3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
At 7499 Stanwick Drive in southeast Houston, Courtyard Nursing and Rehabilitation operates as a 120-bed skilled nursing facility owned by Stanwick Senior Care LLC. The resident census is predominantly Medicaid (74.6%), with Medicare at 3.2% and private pay at 22.2%; average length of stay stretches to 435 days, reflecting a long-term care focus.
The facility is 9.3 miles from downtown Houston in Harris County and located in a very walkable neighborhood (Walk Score: 73).
Courtyard’s 2-star CMS overall rating reflects a split performance: health inspection earns 3-star (8.6% above Texas average), and quality measures are rated 3-star (6.5% above state average), but staffing is severely constrained at 1-star (52.9% below state average). The 95-person workforce includes 19 contractors; staff-to-resident ratio is 1.51:1, at state average.
The facility provides 3h 3m of nursing per resident daily, but registered nurse presence is minimal: only 5 minutes per resident per day, 81% below the state average of 26 minutes. The facility has just 3 RNs serving 120 beds. Licensed practical nurses partially compensate with 1h 14m per day (30% above state), and certified nursing aides provide 2h 32m (26% above state). Weekend RN coverage drops to 4 minutes per day.
Long-stay residents experience urinary tract infections at 4.9%, dramatically worse than the 0.8% state average; a 510% variance and potential marker of infection control gaps. Weight loss affects 5.3%, 54% worse than state average. Short-stay residents newly started on antipsychotic medication run 6.8%, 370% worse than the state average of 1.4%, raising questions about pharmacological care decisions. Falls with major injury and depression rates are impressively low.
A June 2023 federal fine of $36,000 was the only penalty; no payment denials occurred.
Occupancy stands at 59.6%, notably low and 6% below state average.
The facility reported an operating loss of $7.0 million in 2023, a severe deterioration from the $697,000 loss in 2022. By revenue, it’s ranked 256th of 297 Texas SNFs.
Courtyard offers in-house therapy, wellness classes, rehabilitation services, and a courtyard. The facility suits long-term Medicaid residents, though minimal RN staffing, elevated infection and medication-initiation rates, and mounting operational losses present significant clinical and financial risk.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 221st out of 273 homes in Texas for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 10m per day | ▼ 63% State avg: 26m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 14m per day | ▲ 30% State avg: 57m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 12m per day | ▲ 9% State avg: 2h 1m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 26m per day | ▲ 15% State avg: 2h 59m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 3m per day | ▼ 28% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 9m per day | ▼ 58% State avg: 21m per day · National avg: 29m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with Texas average
0% compared with Texas average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 3 RN Staff are full-time employees. No contractors work on this role.
3
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hoursAssists with medical care and medications.
All 21 LPN Staff are full-time employees. No contractors work on this role.
21
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursHelps with daily care and mobility.
All 36 CNA Staff are full-time employees. No contractors work on this role.
36
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
4,268 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 36 | 0 | 36 | 11,056 | 92 | 100% | 7.8 |
| Licensed Practical Nurse | 21 | 0 | 21 | 7,081 | 92 | 100% | 8.4 |
| Medication Aide/Technician | 7 | 0 | 7 | 2,865 | 92 | 100% | 8.5 |
| Physical Therapy Aide | 0 | 4 | 4 | 1,420 | 73 | 79% | 7.3 |
| Speech Language Pathologist | 0 | 4 | 4 | 1,184 | 80 | 87% | 7.8 |
| Qualified Social Worker | 0 | 2 | 2 | 807 | 68 | 74% | 6.1 |
| RN Director of Nursing | 2 | 0 | 2 | 699 | 63 | 68% | 8.1 |
| Nurse Practitioner | 2 | 0 | 2 | 512 | 64 | 70% | 8 |
| Dietitian | 1 | 0 | 1 | 509 | 67 | 73% | 7.6 |
| Mental Health Service Worker | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Physical Therapy Assistant | 0 | 1 | 1 | 490 | 61 | 66% | 8 |
| Administrator | 1 | 0 | 1 | 448 | 56 | 61% | 8 |
