Houston Heights Nursing And Rehabilitation Center

Penalties

• Jun 27, 2025 — Fine ($8,281)
• May 22, 2025 — Fine ($45,146)
• Jan 22, 2024 — Fine ($13,900)
• Jan 22, 2024 — Fine ($13,900)
• Jan 22, 2024 — Payment Denial · payment denial 70 days

Inspection findings

1. Mar 6, 2026 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0644 Resident Assessment and Care Planning Deficiencies

     Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

     Corrected Mar 9, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Mar 9, 2026 · CMS health inspection

2. Jun 27, 2025 Health · 5 findings
   • Not serious Scope/severity D

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected Jun 28, 2025 · CMS health inspection

   • Serious Scope/severity J Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Jun 21, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0759 Pharmacy Service Deficiencies

     Ensure medication error rates are not 5 percent or greater.

     Corrected Jun 28, 2025 · CMS health inspection

   • Not serious Scope/severity F

     K0352 Smoke Deficiencies

     Properly install and monitor supervisory attachments on automatic sprinkler systems.

     Corrected Jun 30, 2025 · CMS fire safety

   • Not serious Scope/severity D

     K0374 Smoke Deficiencies

     Install smoke barrier doors that can resist smoke for at least 20 minutes.

     Corrected Jun 30, 2025 · CMS fire safety

3. Jun 17, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0635 Resident Assessment and Care Planning Deficiencies

     Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

     Corrected Jun 18, 2025 · CMS health inspection

4. May 22, 2025 Health · 2 findings
   • Serious Scope/severity H Complaint

     F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

     Corrected Jun 12, 2025 · CMS health inspection

   • Serious Scope/severity G Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Jun 22, 2025 · CMS health inspection

5. Jun 14, 2024 Health · 3 findings
   • Not serious Scope/severity D Complaint

     F0580 Resident Rights Deficiencies

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

     Corrected Jul 5, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

     Corrected Jul 5, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Jul 5, 2024 · CMS health inspection

6. May 23, 2024 Health · 6 findings
   • Not serious Scope/severity D

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Jun 13, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0645 Resident Assessment and Care Planning Deficiencies

     PASARR screening for Mental disorders or Intellectual Disabilities

     Corrected Jun 13, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Jun 13, 2024 · CMS health inspection

   • Not serious Scope/severity D

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Jun 13, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected Jun 13, 2024 · CMS fire safety

   • Not serious Scope/severity D

     K0741 Miscellaneous Deficiencies

     Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

     Corrected Jun 13, 2024 · CMS fire safety

7. Mar 21, 2024 Health · 2 findings
   • Serious Scope/severity J Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Mar 23, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0839 Administration Deficiencies

     Employ staff that are licensed, certified, or registered in accordance with state laws.

     Corrected Mar 23, 2024 · CMS health inspection

8. Jan 22, 2024 Health · 3 findings
   • Serious Scope/severity J Complaint

     F0580 Resident Rights Deficiencies

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

     Corrected Jan 23, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Apr 30, 2024 · CMS health inspection

   • Serious Scope/severity J Complaint

     F0678 Quality of Life and Care Deficiencies

     Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

     Corrected Jan 23, 2024 · CMS health inspection

9. Apr 6, 2023 Health · 5 findings
   • Not serious Scope/severity D

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Apr 20, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Apr 20, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0761 Pharmacy Service Deficiencies

     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.

     Corrected Apr 20, 2023 · CMS health inspection

   • Not serious Scope/severity C

     F0814 Nutrition and Dietary Deficiencies

     Dispose of garbage and refuse properly.

