Cypress Creek Rehabilitation and Healthcare Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 133 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Abuse citation on record
- Low overall rating (2/5 stars)
- Low staffing rating (1/5 stars)
- High staff turnover (68%)
- High RN turnover (67%)
Below average in Texas · Critically understaffed (RN) · $74,263 in fines · Abuse citation
What this means for your family
This facility is an excellent choice for short-term rehabilitation, particularly due to their highly-rated physical therapy team and clean environment. However, if you are seeking long-term care, you should proactively ask about the specific staffing levels during night and weekend shifts and establish a clear communication plan with the administration to ensure you receive regular updates on your loved one.
Google Reviews
Google Reviews
133 reviews on Google“Families considering Cypress Creek Rehabilitation and Healthcare Center will find a facility widely praised for its exceptional physical therapy team and clean, modern, and welcoming environment. While many reviewers highlight the compassionate nursing staff and high-quality food, there are serious, recurring allegations regarding staffing shortages, specifically during night shifts, and inconsistent communication between administration and families.”
Quality Themes
Tap a score for detailsStrengths
- Exceptional physical therapy and rehab services
- Clean, modern, and well-maintained facility
- Compassionate and professional nursing staff
- High-quality, healthy dining options
Concerns
- Staffing shortages, particularly on night/weekend shifts (mentioned by 4 reviewers)
- Poor communication from administration to families (mentioned by 3 reviewers)
- Issues with hygiene and unpleasant odors (urine smell) (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 136 analyzed
How They Respond to Reviews
The owner provides highly personalized responses to positive reviews, often mentioning specific staff members or facility features mentioned by the reviewer. For negative reviews, the owner maintains a professional, non-defensive tone and provides a direct contact method for resolution.
Questions for Your Tour
- 1I noticed many people praise the physical therapy and rehab services here; could you tell me more about how the therapy team works with residents to meet their mobility goals?
- 2Since we want to ensure we stay closely connected, what is the best way for us to receive regular updates from the administration regarding our loved one's care?
- 3How does the nursing team manage medication schedules and double-check accuracy, especially during the night and weekend shifts?
- 4What steps are being taken to ensure the facility remains fresh and clean, particularly in the common areas and resident rooms?
- 5In the event of a medical emergency during the night, what is the protocol for notifying the family and coordinating with doctors?
- 6The dining options look wonderful in the reviews; could you tell me more about how much variety and nutrition is included in the daily meal plans?
Personalized based on this facility's data
Key Review Excerpts
“The therapy team has been so encouraging and the therapy room and equipment are extensive”
“The staff and admins have been so kind to my mother and our family. I credit them with her recovery from a heart attack and pneumonia.”
“The facility appears to be clean and well-organized; however, the communication between staff and patients' families is severely lacking.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
11
measures
3
measures
3
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
Residents whose walking got worse
Residents vaccinated for the flu
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has ongoing serious concerns, with families filing complaints that triggered 12 of 23 total deficiencies. The most recurring issues involve medication management (appearing in multiple surveys), resident abuse and neglect protection, and care planning. Three recent deficiencies from January 2026 remain uncorrected, including problems with medication labeling and keeping medical records confidential, suggesting persistent operational challenges that warrant careful consideration.
Jan 30, 2026Complaint3
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
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.
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.
May 29, 2025Complaint2
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
May 29, 2025Routine2
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
May 9, 2025Complaint1
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.
Mar 7, 2024Routine3
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Mar 7, 2024Complaint3
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Federal Penalties
Fine
May 9, 2025
$10,361
Fine
Mar 7, 2024
$63,902
Ownership & Operations
Who Operates This Facility
West Wharton County Hospital District
for profit
NWH REHAB, LLC
VICTORIA JOHNSON CLARK
Chain Affiliation
Momentum Skilled Services
10 facilities nationwide
Chain avg rating: 2.0/5 · Rank 4 of 10
Ownership & Management
Owners
Smithers, Jeffrey
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Threadgill, Forrest
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Threadgill, Morgan
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
133 reviews from families & visitors
Official Website
Visit cypresscreekrehab.com
Medicare data downloads
Original nursing home datasets
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