West Oaks Nursing & Rehabilitation
3625 Green Crest Dr, Houston, TX 77082 · Harris County · 136 certified beds · avg 111 residents/day · certified since Feb 24, 1995
Part of chain: TOUCHSTONE COMMUNITIES (25 facilities, chain avg rating 2.9★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Mar 13, 2026 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Mar 24, 2026 (Deficient, Provider has date of correction)
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 |
|---|---|---|
| Mar 13, 2026 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Mar 13, 2026 | 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. |
| Mar 13, 2026 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Mar 13, 2026 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Mar 13, 2026 | 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. |
| Jan 16, 2025 | E · Potential for harm, repeated | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Jan 16, 2025 | E · Potential for harm, repeated | 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. |
| Jan 16, 2025 | E · Potential for harm, repeated | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Jan 16, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Jan 16, 2025 | D · Potential for harm, one-off | The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. |
| Jan 16, 2025 | D · Potential for harm, one-off | 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. |
| Jan 16, 2025 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Nov 30, 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. |
| Nov 30, 2023 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (7 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 0 | E |
| 2025 | 7 | 0 | E |
| 2026 | 5 | 1 | G ▲ |
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) | 3.08 | 3.46 | 3.95 | bottom 29% in Texas; bottom 17% in the U.S. |
| Registered Nurse hours | 0.38 | 0.44 | 0.69 | bottom 49% in Texas; bottom 20% in the U.S. |
| Weekend total nurse staffing | 2.63 | 3.04 | 3.50 | bottom 24% in Texas; bottom 14% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.32 | 0.34 | 0.48 | top 43% in Texas; bottom 35% in the U.S. |
| Total nursing staff turnover (%) | 24.7 | 55.3 | 45.8 | top 2% in Texas; top 7% in the U.S. |
| RN turnover (%) | 22.2 | 54.6 | 42.9 | top 10% in Texas; top 17% 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 3.37, RN 0.42, weekend 2.88. Staffing rating: 2/5.
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: 3/5 · long-stay residents: 4/5 · short-stay residents: 3/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Aegis Therapies, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2019 |
| Boening, Christopher | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/13/2020 |
| Boening, Christopher | Individual | ADP of the SNF | NOT APPLICABLE | 01/13/2020 |
| Campbell, Leslie | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2020 |
| Campbell, Leslie | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2020 |
| Carvajal Pharmacy LTC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2019 |
| Castillo, Lynnea | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2019 |
| Castillo, Lynnea | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2019 |
| Fellbaum, Ernest | Individual | ADP of the SNF | NOT APPLICABLE | 01/29/2019 |
| Greene, Calandra | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/21/2022 |
| Greene, Calandra | Individual | ADP of the SNF | NOT APPLICABLE | 02/21/2022 |
| Hare, Sondra | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/26/2019 |
| Hare, Sondra | Individual | ADP of the SNF | NOT APPLICABLE | 08/26/2019 |
| International Bank of Commerce | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 05/19/2022 |
| Nutritious Lifestyles, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2019 |
| Plante & Moran PLLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2019 |
| Sehlke, Bryon | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2019 |
| Sehlke, Bryon | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2019 |
| Studer, Stanley | Individual | ADP of the SNF | NOT APPLICABLE | 01/29/2019 |
| Tanguilig-Robinson, Cynthia | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2025 |
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 is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "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 |
|---|---|---|---|---|---|
| Park Manor of Westchase | 0.2 mi | Houston, TX | ★★☆☆☆ | 1/5 | |
| Avir at Houston | 2.1 mi | Houston, TX | ★☆☆☆☆ | 1/5 | |
| Parkway Place | 3.0 mi | Houston, TX | ★★★★★ | 3/5 | |
| Continuing Care at Eagles Trace | 3.1 mi | Houston, TX | ★★★★☆ | 4/5 | |
| West Houston Rehabilitation and Healthcare Center | 3.8 mi | Houston, TX | ★☆☆☆☆ | 1/5 | |
| Focused Care at Beechnut | 3.9 mi | Houston, TX | ★★☆☆☆ | 1/5 | |
| Solera at West Houston | 5.5 mi | Houston, TX | ★★★☆☆ | 2/5 | |
| Focused Care at Westwood | 6.3 mi | Houston, TX | ★★★☆☆ | 3/5 | |
| Mason Creek Transitional Care of Katy | 6.5 mi | Katy, TX | ★★★☆☆ | 3/5 | |
| The Lev at Town Park | 6.8 mi | Houston, TX | ★☆☆☆☆ | 1/5 | |
| Oakmont Healthcare and Rehabilitation Center of Ka | 7.0 mi | Katy, TX | ★★☆☆☆ | 3/5 | |
| Treemont Health Care Center | 7.5 mi | Houston, TX | ★★★★☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 675454.