Kingwood Rehabilitation and Healthcare Center
23775 Kingwood Place · Kingwood, TX · 77339 · 2813182600
194 certified beds Government - Hospital district Chain: Momentum Skilled Services
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (7 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
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Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
7 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
3 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$72,573 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.28 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.12 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.28 | 0.55–0.75 |
| Weekend hours / resident-day | 2.72 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 1 · $72,573 |
Inspection citations (29 in the current record)
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Immediate jeopardy · J June 29, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 1, 2025 · Quality of Life and Care
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Immediate jeopardy · J June 29, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 1, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 29, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected July 1, 2025 · Resident Rights
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Potential for harm · E June 29, 2025
Assist a resident in gaining access to vision and hearing services.
Corrected July 1, 2025 · Quality of Life and Care
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Potential for harm · D June 29, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected July 1, 2025 · Pharmacy Service
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Potential for harm · E June 29, 2025
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 July 1, 2025 · Pharmacy Service
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Potential for harm · D June 29, 2025
Provide and implement an infection prevention and control program.
Corrected July 1, 2025 · Infection Control
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Immediate jeopardy · K June 3, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected June 28, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K June 3, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected June 28, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K June 3, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected June 28, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K June 3, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected June 28, 2025 · Quality of Life and Care
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Immediate jeopardy · K June 3, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 28, 2025 · Quality of Life and Care
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Potential for harm · D May 16, 2024 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected July 1, 2024 · Resident Rights
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Potential for harm · D May 16, 2024 · found via complaint
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected July 1, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 16, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 1, 2024 · Quality of Life and Care
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Potential for harm · E May 16, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected July 1, 2024 · Pharmacy Service
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Potential for harm · D May 16, 2024 · found via complaint
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected July 1, 2024 · Pharmacy Service
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Potential for harm · D May 16, 2024 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected July 1, 2024 · Pharmacy Service
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Potential for harm · D May 16, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected July 1, 2024 · Resident Assessment and Care Planning
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Potential for harm · E September 7, 2023 · found via complaint
Provide and implement an infection prevention and control program.
Corrected October 3, 2023 · Infection Control
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Potential for harm · D March 16, 2023
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected April 24, 2023 · Resident Assessment and Care Planning
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Potential for harm · D March 16, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 24, 2023 · Quality of Life and Care
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Potential for harm · E March 16, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 24, 2023 · Quality of Life and Care
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Potential for harm · D March 16, 2023
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 April 24, 2023 · Quality of Life and Care
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Potential for harm · E March 16, 2023
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.
Corrected April 24, 2023 · Nursing and Physician Services
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 3, 2025 | Fine | $72,573 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676160 · certified since October 4, 2007. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.