nursing home in Houston, TX
Afton Oaks Nursing and Rehabilitation Center
7514 Kingsley St, Houston, TX 77087 · (713) 644-8393
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★2
- Quality measures★★★★★3
- Special Focus candidate
- Abuse citation
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Afton Oaks Nursing and Rehabilitation Center at a glance
Afton Oaks Nursing and Rehabilitation Center is a 169-bed for-profit nursing home in Houston, Texas (Harris County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.
Residents receive about 3.6 hours of nursing care per day (0.6 of them from registered nurses), better than the state average of 3.4 hours.
Its most recent standard health inspection (June 11, 2026) found 20 health citations. The Texas average is 9.4.
Federal regulators fined it 3 times in the past three years, totaling $71,011.
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Individual
- Beds
- 169
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Creative Solutions in Healthcare
- Medicare-certified since
- January 21, 1987
- Resident/family council
- Resident
- County
- Harris County
- CMS Certification Number
- 455682
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 3 / 5 | 4 / 5 | 3.8 / 5 | Worse |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.59 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.57 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.18 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 3.29 hrs | 2.98 hrs | 3.42 hrs | Average |
| Administrators who left in the past year (lower is better) | 2 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 20 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 12 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 793.5 | 102 | 80.6 | Worse |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 3 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $71,011 | $44,141 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 3 | 2 | 1 | Worse |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 169 | 113 | 107 | |
| Average residents per day | 77 | 76 | 86 | |
| Occupancy | 45.5% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 0.3% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 5.2% | 3.8% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 5.5% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 1.7% | 0.8% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.2% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 24.8% | 15.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 16.6% | 14% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 2.1% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 1.6% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 11.3% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 20.5% | 13.4% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 96.4% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 87.5% | 96.6% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 73.4% | 88% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 80.5% | 88.9% | 82% | Average |
Inspection citations
State inspectors cited this home for 43 health deficiencies and 7 fire safety deficiencies in the inspection records CMS currently publishes. 16 citations involved actual harm, including 13 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 11, 2026 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected June 12, 2026 |
| June 11, 2026 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected June 12, 2026 |
| June 11, 2026 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | E Potential harm, pattern | Corrected June 12, 2026 |
| June 11, 2026 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | E Potential harm, pattern | Corrected June 12, 2026 |
| June 11, 2026 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected June 12, 2026 |
| June 11, 2026 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected June 12, 2026 |
| June 11, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected June 12, 2026 |
| June 11, 2026 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | E Potential harm, pattern | Corrected June 12, 2026 |
| June 11, 2026 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected June 12, 2026 |
| June 11, 2026 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected June 12, 2026 |
| June 11, 2026 Standard | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Tag F0744 | D Potential harm, isolated | Corrected June 15, 2026 |
| June 11, 2026 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected June 12, 2026 |
| January 14, 2026 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Past Non-Compliance |
| November 21, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected November 22, 2025 |
| October 27, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | K Immediate jeopardy, pattern | Corrected October 28, 2025 |
| October 27, 2025 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | K Immediate jeopardy, pattern | Corrected October 28, 2025 |
| October 27, 2025 Complaint | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | K Immediate jeopardy, pattern | Corrected October 28, 2025 |
| October 27, 2025 Complaint | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | K Immediate jeopardy, pattern | Corrected October 28, 2025 |
| October 27, 2025 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | K Immediate jeopardy, pattern | Corrected October 28, 2025 |
| October 27, 2025 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | K Immediate jeopardy, pattern | Corrected October 28, 2025 |
| October 27, 2025 Complaint | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | E Potential harm, pattern | Corrected October 28, 2025 |
| October 27, 2025 Complaint | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | E Potential harm, pattern | Corrected October 28, 2025 |
| October 27, 2025 Complaint | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected October 28, 2025 |
| October 27, 2025 Complaint | Give the resident's representative the ability to exercise the resident's rights. Resident Rights Deficiencies · Tag F0551 | D Potential harm, isolated | Corrected October 28, 2025 |
| July 11, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Past Non-Compliance |
