Nursing homeActiveSpecial Focus Facility candidate · what this means

Afton Oaks Nursing and Rehabilitation Center

7514 Kingsley St, Houston, TX 770877136448393169 certified beds · 77 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
12
since 2022
Deficiencies
37
02116
Penalties · 3 yrs
$90,872
4 fines
Last survey
2026-01-14
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 2
Quality 3
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Texas Health and Human Services Commission · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-01-14Complaint001CMS-2567 (Care Compare)
2025-11-21Complaint001CMS-2567 (Care Compare)
2025-10-27Complaint046CMS-2567 (Care Compare)
2025-07-11Complaint001CMS-2567 (Care Compare)
2025-04-09Standard080CMS-2567 (Care Compare)
2025-04-01Complaint021CMS-2567 (Care Compare)
2025-03-13Complaint020CMS-2567 (Care Compare)
2024-11-27Complaint020CMS-2567 (Care Compare)
2024-11-14Complaint010CMS-2567 (Care Compare)
2024-02-07Standard000CMS-2567 (Care Compare)
2023-09-13Complaint006CMS-2567 (Care Compare)
2022-11-10Standard020CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Texas Health and Human Services Commission publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-01-14Complaint survey · 1 deficiencyOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Correction not yet recordedRecord 455682-20260114-F689
2025-11-21Complaint survey · 1 deficiencyOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-11-22Record 455682-20251121-F689
2025-10-27Complaint survey · 10 deficienciesOfficial report
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity KHarm
Dignity & rights
Pattern; immediate jeopardy to resident health or safety.Corrected 2025-10-28Record 455682-20251027-F580
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity KHarm
Abuse & neglect
Pattern; immediate jeopardy to resident health or safety.Corrected 2025-10-28Record 455682-20251027-F600
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity KHarm
Care planning
Pattern; immediate jeopardy to resident health or safety.Corrected 2025-10-28Record 455682-20251027-F686
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity KHarm
Care planning
Pattern; immediate jeopardy to resident health or safety.Corrected 2025-10-28Record 455682-20251027-F697
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity KHarm
Care planning
Pattern; immediate jeopardy to resident health or safety.Corrected 2025-10-28Record 455682-20251027-F698
F760Ensure that residents are free from significant medication errors.Scope/severity KHarm
Medication
Pattern; immediate jeopardy to resident health or safety.Corrected 2025-10-28Record 455682-20251027-F760
F551Give the resident's representative the ability to exercise the resident's rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-28Record 455682-20251027-F551
F584Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-10-28Record 455682-20251027-F584
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-10-28Record 455682-20251027-F921
F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-10-28Record 455682-20251027-F925
2025-07-11Complaint survey · 1 deficiencyOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Correction not yet recordedRecord 455682-20250711-F689
2025-04-09Standard survey · 8 deficienciesOfficial report
F637Assess the resident when there is a significant change in conditionScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-09Record 455682-20250409-F637
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-09Record 455682-20250409-F645
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-09Record 455682-20250409-F655
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-09Record 455682-20250409-F656
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-09Record 455682-20250409-F755
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-09Record 455682-20250409-F756
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-09Record 455682-20250409-F757
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-09Record 455682-20250409-F812
2025-04-01Complaint survey · 3 deficienciesOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-04-07Record 455682-20250401-F689
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-07Record 455682-20250401-F610
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-07Record 455682-20250401-F677
2025-03-13Complaint survey · 2 deficienciesOfficial report
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-07Record 455682-20250313-F656
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-07Record 455682-20250313-F755
2024-11-27Complaint survey · 2 deficienciesOfficial report
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-06Record 455682-20241127-F690
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-06Record 455682-20241127-F880
2024-11-14Complaint survey · 1 deficiencyOfficial report
F585Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-04Record 455682-20241114-F585
2023-09-13Complaint survey · 6 deficienciesOfficial report
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity JHarm
Abuse & neglect
Isolated; immediate jeopardy to resident health or safety.Corrected 2023-10-05Record 455682-20230913-F607
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity JHarm
Abuse & neglect
Isolated; immediate jeopardy to resident health or safety.Corrected 2023-10-05Record 455682-20230913-F609
F610Respond appropriately to all alleged violations.Scope/severity JHarm
Abuse & neglect
Isolated; immediate jeopardy to resident health or safety.Corrected 2023-10-05Record 455682-20230913-F610
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-10-05Record 455682-20230913-F677
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2023-10-05Record 455682-20230913-F689
F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.Scope/severity JHarm
Records
Isolated; immediate jeopardy to resident health or safety.Corrected 2023-10-05Record 455682-20230913-F835
2022-11-10Standard survey · 2 deficienciesOfficial report
F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-12-09Record 455682-20221110-F636
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-12-09Record 455682-20221110-F656

Penalties & enforcement

DateActionAmountSource
2026-01-14Civil money penalty$14,722CMS · Penalties
2025-10-27Civil money penalty$45,760CMS · Penalties
2025-07-11Civil money penalty$10,529CMS · Penalties
2023-09-13Civil money penalty$19,861CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.57
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day3.59
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours3.29
Facility
Texas
National
Texas 2.98 · National 3.42

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityTexasNational
Percentage of long-stay residents with pressure ulcers
lower is better
5.2%3.8%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
0.3%3.3%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
5.5%9.6%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
1.7%0.8%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.0%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
24.8%15.8%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
2.1%3.0%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
11.3%18.0%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Bodie, Rebecca
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Diversicare Afton Oaks, LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Garrett, Chandra
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Jian, Peter
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Journey Medical Pllc
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Nee, Stephen
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Weishaar, Matthew
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Winnie-Stowell Hospital District
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Garrett, Chandra
Individual
ADP OF THE SNFNOT APPLICABLE
Jian, Peter
Individual
ADP OF THE SNFNOT APPLICABLE
Murrell, Edward
Individual
CORPORATE DIRECTORNOT APPLICABLE
Rollo, Jeffery
Individual
CORPORATE DIRECTORNOT APPLICABLE
Stramecki, Anthony
Individual
CORPORATE DIRECTORNOT APPLICABLE
Vratis, Kacey
Individual
CORPORATE DIRECTORNOT APPLICABLE
Way, George
Individual
CORPORATE DIRECTORNOT APPLICABLE
Part of a chain
Creative Solutions In Healthcare149 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Texas.

No county cost figures on file for Harris.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Avir at Courtyard
Houston
0.7 mi2025-09-110120
Avir at Golfcrest
Houston
1.1 mi2026-05-230155
Harmony Care at Golfcrest
Houston
1.5 mi2026-01-201175
Paradigm at Faith Memorial
Pasadena
5.5 mi2026-04-230202
St Dominic Village Rehabilitation And Nursing Cent
Houston
5.5 mi2026-06-250131
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01