Skilled nursing facility · CMS certification number 676251
Misty Willow Healthcare and Rehabilitation Center
Houston, Texas · Medicare and Medicaid · 124 certified beds in Care Compare
In Care Compare’s provider information: Penalties: 3 · Fines: 3 · Fines, total amount: $64,093.00 · Payment denials: 0. The most recent penalty on file: March 9, 2026, Fine, $28,451. Every penalty on file ↓
Misty Willow Healthcare and Rehabilitation Center: its citable report, full history — $295 · an email when it changes — $99/month
What stands out
- Its latest cost report on file is for fiscal year 2024, covering October 1, 2023 to September 30, 2024 (365 days), and CMS processed it on January 13, 2025.
- Net patient revenue rose from $11.5M in fiscal year 2023 to $12.6M in fiscal year 2024.
- Its result from service to patients: $420K (2022), $904K (2023), $1.0M (2024).
- Its cost reports on file run from fiscal year 2010 to fiscal year 2024.
- Since its cost report for fiscal year 2024 was filed on January 13, 2025, 13 changes are listed on this record: a change in the Care Compare provider file, an owner change and 11 owner changes.
- Its net patient revenue of $12.6M ranks 57th of the 681 nursing facilities in Texas whose latest cost report on file is fiscal year 2024.
- 1 of the 5 nursing facilities in Texas closest in size to it, whose latest cost report on file is fiscal year 2024, also reports a gain on service to patients.
Misty Willow Healthcare and Rehabilitation Center: Medicare cost reports
Form CMS-2540-10: every report is settled.
| Form CMS-2540-10 | 2024 · report 1402188 | 2023 · report 1375181 | 2022 · report 1344483 | 2021 · report 1313996 | 2020 · report 1281779 | 2019 · report 1252386 | 2018 · report 1221647 | 2017 · report 1211037 | 2016 · report 1189134 | 2015 · report 1178014 | 2014 · report 1149282 | 2013 · report 1111200 | 2012 · report 1080059 | 2011 · report 1053701 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | October 1, 2023 | October 1, 2022 | October 1, 2021 | October 1, 2020 | October 1, 2019 | October 1, 2018 | October 1, 2017 | April 1, 2017 | January 1, 2016 | January 1, 2015 | January 1, 2014 | January 1, 2013 | January 1, 2012 | January 1, 2011 |
| Period ended | September 30, 2024 | September 30, 2023 | September 30, 2022 | September 30, 2021 | September 30, 2020 | September 30, 2019 | September 30, 2018 | September 30, 2017 | April 30, 2016 | December 31, 2015 | December 31, 2014 | December 31, 2013 | December 31, 2012 | December 31, 2011 |
| Days, where not a full year | — | — | — | — | — | — | — | 182 | 120 | — | — | — | — | — |
| Processed by CMS | January 13, 2025 | March 18, 2024 | March 16, 2023 | April 21, 2022 | March 26, 2021 | March 12, 2020 | March 21, 2019 | August 29, 2018 | May 2, 2018 | November 7, 2017 | December 16, 2016 | October 15, 2015 | November 11, 2014 | January 27, 2014 |
| Total patient revenue | $16,551,998 | $15,408,071 | $10,919,995 | $7,972,962 | $6,931,560 | $7,216,938 | $7,441,596 | $3,347,034 | $4,050,959 | $14,183,601 | $13,199,684 | $13,903,829 | $13,428,484 | $12,917,165 |
| Contractual allowances and discounts | $3,981,010 | $3,867,234 | $1,383,064 | $1,111,206 | $695,584 | $1,123,040 | $744,231 | $276,639 | $1,269,849 | $4,626,076 | $4,272,370 | $4,432,691 | $4,116,431 | $3,485,264 |
| Net patient revenue | $12,570,988 | $11,540,837 | $9,536,931 | $6,861,756 | $6,235,976 | $6,093,898 | $6,697,365 | $3,070,395 | $2,781,110 | $9,557,525 | $8,927,314 | $9,471,138 | $9,312,053 | $9,431,901 |
| Total operating expenses | $11,559,008 | $10,636,915 | $9,117,064 | $7,068,018 | $7,121,659 | $7,286,340 | $7,982,865 | $3,413,192 | $2,810,287 | $8,867,651 | $8,440,151 | $8,972,804 | $8,972,047 | $8,219,512 |
| Net income from service to patients | $1,011,980 | $903,922 | $419,867 | −$206,262 | −$885,683 | −$1,192,442 | −$1,285,500 | −$342,797 | −$29,177 | $689,874 | $487,163 | $498,334 | $340,006 | $1,212,389 |
| Total other income | $2,406 | $2,201 | $15,274 | $1,830 | $1,124 | $1,069 | $10,454 | $387 | $1,423,732 | $3,667 | −$70,446 | $1,125 | $2,848 | $1,457 |
| Net income after other income | $1,014,386 | $906,123 | $435,141 | −$204,432 | −$884,559 | −$1,191,373 | −$1,275,046 | −$342,410 | $1,394,555 | $693,541 | $416,717 | $499,459 | $342,854 | $1,213,846 |
