Nursing home · SNF / NF

Afton Oaks Nursing and Rehabilitation Center

Federal · CMSActive CMS certificationCCN 455682Special Focus candidateCMS abuse iconFor profit CMS overall

7514 Kingsley St, Houston, TX 77087 · Operated by Winnie-Stowell Hospital District · Chain Creative Solutions in Healthcare

Source: CMS Provider Data Catalog, release Oct 1, 2026 · provenance

$25 Full Intelligence Report

Certified beds

169

Avg residents / day

Inspections

Citations

Harm-level

Fines

$72k

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 169 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 78.5 CMS, MDS-derived
CMS Certification Number: 455682
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jan 21, 1987
Ownership type: For profit - Individual
Operator (legal business name): Winnie-Stowell Hospital District
CMS chain: Creative Solutions in Healthcare 150 facilities
Phone: (713) 644-8393
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

latest Aug 28, 2026

Citations

39 health · 7 fire

Harm or worse

8 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J2	K6	L·
Actual harm	G2	H·	I·
Potential harm	D18	E16	F2
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

$71,838

Payment denials

Latest

Jan 14, 2026

Date	Domain	Survey types	Citations	Most severe	Open
Aug 28, 2026	Health	Health Complaint	2	Potential harm	2	Open →
Jun 11, 2026	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Jun 11, 2026	Health	Health Standard	8	Potential harm	—	Open →
Jan 14, 2026	Health	Health Complaint	1	Actual harm	—	Open →
Nov 21, 2025	Health	Health Complaint	1	Immediate jeopardy	—	Open →
Oct 27, 2025	Health	Health Complaint	10	Immediate jeopardy	—	Open →
Jul 11, 2025	Health	Health Complaint	1	Immediate jeopardy	—	Open →
Apr 9, 2025	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Apr 9, 2025	Health	Health Complaint, Health Standard	8	Potential harm	—	Open →
Apr 1, 2025	Health	Health Complaint	3	Actual harm	—	Open →
Mar 13, 2025	Health	Health Complaint	2	Potential harm	—	Open →
Nov 27, 2024	Health	Health Complaint	2	Potential harm	—	Open →
Nov 14, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Feb 7, 2024	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Feb 7, 2024	Health	Health Standard	0	No citations	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Jan 14, 2026	Civil money penalty (fine)	$14,722	—	455682\|Fine\|136735
Oct 27, 2025	Civil money penalty (fine)	$46,587	—	455682\|Fine\|135798
Jul 11, 2025	Civil money penalty (fine)	$10,529	—	455682\|Fine\|134705

