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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K2 | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D7 | E7 | F2 |
| Minimal | A· | B· | C· |
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.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Aug 19, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| May 21, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 30, 2025 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Apr 30, 2025 | Health | Health Standard | 0 | No citations | — | Open → |
| Aug 28, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 20, 2024 | Health | Health Complaint | 4 | Immediate jeopardy | — | Open → |
| Jul 2, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 22, 2024 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Feb 22, 2024 | Health | Health Complaint, Health Standard | 1 | Potential harm | — | Open → |
| Dec 1, 2022 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Dec 1, 2022 | Health | Health Standard | 0 | No citations | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Aug 20, 2024 | Civil money penalty (fine) | $11,508 | — | 676434|Fine|113145 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K2 | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D7 | E7 | F2 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 19, 2026 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 1, 2026 | Complaint |
| Aug 19, 2026 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 1, 2026 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
277 facilities in 16 states. CMS chain ID 690.
Chain average overall rating (CMS): 3
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Mainstreeidence Developments LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Aug 29, 2016 |
| Providence Group Nh, LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | Jun 30, 2023 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Mainstreeidence Developments LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Aug 29, 2016 |
| Providence Group Nh, LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | Jun 30, 2023 |
| Frederick Apt | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2024 |
| Mark Hancock | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2024 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Houston Transitional Care 8550 Jason Street, Houston, TX 77074 CCN 676435 | 70 | Jun 24, 2026 | 25 | — |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Misty Willow Healthcare and Rehabilitation Center 12921 Misty Willow Dr, Houston, TX 77070 CCN 676251 | 0.7 km | 124 | Mar 9, 2026 | 338 IJ | $64k | |
| Champions Healthcare at Willowbrook 13500 Breton Ridge, Houston, TX 77070 CCN 676236Abuse icon | 2 km | 98 | Jul 28, 2026 | 301 IJ2 harm1 open | $40k | |
| Fallbrook Rehabilitation and Care Center 10851 Crescent Moon Dr., Houston, TX 77064 CCN 455815SFF Candidate | 4.8 km | 202 | Aug 18, 2026 | 695 IJ3 harm1 open | $70k | |
| Park Manor of Cyfair 11001 Crescent Moon Dr, Houston, TX 77064 CCN 675818 | 4.8 km | 120 | May 1, 2026 | 13 | — | |
| Cypress Creek Rehabilitation and Healthcare Center 13600 Birdcall Lane, Cypress, TX 77429 CCN 676467 | 6.4 km | 122 | Jul 2, 2026 | 182 IJ | $74k | |
| Legend Oaks Healthcare and Rehabilitation Center - 8902 West Rd, Houston, TX 77064 CCN 676137 | 7.4 km | 125 | Aug 13, 2026 | 372 IJ1 harm | $53k | |
| Eagle Crest Rapid Recovery 9602 Huffmeister Rd, Houston, TX 77095 CCN 676208SFF CandidateAbuse icon | 8.6 km | 125 | Apr 2, 2026 | 385 IJ3 harm | $34k | |
| Cypress Pointe Health & Wellness 8561 Easton Commons Dr., Houston, TX 77095 CCN 676482 | 9.6 km | 124 | Mar 6, 2026 | 152 harm | $8,018 |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 676434 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 676434 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| May 21, 2026 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 9, 2026 | Complaint |
| Apr 30, 2025 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 3, 2025 |
| Apr 30, 2025 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 3, 2025 |
| Apr 30, 2025 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 3, 2025 |
| Aug 28, 2024 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Aug 30, 2024 | Complaint |
| Aug 20, 2024 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | K · Immediate jeopardy Pattern | Corrected Aug 22, 2024 | Complaint |
| Aug 20, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | K · Immediate jeopardy Pattern | Corrected Aug 22, 2024 | Complaint |
| Aug 20, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 22, 2024 | Complaint |
| Aug 20, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Aug 22, 2024 | Complaint |
| Jul 2, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 23, 2024 | Complaint |
| Feb 22, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 1, 2024 |
| Feb 22, 2024 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 1, 2024 |
| Feb 22, 2024 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 1, 2024 |
| Feb 22, 2024 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 1, 2024 | Complaint |
| Dec 1, 2022 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 10, 2023 |
| Dec 1, 2022 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 10, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.27 (case-mix index 1.62).
| Joshua Jergensen |
| Individual |
| Corporate officer / director |
| CORPORATE OFFICER |
| not provided |
| Jan 1, 2024 |
| John Mitchell | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2024 |
| Hoang-Anh Phan | Individual | Managing employee | CONTRACTED MANAGING EMPLOYEE | not provided | Jan 1, 2020 |
| Russell Carnagie | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Aug 2, 2023 |