The Lev at Winchester
1112 Smith Dr · Alvin, TX · 77511 · 2813316125
94 certified beds Government - Hospital district Chain: Oakbend Medical Center Hospital-based
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
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
RN staffing in the bottom 10% nationally
0.16 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 4 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.21 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.16 | 0.55–0.75 |
| Weekend hours / resident-day | 2.89 | ≈ weekday level |
| Nursing turnover / year | 55% | median 45% |
| Fines (3-yr window) | 1 · $3,174 |
Inspection citations (14 in the current record)
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Potential for harm · E December 5, 2025 · found via complaint
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected January 27, 2026 · Resident Rights
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Potential for harm · D August 8, 2025
Treat residents equally regarding transfer, discharge, and provision of services for all residents, regardless of payment source
Corrected August 9, 2025 · Resident Rights
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Potential for harm · D August 8, 2025
Ensure each resident receives an accurate assessment.
Corrected August 9, 2025 · Resident Assessment and Care Planning
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Potential for harm · E August 8, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 9, 2025 · Quality of Life and Care
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Potential for harm · F August 8, 2025
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.
Corrected August 26, 2025 · Nursing and Physician Services
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Potential for harm · D August 8, 2025
Provide and implement an infection prevention and control program.
Corrected August 9, 2025 · Infection Control
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Potential for harm · D June 28, 2024
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.
Corrected July 26, 2024 · Nursing and Physician Services
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Potential for harm · E June 28, 2024 · found via complaint
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.
Corrected July 26, 2024 · Pharmacy Service
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Potential for harm · E April 6, 2024 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 24, 2024 · Quality of Life and Care
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Potential for harm · E April 20, 2023
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.
Corrected April 21, 2023 · Nursing and Physician Services
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Potential for harm · E April 20, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 21, 2023 · Nutrition and Dietary
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Potential for harm · D April 20, 2023
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 21, 2023 · Resident Assessment and Care Planning
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Potential for harm · E April 20, 2023
Provide and implement an infection prevention and control program.
Corrected April 21, 2023 · Infection Control
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Potential for harm · D April 20, 2023
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected April 21, 2023 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 31, 2023 | Fine | $3,174 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676264 · certified since November 4, 2010. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.