9814 Grant Rd, Houston, TX 77070 · Harris County · (281) 547-0123
70 certified beds, about 66 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2017
CMS Care Compare ratings, data as of September 1, 2026 · CCN 676434 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on April 30, 2025, inspectors cited 0 health deficiencies (the Texas average is 9.4, the national average 9.2).
Of 8 health citations since December 2022, 2 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).
CMS lists 1 fine totaling $11,508 in the last three years; the largest was $11,508, and the latest is dated August 20, 2024.
Nurses and nurse aides worked 3.92 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.47 of those hours.
71.3% of nursing staff left within the year CMS measured (Texas average 55.3%).
CMS links it to PACS Group, an affiliated group of 275 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 8 health citations on file.
Inspectors wroteBased on observation, interview, and record review the facility failed to provide pharmaceutical services, including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals, to meet the needs of each resident for 1(Resident #1) of 7 residents . The facility failed to ensure there were complete records for Hydrocodone 10/325 mg (opioid pain medication) for Resident #1from 4/27/26 through 5/10/26. The facility received a documented total of 106 Hydrocodone 10/325 mg tablets for Resident #1. It was also alleged that 20 additional Hydrocodone 10/325 mg tablets were given to the facility on 5/10/26 from Resident #1's home supply, but no facility documentation existed. During April and May 2026, Resident #1 had a documented total of 27 doses of Hydrocodone 10/325 mg tablets administered. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to store all drugs and biologicals in locked compartments under proper temperature controls for 2 of 3 residents (Resident #3 and #12) reviewed for pharmacy services. 1. The facility failed to ensure Resident #3 did not have Clotrimazole 1% cream (an antifungal medication) on his nightstand near the bedside. 2. The facility failed to ensure Resident #12 did not have a medication cup filled with unidentified white barrier cream on the bedside tray parallel to the bed. These failures could place residents at risk of accidents and hazards.
Inspectors wroteBased on interview and record review, the facility failed to immediately inform or consult with the resident's physician when there was a significant change in the resident's physical, mental, or psychosocial status (that is, a deterioration in health, mental, or psychosocial status in either life-threatening conditions or clinical complication) for 1 of 10 residents (CR #1) reviewed for physician notification. LVN A failed to notify or seek clinical guidance from CR #1's physician, or any physician when she observed him in respiratory distress and had an oxygen saturation (blood oxygen level) of 73% upon admission to the facility from a rehabilitation hospital on [DATE]. [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for 1 of 10 residents (CR #1) reviewed for quality of care. LVN A accepted and retained a new admission from a rehabilitation hospital, CR #1, who was actively in respiratory distress with an oxygen saturation of 73% on [DATE], at approximately 12:30 p.m. and failed to monitor and assess him frequently throughout the rest of her shift (6:00 a.m. - 2:00 p.m. and 2:00 p.m. - 10:00 p.m.) after she administered 5L of oxygen and assumed his condition was stable. This failure resulted in LVN A being unaware of CR #1's continued respiratory distress until he was found unresponsive between 6:00 p.m. and 7:00 p.m. and subsequently expired. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that residents received the necessary treatment and services, to promote healing and prevent infection for 1 of 5 residents (Resident #2) reviewed for pressure ulcers in that: -Resident #2's posterior right knee Stage 3 and Sacrococcyx stage 4 dressings were not changed as per physician's orders on 8/17/24. -The Wound Care Nurse failed to transcribe the wound care doctor's order dated 8/13/24 for Resident #2. These failures could place residents with wounds or who are at risk of developing wounds placing them at risk of infection, a decline in health, pain, and hospitalization.
Inspectors wroteBased on observations, interviews, and record review the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infection for 1 of 4 residents (Resident #2) reviewed for infection. -The facility failed to ensure LVN Z performed hand hygiene during wound care on Resident #2. This failure could lead to the spread of infection to residents, resident illness, and/or resident distress.
Inspectors wroteBased on interview, and record review, the facility failed to ensure the resident environment remained as free of accident hazards as was possible for 1 (CR #1) of 5 residents reviewed for accident hazards. -The facility failed to securely strap CR #1's air mattress to the bed frame, causing the mattress with the resident to fall off the bedframe to the floor and CR #1 was sent to the hospital for evaluation. This failure could place residents at risk of falls, injuries, and hospitalization.