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J2	K6	L·
Actual harm	G2	H·	I·
Potential harm	D18	E16	F2
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Aug 28, 2026	F-0580	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 · Resident rights & abuse/neglect	D · Potential harm Isolated	No plan of correction	Complaint
Aug 28, 2026	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	No plan of correction	Complaint
Jun 11, 2026	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jun 12, 2026
Jun 11, 2026	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jun 12, 2026
Jun 11, 2026	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jun 12, 2026
Jun 11, 2026	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jun 12, 2026
Jun 11, 2026	F-0645	PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 12, 2026
Jun 11, 2026	F-0656	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 · Clinical care	E · Potential harm Pattern	Corrected Jun 12, 2026
Jun 11, 2026	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 12, 2026
Jun 11, 2026	F-0744	Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 15, 2026
Jun 11, 2026	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Jun 12, 2026
Jun 11, 2026	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Jun 12, 2026
Jun 11, 2026	F-0761	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 · Medication management	D · Potential harm Isolated	Corrected Jun 12, 2026
Jun 11, 2026	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Jun 12, 2026
Jan 14, 2026	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Past non-compliance	Complaint
Nov 21, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	J · Immediate jeopardy Isolated	Corrected Nov 22, 2025	Complaint
Oct 27, 2025	F-0580	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 · Resident rights & abuse/neglect	K · Immediate jeopardy Pattern	Corrected Oct 28, 2025	Complaint
Oct 27, 2025	F-0600	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 · Resident rights & abuse/neglect	K · Immediate jeopardy Pattern	Corrected Oct 28, 2025	Complaint
Oct 27, 2025	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	K · Immediate jeopardy Pattern	Corrected Oct 28, 2025	Complaint
Oct 27, 2025	F-0697	Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care	K · Immediate jeopardy Pattern	Corrected Oct 28, 2025	Complaint
Oct 27, 2025	F-0698	Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care	K · Immediate jeopardy Pattern	Corrected Oct 28, 2025	Complaint
Oct 27, 2025	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	K · Immediate jeopardy Pattern	Corrected Oct 28, 2025	Complaint
Oct 27, 2025	F-0551	Give the resident's representative the ability to exercise the resident's rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Oct 28, 2025	Complaint
Oct 27, 2025	F-0584	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 · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Oct 28, 2025	Complaint
Oct 27, 2025	F-0921	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Oct 28, 2025	Complaint
Oct 27, 2025	F-0925	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Oct 28, 2025	Complaint
Jul 11, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	J · Immediate jeopardy Isolated	Past non-compliance	Complaint
Apr 9, 2025	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Apr 30, 2025
Apr 9, 2025	F-0637	Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 9, 2025
Apr 9, 2025	F-0645	PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 9, 2025	Complaint
Apr 9, 2025	F-0655	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 · Clinical care	D · Potential harm Isolated	Corrected May 9, 2025
Apr 9, 2025	F-0656	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 · Clinical care	D · Potential harm Isolated	Corrected May 9, 2025
Apr 9, 2025	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected May 9, 2025
Apr 9, 2025	F-0756	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 · Medication management	D · Potential harm Isolated	Corrected May 9, 2025
Apr 9, 2025	F-0757	Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected May 9, 2025	Complaint
Apr 9, 2025	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected May 9, 2025
Apr 1, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Apr 7, 2025	Complaint
Apr 1, 2025	F-0610	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Apr 7, 2025	Complaint
Apr 1, 2025	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Apr 7, 2025	Complaint
Mar 13, 2025	F-0656	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 · Clinical care	D · Potential harm Isolated	Corrected Apr 7, 2025	Complaint
Mar 13, 2025	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Apr 7, 2025	Complaint
Nov 27, 2024	F-0690	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 · Clinical care	D · Potential harm Isolated	Corrected Dec 6, 2024	Complaint
Nov 27, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Dec 6, 2024	Complaint
Nov 14, 2024	F-0585	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 · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Dec 4, 2024	Complaint
Feb 7, 2024	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 23, 2024
Feb 7, 2024	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Feb 23, 2024

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Operating entity

Winnie-Stowell Hospital District

CMS legal business name of the certified provider. Operates 77 facilities.

VerifiedLinked by exact legal name

CMS chain

Creative Solutions in Healthcare

150 facilities in 1 states. CMS chain ID 169.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.3

Ownership disclosures

Disclosures

Organizations

Individuals

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Diversicare Afton Oaks, LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 1, 2024
Journey Medical PLLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 20, 2025
Winnie-Stowell Hospital District	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 1, 2024
Rebecca Bodie	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 1, 2024
Chandra Garrett	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 1, 2024
Peter Jian	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 20, 2025
Stephen Nee	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 1, 2024
Matthew Weishaar	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 1, 2024
Edward Murrell	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Sep 1, 2024
Jeffery Rollo	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Sep 1, 2024
Anthony Stramecki	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Sep 1, 2024
Kacey Vratis	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Sep 1, 2024
George Way	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Sep 1, 2024
Chandra Garrett	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jul 29, 2025
Peter Jian	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jul 29, 2025

Other facilities operated by Winnie-Stowell Hospital District

All 76 →

Facility	Beds	Last inspection	Citations (window)	Fines
Copperas Cove Nursing & Rehabilitation 607 W. Ave. B, Copperas Cove, TX 76522 CCN 455515	123	Aug 19, 2026	472 IJ	$24k
Beaumont Health Care Center 795 Lindbergh Dr, Beaumont, TX 77707 CCN 455561	82	Jul 8, 2026	24	—
Avir at Town Creek 1816 Tile Factory Rd, Palestine, TX 75801 CCN 455565	102	Feb 18, 2026	302 harm	$49k
Marshall Manor Nursing & Rehabilitation Center 1007 S Washington Ave, Marshall, TX 75670 CCN 455646	179	Jul 29, 2026	31	—
Willowbrook Nursing Center 227 Russell Blvd, Nacogdoches, TX 75965 CCN 455700	166	Jul 9, 2025	271 IJ	$153k
Monument Hill Nursing and Rehabilitation Center 120 State Loop 92, La Grange, TX 78945 CCN 455715	104	Aug 6, 2026	311 IJ	$8,281
Oak Brook Health Care Center 107 Stacy Dr., Whitehouse, TX 75791 CCN 455753	120	Jun 17, 2026	24	—
Spindletop Hill Nursing and Rehabilitation Center 1020 S 23rd St, Beaumont, TX 77707 CCN 455757	148	Aug 5, 2026	443 IJ	$83k