| April 9, 2025 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected April 30, 2025 |
| April 9, 2025 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected May 9, 2025 |
| April 9, 2025 Complaint | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | E Potential harm, pattern | Corrected May 9, 2025 |
| April 9, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected May 9, 2025 |
| April 9, 2025 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | D Potential harm, isolated | Corrected May 9, 2025 |
| April 9, 2025 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected May 9, 2025 |
| April 9, 2025 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected May 9, 2025 |
| April 9, 2025 Complaint | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected May 9, 2025 |
| April 9, 2025 Standard | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Tag F0637 | D Potential harm, isolated | Corrected May 9, 2025 |
| April 1, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected April 7, 2025 |
| April 1, 2025 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected April 7, 2025 |
| April 1, 2025 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected April 7, 2025 |
| March 13, 2025 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected April 7, 2025 |
| March 13, 2025 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected April 7, 2025 |
| November 27, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected December 6, 2024 |
| November 27, 2024 Complaint | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected December 6, 2024 |
| November 14, 2024 Complaint | 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. Resident Rights Deficiencies · Tag F0585 | D Potential harm, isolated | Corrected December 4, 2024 |
| February 7, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected February 23, 2024 |
| February 7, 2024 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected February 23, 2024 |
| September 13, 2023 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected October 5, 2023 |
| September 13, 2023 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | J Immediate jeopardy, isolated | Corrected October 5, 2023 |
| September 13, 2023 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | J Immediate jeopardy, isolated | Corrected October 5, 2023 |
| September 13, 2023 Complaint | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | J Immediate jeopardy, isolated | Corrected October 5, 2023 |
| September 13, 2023 Complaint | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Tag F0835 | J Immediate jeopardy, isolated | Corrected October 5, 2023 |
| September 13, 2023 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | G Actual harm, isolated | Corrected October 5, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 3 federal penalties in the past three years, including $71,011 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| January 14, 2026 | Fine | $14,722 |
| October 27, 2025 | Fine | $45,760 |
| July 11, 2025 | Fine | $10,529 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| GARRETT, CHANDRA Individual | adp of the snf | NOT APPLICABLE | 07/29/2025 |
| JIAN, PETER Individual | adp of the snf | NOT APPLICABLE | 07/29/2025 |
| MURRELL, EDWARD Individual | corporate director | NOT APPLICABLE | 09/01/2024 |
| ROLLO, JEFFERY Individual | corporate director | NOT APPLICABLE | 09/01/2024 |
| STRAMECKI, ANTHONY Individual | corporate director | NOT APPLICABLE | 09/01/2024 |
| VRATIS, KACEY Individual | corporate director | NOT APPLICABLE | 09/01/2024 |
| WAY, GEORGE Individual | corporate director | NOT APPLICABLE | 09/01/2024 |
| BODIE, REBECCA Individual | operational/managerial control | NOT APPLICABLE | 09/01/2024 |
| DIVERSICARE AFTON OAKS, LLC Organization | operational/managerial control | NOT APPLICABLE | 09/01/2024 |
| GARRETT, CHANDRA Individual | operational/managerial control | NOT APPLICABLE | 09/01/2024 |
| JIAN, PETER Individual | operational/managerial control | NOT APPLICABLE | 01/20/2025 |
| JOURNEY MEDICAL PLLC Organization | operational/managerial control | NOT APPLICABLE | 01/20/2025 |
| NEE, STEPHEN Individual | operational/managerial control | NOT APPLICABLE | 09/01/2024 |
| WEISHAAR, MATTHEW Individual | operational/managerial control | NOT APPLICABLE | 09/01/2024 |
| WINNIE-STOWELL HOSPITAL DISTRICT Organization | operational/managerial control | NOT APPLICABLE | 09/01/2024 |
Other nursing homes near Afton Oaks Nursing and Rehabilitation Center
Avir at Courtyard
7499 Stanwick Dr, Houston, TX 77087 · under 1 mi
For-profit · 120 beds · Part of Avir Health Group
★★★★★4Above averageAvir at Golfcrest
7633 Bellfort Street, Houston, TX 77061 · 1.1 mi
For-profit · 200 beds · Part of Avir Health Group
★★★★★2Below averageGolfcrest Nursing and Rehabilitation
6150 S Loop East, Houston, TX 77087 · 1.5 mi
For-profit · 120 beds · Part of Harmony Care Group
★★★★★1Much below averageParadigm at Faith Memorial
811 Garner Rd, Pasadena, TX 77502 · 5.5 mi
For-profit · 112 beds · Part of Paradigm Healthcare
★★★★★3AverageSt Dominic Village Rehabilitation and Nursing Cent
2409 E Holcombe Blvd, Houston, TX 77021 · 5.5 mi
Non-profit · 158 beds
- Abuse citation
★★★★★1Much below averageGarden Terrace Healthcare Center of Houston
7887 Cambridge St, Houston, TX 77054 · 6 mi
For-profit · 120 beds · Part of Life Care Centers of America
★★★★★2Below average
Frequently asked questions
What is Afton Oaks Nursing and Rehabilitation Center's rating?
Afton Oaks Nursing and Rehabilitation Center has 1 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Afton Oaks Nursing and Rehabilitation Center receive?
Its most recent standard health inspection found 20 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Afton Oaks Nursing and Rehabilitation Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Afton Oaks Nursing and Rehabilitation Center?
It is for profit - individual and part of Creative Solutions in Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Afton Oaks Nursing and Rehabilitation Center and how do I contact it?
Afton Oaks Nursing and Rehabilitation Center is at 7514 Kingsley St, Houston, TX 77087. Phone: (713) 644-8393.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.