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

West Oaks Nursing & Rehabilitation

Houston, TX · 136 certified beds · Last Life Safety survey March 13, 2026

CMS Certification Number 675454 · first certified February 1995

Ownership

Operated by TOUCHSTONE COMMUNITIES · For profit - Corporation

Ownership changed April 1, 2019 (change of ownership)from WEST OAKS SCC LLC

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within TX

11 citations — more than 69% 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 4 citations; the earlier surveys in the window averaged 3.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens April 2027 — about 7 months from now. This facility’s last Life Safety survey was March 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 West Oaks Nursing & Rehabilitation

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

2 inspection-and-testing tags have 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)

3 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 11 Life Safety citations above. The Physical Environment Index

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

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.

Citations on file over three years, compared
Measure	Citations
This facility	11
Median facility in TX	7
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
November 30, 2023	4
January 16, 2025	3
March 13, 2026	4

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	2	2026-03-13
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	2	2025-01-16
K-0363	Install corridor and hallway doors that block smoke.	1	2026-03-13
K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	1	2023-11-30
K-0712	Have simulated fire drills held at unexpected times.	1	2023-11-30
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	1	2023-11-30
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	1	2026-03-13
K-0511	Have properly installed electrical wiring and gas equipment.	1	2026-03-13

What the citations cover

Citations by CMS category

Smoke Deficiencies 6
Gas, Vacuum, and Electrical Systems Deficiencies 2
Miscellaneous Deficiencies 1
Services Deficiencies 1
Other 1

Citations by CMS category
Category	Citations
Smoke Deficiencies	6
Gas, Vacuum, and Electrical Systems Deficiencies	2
Miscellaneous Deficiencies	1
Services Deficiencies	1
Egress Deficiencies	1

Every citation on file

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

March 13, 2026 — 4 citations

Citations issued on March 13, 2026
Tag	What the surveyor checks	Status
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (April 3, 2026)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (April 3, 2026)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (April 3, 2026)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (April 3, 2026)

January 16, 2025 — 3 citations

Citations issued on January 16, 2025
Tag	What the surveyor checks	Status
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (February 14, 2025)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (February 14, 2025)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (February 14, 2025)

November 30, 2023 — 4 citations

Citations issued on November 30, 2023
Tag	What the surveyor checks	Status
K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	Deficient, Provider has date of correction (December 19, 2023)
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	Deficient, Provider has date of correction (December 19, 2023)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (December 19, 2023)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (December 19, 2023)

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