Afton Oaks Nursing And Rehabilitation Center
7514 KINGSLEY STREET, Houston, TX, 77087-4412
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
Special Focus Candidate
CMS has identified this facility as a Special Focus Candidate — a track record of serious quality issues that places it one step away from full Special Focus Facility designation.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Creative Solutions In Healthcare
- Certified beds
- 169 · avg 97 residents/day
- Administrators who left
- 2 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 3 fines · $92,576 total
State licensing & capacity
- License number
- 312161
- Service type
- Medicare/medicaid
- Licensed capacity
- 169 beds
- Bed type breakdown
- 31 Medicare-only · 138 Medicaid/Medicare
- Current license effective
- September 1, 2024
- Current license expires
- September 1, 2027
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Winniestowell Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Diversicare Afton Oaks Llc
- Administrator
- Megan Lowe
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Creative Solutions in Healthcare chain — 149 facilities. Chain-wide average overall rating 2.7 / 5.
Disclosed owners (13 on record)
- Chandra l Garrett
Adp of The Snf · since 2025
- Peter Jian
Adp of The Snf · since 2025
- Journey Medical Pllc
Operational/managerial Control · since 2025
- Anthony Stramecki
Corporate Director · since 2024
- Diversicare Afton Oaks, Llc
Operational/managerial Control · since 2024
- Edward r Murrell
Corporate Director · since 2024
+ 7 additional owners on the federal record.
Recent change of ownership
September 2024 (1 year ago) · acquired from Afton Oaks Nursing And Rehabilitation Center
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 38)
- G0689·Jan 14, 2026Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- J0689·Nov 21, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E0925·Oct 27, 2025Complaint
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- E0921·Oct 27, 2025Complaint
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- K0760·Oct 27, 2025Complaint
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
- K0698·Oct 27, 2025Complaint
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- K0697·Oct 27, 2025Complaint
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
- K0686·Oct 27, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Federal penalties
By year
- 20261 fine · $22K
- 20251 fine · $50K
- 20231 fine · $20K
Most recent events
- Jan 14, 2026Fine · $22K
- Oct 27, 2025Fine · $50K
- Sep 13, 2023Fine · $20K
Largest single fine on record: $50K.
Fire-safety citations
7 Life-Safety-Code citations on file. Most recent: Apr 9, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Afton Oaks Nursing and Rehabilitation Center is a 169-bed nursing home in Houston's Harris County, licensed for Medicare and Medicaid. CMS rates it 1 star overall — the lowest rating — with a 1-star health inspection score and substantiated findings of resident abuse or neglect within the past 36 months. CMS has also flagged it as a Special Focus candidate, signaling a pattern of serious deficiencies. Three fines totaling $92,576 have been assessed. The facility is managed by Diversicare Afton Oaks LLC under a hospital district license.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates this facility 1 star on staffing — the bottom tier, shared by about 38% of Texas nursing homes. Each resident receives roughly 196 minutes of nursing care per day, about 45 minutes less than at a 4-star-staffing facility in Texas. Residents here also require more hands-on care than at a typical facility — more dependent or medically complex on average — so those 196 minutes stretch thinner than the raw number suggests. RN coverage comes to just 17 minutes per resident per day, against 37 minutes at a 4-star-staffing facility in the state.
CMS has substantiated findings of resident abuse or neglect here within the past 36 months. CMS has also flagged this as a Special Focus candidate — a step below outright Special Focus Facility designation, signaling a pattern of serious deficiencies across inspections.
Three CMS fines totaling $92,576 have been assessed. The state median fine total for Texas nursing homes that receive any fines is $20,699; this facility's total is roughly 4.5 times that figure. About 30% of Texas nursing homes have received no fines at all.
Two administrators have left in the past year — a level of leadership turnover that residents and frontline staff typically feel directly.
The facility is operating at roughly 58% of its 169 licensed beds, with about 97 residents on an average day. That occupancy level, alongside the other flags in this record, is a pattern families may want to ask about directly.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Abuse findings and current safeguards
CMS has substantiated abuse or neglect findings here in the past 36 months — ask what specific changes were made to prevent recurrence and how incidents are reported to families.
Special Focus candidate status
CMS flagged this facility as a Special Focus candidate due to a pattern of serious deficiencies — ask what the most recent inspection cited and what the correction plan covers.
Two administrators in one year
Two administrators have left in the past 12 months — ask who is currently in the role, how long they have been in place, and who provides day-to-day oversight.
Registered nurse coverage daily
CMS data shows about 17 minutes of RN time per resident per day — ask how many registered nurses are on duty each shift and when an RN is physically present in the building.
Why occupancy is at 58%
The facility averages about 97 residents against 169 licensed beds — ask what accounts for that gap and whether any wings or units are currently closed.
Management company's role
Day-to-day operations are run by Diversicare Afton Oaks LLC under a hospital district license — ask which entity sets staffing levels, handles complaints, and is accountable for care decisions.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.