North Houston Transitional Care
9814 Grant Rd, Houston, TX 77070 · Harris County · 70 certified beds · avg 66 residents/day · certified since Oct 20, 2017
Part of chain: PACS GROUP (274 facilities, chain avg rating 2.9★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, repeated · Aug 20, 2024 · F-0580 · triggered by a complaint
The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Why it matters: A family could learn about a serious injury or decline days later, after the chance to act has passed.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Aug 22, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, repeated · Aug 20, 2024 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Aug 22, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (8)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 21, 2026 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| Aug 28, 2024 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint |
| Aug 20, 2024 | ▲ K · Immediate jeopardy, repeated | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Aug 20, 2024 | ▲ K · Immediate jeopardy, repeated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Aug 20, 2024 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint |
| Aug 20, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Jul 2, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Feb 22, 2024 | E · Potential for harm, repeated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 7 | 2 | K ▲ |
| 2026 | 1 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $11,508.
| Date | Type | Amount / length |
|---|---|---|
| Aug 20, 2024 | Fine | $11,508 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Texas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.37 | 3.46 | 3.95 | top 45% in Texas; bottom 30% in the U.S. |
| Registered Nurse hours | 0.41 | 0.44 | 0.69 | top 46% in Texas; bottom 23% in the U.S. |
| Weekend total nurse staffing | 3.22 | 3.04 | 3.50 | top 28% in Texas; bottom 43% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.41 | 0.34 | 0.48 | top 25% in Texas; top 47% in the U.S. |
| Total nursing staff turnover (%) | 71.3 | 55.3 | 45.8 | bottom 18% in Texas; bottom 5% in the U.S. |
| RN turnover (%) | 90.9 | 54.6 | 42.9 | bottom 10% in Texas; bottom 2% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.92, RN 0.47, weekend 3.74. Staffing rating: 1/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Mainstreeidence Developments LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 08/29/2016 |
| Providence Group NH, LLC | Organization | 5% or Greater Indirect Ownership Interest | 100% | 06/30/2023 |
| Apt, Frederick | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2024 |
| Carnagie, Russell | Individual | W-2 Managing Employee | NOT APPLICABLE | 08/02/2023 |
| Hancock, Mark | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2024 |
| Jergensen, Joshua | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2024 |
| Mitchell, John | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2024 |
| Phan, Hoang-Anh | Individual | Contracted Managing Employee | NOT APPLICABLE | 01/01/2020 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Misty Willow Healthcare and Rehabilitation Center | 0.4 mi | Houston, TX | ★☆☆☆☆ | 1/5 | abuseSFF |
| Champions Healthcare at Willowbrook | 1.3 mi | Houston, TX | ★★☆☆☆ | 2/5 | abuse |
| Fallbrook Rehabilitation and Care Center | 3.0 mi | Houston, TX | ★☆☆☆☆ | 1/5 | SFF |
| Park Manor of Cyfair | 3.0 mi | Houston, TX | ★★★★★ | 5/5 | |
| Cypress Creek Rehabilitation and Healthcare Center | 4.0 mi | Cypress, TX | ★★☆☆☆ | 3/5 | |
| Legend Oaks Healthcare and Rehabilitation Center - | 4.6 mi | Houston, TX | ★★☆☆☆ | 2/5 | |
| Eagle Crest Rapid Recovery | 5.4 mi | Houston, TX | ★☆☆☆☆ | 1/5 | abuse |
| Cypress Pointe Health & Wellness | 6.0 mi | Houston, TX | ★★★☆☆ | 3/5 | |
| Willow Creek Lodge | 6.2 mi | Tomball, TX | ★★★☆☆ | 4/5 | |
| Villa Toscana at Cypress Woods | 6.2 mi | Houston, TX | ★☆☆☆☆ | 2/5 | |
| Paradigm at Woodwind Lakes | 6.4 mi | Houston, TX | —/5 | SFF | |
| Avir at Veterans Memorial | 7.8 mi | Houston, TX | ★☆☆☆☆ | 1/5 | abuse |
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Facility data as of CMS processing date 2026-08-01. CCN 676434.