Same chain in Texas

All 149 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Buena Vida Nursing and Rehab-San Antonio 5027 Pecan Grove, San Antonio, TX 78222 CCN 455390SFF CandidateAbuse icon	222	Jul 24, 2026	595 IJ1 harm	$198k
Mesa Vista Inn Health Center 5756 North Knoll Drive, San Antonio, TX 78240 CCN 455444	144	Jul 2, 2026	531 IJ	$8,160
Mountain View Health & Rehabilitation 1600 Muchison Rd, El Paso, TX 79902 CCN 455471	187	Jul 2, 2026	836 IJ	$123k
Vista Hills Health Care Center 1599 Lomaland Drive, El Paso, TX 79935 CCN 455493	120	Aug 24, 2026	832 IJ	$40k
Pleasant Springs Healthcare Center 2003 North Edwards Avenue, Mount Pleasant, TX 75455 CCN 455532SFF CandidateAbuse icon	90	Aug 7, 2026	774 IJ2 harm	$66k
Amistad Nursing and Rehabilitation Center 200 Riverside Drive, Uvalde, TX 78801 CCN 455536	200	Aug 7, 2026	44	—
Heritage at Longview Healthcare Center 112 Ruthlynn Dr, Longview, TX 75605 CCN 455569	140	Apr 28, 2026	401 IJ1 harm1 open	$82k
Mineral Wells Nursing & Rehabilitation 316 Southwest 25th Avenue, Mineral Wells, TX 76067 CCN 455570	109	Jun 24, 2026	19	—

Coordinates as published by CMS.

Address: 7514 Kingsley St, Houston, TX 77087
ZIP: 77087
County: Harris County FIPS 48201
State: Texas
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Avir at Courtyard 7499 Stanwick Dr, Houston, TX 77087 CCN 455613	1.2 km	120	Jul 18, 2026	271 IJ	—
Avir at Golfcrest 7633 Bellfort Street, Houston, TX 77061 CCN 675791	1.8 km	200	Jul 3, 2026	466 IJ	$34k
Golfcrest Nursing and Rehabilitation 6150 S Loop East, Houston, TX 77087 CCN 675233	2.5 km	120	Jul 14, 2026	354 IJ2 harm1 open	$50k
Paradigm at Faith Memorial 811 Garner Rd, Pasadena, TX 77502 CCN 675321	8.8 km	112	Apr 23, 2026	322 IJ	$19k
St Dominic Village Rehabilitation and Nursing Cent 2409 E Holcombe Blvd, Houston, TX 77021 CCN 676170Abuse icon	8.9 km	158	Aug 11, 2026	191 harm1 open	$42k
Garden Terrace Healthcare Center of Houston 7887 Cambridge St, Houston, TX 77054 CCN 675671	9.7 km	120	Jul 21, 2026	302 IJ2 harm	$87k
Richard a. Anderson (State of Texas Veterans Land 14041 Cottingham Road, Houston, TX 77048 CCN 676479	10.1 km	120	Aug 12, 2026	211 IJ	$15k
Jacinto Nursing and Rehabilitation Center 1405 Holland Ave, Houston, TX 77029 CCN 675231Abuse icon	10.5 km	148	Aug 31, 2026	533 IJ1 harm2 open	$12k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	455682	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	455682	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 455682

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction

Loading facility…

Afton Oaks Nursing and Rehabilitation Center

Federal certification

State license

Penalties

All disclosed roles

Other facilities operated by Winnie-Stowell Hospital District

Same chain in Texas

Nearby nursing homes

Afton Oaks Nursing and Rehabilitation Center

Federal certification

State license

Penalties

All disclosed roles

Other facilities operated by Winnie-Stowell Hospital District

Same chain in Texas

Nearby nursing homes