Cypress Creek Rehabilitation And Healthcare Center
Cypress, Harris County, Texas · CCN 676467 · For-profit (Individual) · part of Momentum Skilled Services (9 facilities, chain average 2 stars)
CMS rates Cypress Creek Rehabilitation And Healthcare Center 2 of 5 overall as of August 2026. 122 certified beds, 92 residents a day on average. 20 citations on record from the current inspection cycles, 2 at immediate jeopardy; 2 fines totalling $74,263.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★☆☆☆ 2 of 5 |
|---|---|
| Health inspections | ★★★☆☆ 3 of 5 |
| Staffing | ★☆☆☆☆ 1 of 5 |
| Quality measures | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | 4 / 3 of 5 |
Staffing
| Total nurse staffing | 3.22702 hours per resident per day |
|---|---|
| Registered nurses | 0.20556 hours per resident per day |
| Weekend total | 2.70159 hours per resident per day |
| Nursing staff turnover | 66.7% (registered nurses 87.5%) |
| Administrators who left | 1 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-04-30 complaint survey |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-01 |
| 2026-01-30 complaint survey |
Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · tag F0583 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-02-02 |
| 2026-01-30 complaint survey |
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 · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-02-02 |
| 2026-01-30 complaint survey |
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 · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-02-02 |
| 2025-05-29 complaint survey |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600 |
J Immediate jeopardy to resident health or safety; isolated | Past Non-Compliance 2025-04-22 |
| 2025-05-29 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-08-06 |
| 2025-05-29 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-08-06 |
| 2025-05-29 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-08-06 |
| 2025-05-09 complaint survey |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-10 |
| 2024-03-07 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
K Immediate jeopardy to resident health or safety; pattern | Deficient, Provider has date of correction 2024-03-26 |
| 2024-03-07 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-03-26 |
| 2024-03-07 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · tag F0690 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-03-26 |
| 2024-03-07 complaint survey |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-03-26 |
| 2024-03-07 complaint survey |
Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-26 |
| 2022-11-10 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · tag F0814 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2022-11-16 |
| 2022-11-10 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · tag F0584 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2022-11-16 |
| 2022-11-10 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · tag F0727 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2022-11-16 |
| 2022-11-10 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2022-11-16 |
| 2022-11-10 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-11-16 |
| 2022-11-10 | 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 · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-11-16 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2025-05-09 | Fine | $10,361 |
| 2024-03-07 | Fine | $63,902 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Broad River Healthcare, LLC Organization | 5% or greater mortgage interest | — | 2022-05-01 |
| Clover Modern Investments, LLC Organization | 5% or greater mortgage interest | — | 2022-05-01 |
| Clover Parent, LLC Organization | 5% or greater mortgage interest | — | 2022-05-01 |
| Martel Financial Investments, LLC Organization | 5% or greater mortgage interest | — | 2022-05-01 |
| The Smithers Management Trust Organization | 5% or greater mortgage interest | — | 2022-05-01 |
| Broad River Healthcare, LLC Organization | adp of the snf | — | 2022-05-01 |
| Clover Modern Investments, LLC Organization | adp of the snf | — | 2022-05-01 |
| Clover Parent, LLC Organization | adp of the snf | — | 2022-05-01 |
| Martel Financial Investments, LLC Organization | adp of the snf | — | 2022-05-01 |
| The Smithers Management Trust Organization | adp of the snf | — | 2022-05-01 |
| Nwh Rehab LLC Organization | operational/managerial control | — | 2022-05-01 |
| Compton, Charles Individual | 5% or greater mortgage interest | — | 2022-05-01 |
| Compton, James Individual | 5% or greater mortgage interest | — | 2022-05-01 |
| Compton, Kris Individual | 5% or greater mortgage interest | — | 2022-05-01 |
| Martel, Michael Individual | 5% or greater mortgage interest | — | 2022-05-01 |
| Compton, Charles Individual | adp of the snf | — | 2022-05-01 |
| Compton, James Individual | adp of the snf | — | 2022-05-01 |
| Compton, Kris Individual | adp of the snf | — | 2022-05-01 |
| Martel, Michael Individual | adp of the snf | — | 2022-05-01 |
| Suter, Rachel Individual | adp of the snf | — | 2016-06-27 |
| White, Kara Individual | adp of the snf | — | 2024-09-17 |
| Thompson, Johnny Individual | corporate officer | — | 2024-07-01 |
| Smithers, Jeffrey Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-03-26 |
| Threadgill, Forrest Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-03-26 |
| Threadgill, Morgan Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-03-26 |
| Threadgill, Sharlyn Individual | operational/managerial control | — | 2022-05-01 |
What changed
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One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Cypress Creek Rehabilitation And Healthcare Center.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Harris County.