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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D10 | E14 | F3 |
| Minimal | A· | B1 | 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.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Oct 7, 2025 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Oct 7, 2025 | Health | Health Standard | 13 | Potential harm | — | Open → |
| Oct 3, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 29, 2024 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Aug 29, 2024 | Health | Health Standard | 0 | No citations | — | Open → |
| Jun 29, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 3, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jun 8, 2023 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Jun 8, 2023 | Health | Health Standard | 7 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D10 | E14 | F3 |
| Minimal | A· | B1 | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Oct 7, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 1, 2025 | |
| Oct 7, 2025 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 1, 2025 | |
| Oct 7, 2025 | F-0550 |
“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.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Holly Hall | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2018 |
| Peter Drew | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 1, 2022 |
| Autumn Clouse | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 15, 2019 |
| Peter Drew | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Aug 1, 2022 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Garden Terrace Healthcare Center of Houston 7887 Cambridge St, Houston, TX 77054 CCN 675671 | 1.1 km | 120 | Jul 21, 2026 | 302 IJ2 harm | $87k | |
| St Dominic Village Rehabilitation and Nursing Cent 2409 E Holcombe Blvd, Houston, TX 77021 CCN 676170Abuse icon | 2.8 km | 158 | Aug 11, 2026 | 191 harm1 open | $42k | |
| The Methodist Hospital SNF 6565 Fannin, Houston, TX 77030 CCN 675370 | 2.9 km | 25 | Aug 29, 2025 | 3 | — | |
| Bayou Manor 4141 S Braeswood Blvd, Houston, TX 77025 CCN 676282 | 4.2 km | 37 | May 19, 2026 | 11 | — | |
| Avir at Orem 3730 W. Orem Drive, Houston, TX 77045 CCN 676314Abuse icon | 7 km | 120 | Aug 18, 2026 | 382 IJ | $58k | |
| Paradigm at Westbury 5201 S Willow Dr, Houston, TX 77035 CCN 675612 | 7.4 km | 148 | Aug 15, 2026 | 584 IJ4 harm6 open | $128k | |
| Brookdale Galleria 2929 Post Oak Blvd, Houston, TX 77056 CCN 675834 | 8.1 km | 56 | Mar 23, 2026 | 373 IJ2 harm | $73k | |
| Golfcrest Nursing and Rehabilitation 6150 S Loop East, Houston, TX 77087 CCN 675233 | 8.4 km | 120 | Jul 14, 2026 | 354 IJ2 harm1 open | $50k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 676306 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 676306 | 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 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect |
| E · Potential harm Pattern |
| Corrected Oct 8, 2025 |
| Oct 7, 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 Oct 8, 2025 |
| Oct 7, 2025 | 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 | E · Potential harm Pattern | Corrected Oct 8, 2025 |
| Oct 7, 2025 | 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 Oct 8, 2025 |
| Oct 7, 2025 | F-0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 8, 2025 |
| Oct 7, 2025 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Oct 8, 2025 |
| Oct 7, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Oct 8, 2025 |
| Oct 7, 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 Oct 8, 2025 |
| Oct 7, 2025 | F-0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Oct 8, 2025 |
| Oct 7, 2025 | F-0779 | Keep signed and dated reports of x-rays and other diagnostic services in the residents record. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Oct 8, 2025 |
| Oct 7, 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 | D · Potential harm Isolated | Corrected Oct 8, 2025 |
| Oct 7, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Oct 8, 2025 |
| Oct 7, 2025 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | B · Minimal Pattern | Corrected Oct 8, 2025 |
| Oct 3, 2024 | 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 Nov 5, 2024 | Complaint |
| Aug 29, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 7, 2024 |
| Jun 29, 2024 | F-0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 14, 2024 | Complaint |
| Apr 3, 2024 | 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 Apr 24, 2024 | Complaint |
| Apr 3, 2024 | 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 24, 2024 | Complaint |
| Jun 8, 2023 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 21, 2023 |
| Jun 8, 2023 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jul 28, 2023 |
| Jun 8, 2023 | F-0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 28, 2023 |
| Jun 8, 2023 | 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 | E · Potential harm Pattern | Corrected Jul 28, 2023 |
| Jun 8, 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 Jul 28, 2023 |
| Jun 8, 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 Jul 28, 2023 |
| Jun 8, 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 Jul 28, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.22 (case-mix index 1.40).