Nursing homeActive

The Lev at Winchester

1112 Smith Dr, Alvin, TX 77511281331612594 certified beds · 84 residentsGovernment - Hospital districtMedicare and Medicaid
Surveys on file
5
since 2023
Deficiencies
14
0140
Penalties · 3 yrs
none on file
Last survey
2025-12-05
Complaint
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 4
Staffing 1
Quality 4
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
2025-12-05Complaint010CMS-2567 (Care Compare)
2025-08-08Standard050CMS-2567 (Care Compare)
2024-06-28Standard020CMS-2567 (Care Compare)
2024-04-06Complaint010CMS-2567 (Care Compare)
2023-04-20Standard050CMS-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.

2025-12-05Complaint survey · 1 deficiencyOfficial report
F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-01-27Record 676264-20251205-F553
2025-08-08Standard survey · 5 deficienciesOfficial report
F621Treat residents equally regarding transfer, discharge, and provision of services for all residents, regardless of payment sourceScope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-09Record 676264-20250808-F621
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-09Record 676264-20250808-F641
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-08-09Record 676264-20250808-F686
F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-08-26Record 676264-20250808-F727
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 2025-08-09Record 676264-20250808-F880
2024-06-28Standard survey · 2 deficienciesOfficial report
F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-26Record 676264-20240628-F727
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-26Record 676264-20240628-F761
2024-04-06Complaint survey · 1 deficiencyOfficial report
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-24Record 676264-20240406-F695
2023-04-20Standard survey · 5 deficienciesOfficial report
F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-04-21Record 676264-20230420-F727
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 2023-04-21Record 676264-20230420-F812
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-21Record 676264-20230420-F842
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-04-21Record 676264-20230420-F880
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-21Record 676264-20230420-F883

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.14
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day2.98
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours2.61
Facility
Texas
National
Texas 2.98 · National 3.42
Total nursing staff turnover52%
Facility
Texas
National
Texas 55% · National 46%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityTexasNational
Percentage of long-stay residents with pressure ulcers
lower is better
6.1%3.8%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
2.4%3.3%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
10.3%9.6%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.0%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
17.9%15.8%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
5.4%3.0%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
19.0%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
Oakbend Medical Center
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Shkop, Aharon
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Ssc Alvin Operating Company LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
The Lev At Winchester LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Council, Jeff
Individual
CORPORATE OFFICERNOT APPLICABLE
Crayton, Tom
Individual
CORPORATE OFFICERNOT APPLICABLE
Douds, Robert
Individual
CORPORATE OFFICERNOT APPLICABLE
Freudenberger, Joseph
Individual
W-2 MANAGING EMPLOYEENOT APPLICABLE
Freudenberger, Joseph
Individual
CORPORATE OFFICERNOT APPLICABLE
Haley, Jeff
Individual
CORPORATE OFFICERNOT APPLICABLE
Martin, Melissa
Individual
CORPORATE OFFICERNOT APPLICABLE
Mefford, Ruthanne
Individual
CORPORATE OFFICERNOT APPLICABLE
Petrosewicz, Norma
Individual
CORPORATE OFFICERNOT APPLICABLE
Popatia, Amirali
Individual
CORPORATE OFFICERNOT APPLICABLE
Uthman, Edward
Individual
CORPORATE OFFICERNOT APPLICABLE
Zerwas, John
Individual
CORPORATE OFFICERNOT APPLICABLE
Part of a chain
Oakbend Medical Center5 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 Brazoria.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Laurel Court
Alvin
3.5 mi2026-03-19060
Friendship Haven Healthcare And Rehabilitation Cen
Friendswood
5.9 mi2026-02-20071
Oasis at Pearland
Pearland
9.0 mi2026-07-010305
Thrive Rehabilitation of Pearland
Pearland
9.3 mi2026-04-094265
The Heights of League City
League City
9.4 mi2026-04-240149
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