Inspectors wroteBased on observation, interview and record review, the facility failed to develop a comprehensive person-centered careplan describing services that are to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being for 2 of 14 residents, (Resident #10 and #53), in that: -Resident #10 was not care planned for nutritional deficits adequately, functional status, bladder and bowel status, heart related disease and respiratory failure. -Resident #53 was not care planned for foley catheter use and dialysis. These failures placed residents at risk of not receiving adequate medical care in a timely manner.
8 fire safety citations on file: 3 on April 30, 2025, 3 on February 22, 2024, 2 on December 1, 2022.
| Date | Penalty | Amount or length |
|---|---|---|
| August 20, 2024 | Fine | $11,508 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Texas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.92 | 3.39 | 3.86 |
| Registered nurses | 0.47 | 0.43 | 0.69 |
| All nursing staff on weekends | 3.74 | 2.98 | 3.42 |
| Nurse aides | 2.09 | ||
| Licensed practical nurses | 1.36 | ||
| Nursing staff turnover (share who left in a year) | 71.3% | 55.3% | 45.8% |
| Registered nurse turnover | 90.9% | 54.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.46 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.99 on weekdays and 3.74 on weekends, 6% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 12.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.83 in April to June 2025 to 3.92 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.92 | 0.47 | 3.99 | 3.74 | 12.5% | 0 of 90 | 66 |
| Oct to Dec 2025 | 3.64 | 0.38 | 3.70 | 3.49 | 10.2% | 0 of 92 | 66 |
| Jul to Sep 2025 | 3.80 | 0.31 | 3.68 | 4.11 | 8.3% | 0 of 92 | 64 |
| Apr to Jun 2025 | 3.83 | 0.51 | 3.83 | 3.82 | 11.1% | 0 of 91 | 65 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Texas, Jan to Mar 2026 | 3.33 | 0.40 | 3.50 | 2.93 | 2.2% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Texas, all employers | |||
| CNAs (nursing assistants) | $18.03 | $16.97 to $20.71 | 88,680 |
| LPNs and LVNs | $29.92 | $27.46 to $32.89 | 57,560 |
| Registered nurses | $46.14 | $38.06 to $50.53 | 271,380 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Texas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 9.6 | 15.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.0 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.9 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 6.9 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.4 | 3.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 4.9 | 9.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 23.8 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 7.7 | 12.3 | 12.0 |
For a stay to recover after a hospital visit, these are the results CMS publishes for North Houston Transitional Care's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (56.0% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
56.0% this home
No different from the national rate
US median of homes 51.5% · Texas: 116 better, 50 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 335 eligible stays.
11.8% this home
No different from the national rate
US median of homes 10.7% · Texas: 0 better, 9 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 309 eligible stays.
7.2% this home
No different from the national rate
US median of homes 7.1% · Texas: 4 better, 11 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 204 eligible stays.
27.7% this home
Median of homes: Texas57.3% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 47 residents counted.
0.0% this home
Median of homes: Texas0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 92 residents counted.
0.0% this home
Median of homes: Texas1.3% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 91 residents counted.
86.0% this home
Median of homes: Texas98.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 50 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: WEBSTERIDENCE OPCO, LLC. CMS links this home to PACS Group, a group of 275 nursing homes averaging 2.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Mainstreeidence Developments LLC | 5% or greater direct ownership interest | Organization | 100% | 08/29/2016 |
| Providence Group Nh, LLC | 5% or greater indirect ownership interest | Organization | 100% | 06/30/2023 |
| Phan, Hoang-Anh | Contracted managing employee | Individual | 01/01/2020 | |
| Carnagie, Russell | W-2 managing employee | Individual | 08/02/2023 | |
| Apt, Frederick | Corporate officer | Individual | 01/01/2024 | |
| Hancock, Mark | Corporate officer | Individual | 01/01/2024 | |
| Jergensen, Joshua | Corporate officer | Individual | 01/01/2024 | |
| Mitchell, John | Corporate officer | Individual | 01/01/2024 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Texas. NursingHomeClear cannot take or act on complaints.