Houston Heights Nursing and Rehabilitation Center
A nursing home in Houston, Texas 77091
6920 W T.c. Jester Blvd, Houston, Texas 77091. (713) 681-0431.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 1of 5 CMS’s overall rating
- 5 health citations at the latest inspection cycle Texas average: 9.6
- 3.05 nurse hours per resident per day Texas average: 3.42
- 4 fines in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
5 health citations at the latest inspection cycle
The Texas average is 9.6.
Last standard inspection Jun 27, 2025.
Most serious in three years: immediate jeopardy to health or safety (J), at a standard and complaint inspection on Jun 27, 2025
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
19 citations in 7 months of the last 36. Last cited Mar 2026. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 19 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 16 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Mar 6, 2026: complaint inspection2 citations
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Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
Jun 27, 2025: standard inspection2 citations
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Ensure medication error rates are not 5 percent or greater.
Jun 27, 2025: standard and complaint inspection1 citation
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jun 17, 2025: complaint inspection1 citation
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Provide doctor’s orders for the resident’s immediate care at the time the resident was admitted.
May 22, 2025: complaint inspection2 citations
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jun 14, 2024: complaint inspection3 citations
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
May 23, 2024: standard inspection1 citation
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Ensure each resident receives an accurate assessment.
May 23, 2024: standard and complaint inspection2 citations
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PASARR screening for Mental disorders or Intellectual Disabilities
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Mar 21, 2024: complaint inspection2 citations
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Employ staff that are licensed, certified, or registered in accordance with state laws.
Jan 22, 2024: complaint inspection3 citations
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since May 3, 2013.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as non profit, corporation.
- 120 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 4 fines in the last three years, $81,227 in all.
- 1 Medicare payment denial in the last three years.
- 16 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Jun 27, 2025 | Fine | $8,281 |
| May 22, 2025 | Fine | $45,146 |
| Jan 22, 2024 | Medicare payment denial | Not given |
| Jan 22, 2024 | Fine | $13,900 |
| Jan 22, 2024 | Fine | $13,900 |
Who does the caring?
3.05 nurse hours per resident per day
The Texas average is 3.42.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Texas average |
|---|---|---|
| Nurse hours per resident per day | 3.05 | 3.42 |
| Of which registered nurses | 0.26 | 0.44 |
| At weekends | 2.79 | 2.99 |
| Nursing staff turnover | 54.6% | 50.8% |
| Registered nurse turnover | 37.5% | 49.8% |
| Administrators who left | 1 | Not given |
Who owns it?
- Oakbend Medical Center owns 100% directly since Feb 28, 2015; Wellsential of Houston Heights LLC owns 100% directly since Dec 16, 2024.
- Oakbend Medical Center and Regency Integrated Health Services LLC and Wellsential of Houston Heights LLC run it.
- 19 owners or officers are people: Adam Pisani (on the governing body (managing control)); Elizabeth Monique Carter (runs it (operational or managerial control)); Elizabeth Monique Carter (additional disclosable party (controls, leases property to, or provides services to the home)); Dominique Fransaw (additional disclosable party (controls, leases property to, or provides services to the home)); Patricia Gibson (on the governing body (managing control)); Joseph Freudenberger (corporate officer, 0%); Joseph Freudenberger (on the governing body (managing control)); Barbara B Clapp (on the governing body (managing control)); Charles Bersola (additional disclosable party (controls, leases property to, or provides services to the home)); Jeff Haley (on the governing body (managing control)); Ruston Hughes (on the governing body (managing control)); Adrian Zaharia (runs it (operational or managerial control)); Adrian Zaharia (additional disclosable party (controls, leases property to, or provides services to the home)); Elizabeth King (on the governing body (managing control)); Daniel S Baird (on the governing body (managing control)); Donovan R Dekowski (runs it (operational or managerial control)); Donovan R Dekowski (additional disclosable party (controls, leases property to, or provides services to the home)); Daren A Cortese (on the governing body (managing control)); Elliot J Mandelbaum (on the governing body (managing control)).
- Part of Wellsential Health (67 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Csv Rhea Management Holdco, LLC | Owns a share through other companies | 100% | Dec 16, 2024 |
| Reg Leased Opco LLC | Owns a share through other companies | 100% | Dec 16, 2024 |
| Regency Texas Holdings LLC | Owns a share through other companies | 100% | Dec 16, 2024 |
| Jack and Nancy Dwyer Workforce Development Center Inc. | Owns a share through other companies | 100% | Dec 16, 2024 |
| Reg Operator Holdco LLC | Owns a share through other companies | 100% | Dec 16, 2024 |
| Oakbend Medical Center | Owns 5% or more directly | 100% | Feb 28, 2015 |
| Dwd TX Holdings LLC | Owns a share through other companies | 100% | Dec 16, 2024 |
| Regency Integrated Health Services LLC | Owns a share through other companies | 100% | Dec 16, 2024 |
| Wellsential of Houston Heights LLC | Owns a share directly | 100% | Dec 16, 2024 |
| Regency IHS Rehab LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Dec 16, 2024 | |
| Oakbend Medical Center | Runs it (operational or managerial control) | Feb 28, 2015 | |
| Oakbend Medical Center | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 12, 2025 | |
| Regency Integrated Health Services LLC | Runs it (operational or managerial control) | Dec 16, 2024 | |
| Regency Integrated Health Services LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 12, 2025 | |
| Wellsential of Houston Heights LLC | Runs it (operational or managerial control) | Dec 16, 2024 | |
| Wellsential of Houston Heights LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 12, 2025 | |
| Regency IHS Clinical Consulting, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Dec 16, 2024 |
How do residents fare?
- CMS rates its quality measures 4 of 5 (Texas average 3.8).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 1 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 1 of 5 |
| Quality measures | 4 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 7.8 miles, this one had the 9th most health citations at the latest inspection cycle (5; the middle value was 9.5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Houston Heights Nursing and Rehabilitation Center This nursing home | 5 | |
| Caraday of Houston | 2.9 | 7 |
| West Janisch Health Care Center | 3.5 | 14 |
| Ashford Gardens | 3.7 | 18 |
| Avir at Veterans Memorial | 4.1 | 20 |
| Paradigm at Woodwind Lakes | 4.8 | 14 |
| Avir at Arden Wood | 5.0 | 10 |
| Highland Park Rehabilitation & Nursing Center | 5.2 | 2 |
| Legend Oaks Healthcare and Rehabilitation Center - | 5.8 | 13 |
| Memorial City Nursing and Rehabilitation Center | 6.1 | 9 |
| The Vosswood Nursing Center | 7.5 | 3 |
| The Hallmark | 7.8 | 1 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.