Villa Toscana at Cypress Woods
Houston, Texas · CCN 676239
53 surveys since 2010, 24 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 164
- Surveys
- 53
- Harm or worse
- 24
- Immediate jeopardy
- 10
Findings at the most serious level CMS records. 1 of these were recorded as past non-compliance — corrected before the survey.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 120
- Ownership
- For profit - Limited Liability company
- Chain
- CREATIVE SOLUTIONS IN HEALTHCARE
- County
- Harris
- Medicare-certified since
- 2009
CMS ratings
- Overall
- 1
- Health inspection
- 2
- Staffing
- 1
- Quality measures
- 4
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat more weighted findings than its peer group.
Weighted by harm level, against 377 for-profit facilities of 100–127 beds in Texas.
Last survey on record
Jul 8, 2026
124 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.30 | 3.25 |
| Registered-nurse hours per resident day | 0.34 | — |
| Annual nurse turnover | 91.4% | 54.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $24,854 across 2 penalties
- Payment denials
- 1
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J410.0% | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1845.0% | E1640.0% | F25.0% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F5583×
Reasonably accommodate the needs and preferences of each resident.
- F7553×
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- F8123×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F8803×
Provide and implement an infection prevention and control program.
- F5802×
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
In the surveyor’s words
From the most serious findings on record at Villa Toscana at Cypress Woods, in the surveyor’s own words.
- Immediate jeopardy, isolatedF689Oct 1, 2024
Based on observation, record reviews, and interviews, the facility failed to ensure a resident's environment remained as free of accidents and hazards as possible and each resident received adequate supervision and assistance devices to prevent accidents for 1 of 5 residents (Resident #1) reviewed for transfers in that: - CNA A failed to provide incontinence care with another staff member when Resident #1 required assistance of 2 staff, which resulted in the resident rolling off the bed on 8/19/24, sustaining a right femur fracture, and requiring surgery. An Immediate Jeopardy (IJ) was identified on 9/30/24. The IJ template was provided to the facility on [DATE] at 2:46p.m. […]
- Immediate jeopardy, isolatedF689Aug 9, 2024
Based on observation, interview, and record review the facility failed to ensure the resident environment remained free of accident hazards as possible, and each resident received adequate supervision and assistance devices to prevent elopement for two of seven residents (Resident #4 and Resident #5) reviewed for accident hazards and supervision. -The facility failed to ensure Resident #4 had adequate supervision on 4/5/2024 and 4/30/2024 which allowed her to elope from the facility's memory care unit. […]
- Immediate jeopardy, isolatedF580Aug 30, 2023
Based on record review and interview, the facility failed to immediately consult with resident physician and notify the resident representative when there was a significant change in the resident's physical or mental status that is, a deterioration in health, mental, or psychosocial status in either life-threatening conditions or clinical complications for 1 of 17 residents (CR#1) reviewed for notification of change. The facility failed to notify CR#1's physician when she had an unwitnessed fall sustaining an injury and bleeding from her head. The facility failed to notify CR#1's representative party (RP) when CR#1 had an unwitnessed fall sustaining an injury and bleeding from her head. An Immediate Jeopardy (IJ) was identified on [DATE] at 2:00 p.m. […]
- Immediate jeopardy, isolatedF684Aug 30, 2023
Based on interview, and record review, the facility staff failed to ensure residents received treatment and care in accordance with professional standards of practice, the comprehensive care plan, and the residents' choices for 1 resident of 17 residents (CR #1) reviewed for quality of care. The facility failed to notify CR#1's physician when she had an unwitnessed fall sustaining an injury and bleeding from her head. The facility failed to complete neuro checks, monitor, and send CR#1 to hospital for treatment after CR#1 had an unwitnessed fall sustaining an injury and bleeding from her head. An Immediate Jeopardy (IJ) was identified on 08/25/2022 at 2:00 p.m. The IJ template was provided to the facility at that time. […]
- No harm, potential for more than minimal, widespreadF727Jul 8, 2026
Based on interview and record review, the facility failed to designate a registered nurse to serve as the DON (Director of Nursing) on a full-time basis for 1 of 1 DON reviewed for DON coverage.The facility failed to have a full-time DON from 06/24/2026 to 07/08/2026.This failure could place residents at risk of lack of nursing administrative oversight that only the DON can provide. During an interview on 07/08/26 at 9:00 AM, the Administrator stated the former DON, who was an RN, accepted a corporate position, was currently in training but had returned every now and then over the past 2 weeks (06/24/26 to 07/08/26) to finish some work. […]
Read 43 findings in full →The most serious and the most recent: 43 of 164 on record.
Every survey on record
FindingsAt actual harm or above
- Jul 8, 2026Complaint1 finding
- May 6, 2026Standard2 findings
- Mar 19, 2026Complaint3 findings
- Nov 14, 2025Complaint5 findings
- Feb 28, 2025Standard and complaint4 findings
- Feb 7, 2025Complaint2 findings
- Jan 28, 2025Complaint2 findings
- Oct 1, 2024Complaint3 findings · 1 harm
Show the 45 earlier surveys
- Sep 12, 2024Complaint2 findings
- Aug 9, 2024Complaint1 finding · 1 harm
- Dec 1, 2023Standard and complaint13 findings
- Aug 30, 2023Complaint3 findings · 2 harm
- Sep 21, 2022Standard4 findings
- Dec 14, 2021Complaint2 findings
- Jul 23, 2021Standard5 findings
- Mar 19, 2021Complaint1 finding
- Aug 30, 2019Complaint3 findings
- Jul 17, 2019Standard and complaint16 findings · 5 harm
- Sep 17, 2018Complaint1 finding
- Aug 10, 2018Standard and complaint5 findings
- May 25, 2018Complaint2 findings
- Mar 27, 2018Complaint1 finding
- Feb 8, 2018Complaint4 findings · 2 harm
- Dec 21, 2017Complaint2 findings · 2 harm
- Nov 30, 2017Complaint2 findings
- Jul 13, 2017Standard4 findings
- Aug 17, 2016Complaint2 findings
- Jul 12, 2016Complaint2 findings
- Jun 23, 2016Complaint1 finding
- Jun 9, 2016Standard1 finding
- Jan 21, 2016Complaint4 findings · 3 harm
- Aug 27, 2015Complaint1 finding
- Jun 18, 2015Standard6 findings
- May 1, 2015Complaint6 findings · 5 harm
- Mar 8, 2015Complaint1 finding
- Feb 3, 2015Complaint1 finding
- Jan 8, 2015Complaint3 findings
- Oct 29, 2014Complaint2 findings
- Jul 24, 2014Standard6 findings
- Apr 16, 2014Complaint1 finding
- Jan 10, 2014—1 finding
- Nov 13, 2013—1 finding
- Sep 6, 2013—3 findings
- May 10, 2013—2 findings
- Dec 21, 2012—1 finding
- Oct 9, 2012—1 finding
- Aug 16, 2012—4 findings
- Jun 21, 2012—3 findings
- Jun 5, 2012—2 findings · 1 harm
- Jan 13, 2012—5 findings
- Sep 29, 2011—6 findings
- Aug 15, 2011—2 findings
- Sep 28, 2010—3 findings · 2 harm
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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