Cycle 1
Health 2025-05-04 · Fire 2025-05-04
1 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
8 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Houston, TX
Seven Acres Jewish Senior Care Services
3-star overall rating with 3-star inspections with $25,454 in total fines with 1 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
6200 N Braeswood Blvd, Houston, TX
(713) 778-5700
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
144
Certified beds
Average residents
84
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2007-07-15
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.57
Registered nurse staffing · state 0.44 · national 0.68
LPN hours / resident day
0.88
Licensed practical nurse staffing · state 0.95 · national 0.87
Aide hours / resident day
2.35
Nurse aide staffing · state 2.01 · national 2.35
Total nurse hours
3.80
All reported nurse hours · state 3.40 · national 3.89
Licensed hours
1.45
RN + LPN hours · state 1.38 · national 1.54
Weekend hours
3.48
Weekend nurse staffing · state 2.99 · national 3.43
Weekend RN hours
0.62
Weekend registered nurse coverage · state 0.34 · national 0.47
Physical therapist
0.15
Reported PT staffing · state 0.07 · national 0.07
Adjusted RN hours
0.61
CMS adjusted RN staffing hours
Adjusted total hours
4.09
CMS adjusted total nurse staffing hours
Case-mix index
1.27
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Value-based purchasing
Program rank
4,784
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
38.59
Composite VBP score used to determine payment impact.
Payment multiplier
0.9916
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.18
Baseline 19.03% · Performance 19.96% · Measure score 3.18 · Achievement 3.18 · Improvement 0
Healthcare-associated infections
1.71
Baseline 5.85% · Performance 7.32% · Measure score 1.71 · Achievement 1.71 · Improvement 0
Total nurse turnover
7
Baseline 30.44% · Performance 35.07% · Measure score 7 · Achievement 7 · Improvement 0
Adjusted total nurse staffing
3.55
Baseline 4.72 hours · Performance 4.09 hours · Measure score 3.55 · Achievement 3.55 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.9% |
10.72%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 103 · Observed rate 10.68% · Lower 95% interval 7.94% |
| Discharge to community | 61.76% |
50.57%
11.2 pts better
|
Better than the National Rate · Eligible stays 96 · Observed rate 54.17% · Lower 95% interval 52.42% |
| Medicare spending per beneficiary | 0.9 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 10% |
95.27%
85.3 pts worse
|
Numerator 14 · Denominator 140 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 140 |
| Discharge self-care score | 57.01% |
53.69%
3.3 pts better
|
Numerator 61 · Denominator 107 |
| Discharge mobility score | 26.17% |
50.94%
24.8 pts worse
|
Numerator 28 · Denominator 107 |
| Pressure ulcers or injuries, new or worsened | 2.86% |
2.29%
0.6 pts worse
|
Numerator 4 · Denominator 140 · Adjusted rate 3.31% |
| Healthcare-associated infections requiring hospitalization | 7.32% |
7.12%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 59 · Observed rate 8.47% · Lower 95% interval 3.96% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 150 |
| Staff flu vaccination coverage | 12.41% |
42%
29.6 pts worse
|
Numerator 18 · Denominator 145 |
| Discharge function score | 42.06% |
56.45%
14.4 pts worse
|
Numerator 45 · Denominator 107 |
| Transfer of health information to provider | 96.77% |
95.95%
0.8 pts better
|
Numerator 30 · Denominator 31 |
| Transfer of health information to patient | 98.88% |
96.28%
2.6 pts better
|
Numerator 88 · Denominator 89 |
| Resident COVID-19 vaccinations up to date | 37.5% |
25.2%
12.3 pts better
|
Numerator 24 · Denominator 64 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
97.1%
2.9 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.5% |
97.9%
0.6 pts better
|
95.5%
3 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.2% |
3.3%
0.9 pts worse
|
3.3%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 1.7% · Q3 3.6% · Q4 5.2% · 4Q avg 4.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.5% |
2.7%
2.2 pts better
|
11.4%
10.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% |
| Percentage of long-stay residents who lose too much weight | 0.9% |
3.3%
2.4 pts better
|
5.4%
4.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.0% · Q3 2.1% · Q4 0.0% · 4Q avg 0.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.1% |
18.9%
5.8 pts better
|
19.6%
6.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.7% · Q2 15.7% · Q3 12.5% · Q4 11.5% · 4Q avg 13.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 6.5% |
10.8%
4.3 pts better
|
16.7%
10.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 4.5% · Q3 4.7% · Q4 11.4% · 4Q avg 6.5% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 18.4% |
15.4%
3 pts worse
|
16.3%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 18.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.2% |
16.1%
5.9 pts better
|
14.9%
4.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.2% · Q2 19.0% · Q3 2.4% · Q4 6.7% · 4Q avg 10.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3% |
