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Oakmont Healthcare and Rehabilitation Center of Ka

1525 Tull Dr, Katy, TX 77449 · Harris County · (281) 578-1600

130 certified beds, about 69 residents a day · For profit - Corporation · Medicare and Medicaid since 1987

Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 455703 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on February 26, 2026, inspectors cited 11 health deficiencies (the Texas average is 9.4, the national average 9.2).

Of 27 health citations since September 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 1 fine totaling $8,281 in the last three years; the largest was $8,281, and the latest is dated October 6, 2025.

Nurses and nurse aides worked 2.91 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.52 of those hours.

92.6% of nursing staff left within the year CMS measured (Texas average 55.3%).

CMS links it to Creative Solutions in Healthcare, an affiliated group of 149 nursing homes.

Health inspections

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.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

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 27 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
14D
10E
1F
Potential for minimal harm
0A
0B
1C
February 26, 2026Standard inspection · 11 citations
  1. E
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 27, 2026
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure residents have a right to a dignified existence and treat each resident with respect and dignity and care for each resident in a manner and in an environment that promotes maintenance or enhancement of his or her quality of life for 3 (Resident #41) of 18 residents reviewed for dignity.-RN Z was providing Resident #41's bolus feeding with the door open and blinds opened on 02/25/2026.- RN Z did not provide Resident #67 privacy during insulin administration on 02/25/26.-LVN AF did not provide privacy during medication administration via G Tube to Resident #30 on 2/24/26These deficient practices could lead to psychosocial harm due to feelings of low self-esteem and/or embarrassment regardless of resident cognition. [...]
  2. E
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 27, 2026
    Inspectors wroteBased on observation, interviews, and record reviews, the facility failed to ensure the assessment accurately reflected the residents' status for 2 of 18 residents (CR #75 and Resident #60) whose assessments were reviewed, in that:-CR#75's behavior was not reflected on her initial MDS dated [DATE]. -Resident #60's fall on 10/15/2026 was not documented in her most recent quarterly MDS assessment on 11/29/2026. These failures could place residents at-risk of not receiving the care and services to prevent aggressive behavior or injury due to inaccurate assessments. #75 Record review of CR#75's clinical records dated 2/24/2026 revealed she was a 76-year female who was admitted to the facility on [DATE]. [...]
  3. E
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 27, 2026
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure that the medication error rate was not five percent or greater. The facility had a medication error rate of 20%, based on 7 errors out of 35 opportunities, which involved 2 of 7 residents (Resident #30, and Resident #6) and --2--- of ---3-- staff observed during medication administration reviewed for medication errors. 1. LVN AF failed to administer Polyvinyl Alcohol-Povidone PF Ophthalmic Solution 1.4-0.6 % (used to temporarily relieve dry, burning, itchy, or irritated eyes by wind, sun or environment) lower high fluid pressure inside the eye) Ophthalmic Solution 0.5 % eyedrops ophthalmic drops, on 2/24/26, initialed as given to Resident #30, when it was not given.2. [...]
  4. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 27, 2026
    Inspectors wroteBased on observation, interview and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for food procurement.1. The facility failed to ensure leftover food past the use date was discarded. 2. The facility failed to ensure leftover food to be used later was stored at a safe temperature.3. The facility failed to ensure frozen food thawed properly. 4. The facility failed to put sufficient sanitizing solution in the 3-sink compartment in the kitchen.5. The facility failed to fix broken tiles in the kitchen.6. The facility failed to store in a separate container a scoop used for food bins in the kitchen storeroom.7. [...]
  5. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 27, 2026
    Inspectors wroteBased on observation, interview 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 infections for 7 of 12 residents ( Residents #6, #30, #28, #15 #7, #35 and #5) and 5 of 5 staff (CNA J, MA T, LVN AF ,RN W, RN CC ) and 1 of 2 linen closets (Linen Closet B) reviewed for infection control. 1. RN CC failed to wipe the blood pressure cuff between Resident #7, Resident #35 and Resident #5 on 2/24/26.2. MA T failed to wipe the blood pressure cuff between Resident #28 and Resident #15 on 2/24/26.3. LVN AF failed to wear PPE when administering Resident #30's G-Tube medications, who was on EBP, on 2/24/26.4. [...]
  6. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 27, 2026
