Special Focus candidateAbuse citationFor-profitChain member
★★★★★1 of 5 overall
Afton Oaks Nursing and Rehabilitation Center in Houston has a 1-out-of-5 overall rating, with a 1-star health inspection rating, 2-star staffing, and 4-star quality measures. It is a Special Focus Facility candidate with special-focus status, had $95,434 in fines in the last 24 months, and reported nurse staffing of 3.56 hours per resident per day versus the federal benchmark of 4.1.
Last inspection: January 14, 2026Penalties, last 24 months: $95,434special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.563.
Staffing detail
Registered nurses
0.46
Licensed practical nurses
0.79
Nurse aides
2.31
Weekend nursing
3.41
Hours per resident per day.
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
5.8%Steady
Residents with a fall causing major injury
0%Steady
Residents with pressure ulcers (bedsores)
7.2%Improving
Residents with a urinary tract infection
1.9%Worsening
Residents who lost too much weight
2.8%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
17.2%Worsening
Residents whose ability to walk got worse
9.9%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
12.2%Improving
Short-stay residents newly given an antipsychotic
0.7%Improving
Residents with a long-term catheter
0.5%Improving
Residents with new or worsening incontinence
22.1%Worsening
Residents with depressive symptoms
1.2%Steady
Long-stay residents given the seasonal flu vaccine
96.4%Steady
Long-stay residents given the pneumonia vaccine
87.8%Improving
Short-stay residents given the seasonal flu vaccine
73.4%Steady
Short-stay residents given the pneumonia vaccine
73.9%Improving
What the inspectors found
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited October 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: K
The nursing home failed to protect residents from abuse and neglect by others. Cited October 2025 — limited pattern, immediate jeopardy to residents.
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F-Tag 600 — 42 CFR §483.12 — S/S: K
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited October 2025 — limited pattern, immediate jeopardy to residents.
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F-Tag 686 — 42 CFR §483.25(b) — S/S: K
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited October 2025 — limited pattern, immediate jeopardy to residents.
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F-Tag 697 — 42 CFR §483.25(k) — S/S: K
The home failed to provide safe, appropriate dialysis care for a resident who needed it. Cited October 2025 — limited pattern, immediate jeopardy to residents.
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F-Tag 698 — 42 CFR §483.25(l) — S/S: K
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
PENALTY
A federal fine of $14,505 was recorded.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
PENALTY
A federal fine of $70,400 was recorded.
INSPECTION
Health inspection found 10 health deficiencies.
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PENALTY
A federal fine of $10,529 was recorded.
Penalties & enforcement
On record with Medicare: 4 fines · $115,295 in total fines.
Federal fine
Jan 14, 2026
$14,505
Federal fine
Oct 27, 2025
$70,400
Federal fine
Jul 11, 2025
$10,529
Federal fine
Sep 13, 2023
$19,861
Operator & ownership
Ownership
For profit - Corporation
Chain
Part of CREATIVE SOLUTIONS IN HEALTHCARE · 149 homes · 2.3 stars avg
Occupancy
82.4 residents on an average day (49% of 169 beds)
Resident voice
Resident council
Medicare history
Certified for 39 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.