Nursing home · SNF / NF

Villa Toscana at Cypress Woods

Federal · CMSActive CMS certificationCCN 676239For profit CMS overall

15015 Cypress Woods Medical Dr, Houston, TX 77014 · Operated by West Wharton County Hospital District · Chain Creative Solutions in Healthcare

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

$25 Full Intelligence Report

Certified beds

120

Avg residents / day

105

Inspections

Citations

Harm-level

Fines

$41k

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 120 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: 104.5 CMS, MDS-derived
CMS Certification Number: 676239
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Nov 4, 2009
Ownership type: For profit - Limited Liability company
Operator (legal business name): West Wharton County Hospital District
CMS chain: Creative Solutions in Healthcare 150 facilities
Phone: (281) 586-6088
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

latest Jul 8, 2026

Citations

37 health · 9 fire

Harm or worse

2 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J2	K·	L·
Actual harm	G·	H·	I·
Potential harm	D22	E19	F3
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

$41,204

Payment denials

Latest

Sep 4, 2026

Date	Domain	Survey types	Citations	Most severe	Open
Jul 8, 2026	Health	Health Complaint	1	Potential harm	—	Open →
May 6, 2026	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
May 6, 2026	Health	Health Standard	2	Potential harm	—	Open →
Mar 19, 2026	Health	Health Complaint	3	Potential harm	—	Open →
Nov 14, 2025	Health	Health Complaint	5	Potential harm	—	Open →
Feb 28, 2025	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Feb 28, 2025	Health	Health Complaint, Health Standard	4	Potential harm	—	Open →
Feb 7, 2025	Health	Health Complaint	2	Potential harm	—	Open →
Jan 28, 2025	Health	Health Complaint	2	Potential harm	—	Open →
Oct 1, 2024	Health	Health Complaint	2	Immediate jeopardy	—	Open →
Sep 12, 2024	Health	Health Complaint	2	Potential harm	—	Open →
Aug 9, 2024	Health	Health Complaint	1	Immediate jeopardy	—	Open →
Dec 1, 2023	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Dec 1, 2023	Health	Health Complaint, Health Standard	13	Potential harm	—	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
Sep 4, 2026	Civil money penalty (fine)	$16,350	—	676239\|Fine\|146502
Sep 12, 2024	Denial of payment for new admissions	—	Dec 12, 2024 · 11 days	676239\|Payment Denial\|2024-12-12
Sep 12, 2024	Civil money penalty (fine)	$15,886	—	676239\|Fine\|113293
Aug 9, 2024	Civil money penalty (fine)	$8,968	—	676239\|Fine\|113111

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J2	K·	L·
Actual harm	G·	H·	I·
Potential harm	D22	E19	F3
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jul 8, 2026	F-0727	Have 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. Nursing and Physician Services Deficiencies · Staffing & supervision	F · Potential harm Widespread	Corrected Jul 9, 2026	Complaint
May 6, 2026	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected May 8, 2026
May 6, 2026	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected May 8, 2026
May 6, 2026	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 8, 2026
May 6, 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	D · Potential harm Isolated	Corrected May 8, 2026
May 6, 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 May 8, 2026
Mar 19, 2026	F-0558	Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 20, 2026	Complaint
Mar 19, 2026	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	D · Potential harm Isolated	Corrected Mar 20, 2026	Complaint
Mar 19, 2026	F-0692	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Mar 20, 2026	Complaint
Nov 14, 2025	F-0583	Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Nov 15, 2025	Complaint
Nov 14, 2025	F-0604	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Nov 15, 2025	Complaint
Nov 14, 2025	F-0687	Provide appropriate foot care. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 15, 2025	Complaint
Nov 14, 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 Nov 15, 2025	Complaint
Nov 14, 2025	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 Nov 15, 2025	Complaint
Feb 28, 2025	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 27, 2025
Feb 28, 2025	K-0913	Ensure operating rooms are properly protected and written records are maintained and available for inspection. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 27, 2025
Feb 28, 2025	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Mar 5, 2025
Feb 28, 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 Mar 1, 2025	Complaint
Feb 28, 2025	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Mar 1, 2025
Feb 28, 2025	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	E · Potential harm Pattern	Corrected Mar 1, 2025
Feb 28, 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 Mar 1, 2025
Feb 7, 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	E · Potential harm Pattern	Corrected Feb 9, 2025	Complaint
Feb 7, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Feb 9, 2025	Complaint
Jan 28, 2025	F-0558	Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Jan 29, 2025	Complaint
Jan 28, 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 Jan 29, 2025	Complaint
Oct 1, 2024	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 Oct 2, 2024	Complaint
Oct 1, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Dec 23, 2024	Complaint
Sep 12, 2024	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	E · Potential harm Pattern	Corrected Sep 13, 2024	Complaint
Sep 12, 2024	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 13, 2024	Complaint
Aug 9, 2024	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 Apr 30, 2024	Complaint
Dec 1, 2023	K-0342	Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 4, 2023
Dec 1, 2023	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 4, 2023
Dec 1, 2023	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 4, 2023
Dec 1, 2023	F-0558	Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Dec 4, 2023
Dec 1, 2023	F-0583	Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect	F · Potential harm Widespread	Corrected Dec 4, 2023
Dec 1, 2023	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Dec 4, 2023	Complaint
Dec 1, 2023	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 Dec 4, 2023	Complaint
Dec 1, 2023	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 4, 2023	Complaint
Dec 1, 2023	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 4, 2023	Complaint
Dec 1, 2023	F-0692	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Dec 4, 2023	Complaint
Dec 1, 2023	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 4, 2023	Complaint
Dec 1, 2023	F-0700	Try 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. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Dec 4, 2023	Complaint
Dec 1, 2023	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 Dec 4, 2023	Complaint
Dec 1, 2023	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Dec 4, 2023	Complaint
Dec 1, 2023	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 Dec 4, 2023	Complaint
Dec 1, 2023	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Dec 4, 2023	Complaint

