Federal inspection record · CMS data as of October 1, 2026

West Oaks Nursing & Rehabilitation

3625 Green Crest Dr, Houston, TX · (281) 558-1166

CMS overall rating

4 of 5

Compare with a nearby home →
Certified beds
136
Residents per day
117
Ownership
For-Profit
Chain
Touchstone Communities
Medicare / Medicaid
Medicare + Medicaid
Certified since
February 24, 1995

1

How this home got 4 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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.

  2. 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.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    4 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Texas homes

West Oaks Nursing & Rehabilitation carries 43 inspection points. That is fewer than 74% of Texas's 1,166 rated homes.

5★4★3★2★1★+35 homes above 292.505102550100200inspection points → fewer is better on the leftThis home · 43 pts · 4★

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

15 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 1 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 9 4 pts
E 5 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

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 (1)

  1. G

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    March 13, 2026 · Standard inspection · Quality of Life and Care · F689 · Corrected March 24, 2026

Everything else, by area of care

Quality of Life and Care6D
  1. 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.

    July 29, 2026 · Complaint · F690 · Corrected August 14, 2026

  2. 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.

    March 13, 2026 · Standard · F690 · Corrected March 24, 2026

  3. D

    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.

    March 13, 2026 · Standard · F693 · Corrected March 24, 2026

  4. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    January 16, 2025 · Standard · F689 · Corrected February 28, 2025

  5. D

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    January 16, 2025 · Standard · F694 · Corrected February 28, 2025

  6. D

    Provide safe and appropriate respiratory care for a resident when needed.

    January 16, 2025 · Standard · F695 · Corrected February 28, 2025

Nutrition and Dietary3E
  1. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    March 13, 2026 · Standard · F812 · Corrected March 24, 2026

  2. E

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    January 16, 2025 · Standard · F803 · Corrected February 14, 2025

  3. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    November 30, 2023 · Standard · F812 · Corrected December 14, 2023

Pharmacy Service2D
  1. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    January 16, 2025 · Standard · F755 · Corrected February 28, 2025

  2. D

    Ensure medication error rates are not 5 percent or greater.

    November 30, 2023 · Standard · F759 · Corrected December 22, 2023

Infection Control1D
  1. D

    Provide and implement an infection prevention and control program.

    March 13, 2026 · Standard · F880 · Corrected March 24, 2026

Resident Rights1E
  1. E

    Reasonably accommodate the needs and preferences of each resident.

    January 16, 2025 · Standard · F558 · Corrected February 28, 2025

Resident Assessment and Care Planning1E
  1. E

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    January 16, 2025 · Standard · F656 · Corrected February 28, 2025

Inspection history

  1. 2026-03-13

    6 health deficiencies · 4 fire-safety deficiencies

    Top issue: Quality of Life and Care (4 deficiencies)

  2. 2025-01-16

    7 health deficiencies · 3 fire-safety deficiencies

    Top issue: Quality of Life and Care (3 deficiencies)

  3. 2023-11-30

    2 health deficiencies · 4 fire-safety deficiencies

    Top issue: Nutrition and Dietary (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 3 h 25 min of nursing staff time a day, 23 min of it from a registered nurse.

This home

3 h 25 min

Texas average

3 h 25 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 26% of nursing staff and 0% 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

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days1 pts worse3.02.01.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.9 pts worse2.92.01.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.2 pts better97.6%96.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.3 pts worse92.7%97.0%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.5 pts better1.7%3.2%3.2%
Percentage of long-stay residents who have depressive symptoms2.3 pts better0.0%2.3%13.5%
Percentage of long-stay residents who lose too much weight0.9 pts better2.0%2.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication6.9 pts better10.9%17.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication2.9 pts worse12.7%9.8%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened5.6 pts better7.3%12.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased3 pts better12.8%15.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better0.0%0.3%0.7%
Percentage of long-stay residents with a urinary tract infection0.5 pts better0.3%0.8%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence8 pts better4.5%12.5%18.3%
Percentage of long-stay residents with pressure ulcers0.6 pts worse4.3%3.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9.7 pts better98.4%88.7%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit4.5 pts better7.7%12.2%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better0.0%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine2.8 pts better88.2%85.4%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission3.5 pts worse29.0%25.5%23.4%

