Clarewood House Extended Care Center
7400 Clarewood Dr, Houston, TX 77036 · Harris County · 60 certified beds · avg 35 residents/day · certified since Apr 28, 2004
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (5)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Dec 3, 2025 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Dec 3, 2025 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Sep 12, 2024 | D · Potential for harm, one-off | When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. |
| Aug 17, 2023 | E · Potential for harm, repeated | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. |
| Aug 17, 2023 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 0 | E |
| 2024 | 1 | 0 | D |
| 2025 | 2 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Texas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 0.44 | 3.46 | 3.95 | bottom 1% in Texas; bottom 1% in the U.S. |
| Registered Nurse hours | 0.00 | 0.44 | 0.69 | bottom 1% in Texas; bottom 1% in the U.S. |
| Weekend total nurse staffing | 0.70 | 3.04 | 3.50 | bottom 1% in Texas; bottom 1% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.00 | 0.34 | 0.48 | bottom 1% in Texas; bottom 1% in the U.S. |
| Total nursing staff turnover (%) | 50.0 | 55.3 | 45.8 | top 44% in Texas; bottom 38% in the U.S. |
| RN turnover (%) | 83.3 | 54.6 | 42.9 | bottom 17% in Texas; bottom 4% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 0.41, RN 0.00, weekend 0.65. Staffing rating: 1/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Freeman, Caroline | Individual | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2001 |
| Pheifer, Patrick | Individual | Direct Ownership Interest | NOT APPLICABLE | 09/10/2001 |
| Spaw, Richard | Individual | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2009 |
| Tanguilig-Robinson, Cynthia | Individual | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2020 |
| Freeman, Caroline | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2001 |
| Freeman, Caroline | Individual | Trustee of the SNF | NOT APPLICABLE | 01/01/2001 |
| Maddox, Gary | Individual | Corporate Director | NOT APPLICABLE | 11/01/2013 |
| Maddox, Gary | Individual | Trustee of the SNF | NOT APPLICABLE | 01/01/1992 |
| Pheifer, Patrick | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/10/2001 |
| Pheifer, Patrick | Individual | ADP of the SNF | NOT APPLICABLE | 09/10/2001 |
| Spaw, Richard | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2009 |
| Spaw, Richard | Individual | Trustee of the SNF | NOT APPLICABLE | 01/01/2009 |
| Tanguilig-Robinson, Cynthia | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2020 |
| Tanguilig-Robinson, Cynthia | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2020 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "What exactly do you hand off to the next provider when a resident is discharged, and how do you confirm they received it?"
- "Does your facility have an active resident council, and how does management respond to its concerns?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Sharpview Residence and Rehabilitation Center | 0.2 mi | Houston, TX | ★☆☆☆☆ | 2/5 | |
| The Lev at Town Park | 1.7 mi | Houston, TX | ★☆☆☆☆ | 1/5 | |
| Houston Transitional Care | 1.9 mi | Houston, TX | ★★★☆☆ | 4/5 | |
| Woodway Nursing & Rehab | 1.9 mi | Houston, TX | —/5 | SFF | |
| Ffiii Houston SNF Tenant LLC | 2.2 mi | Houston, TX | ★★★★☆ | 3/5 | |
| Treemont Health Care Center | 2.4 mi | Houston, TX | ★★★★☆ | 3/5 | |
| Seven Acres Jewish Senior Care Services | 2.4 mi | Houston, TX | ★★★★☆ | 3/5 | |
| Focused Care at Westwood | 3.5 mi | Houston, TX | ★★★☆☆ | 3/5 | |
| The Vosswood Nursing Center | 3.6 mi | Houston, TX | ★★★★☆ | 5/5 | |
| Brookdale Galleria | 3.8 mi | Houston, TX | ★★★☆☆ | 2/5 | |
| The Hallmark | 4.4 mi | Houston, TX | ★★★★★ | 5/5 | |
| Bayou Manor | 4.5 mi | Houston, TX | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 676021.