Afton Oaks Nursing and Rehabilitation Center
7514 Kingsley St · Houston, TX · 77087 · 7136448393
169 certified beds For profit - Corporation Chain: Creative Solutions in Healthcare
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (8 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $95,434 in fines in the last 24 months.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
8 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
4 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$95,434 in federal fines in the last 24 months
3 fines — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.56 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.46 | 0.55–0.75 |
| Weekend hours / resident-day | 3.41 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 4 · $115,295 |
Inspection citations (37 in the current record)
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Actual harm · G January 14, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Past Non-Compliance · Quality of Life and Care
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Immediate jeopardy · J November 21, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 22, 2025 · Quality of Life and Care
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Immediate jeopardy · K October 27, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected October 28, 2025 · Resident Rights
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Immediate jeopardy · K October 27, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected October 28, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K October 27, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected October 28, 2025 · Quality of Life and Care
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Immediate jeopardy · K October 27, 2025 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected October 28, 2025 · Quality of Life and Care
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Immediate jeopardy · K October 27, 2025 · found via complaint
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected October 28, 2025 · Quality of Life and Care
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Immediate jeopardy · K October 27, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected October 28, 2025 · Pharmacy Service
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Potential for harm · D October 27, 2025 · found via complaint
Give the resident's representative the ability to exercise the resident's rights.
Corrected October 28, 2025 · Resident Rights
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Potential for harm · E October 27, 2025 · found via complaint
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 October 28, 2025 · Resident Rights
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Potential for harm · E October 27, 2025 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected October 28, 2025 · Environmental
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Potential for harm · E October 27, 2025 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected October 28, 2025 · Environmental
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Immediate jeopardy · J July 11, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Past Non-Compliance · Quality of Life and Care
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Potential for harm · D April 9, 2025
Assess the resident when there is a significant change in condition
Corrected May 9, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 9, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected May 9, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 9, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 9, 2025 · Resident Assessment and Care Planning
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Potential for harm · E April 9, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 9, 2025 · Pharmacy Service
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Potential for harm · D April 9, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected May 9, 2025 · Pharmacy Service
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Potential for harm · E April 9, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 9, 2025 · Nutrition and Dietary
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Potential for harm · D April 9, 2025 · found via complaint
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected May 9, 2025 · Resident Assessment and Care Planning
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Potential for harm · E April 9, 2025 · found via complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected May 9, 2025 · Pharmacy Service
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Actual harm · G April 1, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 7, 2025 · Quality of Life and Care
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Potential for harm · D April 1, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected April 7, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E April 1, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 7, 2025 · Quality of Life and Care
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Potential for harm · D March 13, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 7, 2025 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 14, 2026 | Fine | $14,505 |
| October 27, 2025 | Fine | $70,400 |
| July 11, 2025 | Fine | $10,529 |
| September 13, 2023 | Fine | $19,861 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455682 · certified since January 21, 1987. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.