·

Who owns and runs it

30 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Aegis Therapies, Inc.Adp Of The SNF · Organization0%35 facilities
Boening, ChristopherOperational/Managerial Control · Individual0%9 facilities
Boening, ChristopherAdp Of The SNF · Individual0%9 facilities
Campbell, LeslieOperational/Managerial Control · Individual0%22 facilities
Campbell, LeslieAdp Of The SNF · Individual0%22 facilities
Carvajal Pharmacy LtcAdp Of The SNF · Organization0%22 facilities
Castillo, LynneaOperational/Managerial Control · Individual0%23 facilities
Castillo, LynneaAdp Of The SNF · Individual0%23 facilities
Fellbaum, ErnestAdp Of The SNF · Individual0%27 facilities
Greene, CalandraOperational/Managerial Control · Individual0%1 facilities
Greene, CalandraAdp Of The SNF · Individual0%1 facilities
Hare, SondraOperational/Managerial Control · Individual0%1 facilities
Hare, SondraAdp Of The SNF · Individual0%1 facilities
International Bank Of Commerce5% Or Greater Security Interest · Organization0%7 facilities
Nutritious Lifestyles, Inc.Adp Of The SNF · Organization0%19 facilities
Plante & Moran PllcAdp Of The SNF · Organization0%65 facilities
Sehlke, BryonOperational/Managerial Control · Individual0%22 facilities
Sehlke, BryonAdp Of The SNF · Individual0%22 facilities
Studer, StanleyAdp Of The SNF · Individual0%26 facilities
Tanguilig-Robinson, CynthiaOperational/Managerial Control · Individual0%3 facilities
Tanguilig-Robinson, CynthiaAdp Of The SNF · Individual0%3 facilities
The Bryon And Rena Sehlke Living TrustAdp Of The SNF · Organization0%12 facilities
Thompson, JohnnyCorporate Officer · Individual0%79 facilities
Touchstone Communities IncAdp Of The SNF · Organization0%23 facilities
Touchstone Realty - West Oaks LLCAdp Of The SNF · Organization0%1 facilities
Touchstone Strategies - West Oaks LLCOperational/Managerial Control · Organization0%1 facilities
Touchstone Strategies - West Oaks LLCAdp Of The SNF · Organization0%1 facilities
Trident Health Services IncAdp Of The SNF · Organization0%22 facilities
Zurovec, DarrellOperational/Managerial Control · Individual0%23 facilities
Zurovec, DarrellAdp Of The SNF · Individual0%23 facilities

·

Fire safety

11 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke6F
  1. F

    Properly select, install, inspect, or maintain portable fire extinguishes.

    March 13, 2026 · K355 · Corrected April 3, 2026

  2. F

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    March 13, 2026 · K372 · Corrected April 3, 2026

  3. E

    Install corridor and hallway doors that block smoke.

    March 13, 2026 · K363 · Corrected April 3, 2026

  4. E

    Have approved installation, maintenance and testing program for fire alarm systems.

    January 16, 2025 · K345 · Corrected February 14, 2025

  5. E

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    January 16, 2025 · K372 · Corrected February 14, 2025

  6. E

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    November 30, 2023 · K374 · Corrected December 19, 2023

Gas, Vacuum, and Electrical Systems2F
  1. F

    Have generator or other power source capable of supplying service within 10 seconds.

    January 16, 2025 · K918 · Corrected February 14, 2025

  2. F

    Have generator or other power source capable of supplying service within 10 seconds.

    November 30, 2023 · K918 · Corrected December 19, 2023

Services1F
  1. F

    Have properly installed electrical wiring and gas equipment.

    March 13, 2026 · K511 · Corrected April 3, 2026

Miscellaneous1F
  1. F

    Have simulated fire drills held at unexpected times.

    November 30, 2023 · K712 · Corrected December 19, 2023

Egress1E
  1. E

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    November 30, 2023 · K222 · Corrected December 19, 2023

·

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