    Inspectors wroteBased on observation, record review and interviews, the facility failed to ensure that comprehensive care plans were reviewed and revised by the interdisciplinary team after each assessment for 2 of 18 residents (Residents #57 and CR#75) reviewed for care plans. The facility did not review and update Resident #57's care plan when he had an 18.8 pounds weight loss. The facility did not review and update CR #75's care plan when she had behaviors of refusing care, throwing things on the floor, hitting walls and throwing stuff on the floor. These failures could place residents with weight loss and behavior issues from getting the care and services that could improve their quality of life. Resident #57Record review of Resident #57's clinical records dated 2/25/2026 revealed he was a 73-year male who was admitted to the facility on [DATE] and readmitted on [DATE]. [...]
  7. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 27, 2026
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure a resident who was unable to carry out activities of daily living received the necessary services to maintain, grooming, and personal hygiene for 1 of 3 residents (Resident #4) reviewed for ADL care. The facility failed to ensure CNA J cleaned Resident #4 in a timely manner on 2/26/26. This failure could place residents at risk for pain, infection and hospitalization. Record review of Resident #4's face sheet, dated 2/24/2026, reflected the resident was [AGE] years old, female, and admitted to the facility on [DATE] with diagnoses of urinary tract infection and stage 3 sacral pressure ulcer. Record review of Resident #4's quarterly MDS, dated [DATE], reflected the BIMS score was 3 out of 15, which indicated the resident had severe cognitive impairment. [...]
  8. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 27, 2026
    Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure that a resident who was incontinent of bladder and bowel received appropriate treatment and services for 1 of 3 residents (Residents #4) reviewed for incontinent care, in that: CNA J did not open Resident #4's labia to clean during incontinent care on 2/26/26. This failure could place residents at-risk for infection due to improper care practices. Record review of Resident #4's face sheet, dated 2/24/2026, reflected the resident was [AGE] years old, female, and admitted to the facility on [DATE] with diagnoses of urinary tract infection and stage 3 sacral pressure ulcer. Record review of Resident #4's quarterly MDS, dated [DATE], reflected the BIMS score was 3 out of 15, which indicated the resident had severe cognitive impairment. [...]
  9. D
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 27, 2026
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure a resident who was fed by enteral means received the appropriate treatment and services to restore, if possible, oral eating skills and prevent complications of enteral feedings including but not limited to aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities and nasal-pharyngeal ulcers for 2 of 3 residents (Resident #30, #6) reviewed for feeding tubes. -The facility staff failed to ensure LVN AF allow medication and feed flow by gravity. Resident #30's medication and feeding was plunge via G tube and LVN AF did not flush GTube with water before and after medication 2/24/26. -The facility staff failed to ensure RN W allow medication and water flow by gravity. Resident #6's medication was plunged into GTube on 2/24/26. [...]
  10. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 27, 2026
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure all drugs and biologicals used in the facility were labeled in accordance with currently accepted professional principles, and included the appropriate accessory and cautionary instructions, and the expiration date when applicable for 1 of 4 medication carts (Nurses Cart East Wing) reviewed for medication storage. The facility failed to ensure the East Wing nurse medication cart did not contain opened and undated medication. This failure could place residents at risk of receiving expired medication and improperly stored medications which could result in delayed healing. During an observation on [DATE] at 4:44 PM of the nurse medication caret for the East Wing revealed the following opened medications were not dated when they were opened: The following eye drops were open with no date:1. [...]
  11. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 27, 2026
    Inspectors wroteBased on interview and record review the facility failed to develop policies and procedures to ensure the resident's medical record included documentation that indicated, at minimum that the resident or resident's representative was provided education regarding the benefits and potential side effects of pneumococcal immunization and that the resident either received the pneumococcal immunization or did not receive the pneumococcal immunization due to medical contraindication or refusal for 1 of 5 residents (Resident #8) reviewed for immunizations. The facility failed to ensure Resident #8 had record of receiving education or being offered the pneumococcal vaccine. This failure could cause residents to be vulnerable to preventable illnesses. [...]
October 6, 2025Complaint inspection · 2 citations
