Nursing Home Record

Government - Hospital district · 94 certified beds · CMS number 676264

The Lev at Winchester, Alvin, TX

CMS records 14 health deficiencies at The Lev at Winchester in Alvin, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Aug 8, 2025. The highest severity cited is F (no actual harm, potential for more than minimal harm). CMS lists no fines or payment denials in the last three years.

Inspections and deficiencies

CMS findings for The Lev at Winchester as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and The Lev at Winchester may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare

Most recent cycle (6 deficiencies)

Standard inspection Aug 8, 2025. CMS counts 6 health deficiencies and 2 fire safety deficiencies in this cycle.

Dec 5, 2025 · Complaint inspection

1 deficiency, highest E

F553 · Taking part in care planning

Requirement cited (CMS): Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jan 27, 2026

Aug 8, 2025 · Standard inspection

5 deficiencies, highest F

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 9, 2025

F727 · RN coverage and director of nursing

Requirement cited (CMS): Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Severity
F No actual harm, potential for more than minimal harm, widespread
Status
Correction date Aug 26, 2025

F686 · Pressure ulcer prevention and care

Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Aug 9, 2025

F641 · Accurate resident assessments

Requirement cited (CMS): Ensure each resident receives an accurate assessment.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 9, 2025

F621 · Equal treatment regardless of payment

Requirement cited (CMS): Treat residents equally regarding transfer, discharge, and provision of services for all residents, regardless of payment source

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 9, 2025
Previous cycle: 2 deficiencies (standard inspection Jun 28, 2024)

Standard inspection Jun 28, 2024. CMS counts 2 health deficiencies and 4 fire safety deficiencies in this cycle.

Jun 28, 2024 · Standard + complaint inspection

2 deficiencies, highest E

F761 · Drug labeling and secure storage

Requirement cited (CMS): 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.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jul 26, 2024

F727 · RN coverage and director of nursing

Requirement cited (CMS): Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 26, 2024
Earlier cycle: 6 deficiencies (standard inspection Apr 20, 2023)

Standard inspection Apr 20, 2023. CMS counts 6 health deficiencies and 2 fire safety deficiencies in this cycle.

Apr 6, 2024 · Complaint inspection

1 deficiency, highest E

F695 · Respiratory and oxygen care

Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Apr 24, 2024

Apr 20, 2023 · Standard inspection

5 deficiencies, highest E

F883 · Flu and pneumonia vaccines

Requirement cited (CMS): Develop and implement policies and procedures for flu and pneumonia vaccinations.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 21, 2023

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Apr 21, 2023

F842 · Complete, confidential medical records

Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 21, 2023

F812 · Food safety and sanitation

Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Apr 21, 2023

F727 · RN coverage and director of nursing

Requirement cited (CMS): Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Apr 21, 2023

Tags cited in more than one inspection

2 tags cited on more than one inspection date at The Lev at Winchester; each date counts once and does not mean the same incident. PNC = past non-compliance.

TagInspectionsDates
F727 RN coverage and director of nursing3Aug 8, 2025; Jun 28, 2024; Apr 20, 2023
F880 Infection prevention and control program2Aug 8, 2025; Apr 20, 2023

Fines and payment denials

CMS lists no fines or payment denials for this nursing home in the last three years.

Staffing and CMS ratings

Total nurse staff hours per resident per day
2.98 h (below the Texas median of 3.27 h)
RN hours per resident per day
0.14 h (below the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
2.61 h
Nursing staff turnover
52.1% (Texas median 52.1%)
Administrators who left
0
CMS overall rating
3 of 5
Health inspection rating
4 of 5
Staffing rating
1 of 5
Quality measure rating
4 of 5

CMS figures for The Lev at Winchester, copied as published; Texas medians are ours.

Facility details

Address
1112 Smith Dr, Alvin, TX 77511
Phone
(281) 331-6125
County
Brazoria
Accepts
Medicare and Medicaid
Ownership
Government - Hospital district
Chain (CMS)
Oakbend Medical Center
Certified beds
94
Average residents per day
83.5
In Medicare/Medicaid since
Nov 4, 2010
Inside a hospital
Yes
Continuing care retirement community
No
Resident and family council
Resident
Sprinklers in all required areas
Yes

Questions to ask on a visit

Based on the tags cited most often here.

  • When is a registered nurse in the building, and how long has the director of nursing been here? (F727, cited 3 times)
  • How do staff track and report infections among residents? (F880, cited 2 times)
  • How often are care plan meetings held, and can family members attend? (F553, cited 1 time)
  • How does the home handle a resident who changes from private pay to Medicaid? (F621, cited 1 time)

Other nursing homes in Alvin and the same chain

Source

CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.

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