Nursing home
Misty Willow Healthcare and Rehabilitation Center
12921 Misty Willow Dr, Houston, TX 77070 · Map
For profit - Limited Liability company · Part of The Ensign Group (329 facilities) · 124 certified beds
Misty Willow Healthcare and Rehabilitation Center is a Medicare-certified nursing home in Houston, Texas. CMS rates it 1 out of 5 stars overall (2/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.36 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Dec 4, 2025 cited 15 deficiencies. Note: it is a CMS Special Focus Facility under enhanced oversight and it carries a CMS abuse icon.
- CMS abuse iconThis facility has an active abuse icon on its CMS record.
- Special Focus Facility candidateCMS lists this facility as a candidate for enhanced oversight.
- 2 fines totaling $46,677In CMS records: 2 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Misty Willow Healthcare and Rehabilitation Center compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.36 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.52 | 0.44 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 1.96 | 2.01 | 2.34 | below avg |
| Nursing staff turnover | 58.4% | 51.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 15.0 | 9.1 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the March 9, 2026 inspection was corrected by March 11, 2026
Penalties in CMS records: 2 fines totaling $46,677, 2 total penalties.
What inspectors found at Misty Willow Healthcare and Rehabilitation Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Immediate jeopardy
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Mar 9, 2026 · Full report (PDF) - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Mar 9, 2026 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Dec 4, 2025 · Full report (PDF) - Potential for harm
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary Deficiencies · Dec 4, 2025 · Full report (PDF) - Potential for harm
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies · Dec 4, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
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 · Dec 4, 2025 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Dec 4, 2025 · Full report (PDF) - Potential for harm
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies · Dec 4, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Dec 4, 2025 · Full report (PDF) - Immediate jeopardy
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 · Sep 24, 2025 · Full report (PDF) - Immediate jeopardy
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Sep 24, 2025 · Full report (PDF) - Immediate jeopardy
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Sep 24, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 12921 Misty Willow Dr
Houston, TX 77070 - CMS certification #
- 676251
- Ownership
- For profit - Limited Liability company
- Certified beds
- 124
- Avg residents/day
- 95.8
- Provider type
- Medicare and Medicaid
- First certified
- 2010-04-21
- Chain
- The Ensign Group (329 facilities)
- Setting
- Urban
Part of The Ensign Group
The Ensign Group operates 329 nursing facilities across the United States. View all The Ensign Group facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Misty Willow Healthcare and Rehabilitation Center using Google Maps.
Other public records
- Website says Nurse 24 hours a day
Full public records, with dates and sources
Care and services
From the community’s website
What Misty Willow Healthcare and Rehabilitation Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Nurse on site: 24 hours a day.
Our Nursing staff provides 24-hour round the clock care for our residents under the direction of our in-house physicians.
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Houston Methodist Willowbrook Hospital, Houston. 1.4 miles away, straight line. CMS overall hospital rating: 5 of 5 stars. Location approximate.
- Nearest Medicare nursing home
- North Houston Transitional Care, Houston. 0.4 miles away, straight line.
- Nearest home health agency office
- Sms Home Health LLC, Houston. 0.6 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 1.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 77070 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Willowbrook Dialysis, Houston, 1.9 miles away, straight line (CMS rating 2 of 5 stars)
Davita Vintage Dialysis, Houston, 2.1 miles away, straight line (CMS rating 3 of 5 stars)
Fkc Vintage Park, Houston, 2.3 miles away, straight line - Hospice
- 86 Medicare hospices tell CMS they serve ZIP code 77070.
Sms Hospice Care LLC, office in Houston, 0.6 miles away, straight line
Silverado Hospice - North Houston, office in Houston, 1.4 miles away, straight line (CMS family survey rating 2 of 5 stars)
Omegalife Hospice Of Texas Inc, office in Houston, 2.6 miles away, straight line - Nearest geriatric medicine practice
- Cs Pacs 3 Southwest, LLC, Houston. 1.0 mile away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane relatively high, inland flooding relatively moderate, wildfire very low, tornado very high, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
Looking for assisted living or memory care instead?
Frequently asked questions
Is Misty Willow Healthcare and Rehabilitation Center a good nursing home?
CMS gives Misty Willow Healthcare and Rehabilitation Center an overall rating of 1 out of 5 stars, including 2/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Misty Willow Healthcare and Rehabilitation Center staffed?
Misty Willow Healthcare and Rehabilitation Center reports 3.36 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Misty Willow Healthcare and Rehabilitation Center had inspection problems?
Its most recent CMS inspection cited 15 deficiencies. This facility is on CMS's Special Focus list for enhanced oversight.
How many beds does Misty Willow Healthcare and Rehabilitation Center have?
Misty Willow Healthcare and Rehabilitation Center is certified for 124 beds.