  1. J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure each resident received adequate supervision and assistive devices to prevent accidents for 1 of 5 (Resident #1) residents reviewed for accidents and supervision. The facility failed to ensure that CNA B provided the necessary care and supervision to Resident #1 by ensuring CNA B did not sleep when providing 1:1 supervision to Resident #1 who has a history of falls with injury, including a recent subdural hematoma, CT scan done on 9/12/2025 showed the worsening as indicative by the findings as it noted significant interval change developed of hemorrhage since prior examination, there is a mixed density left subdural hematoma overlying the left cerebral convexity measuring up to 1.0 cm in thickness increased in size compared to 8/21/25 when measure 0.7 cm. [...]
  2. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 7, 2025
    Inspectors wroteBased on interview, and record review the facility failed to ensure the assessment accurately reflected the resident's status for 1 (Resident #1) of 5 residents reviewed for accuracy of assessments. The facility failed to ensure Resident #1's weight was accurately documented on the admission MDS dated [DATE]. This failure could place residents with weight loss or gain at risk by not receiving care and intervention that could meet their weight needs. Record review of Resident #1's face sheet dated 09/17/2025 reflected Resident #1 was a [AGE] year-old male who was admitted to the facility on [DATE]. [...]
November 15, 2024Standard inspection · 10 citations
  1. F
    Dispose of garbage and refuse properly.
    F814 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) November 16, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to dispose of garbage and refuse properly for 1 of 2 dumpster reviewed for food and nutrition services. -The facility failed to ensure the dumpster door was closed at all times when no one was dumping garbage. This failure could place residents at risk of infection from improperly disposed garbage.
  2. E
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 16, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents have a right to personal privacy for 4 of 8 residents (Resident #45, Resident #175, Resident #9 and Resident #5,) reviewed for privacy, in that: 1. CNA (certified nursing aid) C failed to place Resident #45 Foley catheter bag inside of a privacy bag. 2. CNA L failed to place Resident #175 Foley catheter bag inside of privacy bag. 3. The facility failed to provide privacy curtain between Resident #9 and Resident #5's bed to identify a separation of space and privacy between the two residents. These failures placed residents at risk for embarrassment, at risk of loss of dignity and decrease in quality of life.
  3. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 16, 2024
    Inspectors wroteBased on observations, interviews, and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for food procurement. The facility failed to ensure foods were dated as opened/prepared discarded after used by date /time. These failures could place residents at risk of food borne illness and disease. Findings Included: Observation of the facility kitchen refrigerator on 11/12/24 at 8:15 AM revealed the following: 1. An open box of cream cheese dated 10/30/24 with no use date 2. Sliced deli meat in a plastic bag in the refrigerator dated 11/01/24 3. Sliced Swiss Cheese in a plastic bag in the refrigerator dated 11/01/24 4 Shredded Mozzarella cheese in a plastic bag in the refrigerator dated 10/15 5. [...]
  4. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 16, 2024
    Inspectors wroteBased on interview and record review the facility failed to report the results of all investigations to the State Survey Agency, within 5 working days of the incident for an allegation of abuse to report for 1 of 4 residents (Resident #61) reviewed for abuse/neglect in that: -Resident #61 had an incident with an allegation of abuse on 09/3/2024. The facility did not submit the final 3613 facility investigation report to the State Agency within 5 working days. This failure could place residents at risk of having allegations of abuse, neglect, exploitation not being investigated or reported to the State agency. Findings Include: Record review of the admission record dated October 17, 2024. revealed that Resident #61 was an [AGE] year-old male who was admitted to the facility on [DATE]. [...]
  5. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 16, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to have a person-centered comprehensive care plan developed and implemented to meet each resident's preferences and goals, and address the resident's medical, physical, mental and psychosocial needs for 1 of (Resident #42) 6 residents reviewed for care plans. - Resident #42's comprehensive centered care plan revealed that resident was not being care planned for foot care. This failure placed resident at risk for not having their individual medical needs met. Findings Included: Record review of Resident #42's face sheet dated 11/15/2024 revealed a [AGE] year-old male admitted to the NF on 10/04/2023. [...]
  6. D
    Provide appropriate foot care.
    F687 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 16, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that residents received proper treatment and care to maintain mobillity and good foot health for 1 (Resident # 42) pf 6 residents reviewed for foot care. -The facility failed to provide Resident #42 who had diabetes mellitus podiatry services. This failure placed resident at risk for injuries, infections, unwanted hospitalization, and amputation leading to a decrease in quality of life. Findings Included: Record review of Resident #42's face sheet dated 11/15/2024 revealed a [AGE] year-old male admitted to the NF on 10/04/2023. [...]
