Texas average 7.4
Last Health inspection on Jun 2025

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Highland Park Rehabilitation & Nursing Center, located at 8861 Fulton Street in the Northside/Northline area of Houston, is a 120-bed facility operated by Winnie-Stowell Hospital District under the administration of Johnnie Richardson. Situated 6.7 miles from downtown in a moderately walkable neighborhood (Walk Score: 61), the community opened in 2014 and serves a predominantly Medicaid population (80.2% current census). Admission patterns are more balanced, at 30% Medicare, 37% private pay, and 32% Medicaid, with an average stay of 167 days reflecting a long-term care orientation.
The facility carries a 2-star CMS overall rating (33.6% below state average).
Its 1-star staffing rating stems from critical RN scarcity: 10 minutes per resident daily, 62% below state average. Conversely, certified nursing aide coverage runs 2 hours 25 minutes per day, 20% above state. This RN-aide imbalance, with minimal physician-level oversight and high aide presence, characterizes the care model.
Health inspection earns 2-star (65.4% below state), while quality measures paradoxically rate 4-star (26.6% above state).
June 2025 identified immediate jeopardy for resident #67, whose weight dropped unmonitored from 171 to 146.2 pounds (14.5% loss), and resident #43, denied ordered oxygen and nebulizer treatments despite declining oxygen saturation from 90 to 80. Earlier inspections substantiated Stage 4 pressure ulcer mismanagement for resident #16 (repeated across multiple surveys), medication error rates of 18% and 8% (versus 5% standard), shower and ADL failures, PASARR coordination lapses, and PEG tube care errors. February 2023 documented 18% medication errors including wrong strengths and crushed enteric-coated medications.
A $62K federal fine was imposed June 2025; no payment denials occurred.
Walking ability declined in 30.7% of long-stay residents (89% worse than state), and short-stay re-hospitalization reached 28.6% (10% worse than state).
Financial performance strengthened markedly, with occupancy recovering to 66.6% and profit margin at 18.7%. Payroll represents 41.9% of revenue, below the 51-63% range typical of well-resourced facilities.
The facility predominantly serves long-term Medicaid residents with mixed acuity. Recent immediate jeopardy findings for nutrition and respiratory care, combined with pressure ulcer management deficiencies and historically high medication error rates, indicate elevated clinical supervision risk.
Highland Park Rehabilitation & Nursing Center is administrated by Johnnie Richardson.
Key information about the people who lead and staff this community.
In Texas, the Health and Human Services Commission (HHSC) is the primary regulatory body that conducts unannounced inspections and publishes quality reports for all long-term care homes.
Citations
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Total citations
| 10 | 6 | This facility has 67% more total citations than a typical Texas nursing home (10 vs. TX avg 6).↑ 67% worse |
|
Health citations
| 6 | 2 | This facility has 200% more health citations than a typical Texas nursing home (6 vs. TX avg 2).↑ 200% worse |
|
Life safety citations
| 4 | 6 | This facility has 33% fewer life safety citations than a typical Texas nursing home (4 vs. TX avg 6).↓ 33% better |
|
Citations per year
| 3.3 | 2 | This facility has 65% more citations per year than a typical Texas nursing home (3.3 vs. TX avg 2).↑ 65% worse |
The most recent inspection on June 27, 2025, identified deficiencies related to nutrition and respiratory care, including failure to provide adequate food and fluids and appropriate respiratory treatments for residents. Earlier inspections showed a pattern of issues with resident care, medication administration, documentation, and infection control, with substantiated complaints about pressure ulcer care and medical record inaccuracies. Inspectors cited recurring problems in pressure ulcer management, medication errors, and failure to coordinate PASARR evaluations, along with occasional lapses in dignity and staffing postings. Complaint investigations mostly found deficiencies related to care coordination, medication administration, and activities of daily living, with no enforcement actions or fines listed in the available reports. The inspection history indicates ongoing challenges in clinical care areas, with some issues persisting over multiple inspections.