“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

West Wharton County Hospital District

CMS legal business name of the certified provider. Operates 101 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
Sean Bowers	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jul 1, 2024
Alfred Cisneros	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Feb 18, 2008
Travis Cobb	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Oct 5, 2022
Stephen Cooper	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Nov 11, 2022
Sherrie Hardin	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Sep 4, 2024
Richard Kerzee	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Sep 24, 2007
Patricia Korenek	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	May 5, 2018
Paul Soechting	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Nov 22, 2024
Joe Strack	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Feb 11, 2022
Johnny Thompson	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jan 1, 2024
Houston I Enterprises, LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 1, 2022
Gary Blake	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 1, 2022
Malisa Blake	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 1, 2022
Johnny Thompson	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2024
Zachary Willig	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Apr 1, 2026
Houston I Enterprises, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 20, 2026
Gary Blake	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Sep 1, 2022
Teresa Guerrero	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2025
Mark Trullia	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 20, 2026

Other facilities operated by West Wharton County Hospital District

All 100 →

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
Avir at Rose Trail 930 S Baxter, Tyler, TX 75701 CCN 455429SFF Candidate	172	Aug 14, 2026	639 IJ3 harm	$484k
Mesa Vista Inn Health Center 5756 North Knoll Drive, San Antonio, TX 78240 CCN 455444	144	Jul 2, 2026	531 IJ	$8,160
Avir at Petal Hill 900 S Baxter Ave, Tyler, TX 75701 CCN 455485Abuse icon	120	May 13, 2026	352 IJ	$26k
Sterling Hills Rehabilitation and Healthcare Cente 705 NE Georgia Ave, Sweetwater, TX 79556 CCN 455509	96	Mar 26, 2026	17	—
Amistad Nursing and Rehabilitation Center 200 Riverside Drive, Uvalde, TX 78801 CCN 455536	200	Aug 7, 2026	44	—
Mineral Wells Nursing & Rehabilitation 316 Southwest 25th Avenue, Mineral Wells, TX 76067 CCN 455570	109	Jun 24, 2026	19	—
Concho Health & Rehabilitation Center 613 Eaker St, Eden, TX 76837 CCN 455737	66	Aug 11, 2026	28	—

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: 15015 Cypress Woods Medical Dr, Houston, TX 77014
ZIP: 77014
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
Paradigm Northwest 17600 Cali Dr, Houston, TX 77090 CCN 455714	3.5 km	148	Aug 5, 2026	405 IJ	$51k
Park Manor of Cypress Station 420 Lantern Bend Dr., Houston, TX 77090 CCN 675986Abuse icon	4.1 km	125	Mar 20, 2026	301 IJ3 harm	$11k
The Heights of North Houston 303 Hollow Tree Lane, Houston, TX 77090 CCN 676356	4.5 km	131	Jun 18, 2026	352 IJ1 harm	$32k
Champions Healthcare at Willowbrook 13500 Breton Ridge, Houston, TX 77070 CCN 676236Abuse icon	8 km	98	Jul 28, 2026	301 IJ2 harm1 open	$40k
Avir at Veterans Memorial 1424 Fallbrook Drive, Houston, TX 77038 CCN 676252SFF CandidateAbuse icon	8.9 km	120	Aug 7, 2026	395 IJ2 harm	$48k
Misty Willow Healthcare and Rehabilitation Center 12921 Misty Willow Dr, Houston, TX 77070 CCN 676251	9.5 km	124	Mar 9, 2026	338 IJ	$64k
North Houston Transitional Care 9814 Grant Rd, Houston, TX 77070 CCN 676434	10 km	70	Aug 19, 2026	182 IJ	$12k
Legend Oaks Healthcare and Rehabilitation Center - 8902 West Rd, Houston, TX 77064 CCN 676137	12.9 km	125	Aug 13, 2026	372 IJ1 harm	$53k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	676239	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	676239	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 676239

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

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Villa Toscana at Cypress Woods

Federal certification

State license

Penalties

All disclosed roles

Other facilities operated by West Wharton County Hospital District

Same chain in Texas

Nearby nursing homes

Villa Toscana at Cypress Woods

Federal certification

State license

Penalties

All disclosed roles

Other facilities operated by West Wharton County Hospital District

Same chain in Texas

Nearby nursing homes