Misty Willow Healthcare and Rehabilitation Center: Staffing, Turnover, and Inspection Record
Misty Willow Healthcare and Rehabilitation Center is a 124-bed for-profit nursing home in Houston, Texas, part of The Ensign Group. In the CMS August 2026 release it reported 1.94 nurse aide hours per resident per day, 3% below the Texas average of 2.00.
Misty Willow Healthcare and Rehabilitation Center
12921 Misty Willow DrHouston, TX 77070
Harris County
CMS Care Compare, August 2026 release
Special Focus Facility candidate. CMS lists this home as a candidate for its Special Focus Facility program, which is for nursing homes with a history of serious quality issues.
Cited for abuse or neglect. CMS marks this home with its abuse icon: it was cited for abuse or neglect that caused harm on its most recent inspection cycle, or for abuse or neglect with potential for harm on each of its last two cycles.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Misty Willow Healthcare and Rehabilitation Center, nurse aides logged 1.94 hours per resident per day, 3% below the Texas average. With about 90 residents a day, that works out to roughly 174 aide hours a day, or about 22 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 13% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.94 | 2.00 | 2.32 |
| Licensed practical nurses | 1.01 | 0.95 | 0.86 |
| Registered nurses | 0.35 | 0.43 | 0.69 |
| All nursing staff | 3.30 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.87 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
CMS publishes no nursing staff turnover figure for Misty Willow Healthcare and Rehabilitation Center in this release.
CMS note: Staffing data did not meet the criteria to calculate turnover.
Inspections and penalties
State inspectors last completed a standard health inspection on Dec 4, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 14 health deficiencies (Texas average 9.3). CMS lists 3 fines totaling $79,412 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Mar 9, 2026 | Fine | $43,770 |
| Sep 24, 2025 | Fine | $20,495 |
| Mar 29, 2025 | Fine | $15,147 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Misty Willow Healthcare and Rehabilitation Center holds 1 of 5 overall; the Texas average is 2.6.
About Misty Willow Healthcare and Rehabilitation Center
- Ownership: For profit - Limited Liability company
- Chain: The Ensign Group, 342 homes
- Legal name: Liberty County Hospital District No 1
- Medicare and Medicaid certified since: Apr 21, 2010
- Area: urban
Nursing homes near Misty Willow Healthcare and Rehabilitation Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| North Houston Transitional Care Houston | 0.4 | 70 | 2.09 | 3.92 | 71.3% | 3 | $11,508 |
| Champions Healthcare at Willowbrook Houston · abuse citation | 1.0 | 98 | 1.82 | 3.52 | 51.9% | 2 | $44,335 |
| Fallbrook Rehabilitation and Care Center Houston · SFF candidate · many days without an RN | 3.0 | 202 | 2.09 | 3.33 | 59.7% | 1 | $83,678 |
| Park Manor of Cyfair Houston | 3.0 | 120 | 1.93 | 3.10 | 44.8% | 5 | None |
| Cypress Creek Rehabilitation and Healthcare Center Cypress | 4.3 | 122 | 2.04 | 3.23 | 66.7% | 2 | $74,263 |
| Legend Oaks Healthcare and Rehabilitation Center Houston | 4.3 | 125 | 2.11 | 3.32 | 70.9% | 2 | $39,045 |
| Eagle Crest Rapid Recovery Houston · abuse citation | 5.5 | 125 | 1.74 | 3.17 | 75.2% | 1 | $48,675 |
| Villa Toscana at Cypress Woods Houston | 5.9 | 120 | 1.99 | 3.30 | 91.4% | 1 | $37,827 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.