     Corrected Apr 20, 2023 · CMS health inspection

   • Not serious Scope/severity E

     K0929 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

     Corrected Apr 20, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• BAIRD, DANIEL — managing control - governing body, NOT APPLICABLE, since 04/13/2021
• BERSOLA, CHARLES — adp of the snf, NOT APPLICABLE, since 01/01/2025
• CARTER, ELIZABETH — operational/managerial control, NOT APPLICABLE, since 03/24/2025
• CARTER, ELIZABETH — adp of the snf, NOT APPLICABLE, since 03/24/2025
• CLAPP, BARBARA — managing control - governing body, NOT APPLICABLE, since 06/01/2021
• CORTESE, DAREN — managing control - governing body, NOT APPLICABLE, since 08/10/2021
• DEKOWSKI, DONOVAN — adp of the snf, NOT APPLICABLE, since 12/16/2024
• DEKOWSKI, DONOVAN — operational/managerial control, NOT APPLICABLE, since 12/16/2024
• FRANSAW, DOMINIQUE — adp of the snf, NOT APPLICABLE, since 01/01/2025
• FREUDENBERGER, JOSEPH — managing control - governing body, NOT APPLICABLE, since 06/19/2007
• FREUDENBERGER, JOSEPH — corporate officer, NOT APPLICABLE, since 06/19/2007
• GIBSON, PATRICIA — managing control - governing body, NOT APPLICABLE, since 08/01/2021
• HALEY, JEFF — managing control - governing body, NOT APPLICABLE, since 07/15/2016
• HUGHES, RUSTON — managing control - governing body, NOT APPLICABLE, since 01/01/2024
• KING, ELIZABETH — managing control - governing body, NOT APPLICABLE, since 01/17/2023
• MANDELBAUM, ELLIOT — managing control - governing body, NOT APPLICABLE, since 01/01/2025
• PISANI, ADAM — managing control - governing body, NOT APPLICABLE, since 01/15/2019
• ZAHARIA, ADRIAN — adp of the snf, NOT APPLICABLE, since 06/14/2023
• ZAHARIA, ADRIAN — operational/managerial control, NOT APPLICABLE, since 06/14/2023
• CSV RHEA MANAGEMENT HOLDCO, LLC — indirect ownership interest, NOT APPLICABLE, since 12/16/2024
• DWD TX HOLDINGS LLC — indirect ownership interest, NOT APPLICABLE, since 12/16/2024
• JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC — indirect ownership interest, NOT APPLICABLE, since 12/16/2024
• OAKBEND MEDICAL CENTER — operational/managerial control, NOT APPLICABLE, since 02/28/2015
• OAKBEND MEDICAL CENTER — adp of the snf, NOT APPLICABLE, since 04/12/2025
• OAKBEND MEDICAL CENTER — 5% or greater direct ownership interest, 100%, since 02/28/2015
• REG LEASED OPCO LLC — indirect ownership interest, NOT APPLICABLE, since 12/16/2024
• REG OPERATOR HOLDCO LLC — indirect ownership interest, NOT APPLICABLE, since 12/16/2024
• REGENCY IHS CLINICAL CONSULTING, LLC — adp of the snf, NOT APPLICABLE, since 12/16/2024
• REGENCY IHS REHAB LLC — adp of the snf, NOT APPLICABLE, since 12/16/2024
• REGENCY INTEGRATED HEALTH SERVICES LLC — adp of the snf, NOT APPLICABLE, since 04/12/2025
• REGENCY INTEGRATED HEALTH SERVICES LLC — indirect ownership interest, NOT APPLICABLE, since 12/16/2024
• REGENCY INTEGRATED HEALTH SERVICES LLC — operational/managerial control, NOT APPLICABLE, since 12/16/2024
• REGENCY TEXAS HOLDINGS LLC — indirect ownership interest, NOT APPLICABLE, since 12/16/2024
• WELLSENTIAL OF HOUSTON HEIGHTS LLC — adp of the snf, NOT APPLICABLE, since 04/12/2025
• WELLSENTIAL OF HOUSTON HEIGHTS LLC — direct ownership interest, NOT APPLICABLE, since 12/16/2024
• WELLSENTIAL OF HOUSTON HEIGHTS LLC — operational/managerial control, NOT APPLICABLE, since 12/16/2024