The Lev at Winchester
1112 Smith Dr, Alvin, TX 77511 · Brazoria County · 94 certified beds · avg 84 residents/day · certified since Nov 4, 2010
Part of chain: OAKBEND MEDICAL CENTER (5 facilities, chain avg rating 3.0★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 3/5
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 (14)
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 5, 2025 | E · Potential for harm, repeated | The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences. · from a complaint |
| Aug 8, 2025 | F · Potential for harm, facility-wide | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| Aug 8, 2025 | E · Potential for harm, repeated | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Aug 8, 2025 | D · Potential for harm, one-off | The facility did not treat all residents equally in transfers, discharges, and services — treatment differed based on how a resident paid, such as Medicaid versus private pay. |
| Aug 8, 2025 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Aug 8, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jun 28, 2024 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint |
| Jun 28, 2024 | D · Potential for harm, one-off | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| Apr 6, 2024 | E · Potential for harm, repeated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint |
| Apr 20, 2023 | E · Potential for harm, repeated | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| Apr 20, 2023 | E · Potential for harm, repeated | 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. |
| Apr 20, 2023 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Apr 20, 2023 | 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. |
| Apr 20, 2023 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 5 | 0 | E |
| 2024 | 3 | 0 | E |
| 2025 | 6 | 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) | 3.01 | 3.46 | 3.95 | bottom 24% in Texas; bottom 14% in the U.S. |
| Registered Nurse hours | 0.14 | 0.44 | 0.69 | bottom 2% in Texas; bottom 1% in the U.S. |
| Weekend total nurse staffing | 2.64 | 3.04 | 3.50 | bottom 25% in Texas; bottom 14% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.13 | 0.34 | 0.48 | bottom 6% in Texas; bottom 3% in the U.S. |
| Total nursing staff turnover (%) | 52.1 | 55.3 | 45.8 | top 50% in Texas; bottom 32% in the U.S. |
| RN turnover (%) | 0.0 | 54.6 | 42.9 | — |
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 2.98, RN 0.14, weekend 2.61. 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: 4/5 · long-stay residents: 4/5 · short-stay residents: 3/5
Who owns this facility
Government - Hospital district
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Oakbend Medical Center | Organization | 5% or Greater Direct Ownership Interest | 100% | 03/31/2017 |
| Council, Jeff | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2013 |
| Crayton, Tom | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2013 |
| Douds, Robert | Individual | Corporate Officer | NOT APPLICABLE | 01/19/2016 |
| Freudenberger, Joseph | Individual | W-2 Managing Employee | NOT APPLICABLE | 06/19/2007 |
| Freudenberger, Joseph | Individual | Corporate Officer | NOT APPLICABLE | 06/19/2007 |
| Haley, Jeff | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2012 |
| Martin, Melissa | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2015 |
| Mefford, Ruthanne | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2015 |
| Petrosewicz, Norma | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2013 |
| Popatia, Amirali | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2011 |
| Shkop, Aharon | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2022 |
| SSC Alvin Operating Company LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 03/31/2017 |
| The Lev at Winchester LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/01/2022 |
| Uthman, Edward | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2008 |
| Zerwas, John | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2013 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How are residents and families included in care plan meetings, and how often do those meetings happen?"
- "How many hours a day is a registered nurse physically in the building, including weekends?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "If my family member switches from private pay to Medicaid, will anything change about their room, services, or ability to stay?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "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 |
|---|---|---|---|---|---|
| Laurel Court | 3.5 mi | Alvin, TX | ★★★★★ | 5/5 | |
| Friendship Haven Healthcare and Rehabilitation Cen | 5.9 mi | Friendswood, TX | ★★★★☆ | 4/5 | |
| Oasis at Pearland | 9.0 mi | Pearland, TX | ★☆☆☆☆ | 1/5 | |
| Thrive Rehabilitation of Pearland | 9.3 mi | Pearland, TX | ★☆☆☆☆ | 1/5 | |
| The Heights of League City | 9.4 mi | League City, TX | ★☆☆☆☆ | 1/5 | |
| Regency Village | 10.1 mi | Webster, TX | ★★☆☆☆ | 2/5 | abuse |
| Focused Care at Webster | 10.5 mi | Webster, TX | ★★☆☆☆ | 1/5 | abuse |
| Magnolia Crossing Nursing and Rehabilitation Cente | 10.6 mi | Houston, TX | ★★★☆☆ | 4/5 | |
| Ignite Medical Resort Webster, LLC | 10.6 mi | Webster, TX | ★★★★★ | 5/5 | |
| Park Manor of South Belt | 10.8 mi | Houston, TX | ★★★★☆ | 4/5 | |
| Baywind Village Skilled Nursing & Rehab | 11.3 mi | League City, TX | ★★★★★ | 5/5 | |
| MRC the Crossings | 11.5 mi | League City, TX | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 676264.