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The Lev at Winchester

Nursing Home · Alvin, Texas · CMS Certification Number 676264

$3,174 in fines

CMS records 14 health citations for The Lev at Winchester across the three inspection cycles published as of June 2026. None reached the actual-harm tier (G or above). 3 of them came from a complaint investigation rather than a routine survey. In the most recent cycle alone there are 6 citations.

CMS five-star ratings
Overall rating★★★☆☆ 3 of 5
Health inspection★★★★☆ 4 of 5
Staffing★☆☆☆☆ 1 of 5
Quality measures★★★☆☆ 3 of 5

Staffing

Total nurse staffing3.21 hours per resident per day
RN staffing0.16 hours per resident per day
Weekend nurse staffing2.89 hours per resident per day
Total nursing staff turnover54.8%

Staffing hours are CMS payroll-based figures for the most recent quarter published. Turnover is the share of staff who left over twelve months.

Facility details

Address1112 Smith Dr, Alvin, TX 77511
Phone(281) 331-6125
CountyBrazoria
Certified beds94
Average residents per day84.2
OwnershipGovernment - Hospital district
ChainOakbend Medical Center
Participates inMedicare and Medicaid
Sprinklers in all required areasYes
Resident / family councilResident

Most recent inspections

Fire Safety Standard2025-08-08
Health Complaint2025-12-05
Health Standard2025-08-08

Fines and penalties

CMS records $3,174 in fines across 1 penalty.

Inspection citations

Citations are published by the Centers for Medicare & Medicaid Services from state inspections. A citation reflects conditions found on the survey date shown and may since have been corrected. Facilities may dispute findings through informal dispute resolution. Always tour a facility and ask about anything you see here.

Scope/severity E — Potential for harm

Survey 2025-12-05 · Tag F0553 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2026-01-27

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm, and it happened repeatedly. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2025-08-08 · Tag F0621 · Routine survey · Deficient, Provider has date of correction · Correction reported 2025-08-09

Treat residents equally regarding transfer, discharge, and provision of services for all residents, regardless of payment source

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2025-08-08 · Tag F0641 · Routine survey · Deficient, Provider has date of correction · Correction reported 2025-08-09

Ensure each resident receives an accurate assessment.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity E — Potential for harm

Survey 2025-08-08 · Tag F0686 · Routine survey · Deficient, Provider has date of correction · Correction reported 2025-08-09

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

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm, and it happened repeatedly. How the A–L grid works

Scope/severity F — Potential for harm

Survey 2025-08-08 · Tag F0727 · Routine survey · Deficient, Provider has date of correction · Correction reported 2025-08-26

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm, and it affected the facility broadly. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2025-08-08 · Tag F0880 · Routine survey · Deficient, Provider has date of correction · Correction reported 2025-08-09

Provide and implement an infection prevention and control program.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2024-06-28 · Tag F0727 · Routine survey · Deficient, Provider has date of correction · Correction reported 2024-07-26

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity E — Potential for harm

Survey 2024-06-28 · Tag F0761 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2024-07-26

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm, and it happened repeatedly. How the A–L grid works

Scope/severity E — Potential for harm

Survey 2024-04-06 · Tag F0695 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2024-04-24

Provide safe and appropriate respiratory care for a resident when needed.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm, and it happened repeatedly. How the A–L grid works

Scope/severity E — Potential for harm

Survey 2023-04-20 · Tag F0727 · Routine survey · Deficient, Provider has date of correction · Correction reported 2023-04-21

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm, and it happened repeatedly. How the A–L grid works

Scope/severity E — Potential for harm

Survey 2023-04-20 · Tag F0812 · Routine survey · Deficient, Provider has date of correction · Correction reported 2023-04-21

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm, and it happened repeatedly. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2023-04-20 · Tag F0842 · Routine survey · Deficient, Provider has date of correction · Correction reported 2023-04-21

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity E — Potential for harm

Survey 2023-04-20 · Tag F0880 · Routine survey · Deficient, Provider has date of correction · Correction reported 2023-04-21

Provide and implement an infection prevention and control program.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm, and it happened repeatedly. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2023-04-20 · Tag F0883 · Routine survey · Deficient, Provider has date of correction · Correction reported 2023-04-21

Develop and implement policies and procedures for flu and pneumonia vaccinations.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Common questions

Has The Lev at Winchester been cited for immediate jeopardy?

No immediate-jeopardy citations (scope/severity J, K or L) appear for The Lev at Winchester in CMS data as of June 2026.

What is the CMS star rating for The Lev at Winchester?

CMS gives The Lev at Winchester an overall rating of 3 out of 5 as of June 2026, with 4 for health inspection and 1 for staffing.

How big is The Lev at Winchester?

The Lev at Winchester is certified for 94 beds, with an average of 84.2 residents per day in the most recent CMS reporting period.


Ratings and inspection data from the Centers for Medicare & Medicaid Services, June 2026.