| Net income | $1,014,330 | $906,123 | $435,141 | −$204,432 | −$885,803 | −$1,191,373 | −$1,275,046 | −$342,410 | $1,387,445 | $682,446 | $416,717 | $490,342 | $329,279 | $1,196,905 |
| Total facility beds, all components | 124 | 124 | 124 | 124 | 124 | 124 | 124 | 124 | 124 | 124 | 124 | 124 | 124 | 124 |
| Bed days available, all components | 45,384 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 1,365 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 24,699 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer patient days | 8,249 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total patient days, all components | 34,313 | 32,022 | 25,643 | 20,588 | 21,816 | 25,016 | 29,575 | 14,584 | 11,403 | 37,272 | 36,086 | 35,876 | 33,742 | 32,266 |
| Medicare discharges | 40 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid discharges | 59 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer discharges | 350 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total discharges, all components | 449 | 434 | 350 | 201 | 147 | 213 | 316 | 351 | 158 | 503 | 401 | 606 | 562 | 518 |
| Average length of stay, Medicare, in days | 34.13 | 38.21 | 46.94 | 42.55 | 68.38 | 49.58 | 36.65 | 36.11 | 53.15 | 43.01 | 46.75 | 41.92 | 34.18 | 31.48 |
| Average length of stay, Medicaid, in days | 418.63 | 1,097.3 | 512.69 | 689.91 | 693.48 | 456.79 | 574.05 | 2,632.5 | 258.7 | 203.14 | 599.56 | 249.72 | 172.94 | 142.77 |
| Average length of stay, all patients, in days | 76.42 | 73.78 | 73.27 | 102.43 | 148.41 | 117.45 | 93.59 | 41.55 | 72.17 | 74.1 | 89.99 | 59.2 | 60.04 | 62.29 |
Net income, fiscal years 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011. Checked against the form’s own arithmetic: what that check shows.
Form CMS-2540-96: every report is settled.
| Form CMS-2540-96 | 2010 · report 415477 |
|---|---|
| Period began | April 21, 2010 |
| Period ended | December 31, 2010 |
| Days, where not a full year | 254 |
| Processed by CMS | August 17, 2011 |
| Net patient revenue | $3,670,815 |
| Total operating expenses | $4,077,959 |
| Net income from service to patients | −$407,144 |
| Total other income | $904 |
| Total other expenses | $11,266 |
| Net income | −$417,506 |
| Total facility beds, all components | 124 |
| Total patient days, all components | 13,420 |
| Total discharges, all components | 226 |
| Average length of stay, Medicare, in days | 29.4 |
| Average length of stay, Medicaid, in days | 112.1 |
| Average length of stay, all patients, in days | 59.38 |
Net income, fiscal year 2010. Checked against the form’s own arithmetic: what that check shows.
Misty Willow Healthcare and Rehabilitation Center: nurse staffing hours by quarter →
Who owns Misty Willow Healthcare and Rehabilitation Center, as filed with CMS
Care Compare
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: LIBERTY COUNTY HOSPITAL DISTRICT NO 1 (organization), 100%%, since 04/01/2017
- ADP OF THE SNF: ALI, NIDA (individual), NOT APPLICABLE, since 09/18/2024; ENSIGN SERVICES INC (organization), NOT APPLICABLE, since 05/01/2016; FITZGERALD, TAMI (individual), NOT APPLICABLE, since 04/01/2017; MISTY WILLOW HEALTHCARE, INC. (organization), NOT APPLICABLE, since 11/03/2025; NATIONAL HEALTH INVESTORS, INC. (organization), NOT APPLICABLE, since 04/01/2017; TEXAS NHI INVESTORS, LLC (organization), NOT APPLICABLE, since 04/01/2017
- CORPORATE OFFICER: BURNAM, SOON (individual), NOT APPLICABLE, since 04/01/2017; KEETCH, CHAD (individual), NOT APPLICABLE, since 03/01/2011; STRATTON, CHARLES (individual), NOT APPLICABLE, since 02/07/2005
- MANAGING CONTROL - GOVERNING BODY: ALI, NIDA (individual), NOT APPLICABLE, since 09/18/2024; FITZGERALD, TAMI (individual), NOT APPLICABLE, since 04/01/2017
- OPERATIONAL/MANAGERIAL CONTROL: ALI, NIDA (individual), NOT APPLICABLE, since 09/18/2024; FITZGERALD, TAMI (individual), NOT APPLICABLE, since 04/01/2017; MISTY WILLOW HEALTHCARE, INC. (organization), NOT APPLICABLE, since 04/01/2017
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of LIBERTY COUNTY HOSPITAL DISTRICT NO 1 (enrollment ID O20170619002211).
