Trend Health and Rehab of Houston

Name: Trend Health and Rehab of Houston
Address: 1000 EAST MADISON STREET, Houston, MS, 38851, US
Telephone: 6624561101

1000 East Madison Street, Houston, MS 38851 · Chickasaw County · 60 certified beds · avg 51 residents/day · certified since Jul 1, 2004

Part of chain: TREND CONSULTANTS (15 facilities, chain avg rating 3.5★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.94

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

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.

All citations in the current public record (28)

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 28, 2026	D · Potential for harm, one-off	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.
May 28, 2026	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
May 28, 2026	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
May 28, 2026	D · Potential for harm, one-off	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.
May 28, 2026	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.
Apr 2, 2025	E · Potential for harm, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Apr 2, 2025	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.
Apr 2, 2025	E · Potential for harm, repeated	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.
Apr 2, 2025	E · Potential for harm, repeated	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Apr 2, 2025	E · Potential for harm, repeated	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.
Apr 2, 2025	D · Potential for harm, one-off	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
Apr 2, 2025	D · Potential for harm, one-off	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.
Apr 2, 2025	C · Minimal risk, facility-wide	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.
Mar 21, 2024	D · Potential for harm, one-off	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.
Mar 21, 2024	D · Potential for harm, one-off	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.
Mar 21, 2024	D · Potential for harm, one-off	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.
Mar 21, 2024	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential.
Mar 21, 2024	D · Potential for harm, one-off	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.
Mar 21, 2024	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Mar 21, 2024	D · Potential for harm, one-off	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.
Mar 21, 2024	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Mar 21, 2024	D · Potential for harm, one-off	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.
Mar 21, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Mar 21, 2024	D · Potential for harm, one-off	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.
Mar 21, 2024	D · Potential for harm, one-off	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.
Mar 21, 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.
Mar 21, 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.
Mar 21, 2024	B · Minimal risk, repeated	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.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (7 → 5).

Year	Citations	Worst severity that year
2024	15	D
2025	8	E
2026	5	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)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

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, 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. Staffing rating: 4/5.

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: 2/5 · long-stay residents: 1/5 · short-stay residents: 3/5

Who owns this facility

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

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?"
"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
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

Compare this facility with the 2 closest →

All facilities in Houston →

Facility data as of CMS processing date 2026-08-01. CCN 255306.

The Care File

Visit checklist — Trend Health and Rehab of Houston

1000 East Madison Street, Houston, MS 38851 · 6624561101

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "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?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 255306 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)