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Trend Health and Rehab of Houston
1000 East Madison Street, Houston, MS 38851 (opens Google Maps) · Chickasaw County · (662) 456-1101· 60 certified beds · avg 51 residents/day · certified since Jul 1, 2004 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: TREND CONSULTANTS (15 facilities, chain avg rating 3.5★)
4/5
Health inspection rating (on-site)
inspected May 28, 2026
0
Serious findings on record
$0
Fines, last 3 years
4.94
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 28 inspection findings. Open the full record below to read every finding.
The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. F-0637
The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. F-0641
The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. F-0692
View all 28 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 28, 2026 | D · Potential for more than minimal harm, isolated | The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. · F-0637 |
| May 28, 2026 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| May 28, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692 |
| May 28, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695 |
| May 28, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| Apr 2, 2025 | E · Potential for more than minimal harm, pattern | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Apr 2, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0656 |
| Apr 2, 2025 | E · Potential for more than minimal harm, pattern | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · F-0677 |
| Apr 2, 2025 | E · Potential for more than minimal harm, pattern | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · F-0679 |
| Apr 2, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0880 |
| Apr 2, 2025 | D · Potential for more than minimal harm, isolated | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. · from a complaint · F-0561 |
| Apr 2, 2025 | D · Potential for more than minimal harm, isolated | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. · F-0640 |
| Apr 2, 2025 | C · Potential for minimal harm, widespread | The facility did not give residents reasonable access to and privacy in using ways to communicate, such as phones, mail, and email. Residents have the right to stay in touch with the outside world privately. · F-0576 |
| Mar 21, 2024 | D · Potential for more than minimal harm, isolated | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · F-0558 |
| Mar 21, 2024 | D · Potential for more than minimal harm, isolated | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · F-0578 |
| Mar 21, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0580 |
| Mar 21, 2024 | D · Potential for more than minimal harm, isolated | The facility did not keep residents' personal and medical information private and confidential. · F-0583 |
| Mar 21, 2024 | D · Potential for more than minimal harm, isolated | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. · F-0636 |
| Mar 21, 2024 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Mar 21, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0656 |
| Mar 21, 2024 | D · Potential for more than minimal harm, isolated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658 |
| Mar 21, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · F-0677 |
| Mar 21, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Mar 21, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. · F-0688 |
| Mar 21, 2024 | D · Potential for more than minimal harm, isolated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · F-0759 |
| Mar 21, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0761 |
| Mar 21, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| Mar 21, 2024 | B · Potential for minimal harm, pattern | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. · F-0582 |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (7 → 5).
All citationsSerious citations (G–L)
2024
All citations: 15
Serious citations (G–L): 0
2025
All citations: 8
Serious citations (G–L): 0
2026
All citations: 5
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 15 | 0 | D |
| 2025 | 8 | 0 | E |
| 2026 | 5 | 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityMississippi averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.94
Mississippi average: 4.88
U.S. average: 3.95
Registered Nurse hours
This facility: 1.08
Mississippi average: 0.74
U.S. average: 0.69
Weekend total nurse staffing
This facility: 4.04
Mississippi average: 4.09
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Mississippi avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.94 | 4.88 | 3.95 | top 37% in Mississippi; top 14% in the U.S. |
| Registered Nurse hours | 1.08 | 0.74 | 0.69 | top 9% in Mississippi; top 13% in the U.S. |
| Weekend total nurse staffing | 4.04 | 4.09 | 3.50 | top 42% in Mississippi; top 22% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.53 | 0.38 | 0.48 | top 13% in Mississippi; top 30% in the U.S. |
| Total nursing staff turnover (%) | 53.5 | 45.7 | 45.8 | bottom 26% in Mississippi; bottom 28% in the U.S. |
| RN turnover (%) | 53.3 | 38.4 | 42.9 | bottom 25% in Mississippi; bottom 31% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 4.17, RN 0.91, weekend 3.41.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.17 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 2/5 · long-stay residents: 1/5 · short-stay residents: 3/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Trend Health and Rehab of Houston. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Kelly, Rita | Individual | 5% or Greater Direct Ownership Interest | — | 06/01/2024 |
| Fulcher, Todd | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2024 |
| Kelly, Charles | Individual | 5% or Greater Mortgage Interest | NOT APPLICABLE | 06/01/2024 |
| Kelly, Charles | Individual | Managing Control - Governing Body | NOT APPLICABLE | 06/01/2024 |
| Kelly, Charles | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2024 |
| Kelly, Charles | Individual | General Partnership Interest | NOT APPLICABLE | 06/01/2024 |
| Kelly, Charles | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2024 |
| Kelly, Rita | Individual | 5% or Greater Mortgage Interest | NOT APPLICABLE | 06/01/2024 |
| Kelly, Rita | Individual | Managing Control - Governing Body | NOT APPLICABLE | 06/01/2024 |
| Kelly, Rita | Individual | Limited Partnership Interest | NOT APPLICABLE | 06/01/2024 |
| Lott, Sandra | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2024 |
| Lott, Sandra | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2024 |
| Trend Consultants LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/09/2024 |
| Warnock, Lori | Individual | Corporate Director | NOT APPLICABLE | 06/01/2024 |
| Warnock, Lori | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/14/2025 |
| Warnock, Lori | Individual | ADP of the SNF | NOT APPLICABLE | 01/14/2025 |
All 16 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain Trend Consultants — 15 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Trend Health and Rehab of Natchez, LLC — Natchez, MS · overall 1/5
- Wilkinson County Senior Care — Centreville, MS · overall 5/5
- Carthage Senior Care — Carthage, MS · overall 5/5
- Claiborne County Senior Care — Port Gibson, MS · overall 5/5
- Clinton Healthcare LLC - SNF — Clinton, MS · overall 4/5
- Compere NH INC — Jackson, MS · overall 4/5
- Holmes County Long Term Care Center - Durant — Durant, MS · overall 2/5
- Louisville Healthcare LLC — Louisville, MS · overall 2/5
Listed by state, then facility name — not a ranking. Showing 8 of the 14 others, continuing from this facility's own place in that list.
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's health suddenly changes, how quickly do you reassess them and update their care?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 54% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 16 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Shearer-Richardson Memorial Nursing Home | 15.0 mi | Okolona, MS | ★★★☆☆ | 4/5 | |
| Baptist Nursing Home-Calhoun, INC | 19.4 mi | Calhoun City, MS | ★☆☆☆☆ | 1/5 |
Facility data as of CMS processing date 2026-08-01. CCN 255306.