Kindred Hospital Houston NW
A long-term care hospital in Houston, Texas 77065
11297 Fallbrook, Houston, Texas 77065. (281) 897-8114.
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The short answer
Record last released by CMS on Oct 20, 2026.
- 13.8% of its patients went home or back to the community No different than the national rate
- 2 deficiencies cited in the last three years
- 158 beds
Each figure’s source sits beside it, in its section below.
What these words mean2
- 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.
What did inspectors find?
The last inspection on record was on Jun 3, 2026: a complaint inspection.
2 deficiencies cited in the last three years.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
2 deficiencies in 2 months of the last 36. Last cited Jun 2026. Most serious: Standard-level. 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.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Jun 3, 2026: complaint inspection1 deficiency
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Patient Rights: Exercise Of Rights
The inspectors’ words, 176 words
“PATIENT RIGHTS: EXERCISE OF RIGHTS CFR(s): 482.13(b) Patient Rights: Exercise of Rights This Standard is not met as evidenced by: 37322 Based on observation and interview, the facility failed to enforce the hand hygiene policy related to both staff and visitors entering and leaving patient’s rooms. Findings Include: Facility Policy Procedure-Hand Hygiene, Last Review:12/2024 “All staff will perform hand hygiene when entering and leaving a patient room, and visitors will be encouraged to do the same. Two methods can be utilized depending on the situation: ABHR (alcohol-based hand rub) or soap and water”. Observation of both staff and visitors on 06/03/2026 between 1230-1240 on the 4th floor with the staff (ID#2, 4), were noted not to gel in and out or wash their hands prior to entering or leaving patient rooms. A. Two dialysis nurses were noted leaving two separate rooms, 400, 410. B. Physician (staff ID# 6) went in and out of room 410. C. Two sets of visitors entering room 410 and 411. Interview with staff (ID#2) at 06/03/2026 at 1245, verified the findings.”
Jun 19, 2024: complaint inspection1 deficiency
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Patient Rights: Informed Consent
The inspectors’ words, 399 words
“PATIENT RIGHTS: INFORMED CONSENT CFR(s): 482.13(b)(2) The patient or his or her representative (as allowed under State law) has the right to make informed decisions regarding his or her care. The patient’s rights include being informed of his or her health status, being involved in care planning and treatment, and being able to request or refuse treatment. This right must not be construed as a mechanism to demand the provision of treatment or services deemed medically unnecessary or inappropriate. This Standard is not met as evidenced by: 37490 Based on record review and interview, the facility failed to fully uphold the patients right to an accurate informed consent for 2 of 3 patients (ID#s 6 and 7). Findings included: Record review of facility policy titled “CORE: Informed Consent”, dated 6/2021 showed the following: PURPOSE: This policy/ procedure establishes guidelines around the patient’s right to be informed of surgical and special procedures that may be rendered and the patient’s right to accept or refuse a particular procedure. Informed consent must be obtained and documented according to this policy before initiating a surgical or special procedure, except in an emergency. PROCEDURE: 1. Obtaining Informed Consent a. The physician performing, ordering, or supervising the surgical or special procedure shall be responsible for obtaining informed consent. c. Hospital staff members (including all nurses and other employees) may participate in the informed consent process by witnessing the patient, the patient’s representative, or physician’s signature regarding informed consent .... Record review of medical record for patient (ID#6) showed documented family member medical power of attorney. Record review of consent for paracentesis dated 6/9/24 showed signed consent given by family friend (other than documented appointed medical power of attorney). Review of medical record for patient (ID#7) showed case manager notes dated 6/7/24 with the following information: Durable power of attorney for healthcare update: (wife’s name). Patient’s daughter states she has medical power of attorney, pt’s daughter to bring copy to the hospital. No copy was in the patient’s medical record. Informed consent for Dialysis dated 6/6/24 signed by the patient’s daughter. Informed consent for insertion of hemodialysis Tunneled catheter placement dated 6/7/24 signed by the patient’s daughter. Informed consent for Transfusion dated 6/10/24 signed by the patient’s daughter. Interview with Director of Clinical Services on 6/18/24 at 1:30 Pm confirmed the above findings. She stated that the facility has identified this and is addressing the issue.”
All 4 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jun 3, 2026 | Complaint inspection | 1 deficiency cited |
| Jan 12, 2026 | Complaint inspection | No deficiencies cited |
| Jun 19, 2024 | Complaint inspection | 1 deficiency cited |
| Mar 21, 2024 | Complaint inspection | No deficiencies cited |
How do patients fare?
- 13.82% of its patients returned home or to the community: no different than the national rate, as CMS compares it (Oct 1, 2023 to Sep 30, 2025).