0.5%
0.2 pts better
|
1.0%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.3% |
0.8%
0.5 pts worse
|
1.7%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.8% · Q4 3.5% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 11.3% |
15.0%
3.7 pts better
|
19.8%
8.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.4% · Q2 19.4% · Q3 9.7% · Q4 5.7% · 4Q avg 11.3% |
| Percentage of long-stay residents with pressure ulcers | 11.1% |
4.2%
6.9 pts worse
|
5.1%
6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 16.5% · Q3 7.8% · Q4 12.0% · 4Q avg 11.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.8% |
89.7%
8.1 pts better
|
81.7%
16.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 96.6% · Q3 96.6% · Q4 98.5% · 4Q avg 97.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.6% |
12.0%
1.4 pts better
|
12.0%
1.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.6% · Observed 10.2% · Expected 10.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.6% |
1.5%
0.1 pts worse
|
1.6%
About the same
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.7% · Q3 3.2% · Q4 1.0% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 57.3% |
88.0%
30.7 pts worse
|
79.7%
22.4 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 57.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.3% |
25.9%
7.6 pts better
|
23.9%
5.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 18.3% · Observed 20.3% · Expected 26.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-02-15 · Fire 2024-02-15
3 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2023-01-19 · Fire 2023-01-19
4 health deficiencies
Top issue: Infection Control (1 deficiency)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-05-04
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-05-03
F · Potential for more than minimal harm
2025-05-04
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-05-27
F · Potential for more than minimal harm
2025-05-04
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-05-26
E · Potential for more than minimal harm
2025-05-04
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-05-27
E · Potential for more than minimal harm
2025-05-04
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-05-03
E · Potential for more than minimal harm
2025-05-04
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-05-27
E · Potential for more than minimal harm
2025-05-04
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-05-27
D · Potential for more than minimal harm
2025-05-04
K343 · Smoke Deficiencies
Fire Safety
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Corrected 2025-05-28
D · Potential for more than minimal harm
2024-02-15
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-03-13
D · Potential for more than minimal harm
2024-02-15
K912 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2024-03-13
E · Potential for more than minimal harm
2023-01-19
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-01-18
E · Potential for more than minimal harm
2023-01-19
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-01-23
D · Potential for more than minimal harm
2023-01-19
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-01-18
C · Minimal harm
2023-01-19
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-01-25
Inspection history
Recent health citations
J · Immediate jeopardy
2025-05-04
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-05-28
F · Potential for more than minimal harm
2024-02-15
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-03-23
E · Potential for more than minimal harm
2024-02-15
F584 · Resident Rights Deficiencies
Health
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.
Corrected 2024-03-23
D · Potential for more than minimal harm
2024-02-15
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-03-23
E · Potential for more than minimal harm
2023-01-19
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2023-02-06
E · Potential for more than minimal harm
2023-01-19
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-02-06
D · Potential for more than minimal harm
2023-01-19
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-02-06
C · Minimal harm
2023-01-19
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2023-02-06
Penalties and ownership
What sits behind the stars
$25,454
2025-05-04
Fine
Fine · fine $25,454
Fine
Ownership
Cayton, Marsha
Operational/Managerial Control · Individual
Cayton, Marsha
Corporate Officer · Individual
Feinstein, Michael
Corporate Director · Individual
Rauch, Bradley
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Houston Transitional Care
Houston, TX
5-star overall rating with 5-star inspections with 5 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Paradigm at Westbury
Houston, TX
1-star overall rating with 1-star inspections with $118,093 in total fines with 9 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#3
Clarewood House Extended Care Center
Houston, TX
3-star overall rating with 3-star inspections with $38,877 in total fines with 2 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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