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: LIBERTY COUNTY HOSPITAL DISTRICT NO 1 (organization), 100.00%, since 04/01/2017
- ADP OF THE SNF: ENSIGN SERVICES INC (organization), since 05/01/2016; MISTY WILLOW HEALTHCARE, INC. (organization), since 11/03/2025; NATIONAL HEALTH INVESTORS, INC. (organization), since 04/01/2017; NIDA FATEMA ALI (individual), since 09/18/2024; TAMI FITZGERALD (individual), since 04/01/2017; TEXAS NHI INVESTORS, LLC (organization), since 04/01/2017
- CORPORATE OFFICER: CHAD KEETCH (individual), since 03/01/2011; CHARLES BRUCE STRATTON (individual), since 02/07/2005; SOON BURNAM (individual), since 04/01/2017
- MANAGING CONTROL - GOVERNING BODY: NIDA FATEMA ALI (individual), since 09/18/2024; TAMI FITZGERALD (individual), since 04/01/2017
- OPERATIONAL/MANAGERIAL CONTROL: MISTY WILLOW HEALTHCARE, INC. (organization), 100.00%, since 04/01/2017; NIDA FATEMA ALI (individual), since 09/18/2024; TAMI FITZGERALD (individual), 100.00%, since 04/01/2017
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company, real estate investment trust and holding company: No: LIBERTY COUNTY HOSPITAL DISTRICT NO 1; ENSIGN SERVICES INC; MISTY WILLOW HEALTHCARE, INC.; NATIONAL HEALTH INVESTORS, INC.; TEXAS NHI INVESTORS, LLC; MISTY WILLOW HEALTHCARE, INC..
Private equity company, real estate investment trust and holding company: Paused by CMS: NIDA FATEMA ALI; TAMI FITZGERALD; CHAD KEETCH; CHARLES BRUCE STRATTON; SOON BURNAM; NIDA FATEMA ALI; TAMI FITZGERALD; NIDA FATEMA ALI; TAMI FITZGERALD.
Changes in ownership
- March 1, 2026, enrollment ownership file; no longer listed: SOON BURNAM (OPERATIONAL/MANAGERIAL CONTROL); first listed: MISTY WILLOW HEALTHCARE, INC. (ADP OF THE SNF), associated since November 3, 2025; SOON BURNAM (CORPORATE OFFICER), associated since April 1, 2017; CHAD A KEETCH (CORPORATE OFFICER), associated since March 1, 2011; NIDA FATEMA ALI (ADP OF THE SNF), associated since September 18, 2024; NIDA FATEMA ALI (MANAGING CONTROL - GOVERNING BODY), associated since September 18, 2024; NIDA FATEMA ALI (OPERATIONAL/MANAGERIAL CONTROL), associated since September 18, 2024; ENSIGN SERVICES INC (ADP OF THE SNF), associated since May 1, 2016; TAMI FITZGERALD (ADP OF THE SNF), associated since April 1, 2017; TAMI FITZGERALD (MANAGING CONTROL - GOVERNING BODY), associated since April 1, 2017; TEXAS NHI INVESTORS, LLC (ADP OF THE SNF), associated since April 1, 2017; NATIONAL HEALTH INVESTORS, INC. (ADP OF THE SNF), associated since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- October 31, 2022, enrollment ownership file; first listed: SOON E BURNAM (OPERATIONAL/MANAGERIAL CONTROL), associated since May 1, 2016; LIBERTY COUNTY HOSPITAL DISTRICT NO 1 (5% OR GREATER DIRECT OWNERSHIP INTEREST), associated since May 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
Recent changes on this record
- October 1, 2026: special_focus_status withdrawn (was SFF Candidate). NH_ProviderInfo_Oct2026.csv
Inspections of Misty Willow Healthcare and Rehabilitation Center
- Cycle 1: health December 4, 2025 (9 deficiencies), fire safety December 4, 2025 (2)
- Cycle 2: health August 30, 2024 (14 deficiencies), fire safety August 30, 2024 (0)
- Cycle 3: health June 16, 2023 (7 deficiencies), fire safety June 16, 2023 (1)
Deficiencies cited at Misty Willow Healthcare and Rehabilitation Center
30 deficiencies on file, by tag, newest citation first
every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 11 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0550, resident rights: March 9, 2026 (D, from a complaint, corrected March 11, 2026).
