ElderGrade
F

31.5/100

Poor

Afton Oaks Nursing And Rehabilitation Center

7514 Kingsley St, Houston, TX 77087

CMS 1/5 stars #82 of 96 in Harris County (713) 644-8393
Certified beds
169
Occupancy
46%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • Abuse icon on record

    CMS flags this facility for citations of abuse that caused harm, or potential for harm, to residents.

  • Special Focus Facility

    CMS has placed this home in its Special Focus Facility program for a persistent pattern of poor care. These homes get inspected twice as often.

  • 16 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $115,512 in federal fines

    CMS has fined this facility across 4 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

0/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -20 for 13 immediate-jeopardy citation(s) in the last 3 years
  • -12 for 3 actual-harm citation(s) in the last 3 years
  • -6.4 for 35 total citations against a national median of 17

Staffing

13/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.7 total nurse hours per resident per day (national median 3.77)
  • 0.57 RN hours per resident per day
  • Weekend staffing drops 8% against weekdays

Staff stability

7.5/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • No turnover figure reported — scored neutral

Resident outcomes

9/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 3 of 5 stars on the CMS quality-measure rating

Enforcement history

2/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $115,512 in federal fines across 4 action(s)

Grade ceiling applied

  • Capped at 54 (grade D) — CMS Special Focus Facility
  • Capped at 64 (grade C) — CMS abuse icon on record
  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.59 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.57 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.29 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover Not reported

The share of nursing staff who left over the last year.

Recent inspection findings

All 37 citations

Last standard health inspection: April 9, 2025 (1 year ago).

G Jan 14, 2026 F0689 From a complaint

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Actual harm to a resident

J Nov 21, 2025 F0689 From a complaint

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Immediate jeopardy to resident health or safety

K Oct 27, 2025 F0580 From a complaint

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Immediate jeopardy to resident health or safety

K Oct 27, 2025 F0600 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Immediate jeopardy to resident health or safety

K Oct 27, 2025 F0686 From a complaint

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Immediate jeopardy to resident health or safety

K Oct 27, 2025 F0697 From a complaint

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

Immediate jeopardy to resident health or safety

K Oct 27, 2025 F0698 From a complaint

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Immediate jeopardy to resident health or safety

K Oct 27, 2025 F0760 From a complaint

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Immediate jeopardy to resident health or safety

Who owns this home

Full record

Part of CREATIVE SOLUTIONS IN HEALTHCARE, which operates 149 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
MURRELL, EDWARD Individual CORPORATE DIRECTOR
ROLLO, JEFFERY Individual CORPORATE DIRECTOR
STRAMECKI, ANTHONY Individual CORPORATE DIRECTOR
VRATIS, KACEY Individual CORPORATE DIRECTOR
WAY, GEORGE Individual CORPORATE DIRECTOR
DIVERSICARE AFTON OAKS, LLC Organization OPERATIONAL/MANAGERIAL CONTROL
JOURNEY MEDICAL PLLC Organization OPERATIONAL/MANAGERIAL CONTROL
WINNIE-STOWELL HOSPITAL DISTRICT Organization OPERATIONAL/MANAGERIAL CONTROL
BODIE, REBECCA Individual OPERATIONAL/MANAGERIAL CONTROL
GARRETT, CHANDRA Individual OPERATIONAL/MANAGERIAL CONTROL
JIAN, PETER Individual OPERATIONAL/MANAGERIAL CONTROL
NEE, STEPHEN Individual OPERATIONAL/MANAGERIAL CONTROL

What families say

Write a review

No family reviews yet for Afton Oaks Nursing And Rehabilitation Center. If you or a relative have experience of this home, other families would find it useful.

Be the first to review

Every review is confirmed by email and read by a moderator before it appears. We remove reviews written by or for a facility. If something is wrong right now, report a concern — that routes you to your state ombudsman, who can actually intervene.

Common questions about Afton Oaks Nursing And Rehabilitation Center

What is the ElderGrade for Afton Oaks Nursing And Rehabilitation Center? +

Afton Oaks Nursing And Rehabilitation Center holds an ElderGrade of F (31.5 out of 100), which we describe as "poor". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Afton Oaks Nursing And Rehabilitation Center? +

Residents receive an average of 3.59 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Afton Oaks Nursing And Rehabilitation Center been cited for harming residents? +

Yes. 16 of the 37 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Afton Oaks Nursing And Rehabilitation Center accept Medicaid? +

Yes, Afton Oaks Nursing And Rehabilitation Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.