- Compared by CMS: potentially preventable readmissions within 30 days after discharge, no different than the national rate (23.81%); catheter urinary tract infections (CAUTI), no different than the national benchmark (standardized infection ratio 0.433); central line bloodstream infections (CLABSI), better than the national benchmark (standardized infection ratio 0.256); C. diff infections, better than the national benchmark (standardized infection ratio 0.206).
- As CMS gives them: patients with one or more falls with major injury, 0%; patients with new or worsened pressure ulcers or injuries, 0.55%; patients successfully weaned from a ventilator, 53.64%; patients at or above an expected ability to care for themselves and move around at discharge, 37.61%; Medicare spending per patient (1 is the national median), 1.16.
CMS, Long-Term Care Hospital - Provider Data. Released Sep 23, 2026. Updated quarterly.
Is it certified?
- Medicare-certified long-term care hospital since Jun 1, 1994.
- Ownership: for profit.
- It is accredited by The Joint Commission, whose surveys stand in for the state’s routine inspections.
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency on record in the last three years.
- For profit.
CMS, Long-Term Care Hospital - General Information. Released Sep 23, 2026. Updated quarterly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Has it been penalized?
- CMS doesn’t publish fines or other penalties for these facilities.
- 2 deficiencies cited in the last three years came from inspections that included a complaint investigation.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Who does the caring?
- CMS doesn’t publish staffing levels for these facilities.
- 56.36% of its health care workers got a flu shot (Oct 1, 2024 to Mar 31, 2025).
CMS, Long-Term Care Hospital - Provider Data. Released Sep 23, 2026. Updated quarterly.
Who owns it?
- Kindred Healthcare Operating LLC owns 100% directly since Feb 26, 1998.
- 7 owners or officers are people: Scott Graeser (corporate officer, 0%); Dana M Rock (corporate officer, 0%); Johnetta M Traylor (corporate officer, 0%); Deanna Schiavone (corporate officer, 0%); Michael Joseph Bean (corporate officer); Linn Billingsley (corporate officer, 0%); Tracy Kohler (runs it (operational or managerial control)).
- CMS’s Provider of Services file records 1 change of ownership.
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospital All Owners and Hospital Enrollments. Released Sep 29, 2026. Updated monthly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Kindred Healthcare Operating LLC | Owns 5% or more directly | 100% | Feb 26, 1998 |
| Kentucky Hospital Intermediate LLC | Owns 5% or more through other companies | 100% | Jul 2, 2018 |
| Kindred Healthcare LLC | Owns 5% or more through other companies | 100% | Mar 27, 1998 |
| Kentucky Hospital Holdings LLC | Owns 5% or more through other companies | 100% | Jul 2, 2018 |
| Knight Health Holdings LLC | Owns 5% or more through other companies | 100% | Dec 23, 2021 |
| Knight Health LLC | Owns 5% or more through other companies | 100% | Dec 23, 2021 |
| Kentucky Hospital Holdings Jv LP | Owns 5% or more through other companies | 100% | Jul 2, 2018 |
How does it compare nearby?
- Of the 6 long-term care hospitals CMS lists in Harris County, 6 have CMS’s comparison of their discharges to the community with the national rate: 6 no different than the national rate.
- CMS rates this one no different than the national rate for returning patients to the community.
CMS, Long-Term Care Hospital - Provider Data. Released Sep 23, 2026. Updated quarterly.
| Place | Discharged to the community |
|---|---|
| Kindred Hospital Houston Medical Center | 12.2 |
| Clear Lake-Amg Specialty Hospital | 13.8 |
| Houston Medical Center-Amg Specialty Hospital | 10.9 |
| Kindred Hospital Clear Lake | 14.6 |
| Houston Methodist Continuing Care Hospital | 19.9 |
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for inpatient rehabilitation facilities or long-term care hospitals, so none are shown.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- Many of these facilities are accredited by a private organisation (The Joint Commission, DNV and others) whose routine inspections stand in for the state’s; those reports aren’t public, and QCOR holds only the state’s surveys: no inspection on record here doesn’t mean none took place.
- QCOR says its hospital inspection data are complete only through September 17, 2026, while it moves to a new system.
- CMS doesn’t publish staffing levels for these facilities.
Sources
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Centers for Medicare & Medicaid Services, Long-Term Care Hospital - General Information (azum-44iv).
Released Sep 23, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Long-Term Care Hospital - Provider Data (fp6g-2gsn).
Released Sep 23, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Provider of Services File - Hospital & Non-Hospital Facilities (Hospital_and_other.DATA.Q3_2026.csv).
Released Oct 14, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR Hospital 2567 statements of deficiencies (Hospital_2567s_2010_to_2026YTD.xlsx).
Released Oct 20, 2026 and checked Oct 27, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital All Owners (Hospital_All_Owners_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital Enrollments (Hospital_Enrollments_2026.09.29.csv).
Released Sep 29, 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 facility
The public record above comes first. Anything the facility adds will appear here, below it, and say who wrote it.
Replies
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Paid listing
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