VILLA TOSCANA AT CYPRESS WOODS
15015 CYPRESS WOODS MEDICAL DR, HOUSTON, TX 77014 · CCN 676239
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 120
- Avg residents/day
- 105.9
- Phone
- 2815866088
Inspection history vs Texas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-02-28 | 9 | 9.1 | 9.5 | -0.1 better |
| 2 | 2023-12-01 | 22 | 9.4 | 9.8 | +12.6 worse |
| 3 | 2022-09-21 | 7 | 8.1 | 9.3 | -1.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 1 |
| Resident rights | 1 |
| Nutrition and dietary | 1 |
| Pharmacy service | 5 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.22 | 42.0% |
| RN staffing (reported) | 0.48 | 50.0% |
| Total nurse staffing (adjusted) | 3.70 | — |
Fines & penalties
- Total fines
- $37,827
- Number of fines
- 3
- Number of penalties
- 4
- Payment denials
- 1
Chain
- Chain
- CREATIVE SOLUTIONS IN HEALTHCARE
- Facilities in chain
- 149
- Chain avg overall
- 2.70 / 5
Inspection citations (38)4 immediate jeopardy
- DF0583Keep residents' personal and medical records private and confidential.2025-11-14 · Health · corrected 2025-11-15
Potential for more than minimal harm
- DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2025-11-14 · Health · corrected 2025-11-15
Potential for more than minimal harm
- DF0687Provide appropriate foot care.2025-11-14 · Health · corrected 2025-11-15
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-11-14 · Health · corrected 2025-11-15
Potential for more than minimal harm
- DF0761Ensure 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.2025-11-14 · Health · corrected 2025-11-15
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-02-28 · Health · corrected 2025-03-01
Potential for more than minimal harm
- EF0759Ensure medication error rates are not 5 percent or greater.2025-02-28 · Health · corrected 2025-03-01
Potential for more than minimal harm
- EF0761Ensure 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.2025-02-28 · Health · corrected 2025-03-01
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-02-28 · Health · corrected 2025-03-01
Potential for more than minimal harm
- EF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-02-07 · Health · corrected 2025-02-09
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-02-07 · Health · corrected 2025-02-09
Potential for more than minimal harm
- EF0558Reasonably accommodate the needs and preferences of each resident.2025-01-28 · Health · corrected 2025-01-29
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-01-28 · Health · corrected 2025-01-29
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-10-01 · Health · corrected 2024-10-02
Immediate jeopardy
- DF0880Provide and implement an infection prevention and control program.2024-10-01 · Health · corrected 2024-12-23
Potential for more than minimal harm
- EF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-09-12 · Health · corrected 2024-09-13
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-09-12 · Health · corrected 2024-09-13
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-08-09 · Health · corrected 2024-04-30
Immediate jeopardy
- EF0558Reasonably accommodate the needs and preferences of each resident.2023-12-01 · Health · corrected 2023-12-04
Potential for more than minimal harm
- FF0583Keep residents' personal and medical records private and confidential.2023-12-01 · Health · corrected 2023-12-04
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-12-01 · Health · corrected 2023-12-04
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-12-01 · Health · corrected 2023-12-04
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-12-01 · Health · corrected 2023-12-04
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-12-01 · Health · corrected 2023-12-04
Potential for more than minimal harm
- EF0692Provide enough food/fluids to maintain a resident's health.2023-12-01 · Health · corrected 2023-12-04
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-12-01 · Health · corrected 2023-12-04
Potential for more than minimal harm
- EF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2023-12-01 · Health · corrected 2023-12-04
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-12-01 · Health · corrected 2023-12-04
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2023-12-01 · Health · corrected 2023-12-04
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-12-01 · Health · corrected 2023-12-04
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-12-01 · Health · corrected 2023-12-04
Potential for more than minimal harm
- JF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-08-30 · Health · corrected 2023-08-31
Immediate jeopardy
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-08-30 · Health · corrected 2023-08-31
Potential for more than minimal harm
- JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-08-30 · Health · corrected 2023-08-31
Immediate jeopardy
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2022-09-21 · Health · corrected 2022-10-15
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-09-21 · Health · corrected 2022-10-15
Potential for more than minimal harm
- DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2022-09-21 · Health · corrected 2022-10-15
Potential for more than minimal harm
- DF0761Ensure 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.2022-09-21 · Health · corrected 2022-10-15
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| WEST WHARTON COUNTY HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2022-09-01 |
| HOUSTON I ENTERPRISES, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-09-01 |
| BLAKE, GARY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-09-01 |
| BLAKE, MALISA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-09-01 |
| HUGGINS, LINDA | Individual | CORPORATE DIRECTOR | — | 2022-09-01 |
| MAK, DAVID | Individual | CORPORATE OFFICER | — | 2021-05-17 |
Other facilities in HOUSTON
| Name | Overall | Beds |
|---|---|---|
| THE HALLMARK | ★★★★★ | 32 |
| THE METHODIST HOSPITAL SNF | ★★★★★ | 25 |
| PARK MANOR OF CYFAIR | ★★★★★ | 120 |
| BAYOU MANOR | ★★★★★ | 37 |
| HOUSTON TRANSITIONAL CARE | ★★★★★ | 70 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.