| Qualified Activities Professional | 1 | 0 | 1 | 360 | 43 | 47% | 8.4 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 305 | 49 | 53% | 6.2 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 293 | 38 | 41% | 7.7 |
| Registered Nurse | 3 | 0 | 3 | 217 | 30 | 33% | 7.2 |
| Feeding Assistant | 0 | 2 | 2 | 54 | 24 | 26% | 2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 5 | 3 | 3% | 1.5 |
| Occupational Therapy Aide | 0 | 2 | 2 | 4 | 14 | 15% | 0.3 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
55% lower than Texas averageTexas average: $80K
60% fewer fines than Texas averageTexas average: 2.5
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Texas averageTexas average: 0.2
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.5
14% better than Texas averageTexas average: 8.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.9
14% better than Texas averageTexas average: 16.0
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
10.7%
34% better than Texas averageTexas average: 16.2%
Percent of long-stay residents whose ability to move independently worsened
16.8%
In line with Texas averageTexas average: 16.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
14.1%
10% better than Texas averageTexas average: 15.7%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Texas averageTexas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
4.5%
In line with Texas averageTexas average: 4.4%
Percent of long-stay residents with a urinary tract infection
4.9%
510% worse than Texas averageTexas average: 0.8%
Percent of long-stay residents who lose too much weight
5.3%
54% worse than Texas averageTexas average: 3.5%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Texas averageTexas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
9.5%
20% worse than Texas averageTexas average: 7.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.7%
In line with Texas averageTexas average: 97.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.4%
In line with Texas averageTexas average: 97.9%
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
96.5%
7% better than Texas averageTexas average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
6.8%
370% worse than Texas averageTexas average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
14% better than Texas averageTexas average: 88.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
26.7%
In line with Texas averageTexas average: 25.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
12.3%
In line with Texas averageTexas average: 12.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Texas averageTexas average: 0.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
21% of new residents, usually for short-term rehab.
23% of new residents, often for short stays.
57% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
63Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Courtyard Nursing and Rehabilitation from 2012–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2022 — the home's most recent complete cost report, an older period than most facilities report.
Based on the home's most recent complete CMS SNF Cost Report — fiscal year ending in 12/2022. This is an older period than most facilities report, so compare with that in mind.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #253 / 280Payroll — State benchmarkedThis home is ranked 253rd out of 280 homes in Texas for Payroll. Shows total annual staff payroll benchmarked to the Texas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #141 / 280Payroll % — State benchmarkedThis home is ranked 141st out of 280 homes in Texas for Payroll %. Shows payroll as a percentage of revenue versus the Texas average. Well-run Texas facilities typically land around 50–64% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents stay for extended periods and receive ongoing daily care.
Most new residents arrive under Medicaid (57% of admissions), and a typical Medicaid stay runs around 2 years.
Coverage residents most often arrive under.
Coverage residents most often leave under.
7.4 miles from city center
Estimated distance in miles from Houston's city center to Courtyard Nursing and Rehabilitation's address, calculated via Google Maps.
Add your location
The information below is reported by the Texas Health and Human Services Commission.
| Park Manor of CyFair | NH SNF | Houston (White Oak Bend) | 120
Facility
120
TX AVG
80
Rank
#205 / 976 |
89.2%
Facility
89.2%
TX AVG
67.5
Rank
#35 / 200 | +32% | 3.27
Facility
3.27
TX AVG
3.63
Rank
