Afton Oaks Nursing and Rehabilitation Center

Nursing Home · Houston, TX

CMS overall rating 1/5 SFF candidate Abuse citation For profit - Corporation

CMS certification number455682
CMS lists this nursing home as a Special Focus Facility candidate – one of the lowest-performing nursing homes in its state based on inspection history.
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).

Contact & location

7514 Kingsley St
Houston, TX 77087
Harris County
Phone
(713) 644-8393
ZIP code
77087 – all care providers

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Facility details

Certified beds
169
Residents per day
76.9 (46% occupied)
Ownership
For profit - Corporation
Legal name
Winnie-Stowell Hospital District
Chain
Creative Solutions in Healthcare (149 facilities, avg 2.1★)
Medicare certified since
January 21, 1987
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 2.6
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 2/5
State avg 1.9
Quality measures★★★★★ 3/5
State avg 3.7
Long-stay quality★★★★★ 3/5
Short-stay qualityNot rated

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.59 (state 3.39 · U.S. 3.86)
Registered nurses (RN)
0.57 (state 0.43 · U.S. 0.69)
Licensed practical nurses
0.84 (state 0.95 · U.S. 0.86)
Nurse aides
2.18 (state 2.00 · U.S. 2.32)
Weekend total
3.29 (state 2.98 · U.S. 3.42)
Nursing staff turnover
—
RN turnover
—
Administrators who left
2 in the last year

Inspections

Last standard inspection
April 9, 2025
Health deficiencies (last cycle)
20.0 (state 9.3 · U.S. 9.3)
From complaints
14
Citations on record (3 years)
37 health · 7 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-01-14 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Past Non-Compliance
2025-11-21 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2025-11-22
2025-10-27 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection
K
Immediate jeopardy to resident health or safety
Corrected 2025-10-28
2025-10-27 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
K
Immediate jeopardy to resident health or safety
Corrected 2025-10-28
2025-10-27 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection
K
Immediate jeopardy to resident health or safety
Corrected 2025-10-28
2025-10-27 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies · complaint inspection
K
Immediate jeopardy to resident health or safety
Corrected 2025-10-28
2025-10-27 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies · complaint inspection
K
Immediate jeopardy to resident health or safety
Corrected 2025-10-28
2025-10-27 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection
K
Immediate jeopardy to resident health or safety
Corrected 2025-10-28
2025-10-27 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
F0584 · Resident Rights Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-10-28
2025-10-27 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F0921 · Environmental Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-10-28
2025-10-27 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F0925 · Environmental Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-10-28
2025-10-27 Give the resident's representative the ability to exercise the resident's rights.
F0551 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-10-28
2025-07-11 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Past Non-Compliance
2025-04-09 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-05-09
2025-04-09 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-05-09
2025-04-09 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-05-09
2025-04-09 Assess the resident when there is a significant change in condition
F0637 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-09
2025-04-09 PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-09
2025-04-09 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
F0655 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-09
2025-04-09 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-09
2025-04-09 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-09
2025-04-01 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Corrected 2025-04-07
2025-04-01 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-04-07
2025-04-01 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-04-07
2025-03-13 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-04-07
2025-03-13 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-04-07
2024-11-27 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-06
2024-11-27 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-06
2024-11-14 Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
F0585 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-04
2023-09-13 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2023-10-05
2023-09-13 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2023-10-05
2023-09-13 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2023-10-05
2023-09-13 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2023-10-05
2023-09-13 Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F0835 · Administration Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2023-10-05
2023-09-13 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Corrected 2023-10-05
2022-11-10 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
F0636 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-12-09
2022-11-10 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-12-09

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

4 penalties in the last three years, including $90,872 in fines.

DateTypeAmount
2026-01-14Fine$14,722
2025-10-27Fine$45,760
2025-07-11Fine$10,529
2023-09-13Fine$19,861

Ownership & management

NameRoleSince
Garrett, Chandra (individual)Administrator · NOT APPLICABLE
Jian, Peter (individual)Administrator · NOT APPLICABLE
Murrell, Edward (individual)Corporate Director · NOT APPLICABLE
Rollo, Jeffery (individual)Corporate Director · NOT APPLICABLE
Stramecki, Anthony (individual)Corporate Director · NOT APPLICABLE
Vratis, Kacey (individual)Corporate Director · NOT APPLICABLE
Way, George (individual)Corporate Director · NOT APPLICABLE
Bodie, Rebecca (individual)Operational/managerial Control · NOT APPLICABLE
Diversicare Afton Oaks, LLC (organization)Operational/managerial Control · NOT APPLICABLE
Garrett, Chandra (individual)Operational/managerial Control · NOT APPLICABLE
Jian, Peter (individual)Operational/managerial Control · NOT APPLICABLE
Journey Medical Pllc (organization)Operational/managerial Control · NOT APPLICABLE
Nee, Stephen (individual)Operational/managerial Control · NOT APPLICABLE
Weishaar, Matthew (individual)Operational/managerial Control · NOT APPLICABLE
Winnie-Stowell Hospital District (organization)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Afton Oaks Nursing and Rehabilitation Center?

Afton Oaks Nursing and Rehabilitation Center has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.

How many beds does Afton Oaks Nursing and Rehabilitation Center have?

It has 169 certified beds and cares for about 77 residents per day.

Has Afton Oaks Nursing and Rehabilitation Center been fined?

Yes. CMS lists 4 penalties totaling $90,872 in the last three years.

Who owns Afton Oaks Nursing and Rehabilitation Center?

It is part of Creative Solutions in Healthcare and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Afton Oaks Nursing and Rehabilitation Center?

(713) 644-8393. The facility is located at 7514 Kingsley St, Houston, TX 77087.

Other nursing homes in Houston

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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.