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Cypress Creek Rehabilitation And Healthcare Center
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Ratings Deep Dive
5 Deficiencies found in last inspections
2 Penalties in last 3 years
2 Fines issued
| Citation | Date | Description | Severity |
|---|---|---|---|
| — | May 29, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E |
| — | May 29, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J |
| — | May 29, 2025 | Ensure medication error rates are not 5 percent or greater. | D |
| — | May 29, 2025 | Provide and implement an infection prevention and control program. | D |
| — | May 9, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
0.2 RN Hours / Resident / Day
3.3 Total Nurse Hours / Resident / Day
66.7% RN Turnover Rate
5.0 Long-Stay QM Rating
5.0 Short-Stay QM Rating
98.2 Avg Residents Per Day
| Measure | Score | Type |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | — | Long Stay |
| Percentage of long-stay residents who lose too much weight | — | Long Stay |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | — | Long Stay |
| Percentage of long-stay residents with a urinary tract infection | — | Long Stay |
| Percentage of long-stay residents who have depressive symptoms | — | Long Stay |
| Percentage of long-stay residents who were physically restrained | — | Long Stay |
| Percentage of long-stay residents experiencing one or more falls with major injury | — | Long Stay |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | — | Long Stay |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | — | Short Stay |
| Percentage of short-stay residents who newly received an antipsychotic medication | — | Short Stay |
Ownership & Compliance
Ownership Info
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Ownership Info CMS
5% OR GREATER DIRECT OWNERSHIP INTEREST WEST WHARTON COUNTY HOSPITAL DISTRICT
OPERATIONAL/MANAGERIAL CONTROL NWH REHAB LLC
OPERATIONAL/MANAGERIAL CONTROL THREADGILL, SHARLYN
CORPORATE OFFICER THOMPSON, JOHNNY
5% OR GREATER MORTGAGE INTEREST BROAD RIVER HEALTHCARE, LLC
5% OR GREATER MORTGAGE INTEREST CLOVER MODERN INVESTMENTS, LLC
5% OR GREATER MORTGAGE INTEREST CLOVER PARENT, LLC
5% OR GREATER MORTGAGE INTEREST MARTEL FINANCIAL INVESTMENTS, LLC
5% OR GREATER MORTGAGE INTEREST THE SMITHERS MANAGEMENT TRUST
5% OR GREATER MORTGAGE INTEREST COMPTON, CHARLES
Recent Penalties
| Date | Type | Fine |
|---|---|---|
| May 9, 2025 | Fine | $15,940 |
| Mar 7, 2024 | Fine | $63,902 |
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