  7. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 16, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that a resident who needed respiratory care and services, including oxygen administration was provided such care, consistent with professional standards of practice for 1 of 4 residents (Resident #20) reviewed for respiratory therapy in that: 1. The facility failed to ensure Resident #20's oxygen was set according to physician's orders. This failure could place residents at risk of respiratory distress.
  8. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 16, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure residents were free from any significant medication errors for 1 of 7 residents (Residents #43) reviewed for significant medication errors. 1. MA Y failed to administer medications as ordered to Resident #43 by attempting to administer Carvedilol 3.125mg outside of ordered parameters. This failure could place residents at risk of decrease pulse, and potential hospitalization.
  9. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 16, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to 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 infections for 1 (Resident #45, Resident #9 and Resident #5) of 8 residents reviewed for infection control. 1. The facility failed to have infection control signage on Resident #45's door entrance to alert staff and visitors in preventing the development and transmission of infections. 2. The facility failed to label and store Resident #9's personal care item at sink area of a semi-private room shared with Resident #5. These failures placed residents, staff and visitors at risk for cross contamination, unwanted infections, and decease in quality of life. [...]
  10. C
    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
    F577 · Resident Rights · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) November 16, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to post in a place readily accessible to residents, family members, and legal representative of residents, the results of the most recent survey of the facility. 1. The facility failed to ensure the posting location of the previous year's surveys, certifications, and complaint investigations with plan of correction were posted in a public location for residents, family members, and visitors to review. The failure placed residents and their family members and representatives at risk for violation of the right to review the findings from State surveys and investigations conducted in the facility without asking to review the reports.
November 6, 2024Complaint inspection · 2 citations
  1. E
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) November 7, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to provide services that meet professional standards of quality as outlined by the comprehensive care plan for 1 (Resident #1) of 13 residents reviewed for services. -The facility failed to provide weekly skin assessments for Resident #1 for 2/12/2024 through 3/2/2024, 3/27/24 through 4/13/2024, and 04/27/2024 through 5/11/2024. This failure could put residents at risk of infection, skin breakdown, pain, and lead to further health complications due to not being regularly assessed, monitored, and treated in a timely manner.
  2. E
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) November 7, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure residents who were unable to carry out activities of daily living (ADLs) received the necessary services to maintain good personal hygiene, for 1 of 19 (Resident #1) reviewed for ADLs as evidenced by: -CNA A failed to provide bowel and bladder incontinent care for Resident #1 for over 7 hours. This failure placed resident at risk for skin break down, infections, hospitalization, and decrease in quality of life.
October 14, 2024Complaint inspection · 1 citation
  1. E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) October 15, 2024
    Inspectors wroteBased on observations, interviews, and record review the facility failed to provide pharmaceutical services to meet the needs of each resident for 1 of 7 residents (Resident #1) reviewed for medication administration. -The NF DON failed to transcribe physician orders received from hospice on 10/08/2024 until 10/10/2024. -LVN A failed to follow-up to see if there was an order for the medication, morphine 15mg, delivered to the NF on 10/08/24 for Resident #1. Resident #1 did not receive the morphine that was available to him at the facility on 10/8/24 until 10/10/24. This failure placed Resident #1 at risk for unwanted pain, discomfort, and decrease in quality of life.
September 28, 2023Standard inspection · 1 citation
  1. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 13, 2023
    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 1 of 8 residents (Resident #2) reviewed for pharmaceutical services. The facility failed to ensure Morphine (pain medication) Extended Release (ER) (medication was formulated so the drug was released slowly over time) tablet was administered without crushing according to pharmacy packet instruction. This failure could place residents at risk for adverse effects and not receiving the therapeutic effects of the medication or treatment.

