Elder Care Record

Texas › Harris County › Houston

Villa Toscana At Cypress Woods

15015 Cypress Woods Medical Dr, Houston, TX 77014

CCN 676239 · For-profit, limited liability company · 120 certified beds · chain Creative Solutions In Healthcare

Located in a hospital
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 120 beds, Villa Toscana At Cypress Woods serves Houston in Harris County, Texas and has taken Medicare and Medicaid residents since 2009.

CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 2, staffing 1 and quality measures 4.

Inspectors recorded 39 health deficiencies across the three most recent survey cycles (10, 13, 16 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 32.5 per 100 beds, more than the state median of 22.5.

CMS lists 4 penalties in the period covered: fines totalling $38K and 1 payment denial.

Reported nurse staffing is 3.3 hours per resident per day (0.3 RN), close to the Texas median of 3.3; nursing staff turnover is 91.4%.

39health deficiencies, 3 survey cycles4 at actual harm or worse
$38Kfines listed by CMS4 penalties in period
3.3nurse hours per resident per daystate median 3.3
89%occupancy (residents ÷ beds)107 residents a day

Compared with county, state and nation

MeasureThis facilityHarris Co. medianTexas medianUS average
Overall star rating1233.0
Health citations, 3 cycles39222528.7
Citations per 100 beds32.519.022.526.8
Total nurse hours per resident day3.33.33.33.9
RN hours per resident day0.30.40.40.7
Nursing staff turnover91.4%52.1%52.1%45.8%
Fines listed$37,827$30,361$16,801—

County and state figures are medians across facilities (97 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)10
Cycle 213
Cycle 316

Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 6 May 2026, 28 Feb 2025.

Severity mix: J ×4 D ×18 E ×16 F ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
6 May 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey8 May 2026
6 May 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey8 May 2026
19 Mar 2026F0692Provide enough food/fluids to maintain a resident's health.EComplaint investigation20 Mar 2026
19 Mar 2026F0558Reasonably accommodate the needs and preferences of each resident.DComplaint investigation20 Mar 2026
19 Mar 2026F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation20 Mar 2026
14 Nov 2025F0583Keep residents' personal and medical records private and confidential.DComplaint investigation15 Nov 2025
14 Nov 2025F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DComplaint investigation15 Nov 2025
14 Nov 2025F0687Provide appropriate foot care.DComplaint investigation15 Nov 2025
14 Nov 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation15 Nov 2025
14 Nov 2025F0761Ensure 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.DComplaint investigation15 Nov 2025
28 Feb 2025F0759Ensure medication error rates are not 5 percent or greater.EStandard survey1 Mar 2025
28 Feb 2025F0761Ensure 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.EStandard survey1 Mar 2025
28 Feb 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey1 Mar 2025
28 Feb 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation1 Mar 2025
7 Feb 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.EComplaint investigation9 Feb 2025
7 Feb 2025F0880Provide and implement an infection prevention and control program.EComplaint investigation9 Feb 2025
28 Jan 2025F0558Reasonably accommodate the needs and preferences of each resident.EComplaint investigation29 Jan 2025
28 Jan 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint investigation29 Jan 2025
1 Oct 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation2 Oct 2024
1 Oct 2024F0880Provide and implement an infection prevention and control program.DComplaint investigation23 Dec 2024
12 Sep 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.EComplaint investigation13 Sep 2024
12 Sep 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation13 Sep 2024
9 Aug 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation30 Apr 2024
1 Dec 2023F0583Keep residents' personal and medical records private and confidential.FStandard survey4 Dec 2023
1 Dec 2023F0558Reasonably accommodate the needs and preferences of each resident.EStandard survey4 Dec 2023
1 Dec 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint investigation4 Dec 2023
1 Dec 2023F0692Provide enough food/fluids to maintain a resident's health.EComplaint investigation4 Dec 2023
1 Dec 2023F0700Try 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.EComplaint investigation4 Dec 2023
1 Dec 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint investigation4 Dec 2023
1 Dec 2023F0880Provide and implement an infection prevention and control program.EComplaint investigation4 Dec 2023
1 Dec 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation4 Dec 2023
1 Dec 2023F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint investigation4 Dec 2023
1 Dec 2023F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation4 Dec 2023
1 Dec 2023F0695Provide safe and appropriate respiratory care for a resident when needed.DComplaint investigation4 Dec 2023
1 Dec 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation4 Dec 2023
1 Dec 2023F0759Ensure medication error rates are not 5 percent or greater.DComplaint investigation4 Dec 2023
30 Aug 2023F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.JComplaint investigation31 Aug 2023
30 Aug 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JComplaint investigation31 Aug 2023
30 Aug 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation31 Aug 2023

Penalties

DateTypeAmountDetail
12 Sep 2024Payment denial—11 days
12 Sep 2024Fine$15,886
9 Aug 2024Fine$8,968
30 Aug 2023Fine$12,973

Staffing

Total nursing3.3 h
Nurse aides1.99 h
LPN0.97 h
RN0.34 h
Weekend total2.95 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 91.4%, RNs 78.6%; 1 administrator left in the reporting year.

Quality measures

MeasureResidentsThis facilityTexas medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay14.0%14.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.3%0.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay3.1%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay2.5%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay6.2%12.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay3.5%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay15.8%8.3%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, limited liability company. Legal business name: West Wharton County Hospital District. Chain: Creative Solutions In Healthcare (149 facilities).

OrganisationRole in the CMS recordInterestSince
Houston I Enterprises, LLCOperational/managerial controlNOT APPLICABLE09/01/2022
Houston I Enterprises, LLCAdp of the snfNOT APPLICABLE04/20/2026

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Harris County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Bayou ManorHouston37555718.9—19 May 2026
Clarewood House Extended Care CenterHouston6055158.3—3 Dec 2025
East View HealthcareHouston125551118.8—24 Feb 2026
Hca Houston Healthcare SoutheastPasadena30554516.7—15 May 2025
Ignite Medical Resort Webster, LLCWebster705521217.1—24 Apr 2026
Park Manor of CyfairHouston12055286.7—1 May 2026
Parkway PlaceHouston425351842.9$46K22 Apr 2026
Richard A. Anderson (State of Texas Veterans LandHouston1205451411.7$15K11 Sep 2025

All 97 facilities in Harris County

Questions and answers

How many deficiencies has Villa Toscana At Cypress Woods been cited for?

39 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.

Has Villa Toscana At Cypress Woods been fined?

Yes. CMS lists fines totalling $38K in the period covered, plus 1 payment denial.

How does staffing at Villa Toscana At Cypress Woods compare?

Reported total nurse staffing is 3.3 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.

Who operates Villa Toscana At Cypress Woods?

It is part of the Creative Solutions In Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Houston I Enterprises, LLC. Individual owners and managers are not listed on this site.

When was Villa Toscana At Cypress Woods last inspected?

The most recent survey or investigation in the CMS record is dated 6 May 2026; the most recent standard health survey was 6 May 2026.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.