Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

VILLA TOSCANA AT CYPRESS WOODS

HOUSTON, TX · 120 certified beds · Last Life Safety survey May 6, 2026

CMS Certification Number 676239 · first certified November 2009

Ownership

Operated by CREATIVE SOLUTIONS IN HEALTHCARE · For profit - Limited Liability company

  • Ownership changed September 1, 2022 (change of ownership)from SOUTH LIMESTONE HOSPITAL DISTRICT
9
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
6
Inspection & testing records
Of the citations on file

Position within TX

9 citations — more than 59% of the 1,177 certified nursing homes in TX. Compared within TX rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 3 citations; the earlier surveys in the window averaged 3. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens June 2027 — about 9 months from now. This facility’s last Life Safety survey was May 2026. Facilities in TX are typically surveyed 13–14 months after the last one (median 14), measured over 1,905 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

Get an email about VILLA TOSCANA AT CYPRESS WOODS

One email when it happens. No account; stop it any time with one click.

Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

5 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 9 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

Compared with the median facility in TX, and nationally. Surveyors differ markedly between states, so the TX figure is the meaningful one.

This facility9TX median7National median11
Citations on file over three years, compared
MeasureCitations
This facility9
Median facility in TX7
Median facility nationally11

Survey history

Citations at each Life Safety survey
32023-1232025-0232026-05
Citations at each Life Safety survey
Survey dateCitations
December 1, 20233
February 28, 20253
May 6, 20263

Most-cited tags

Most-cited tags at this facility
K-03532K-03451K-03241K-09201K-09181K-09131K-03721K-03421
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.22025-02-28
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12026-05-06
K-0324Provide properly protected cooking facilities.12026-05-06
K-0920Ensure proper usage of power strips and extension cords.12026-05-06
K-0918Have generator or other power source capable of supplying service within 10 seconds.12025-02-28
K-0913Ensure operating rooms are properly protected and written records are maintained and available for inspection.12025-02-28
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12023-12-01
K-0342Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.12023-12-01

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 6
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
Citations by CMS category
CategoryCitations
Smoke Deficiencies6
Gas, Vacuum, and Electrical Systems Deficiencies3

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

May 6, 2026 — 3 citations

Citations issued on May 6, 2026
TagWhat the surveyor checksStatus
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (May 8, 2026)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (May 8, 2026)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (May 8, 2026)

February 28, 2025 — 3 citations

Citations issued on February 28, 2025
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (February 27, 2025)
K-0913Ensure operating rooms are properly protected and written records are maintained and available for inspection.Deficient, Provider has date of correction (February 27, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (March 5, 2025)

December 1, 2023 — 3 citations

Citations issued on December 1, 2023
TagWhat the surveyor checksStatus
K-0342Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.Deficient, Provider has date of correction (December 4, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (December 4, 2023)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (December 4, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.