Fire safety inspections

8 fire safety citations on file: 4 on February 26, 2026, 1 on November 15, 2024, 3 on September 28, 2023.

Every fire safety citation8 citations
  1. F
    Have simulated fire drills held at unexpected times.
    K 712 · February 26, 2026 · Corrected (the home has a date of correction)
  2. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · February 26, 2026 · Corrected (the home has a date of correction)
  3. E
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · February 26, 2026 · Corrected (the home has a date of correction)
  4. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · February 26, 2026 · Corrected (the home has a date of correction)
  5. E
    Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
    K 929 · November 15, 2024 · Corrected (the home has a date of correction)
  6. E
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · September 28, 2023 · Corrected (the home has a date of correction)
  7. E
    Provide properly protected cooking facilities.
    K 324 · September 28, 2023 · Corrected (the home has a date of correction)
  8. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · September 28, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
October 6, 2025Fine $8,281

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeTexasUnited States
All nursing staff (RN, LPN and aides)2.913.393.86
Registered nurses0.520.430.69
All nursing staff on weekends2.622.983.42
Nurse aides1.74
Licensed practical nurses0.65
Nursing staff turnover (share who left in a year)92.6%55.3%45.8%
Registered nurse turnover100.0%54.6%42.9%
Administrators who left2

CMS expects 3.40 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

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 3.02 on weekdays and 2.62 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.26 in April to June 2025 to 2.91 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20262.910.523.022.62 0.0%0 of 9069
Oct to Dec 20253.060.423.222.67 0.0%0 of 9266
Jul to Sep 20253.240.613.382.88 0.0%0 of 9267
Apr to Jun 20253.260.833.462.77 0.0%0 of 9171
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Texas, Jan to Mar 20263.330.403.502.932.2%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

Staff pay at this home

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.

Official wage estimates for Texas

JobMedianMiddle halfEmployed
Texas, all employers
CNAs (nursing assistants)$18.03$16.97 to $20.7188,680
LPNs and LVNs$29.92$27.46 to $32.8957,560
Registered nurses$46.14$38.06 to $50.53271,380
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

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.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeTexasUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
14.215.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.30.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
2.00.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.83.33.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.81.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
12.714.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
5.13.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
12.19.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
27.925.723.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
6.812.312.0

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Oakmont Healthcare and Rehabilitation Center of Ka's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (46.0% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

46.0% 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. 25 eligible stays.

Potentially preventable readmissions

11.2% 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. 34 eligible stays.

Infections that led to a hospital stay

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

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. 19 eligible stays.

Self-care and mobility at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

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. 11 residents counted.

Falls with major injury

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. 28 residents counted.

New or worsened pressure ulcers

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. 28 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

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. 8 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.

Owners and operators

Legal business name: DEWITT MEDICAL DISTRICT. CMS links this home to Creative Solutions in Healthcare, a group of 149 nursing homes averaging 2.1 stars overall.

NameRoleTypeShareSince
Alexander, AlmaManaging control - governing bodyIndividual09/05/2017
Frels, JohnManaging control - governing bodyIndividual11/01/2014
Kahlich, KristyeManaging control - governing bodyIndividual01/25/2024
Leske, III, MartinManaging control - governing bodyIndividual02/01/2025
Sheppard, AnnaManaging control - governing bodyIndividual05/01/2019
Sheppard, CynthiaManaging control - governing bodyIndividual12/12/2024
Willig, ZacharyCorporate directorIndividual06/01/2026
Alexander, AlmaCorporate officerIndividual09/05/2017
Katy I Enterprises, L.L.C.Operational/managerial controlOrganization02/01/2023
Blake, GaryOperational/managerial controlIndividual02/01/2023
Blake, MalisaOperational/managerial controlIndividual02/01/2023
Katy I Enterprises, L.L.C.Adp of the SNFOrganization06/03/2026
Blake, GaryAdp of the SNFIndividual02/01/2023
Culp, HannahAdp of the SNFIndividual07/01/2026
Lockhart, ChristopherAdp of the SNFIndividual06/03/2026

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.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 7 problems in this area, most recently on February 26, 2026: "Provide care and assistance to perform activities of daily living for any resident who is unable."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 5 problems in this area, most recently on February 26, 2026: "Ensure each resident receives an accurate assessment."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 5 problems in this area, most recently on February 26, 2026: "Ensure medication error rates are not 5 percent or greater."
  4. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on February 26, 2026: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.62 hours per resident per day, below the Texas average of 2.98.
  6. How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.

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Common questions

What is Oakmont Healthcare and Rehabilitation Center of Ka's Medicare star rating?
CMS rates Oakmont Healthcare and Rehabilitation Center of Ka 2 out of 5 stars overall, with 3 for health inspections, 1 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Oakmont Healthcare and Rehabilitation Center of Ka get at its last inspection?
11 health deficiencies at the standard inspection on February 26, 2026. The Texas average is 9.4.
Has Oakmont Healthcare and Rehabilitation Center of Ka been fined?
Yes. CMS lists 1 fine totaling $8,281 in the last three years.
Does Oakmont Healthcare and Rehabilitation Center of Ka accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Oakmont Healthcare and Rehabilitation Center of Ka?
CMS lists 15 owners and managers, and links the home to Creative Solutions in Healthcare. Legal business name: DEWITT MEDICAL DISTRICT.

Sources

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