Villa Toscana At Cypress Woods has received an F grade based on CMS data, with a score of 32/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Houston facility should carefully review its inspection history and quality metrics.
With 3.22 total nurse hours per resident per day, Villa Toscana At Cypress Woods falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent CMS inspections identified 38 deficiencies at Villa Toscana At Cypress Woods, including 4 classified as serious — among the most concerning citation levels. The most notable finding involved: keep residents' personal and medical records private and confidential..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.22 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.48 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.79 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.95 | 2.4 | Below Average |
| Weekend Total Nursing | 2.87 | 3.8 | Below Average |
| Weekend RN Hours | 0.43 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0583 Severity DKeep residents' personal and medical records private and confidential.Nov 13, 2025 · Resident Rights Deficiencies
- Tag 0604 Severity DEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.Nov 13, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0687 Severity DProvide appropriate foot care.Nov 13, 2025 · Quality of Life and Care Deficiencies
- Tag 0755 Severity DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Nov 13, 2025 · Pharmacy Service Deficiencies
- Tag 0761 Severity DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiNov 13, 2025 · Pharmacy Service Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 4.2% | 4.5% | Average |
| Falls with major injury | 3.1% | 3.0% | Average |
| On antipsychotic medication | 20.3% | 14.5% | Worse |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 10.8% | 14.0% | Better |
| Excessive weight loss | 1.0% | 7.5% | Better |
| New/worsened incontinence | 11.7% | 45.0% | Better |
⚠️ Penalties & Fines
3 penalties recorded by CMS
Total fines: $37,827
How This Grade Was Calculated
This facility's grade of F is based on a score of 32 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -3 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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