Texas average 7.4
Last Health inspection on Jun 2025
Texas average 25.9
Texas average 3.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
6 of 18 citations resulted from standard inspections; 5 of 18 resulted from complaint investigations; and 7 of 18 came from combined inspections (standard and complaint).
Texas average: 2
Texas average: 0.4
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
Total hours from contractors
1,897 contractor hours this quarter
| Certified Nursing Assistant | 60 | 0 | 60 | 17,631 | 92 | 100% | 6.9 |
| Licensed Practical Nurse | 27 | 4 | 31 | 9,534 | 92 | 100% | 7.8 |
| Physical Therapist | 17 | 0 | 17 | 6,837 | 92 | 100% | 7.5 |
| Medication Aide/Technician | 6 | 0 | 6 | 2,624 | 92 | 100% | 11.2 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,008 | 72 | 78% | 7.7 |
| Nurse Aide in Training | 2 | 0 | 2 | 983 | 83 | 90% | 7.4 |
| Registered Nurse | 6 | 0 | 6 | 837 | 82 | 89% | 8.4 |
| Nurse Practitioner | 1 | 0 | 1 | 736 | 92 | 100% | 8 |
| RN Director of Nursing | 1 | 0 | 1 | 566 | 61 | 66% | 9.3 |
| Administrator | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Speech Language Pathologist | 0 | 2 | 2 | 488 | 65 | 71% | 7.4 |
| Physical Therapy Aide | 0 | 3 | 3 | 452 | 67 | 73% | 6.7 |
| Dental Services Staff | 1 | 0 | 1 | 433 | 60 | 65% | 7.2 |
| Qualified Social Worker | 0 | 1 | 1 | 296 | 63 | 68% | 4.7 |
| Physical Therapy Assistant | 0 | 2 | 2 | 68 | 23 | 25% | 2.8 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 50 | 23 | 25% | 2.2 |
| Qualified Activities Professional | 0 | 1 | 1 | 29 | 8 | 9% | 3.6 |
Includes penalties issued in 2025
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)
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Jun 27, 2025 · $62K
Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
30% of new residents, usually for short-term rehab.
37% of new residents, often for short stays.
32% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents 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.
Historical financial and operational data for Highland Park Rehabilitation & Nursing Center based on CMS SNF Cost Reports.
Most residents stay for extended periods and receive ongoing daily care.
Blake Apsokardu serves as the Administrator at Highland Park Rehabilitation & Nursing Center. He leads the community with a focus on providing quality care and support to residents, ensuring a welcoming and professional environment.
6.7 miles from city center
Estimated distance in miles from Houston's city center to Highland Park Rehabilitation & Nursing Center's address, calculated via Google Maps.
— 8.84 miles to nearest hospital (The Fetal Center at Children's Memorial Hermann)
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Highland Park Rehabilitation & Nursing Center is located in Houston, Texas.
Here are the financial assistance programs available to residents in Texas.
The information below is reported by the Texas Health and Human Services Commission.
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HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
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| Highland Park Rehabilitation & Nursing Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Houston (Northside / Northline) | 120 | - | - | 3.35 | -44% | -8% | $61.8k | 18 | 3.6 | 2 | 108 | 61 | Terri Myers | $8.2M | $3.4M | 41.9% | 675493 |
Highland Park Rehabilitation & Nursing Center is in the Northside / Northline neighborhood of Houston.
The legal owner and operator of Highland Park Rehabilitation & Nursing Center is Winnie-Stowell Hospital District.
Highland Park Rehabilitation & Nursing Center has a walk score of 61. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to TX state health department records, Highland Park Rehabilitation & Nursing Center's license number is 143714.
According to TX state health department records, Highland Park Rehabilitation & Nursing Center's license expires on September 23, 2027.
Johnnie Richardson is the administrator of Highland Park Rehabilitation & Nursing Center.
Highland Park Rehabilitation & Nursing Center has 120 beds.
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