For profit - Limited Liability company · 120 certified beds · CMS number 676239
Villa Toscana at Cypress Woods, Houston, TX
CMS records 37 health deficiencies at Villa Toscana at Cypress Woods in Houston, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on May 6, 2026. The highest severity cited is J (immediate jeopardy to resident health or safety). 2 citations were at the immediate jeopardy level, 1 of them recorded as past non-compliance (fixed before the inspection). CMS lists 2 fines totaling $24,854 and 1 payment denial in the last three years.
- 37deficiencies, 3 cycles (TX median 25)
- 11in the latest cycle (TX median 8)
- Jhighest severity · Immediate jeopardy
- $24,854fines, last 3 years
- 1CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Villa Toscana at Cypress Woods as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Villa Toscana at Cypress Woods may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (11 deficiencies)
Standard inspection May 6, 2026. CMS counts 11 health deficiencies and 3 fire safety deficiencies in this cycle.
Jul 8, 2026 · Complaint inspection
1 deficiency, highest F
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 Jul 9, 2026
May 6, 2026 · Standard inspection
2 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 May 8, 2026
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 May 8, 2026
Mar 19, 2026 · Complaint inspection
3 deficiencies, highest E
F692 · Nutrition and hydration
Requirement cited (CMS): Provide enough food/fluids to maintain a resident's health.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 20, 2026
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 Mar 20, 2026
F558 · Accommodating individual needs and preferences
Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 20, 2026
Nov 14, 2025 · Complaint inspection
5 deficiencies, highest D
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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 15, 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 Nov 15, 2025
F687 · Foot care
Requirement cited (CMS): Provide appropriate foot care.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 15, 2025
F604 · Limits on physical restraints
Requirement cited (CMS): Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 15, 2025
F583 · Personal privacy and confidential records
Requirement cited (CMS): Keep residents' personal and medical records private and confidential.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 15, 2025
Previous cycle: 12 deficiencies (standard inspection Feb 28, 2025)
Standard inspection Feb 28, 2025. CMS counts 12 health deficiencies and 3 fire safety deficiencies in this cycle.
Feb 28, 2025 · Standard + complaint inspection
4 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 Mar 1, 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 Mar 1, 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 Mar 1, 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 Mar 1, 2025
Feb 7, 2025 · Complaint inspection
2 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 Feb 9, 2025
F600 · Freedom from abuse and neglect
Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 9, 2025
Jan 28, 2025 · Complaint inspection
2 deficiencies, 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 Jan 29, 2025
F558 · Accommodating individual needs and preferences
Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 29, 2025
Oct 1, 2024 · Complaint inspection
2 deficiencies, highest J
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 Dec 23, 2024
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Oct 2, 2024
Sep 12, 2024 · Complaint inspection
2 deficiencies, highest E
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 13, 2024
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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 13, 2024
Earlier cycle: 14 deficiencies (standard inspection Dec 1, 2023)
Standard inspection Dec 1, 2023. CMS counts 14 health deficiencies and 3 fire safety deficiencies in this cycle.
Aug 9, 2024 · Complaint inspection
1 deficiency, highest J
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Past non-compliance (fixed before the inspection), Apr 30, 2024
Dec 1, 2023 · Standard + complaint inspection
13 deficiencies, highest F
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 Dec 4, 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 Dec 4, 2023
F759 · Medication error rate under 5 percent
Requirement cited (CMS): Ensure medication error rates are not 5 percent or greater.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 4, 2023
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 Dec 4, 2023
F700 · Bed rail safety
Requirement cited (CMS): Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 4, 2023
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 Dec 4, 2023
F692 · Nutrition and hydration
Requirement cited (CMS): Provide enough food/fluids to maintain a resident's health.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 4, 2023
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 Dec 4, 2023
F657 · Care plan timing and team review
Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 4, 2023
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 Dec 4, 2023
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 4, 2023
F583 · Personal privacy and confidential records
Requirement cited (CMS): Keep residents' personal and medical records private and confidential.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Dec 4, 2023
F558 · Accommodating individual needs and preferences
Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 4, 2023
Tags cited in more than one inspection
11 tags cited on more than one inspection date at Villa Toscana at Cypress Woods; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F558 Accommodating individual needs and preferences | 3 | Mar 19, 2026; Jan 28, 2025; Dec 1, 2023 |
| F755 Pharmacy services and a consultant pharmacist | 3 | Nov 14, 2025; Feb 28, 2025; Dec 1, 2023 |
| F812 Food safety and sanitation | 3 | May 6, 2026; Feb 28, 2025; Dec 1, 2023 |
| F880 Infection prevention and control program | 3 | Feb 7, 2025; Oct 1, 2024; Dec 1, 2023 |
| F583 Personal privacy and confidential records | 2 | Nov 14, 2025; Dec 1, 2023 |
| F656 Comprehensive person-centered care plan | 2 | May 6, 2026; Dec 1, 2023 |
| F677 Help with daily care | 2 | Mar 19, 2026; Jan 28, 2025 |
| F689 Accident prevention and supervision | 2 | Oct 1, 2024; Aug 9, 2024 (PNC) |
| F692 Nutrition and hydration | 2 | Mar 19, 2026; Dec 1, 2023 |
| F759 Medication error rate under 5 percent | 2 | Feb 28, 2025; Dec 1, 2023 |
| F761 Drug labeling and secure storage | 2 | Nov 14, 2025; Feb 28, 2025 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Sep 12, 2024 | Fine | $15,886 |
| Sep 12, 2024 | Payment Denial | 11 days from Dec 12, 2024 |
| Aug 9, 2024 | Fine | $8,968 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.30 h (about the same as the Texas median of 3.27 h)
- RN hours per resident per day
- 0.34 h (below the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.95 h
- Nursing staff turnover
- 91.4% (Texas median 52.1%)
- Administrators who left
- 1
- CMS overall rating
- 1 of 5
- Health inspection rating
- 2 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 4 of 5
CMS figures for Villa Toscana at Cypress Woods, copied as published; Texas medians are ours.
Facility details
- Address
- 15015 Cypress Woods Medical Dr, Houston, TX 77014
- Phone
- (281) 586-6088
- County
- Harris
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Chain (CMS)
- Creative Solutions in Healthcare
- Certified beds
- 120
- Average residents per day
- 106.8
- In Medicare/Medicaid since
- Nov 4, 2009
- 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.
- How does the home adapt rooms and routines for residents with limited mobility, vision, or hearing? (F558, cited 3 times)
- How are new medication orders filled, and how quickly can urgent medications arrive? (F755, cited 3 times)
- When was the kitchen last inspected, and how are food temperatures checked? (F812, cited 3 times)
- How do staff track and report infections among residents? (F880, cited 3 times)
Other nursing homes in Houston and the same chain
- 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 - Franklin Heights Nursing & Rehabilitation
El Paso · 76 deficiencies - St. Teresa Nursing & Rehab Center
El Paso · 75 deficiencies - Mountain View Health & Rehabilitation
El Paso · 72 deficiencies - Pleasant Springs Healthcare Center
Mount Pleasant · 66 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.