West Houston Rehabilitation And Healthcare Center

Penalties

• Oct 25, 2024 — Fine ($182,988)
• Oct 25, 2024 — Payment Denial · payment denial 9 days
• Mar 11, 2024 — Fine ($22,205)

Inspection findings

1. May 20, 2026 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0584 Resident Rights Deficiencies

     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.

     Corrected May 25, 2026 · CMS health inspection

2. Apr 8, 2026 Health · 5 findings
   • Not serious Scope/severity E

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Apr 10, 2026 · CMS health inspection

   • Not serious Scope/severity E

     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 10, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0690 Quality of Life and Care Deficiencies

     Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

     Corrected Apr 10, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0695 Quality of Life and Care Deficiencies

     Provide safe and appropriate respiratory care for a resident when needed.

     Corrected Apr 10, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0790 Quality of Life and Care Deficiencies

     Provide routine and 24-hour emergency dental care for each resident.

     Corrected Apr 10, 2026 · CMS health inspection

3. Jan 30, 2025 Health · 9 findings
   • Not serious Scope/severity D

     F0558 Resident Rights Deficiencies

     Reasonably accommodate the needs and preferences of each resident.

     Corrected Jan 31, 2025 · CMS health inspection

   • 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 Jan 31, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0693 Quality of Life and Care Deficiencies

     Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

     Corrected Jan 31, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0695 Quality of Life and Care Deficiencies

     Provide safe and appropriate respiratory care for a resident when needed.

     Corrected Jan 31, 2025 · 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 Jan 31, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0759 Pharmacy Service Deficiencies

     Ensure medication error rates are not 5 percent or greater.

     Corrected Jan 31, 2025 · CMS health inspection

   • Not serious Scope/severity D

     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 Jan 31, 2025 · CMS health inspection

   • Not serious Scope/severity E

     K0355 Smoke Deficiencies

     Properly select, install, inspect, or maintain portable fire extinguishes.

     Corrected Feb 1, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected Feb 1, 2025 · CMS fire safety

4. Dec 31, 2024 Health · 3 findings
   • Not serious Scope/severity E Complaint

     F0677 Quality of Life and Care Deficiencies

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

     Corrected Jan 1, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0686 Quality of Life and Care Deficiencies

     Provide appropriate pressure ulcer care and prevent new ulcers from developing.

     Corrected Jan 1, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jan 1, 2025 · CMS health inspection

5. Nov 21, 2024 Health · 1 finding
   • 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 Dec 13, 2024 · CMS health inspection

6. Oct 25, 2024 Health · 8 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 Oct 26, 2024 · CMS health inspection

   • Serious Scope/severity K 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 Oct 26, 2024 · CMS health inspection

   • Serious Scope/severity K Complaint

     F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Develop and implement policies and procedures to prevent abuse, neglect, and theft.

     Corrected Oct 26, 2024 · CMS health inspection

   • Serious Scope/severity K 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 Oct 26, 2024 · CMS health inspection

   • Serious Scope/severity K Complaint

     F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Respond appropriately to all alleged violations.

     Corrected Oct 26, 2024 · CMS health inspection

   • Serious Scope/severity K Complaint

     F0684 Quality of Life and Care Deficiencies

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

     Corrected Oct 26, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     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 Oct 26, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0835 Administration Deficiencies

     Administer the facility in a manner that enables it to use its resources effectively and efficiently.

     Corrected Oct 26, 2024 · CMS health inspection

7. Mar 11, 2024 Health · 1 finding
   • 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 Mar 28, 2024 · CMS health inspection

8. Dec 7, 2023 Health · 7 findings
   • Not serious Scope/severity D

     F0690 Quality of Life and Care Deficiencies

     Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

     Corrected Dec 29, 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 Dec 29, 2023 · CMS health inspection

   • Not serious Scope/severity E Complaint

     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 Dec 29, 2023 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Dec 29, 2023 · CMS health inspection

   • Not serious Scope/severity F

     K0211 Egress Deficiencies

     Keep aisles, corridors, and exits free of obstruction in case of emergency.

     Corrected Dec 29, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected Dec 29, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

     Have generator or other power source capable of supplying service within 10 seconds.

     Corrected Dec 29, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• COMPTON, CHARLES — 5% or greater mortgage interest, NOT APPLICABLE, since 09/17/2024
• COMPTON, CHARLES — adp of the snf, NOT APPLICABLE, since 09/17/2024
• COMPTON, JAMES — 5% or greater mortgage interest, NOT APPLICABLE, since 09/17/2024
• COMPTON, JAMES — adp of the snf, NOT APPLICABLE, since 09/17/2024
• COMPTON, KRIS — adp of the snf, NOT APPLICABLE, since 09/17/2024
• COMPTON, KRIS — 5% or greater mortgage interest, NOT APPLICABLE, since 09/17/2024
• KOCH, JUSTUS — adp of the snf, NOT APPLICABLE, since 03/15/2021
• MARTEL, MICHAEL — 5% or greater mortgage interest, NOT APPLICABLE, since 09/17/2024
• MARTEL, MICHAEL — adp of the snf, NOT APPLICABLE, since 09/17/2024
• REED, MICHAEL — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 04/02/2025
• REED, STACIE — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 04/02/2025
• TANGUILIG-ROBINSON, CYNTHIA — adp of the snf, NOT APPLICABLE, since 08/09/2016
• THOMPSON, JOHNNY — corporate officer, NOT APPLICABLE, since 07/01/2024
• THREADGILL, FORREST — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 03/26/2025
• THREADGILL, MORGAN — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 03/26/2025
• THREADGILL, SHARLYN — operational/managerial control, NOT APPLICABLE, since 05/01/2021
• COMPTON3 HOLDINGS, LLC — adp of the snf, NOT APPLICABLE, since 05/01/2021
• COMPTON3 HOLDINGS, LLC — 5% or greater mortgage interest, NOT APPLICABLE, since 05/01/2021
• LTC OF WEST HOUSTON LLC — operational/managerial control, NOT APPLICABLE, since 05/01/2021
• MARTEL HEALTHCARE MANAGEMENT LLC — adp of the snf, NOT APPLICABLE, since 05/01/2021
• MARTEL HEALTHCARE MANAGEMENT LLC — 5% or greater mortgage interest, NOT APPLICABLE, since 05/01/2021
• MISSION BEND HEALTHCARE INVESTMENTS, LLC — adp of the snf, NOT APPLICABLE, since 05/01/2021
• MISSION BEND HEALTHCARE INVESTMENTS, LLC — 5% or greater mortgage interest, NOT APPLICABLE, since 05/01/2021
• THE SMITHERS MANAGEMENT TRUST — 5% or greater mortgage interest, NOT APPLICABLE, since 05/01/2021
• THE SMITHERS MANAGEMENT TRUST — adp of the snf, NOT APPLICABLE, since 05/01/2021