- F 0684, quality of life and care: March 9, 2026 (J, from a complaint, corrected March 11, 2026); March 29, 2025 (K, from a complaint, corrected March 31, 2025).
- F 0689, quality of life and care: December 4, 2025 (D, corrected December 6, 2025); March 29, 2025 (K, from a complaint, corrected March 31, 2025).
- F 0694, quality of life and care: December 4, 2025 (D, corrected December 6, 2025).
- F 0755, pharmacy service: December 4, 2025 (D, corrected December 6, 2025); March 29, 2025 (J, from a complaint, corrected March 31, 2025).
- F 0761, pharmacy service: December 4, 2025 (D, corrected December 6, 2025); August 30, 2024 (D, corrected September 3, 2024); June 16, 2023 (D, corrected July 14, 2023).
- F 0805, nutrition and dietary: December 4, 2025 (E, corrected December 6, 2025).
- F 0812, nutrition and dietary: December 4, 2025 (F, corrected December 6, 2025).
- F 0813, nutrition and dietary: December 4, 2025 (E, corrected December 6, 2025).
- F 0564, resident rights: September 24, 2025 (D, from a complaint, corrected October 16, 2025).
- F 0600, freedom from abuse, neglect, and exploitation: September 24, 2025 (K, from a complaint, corrected October 16, 2025).
- F 0607, freedom from abuse, neglect, and exploitation: September 24, 2025 (K, from a complaint, corrected October 16, 2025).
- F 0610, freedom from abuse, neglect, and exploitation: September 24, 2025 (K, from a complaint, corrected October 16, 2025).
- F 0656, resident assessment and care planning: September 24, 2025 (K, from a complaint, corrected October 16, 2025); June 16, 2023 (D, corrected July 14, 2023).
- F 0583, resident rights: August 30, 2024 (D, corrected September 3, 2024); June 16, 2023 (D, corrected July 14, 2023).
- F 0686, quality of life and care: August 30, 2024 (D, corrected September 3, 2024).
- F 0690, quality of life and care: August 30, 2024 (D, corrected September 3, 2024).
- F 0695, quality of life and care: August 30, 2024 (D, corrected September 3, 2024); June 16, 2023 (D, corrected July 14, 2023).
- F 0880, infection control: August 30, 2024 (E, from a complaint, corrected September 3, 2024).
- F 0655, resident assessment and care planning: June 16, 2023 (D, corrected July 14, 2023).
- F 0759, pharmacy service: June 16, 2023 (D, corrected July 14, 2023).
- F 0803, nutrition and dietary: June 16, 2023 (E, corrected July 14, 2023).
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| March 9, 2026 | Fine | $28,451 | 137947 | ||
| September 24, 2025 | Fine | $20,495 | 136625 | ||
| March 29, 2025 | Fine | $15,147 | 113912 |
From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.
Misty Willow Healthcare and Rehabilitation Center in Care Compare
- Ownership Type: For profit - Limited Liability company
- Legal Business Name: LIBERTY COUNTY HOSPITAL DISTRICT NO 1
- Date First Approved to Provide Medicare and Medicaid Services: 2010-04-21
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: Harris
- Telephone Number: 2814697881
- Chain Name: THE ENSIGN GROUP
- Chain ID: 507
- Provider Changed Ownership in Last 12 Months: N
- With a Resident and Family Council: None
- Automatic Sprinkler Systems in All Required Areas: Yes
- Average Number of Residents per Day: 78.0
- Overall Rating: 1
- Health Inspection Rating: 1
- QM Rating: 4
- Long-Stay QM Rating: 4
- Short-Stay QM Rating: 4
Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · penalties NH_Penalties_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.
Other nursing facilities in Houston
Report a figure on Misty Willow Healthcare and Rehabilitation Center’s record that differs from its CMS file, quoting 676251.