Non profit - Other · 92 certified beds · CMS number 676111
FFIII Houston SNF Tenant LLC, Houston, TX
CMS records 25 health deficiencies at FFIII Houston SNF Tenant LLC in Houston, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Aug 28, 2025. The highest severity cited is J (immediate jeopardy to resident health or safety). 2 citations were at the immediate jeopardy level. CMS lists 1 fine totaling $14,069 in the last three years.
- 25deficiencies, 3 cycles (TX median 25)
- 6in the latest cycle (TX median 8)
- Jhighest severity · Immediate jeopardy
- $14,069fines, last 3 years
- 4CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for FFIII Houston SNF Tenant LLC as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and FFIII Houston SNF Tenant LLC may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (6 deficiencies)
Standard inspection Aug 28, 2025. CMS counts 6 health deficiencies and 2 fire safety deficiencies in this cycle.
Aug 28, 2025 · Standard inspection
6 deficiencies, highest E
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 Oct 3, 2025
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 Oct 3, 2025
F759 · Medication error rate under 5 percent
Requirement cited (CMS): Ensure medication error rates are not 5 percent or greater.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Oct 3, 2025
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 3, 2025
F690 · Bladder, bowel, and catheter care
Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 3, 2025
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 3, 2025
Previous cycle: 10 deficiencies (standard inspection Jul 25, 2024)
Standard inspection Jul 25, 2024. CMS counts 10 health deficiencies and 1 fire safety deficiency in this cycle.
Jul 31, 2025 · Complaint inspection
4 deficiencies, highest E
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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 15, 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 Sep 15, 2025
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 15, 2025
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 15, 2025
Mar 29, 2025 · Complaint inspection
2 deficiencies, highest J
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Apr 18, 2025
F580 · Telling residents and families about changes
Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Apr 18, 2025
Feb 26, 2025 · Complaint inspection
1 deficiency, highest E
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 25, 2025
Jul 25, 2024 · Standard + complaint inspection
3 deficiencies, highest E
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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 23, 2024
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 23, 2024
F638 · Quarterly assessment reviews
Requirement cited (CMS): Assure that each resident’s assessment is updated at least once every 3 months.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 23, 2024
Earlier cycle: 9 deficiencies (standard inspection Jun 1, 2023)
Standard inspection Jun 1, 2023. CMS counts 9 health deficiencies and 5 fire safety deficiencies in this cycle.
Feb 1, 2024 · Complaint inspection
4 deficiencies, highest D
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 Mar 1, 2024
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 1, 2024
F694 · IV fluid administration
Requirement cited (CMS): Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 1, 2024
F690 · Bladder, bowel, and catheter care
Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 1, 2024
Jun 1, 2023 · Standard inspection
5 deficiencies, highest E
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 Jul 14, 2023
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 14, 2023
F760 · No significant medication errors
Requirement cited (CMS): Ensure that residents are free from significant medication errors.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 14, 2023
F759 · Medication error rate under 5 percent
Requirement cited (CMS): Ensure medication error rates are not 5 percent or greater.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 14, 2023
F640 · Submitting assessment data on time
Requirement cited (CMS): Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 14, 2023
Tags cited in more than one inspection
8 tags cited on more than one inspection date at FFIII Houston SNF Tenant LLC; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F656 Comprehensive person-centered care plan | 2 | Jul 31, 2025; Jul 25, 2024 |
| F677 Help with daily care | 2 | Aug 28, 2025; Feb 26, 2025 |
| F684 Quality of care | 2 | Jul 31, 2025; Mar 29, 2025 |
| F690 Bladder, bowel, and catheter care | 2 | Aug 28, 2025; Feb 1, 2024 |
| F759 Medication error rate under 5 percent | 2 | Aug 28, 2025; Jun 1, 2023 |
| F761 Drug labeling and secure storage | 2 | Aug 28, 2025; Jun 1, 2023 |
| F812 Food safety and sanitation | 2 | Jul 25, 2024; Jun 1, 2023 |
| F880 Infection prevention and control program | 2 | Aug 28, 2025; Feb 1, 2024 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Mar 29, 2025 | Fine | $14,069 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 5.66 h (above the Texas median of 3.27 h)
- RN hours per resident per day
- 1.81 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 4.88 h
- Nursing staff turnover
- 30.3% (Texas median 52.1%)
- Administrators who left
- not reported
- CMS overall rating
- 4 of 5
- Health inspection rating
- 3 of 5
- Staffing rating
- 5 of 5
- Quality measure rating
- 2 of 5
CMS figures for FFIII Houston SNF Tenant LLC, copied as published; Texas medians are ours.
Facility details
- Address
- 8580 Woodway Drive, Houston, TX 77063
- Phone
- (713) 979-3777
- County
- Harris
- Accepts
- Medicare
- Ownership
- Non profit - Other
- Chain (CMS)
- Not part of a chain in CMS data
- Certified beds
- 92
- Average residents per day
- 57.2
- In Medicare/Medicaid since
- Aug 28, 2006
- Inside a hospital
- No
- Continuing care retirement community
- Yes
- 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.
- How are a resident's goals and preferences written into the care plan? (F656, cited 2 times)
- How often do residents who need help get assistance with bathing, grooming, and mouth care? (F677, cited 2 times)
- How does the home make sure doctor's orders are followed consistently across shifts? (F684, cited 2 times)
- How does the home support residents who need help with toileting or incontinence? (F690, cited 2 times)
Other nursing homes in Houston
- Woodway Nursing & Rehab
Houston · 55 deficiencies - Avir at Houston
Houston · 45 deficiencies - Terra Bella Health and Wellness Suites
Houston · 44 deficiencies - Afton Oaks Nursing and Rehabilitation Center
Houston · 43 deficiencies - Fallbrook Rehabilitation and Care Center
Houston · 43 deficiencies - Paradigm at Westbury
Houston · 42 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.