2026-08-20","deficiencies":25,"serious":2,"ij":1,"open":3,"fines_total":29710,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-675633","ccn":"675633","name":"Holland Lake Rehabilitation and Wellness Center","address":"1201 Holland Lake Dr.","city":"Weatherford","state":"TX","zip":"76086","beds":120,"overall":5,"inspections":10,"last_inspection":"2026-04-12","deficiencies":25,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-675744","ccn":"675744","name":"Friendship Haven Healthcare and Rehabilitation Cen","address":"1500 Sunset Dr","city":"Friendswood","state":"TX","zip":"77546","beds":150,"overall":5,"inspections":9,"last_inspection":"2026-02-20","deficiencies":17,"serious":1,"ij":0,"open":0,"fines_total":8018,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-675759","ccn":"675759","name":"Stonegate Nursing and Rehabilitation","address":"4201 Stonegate Blvd.","city":"Fort Worth","state":"TX","zip":"76109","beds":134,"overall":5,"inspections":9,"last_inspection":"2026-02-12","deficiencies":40,"serious":3,"ij":3,"open":0,"fines_total":16801,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-675818","ccn":"675818","name":"Park Manor of Cyfair","address":"11001 Crescent Moon Dr","city":"Houston","state":"TX","zip":"77064","beds":120,"overall":5,"inspections":8,"last_inspection":"2026-05-01","deficiencies":13,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-675819","ccn":"675819","name":"Park Manor of South Belt","address":"11902 Resource Pkwy","city":"Houston","state":"TX","zip":"77089","beds":120,"overall":4,"inspections":7,"last_inspection":"2025-12-12","deficiencies":16,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]}],"same_chain_total":30,"same_site_review":[],"nearby":[{"id":"cms-676463","ccn":"676463","name":"Crimson Heights Health & Wellness","address":"19279 Mckay Dr","city":"Humble","state":"TX","zip":"77338","beds":118,"overall":2,"inspections":13,"last_inspection":"2026-03-09","deficiencies":40,"serious":4,"ij":3,"open":0,"fines_total":33539,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":0.8},{"id":"cms-675991","ccn":"675991","name":"Park Manor of Humble","address":"19414 Mckay Drive","city":"Humble","state":"TX","zip":"77338","beds":125,"overall":4,"inspections":12,"last_inspection":"2026-05-21","deficiencies":27,"serious":3,"ij":3,"open":0,"fines_total":181138,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":0.9},{"id":"cms-675127","ccn":"675127","name":"Focused Care at Humble","address":"93 Isaacks Rd","city":"Humble","state":"TX","zip":"77338","beds":134,"overall":1,"inspections":12,"last_inspection":"2026-07-15","deficiencies":38,"serious":6,"ij":5,"open":0,"fines_total":98015,"abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":2.7},{"id":"cms-455725","ccn":"455725","name":"Oakmont Healthcare and Rehabilitation of Humble","address":"8450 Will Clayton Parkway","city":"Humble","state":"TX","zip":"77338","beds":134,"overall":3,"inspections":12,"last_inspection":"2026-06-11","deficiencies":29,"serious":2,"ij":2,"open":0,"fines_total":226279,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":3.5},{"id":"cms-676160","ccn":"676160","name":"Kingwood Rehabilitation and Healthcare Center","address":"23775 Kingwood Place","city":"Kingwood","state":"TX","zip":"77339","beds":194,"overall":1,"inspections":8,"last_inspection":"2026-08-14","deficiencies":27,"serious":7,"ij":7,"open":0,"fines_total":72573,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":7.1},{"id":"cms-676412","ccn":"676412","name":"Fall Creek Rehabilitation and Healthcare Center","address":"14949 Mesa Dr","city":"Humble","state":"TX","zip":"77396","beds":126,"overall":1,"inspections":13,"last_inspection":"2026-07-26","deficiencies":31,"serious":7,"ij":7,"open":1,"fines_total":48555,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":7.5},{"id":"cms-676476","ccn":"676476","name":"The Heights on Valley Ranch","address":"23200 Valley Ranch Parkway","city":"Porter","state":"TX","zip":"77365","beds":122,"overall":4,"inspections":8,"last_inspection":"2026-07-30","deficiencies":27,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":13.1},{"id":"cms-676356","ccn":"676356","name":"The Heights of North Houston","address":"303 Hollow Tree Lane","city":"Houston","state":"TX","zip":"77090","beds":131,"overall":2,"inspections":10,"last_inspection":"2026-06-18","deficiencies":35,"serious":3,"ij":2,"open":0,"fines_total":31541,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":14.8}]}}