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Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 143 Google reviews
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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
This facility has areas of concern that warrant careful consideration. Registered Nurse hours are 27% of the EveryPlace reference benchmark; ask how RN coverage is allocated across shifts. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
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
Concerns
Rating Trends
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Distribution · 146 analyzed
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.
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.”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
9
measures
5
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 vaccinated for the flu
Residents needing more daily help over time
Residents who lost too much weight
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
Detailed Medicare record · up to 3-year lookback
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.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
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.
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.
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.
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.
Federal Penalties
Fine
May 9, 2025
$10,361
Fine
Mar 7, 2024
$63,902
West Wharton County Hospital District
for profit
NWH REHAB, LLC
VICTORIA JOHNSON CLARK
Momentum Skilled Services
9 facilities nationwide
Chain avg rating: 2.0/5 · Rank 4 of 10
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 this facility directly and verify the details that matter most to your family.
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
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Google Reviews
143 reviews from families & visitors
Official Website
Visit cypresscreekrehab.com
Medicare data downloads
Original nursing home datasets
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