Federal inspection record · CMS data as of October 1, 2026
FFIII Houston SNF Tenant LLC
8580 Woodway Drive, Houston, TX · (713) 979-3777
- Certified beds
- 92
- Residents per day
- 73
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare
- Certified since
- August 28, 2006
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
FFIII Houston SNF Tenant LLC carries 74.25 inspection points. That is fewer than 49% of Texas's 1,166 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–51 pts
- 3★ 51–85 pts
- 2★ 85–145.75 pts
- 1★ over 145.75 pts
Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
25 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
-
J
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Quality of Life and Care8E
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- E
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service6E
- E
Ensure medication error rates are not 5 percent or greater.
- E
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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Ensure medication error rates are not 5 percent or greater.
- E
Ensure that residents are free from significant medication errors.
- E
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.
Resident Assessment and Care Planning5E
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Assure that each resident’s assessment is updated at least once every 3 months.
- E
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Infection Control2E
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Nutrition and Dietary2E
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspection history
2025-08-28
6 health deficiencies · 2 fire-safety deficiencies
Top issue: Pharmacy Service (3 deficiencies)
2024-07-25
10 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2023-06-01
9 health deficiencies · 5 fire-safety deficiencies
Top issue: Pharmacy Service (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 27 min of nursing staff time a day, 1 h 13 min of it from a registered nurse.
This home
4 h 27 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 33% of nursing staff and 36% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$14,069 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-03-29 | Fine | $14,069 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts better | 1.8 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts better | 1.3 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine8.1 pts worse | 88.3% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine7.7 pts worse | 89.3% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.2 pts better | 0.0% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.3 pts better | 0.0% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.2 pts worse | 3.1% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication10.4 pts better | 7.4% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4 pts better | 5.8% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened39 pts worse | 51.9% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased26.3 pts worse | 42.1% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.4 pts worse | 1.7% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.4 pts worse | 2.2% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence13 pts worse | 25.5% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers8.2 pts worse | 11.9% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine22.6 pts worse | 66.1% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.2 pts better | 9.0% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts better | 0.3% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine19.5 pts worse | 65.9% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.6 pts worse | 29.1% | 25.5% | 23.4% |
·
Who owns and runs it
5 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Brewer, Charles | Corporate Director · Individual | 0% | 1 facilities |
| Greystone Management Services Company, LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Jacob, Philip | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Oommen, Biju | W-2 Managing Employee · Individual | 0% | 7 facilities |
| Waterhouse, Charles | Corporate Director · Individual | 0% | 1 facilities |
·
Fire safety
8 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Provide properly protected cooking facilities.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- C
Provide properly protected cooking facilities.
Miscellaneous2F
- F
Have simulated fire drills held at unexpected times.
- C
Meet Health Care Facilities Code mechanical requirements.
Gas, Vacuum, and Electrical Systems1E
- E
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
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Other homes nearby
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Woodway Nursing & Rehab
Houston, TX · Chambers County Public Hospital District No. 1 · Special Focus
Not rated- Worst citation, 3 yrs
- L
- Nursing / resident / day
- 3 h 57 min
- Fines
- $304,863
-
Treemont Health Care Center
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★★★★★- Worst citation, 3 yrs
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- Nursing / resident / day
- 4 h 18 min
- Fines
- $0
-
The Vosswood Nursing Center
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★★★★★- Worst citation, 3 yrs
- none
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- —
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