#181 / 273 | +82% | -10% | $0
Facility
$0
TX AVG
$81.8k
Rank
#1 / 278 | 7
Facility
7
TX AVG
25.9
Rank
#12 / 274 | 2.3
Facility
2.3
TX AVG
3.7
Rank
#44 / 274 | - | 107 | - |
55
Facility
55
TX AVG
41
Rank
#385 / 1389 | Hmg Park Manor Of Cyfair, L.l.c | $9.7MFiscal year ending 08/2024
Facility
$9.7MFiscal year ending 08/2024
TX AVG
$8.4M
Rank
#142 / 280 | $4.4MFiscal year ending 08/2024
Facility
$4.4MFiscal year ending 08/2024
TX AVG
$3.5M
Rank
#143 / 280 | 45.1%Fiscal year ending 08/2024
Facility
45.1%Fiscal year ending 08/2024
TX AVG
47%
Rank
#141 / 280 | 675818 | ||||
| Caraday of Houston | NH MC RC | Houston (Northside / Northline) | 150
Facility
150
TX AVG
80
Rank
#63 / 976 | - | - | 3.76
Facility
3.76
TX AVG
3.63
Rank
#87 / 273 | -32% | +4% | $0
Facility
$0
TX AVG
$81.8k
Rank
#1 / 278 | 15
Facility
15
TX AVG
25.9
Rank
#61 / 274 | 3.8
Facility
3.8
TX AVG
3.7
Rank
#190 / 274 | - | 12 | - |
41
Facility
41
TX AVG
41
Rank
#707 / 1389 | E&R Cunningham Investments, LP | $2.7MFiscal year ending 12/2023
Facility
$2.7MFiscal year ending 12/2023
TX AVG
$8.4M
Rank
#278 / 280 | $1.8MFiscal year ending 12/2023
Facility
$1.8MFiscal year ending 12/2023
TX AVG
$3.5M
Rank
#275 / 280 | 66.5%Fiscal year ending 12/2023
Facility
66.5%Fiscal year ending 12/2023
TX AVG
47%
Rank
#96 / 280 | 676470 | ||||
| Houston Transitional Care | NH HOS MC PC RC SNF | Houston (Braeburn) | 70
Facility
70
TX AVG
80
Rank
#507 / 976 |
96.0%
Facility
96.0%
TX AVG
67.5
Rank
#4 / 200 | +42% | 3.17
Facility
3.17
TX AVG
3.63
Rank
#209 / 273 | +22% | -13% | $0
Facility
$0
TX AVG
$81.8k
Rank
#1 / 278 | 16
Facility
16
TX AVG
25.9
Rank
#69 / 274 | 5.3
Facility
5.3
TX AVG
3.7
Rank
#254 / 274 | - | 67 | - |
75
Facility
75
TX AVG
41
Rank
#67 / 1389 | Ahmad El-Saadi | $12.3MFiscal year ending 12/2023
Facility
$12.3MFiscal year ending 12/2023
TX AVG
$8.4M
Rank
#32 / 280 | $5.1MFiscal year ending 12/2023
Facility
$5.1MFiscal year ending 12/2023
TX AVG
$3.5M
Rank
#129 / 280 | 41.4%Fiscal year ending 12/2023
Facility
41.4%Fiscal year ending 12/2023
TX AVG
47%
Rank
#275 / 280 | 676435 | ||||
| Brazos Tower at Bayou Manor | NH AL IL MC SNF | Houston (Braeswood) | 33
Facility
33
TX AVG
80
Rank
#761 / 976 | - | - | 5.78
Facility
5.78
TX AVG
3.63
Rank
#7 / 273 | -37% | +59% | $46.6k
Facility
$46.6k
TX AVG
$81.8k
Rank
#193 / 278 | 5
Facility
5
TX AVG
25.9
Rank
#6 / 274 | 1.7
Facility
1.7
TX AVG
3.7
Rank
#9 / 274 | - | 28 | - |
64
Facility
64
TX AVG
41
Rank
#209 / 1389 | Sharon Darden | $4.7MFiscal year ending 12/2023
Facility
$4.7MFiscal year ending 12/2023
TX AVG
$8.4M
Rank
#26 / 280 | $7.0MFiscal year ending 12/2023
Facility
$7.0MFiscal year ending 12/2023
TX AVG
$3.5M
Rank
#54 / 280 | 151%Fiscal year ending 12/2023
Facility
151%Fiscal year ending 12/2023
TX AVG
47%
Rank
#265 / 280 | 676282 | ||||
| Courtyard Nursing and Rehabilitation | NH RC SNF | Houston (Southeast Houston) | 120
Facility
120
TX AVG
80
Rank
#205 / 976 |
57.2%
Facility
57.2%
TX AVG
67.5
Rank
#150 / 200 | -15% | 3.05
Facility
3.05
TX AVG
3.63
Rank
#221 / 273 | -58% | -16% | $0
Facility
$0
TX AVG
$81.8k
Rank
#1 / 278 | 18
Facility
18
TX AVG
25.9
Rank
#94 / 274 | 6.0
Facility
6.0
TX AVG
3.7
Rank
#264 / 274 | 1 | 69 | - |
73
Facility
73
TX AVG
41
Rank
#95 / 1389 | Stanwick Senior Care LLC | $5.7M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
$5.7M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
TX AVG
$8.4M
Rank
#249 / 280 | $3.0M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
$3.0M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
TX AVG
$3.5M
Rank
#253 / 280 | 51.8%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
51.8%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
TX AVG
47%
Rank
#141 / 280 | 455613 |
Courtyard Nursing and Rehabilitation is located in Houston, Texas.
Here are the financial assistance programs available to residents in Texas.
Courtyard Nursing and Rehabilitation is in the Southeast Houston neighborhood.
Courtyard Nursing and Rehabilitation has a walk score of 73. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Courtyard Nursing and Rehabilitation's occupancy is 59.6%.
Courtyard Nursing and Rehabilitation is registered as a for-profit.
Yes — there are 20 photos of Courtyard Nursing and Rehabilitation in the photo gallery on this page.
Courtyard Nursing and Rehabilitation is located at 7499 Stanwick Dr, Houston, TX 77087.
(713) 644-8048 will put you in contact with the team at Courtyard Nursing and Rehabilitation.
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