Nursing home
Afton Oaks Nursing and Rehabilitation Center
7514 Kingsley St, Houston, TX 77087 · Map
For profit - Corporation · Part of Creative Solutions In Healthcare (149 facilities) · 169 certified beds
Afton Oaks Nursing and Rehabilitation Center is a Medicare-certified nursing home in Houston, Texas. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.27 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Apr 9, 2025 cited 26 deficiencies. Note: it is a CMS Special Focus Facility under enhanced oversight and it carries a CMS abuse icon.
- CMS abuse iconThis facility has an active abuse icon on its CMS record.
- Special Focus Facility candidateCMS lists this facility as a candidate for enhanced oversight.
- 3 fines totaling $92,576In CMS records: 3 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Afton Oaks Nursing and Rehabilitation Center compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.27 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.29 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.16 | 2.01 | 2.34 | above avg |
| Nursing staff turnover | —% | 51.5% | 46.4% | — |
| Deficiencies cited, last inspection | 26.0 | 9.1 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 3 fines totaling $92,576, 3 total penalties.
What inspectors found at Afton Oaks Nursing and Rehabilitation Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jan 14, 2026 · Full report (PDF) - Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Nov 21, 2025 · Full report (PDF) - Immediate jeopardy
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Oct 27, 2025 · Full report (PDF) - Immediate jeopardy
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Oct 27, 2025 · Full report (PDF) - Immediate jeopardy
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Oct 27, 2025 · Full report (PDF)
Show all 12 deficiencies
- Immediate jeopardy
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Oct 27, 2025 · Full report (PDF) - Immediate jeopardy
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Oct 27, 2025 · Full report (PDF) - Immediate jeopardy
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Oct 27, 2025 · Full report (PDF) - Potential for harm
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · Oct 27, 2025 · Full report (PDF) - Potential for harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Oct 27, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · Oct 27, 2025 · Full report (PDF) - Potential for harm
Give the resident's representative the ability to exercise the resident's rights.
Resident Rights Deficiencies · Oct 27, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 7514 Kingsley St
Houston, TX 77087 - CMS certification #
- 455682
- Ownership
- For profit - Corporation
- Certified beds
- 169
- Avg residents/day
- 97.3
- Provider type
- Medicare and Medicaid
- First certified
- 1987-01-21
- Chain
- Creative Solutions In Healthcare (149 facilities)
- Setting
- Urban
Part of Creative Solutions In Healthcare
Creative Solutions In Healthcare operates 149 nursing facilities across the United States. View all Creative Solutions In Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Afton Oaks Nursing and Rehabilitation Center using Google Maps.
Other public records
- Staff pay 4 federal wage cases with violations found, since 2002
- Emergency In hurricane evacuation zone Zip-Zone C
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Oct 27, 2016 to Jan 17, 2018. Violations found: Fair Labor Standards Act (pay and hours). Employer as DOL recorded it: Afton Oaks Nursing Center (Diversicare Healthcare Services). Case 1839654.
- Findings for Oct 29, 2014 to Oct 26, 2016. Violations found: Overtime. Back wages: $2,523 owed to 17 employees. DOL marked the employer as a repeat violator. Employer as DOL recorded it: Afton Oaks Nursing & Rehabilitation Center (Diversicare Afton Oaks, LLC). Case 1805363.
- Findings for Feb 11, 2010 to Jan 18, 2012. Violations found: Overtime. Back wages: $91,349 owed to 127 employees. Civil money penalties assessed: $20,955. DOL marked the employer as a repeat violator. Employer as DOL recorded it: Afton Oaks Nursing & Rehabilitation Center (Diversicare Leasing Corporation). Case 1624952.
- Findings for Jun 27, 2002 to Jun 26, 2004. Violations found: Overtime. Back wages: $8,856 owed to 52 employees. Employer as DOL recorded it: Afton Oaks Nursing Center (Divericare Management Service). Case 1357952.
DOL also concluded 1 case here with no violations found, most recently for a period ending Apr 21, 2021.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- St Joseph Medical Center, Houston. 6.1 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Avir at Courtyard, Houston. 0.7 miles away, straight line.
- Nearest home health agency office
- Vesta Home Care, Houston. 0.7 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- H-E-B Pharmacy. 0.8 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 77087 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Usrc Gulfgate Kidney Center, Houston, 0.7 miles away, straight line (CMS rating 3 of 5 stars)
Davita Pdi-South Houston, Houston, 2.2 miles away, straight line (CMS rating 1 of 5 stars)
Southeast Kidney Center, Houston, 2.3 miles away, straight line (has a shift starting after 5 pm; CMS rating 1 of 5 stars) - Hospice
- 89 Medicare hospices tell CMS they serve ZIP code 77087.
Midtown Hospice, Inc., office in Houston, 5.1 miles away, straight line
Peaceful Bridge Hospice, office in Houston, 5.9 miles away, straight line
Houston Hospice, office in Houston, 6.1 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Trumen Physicians And Associates PLLC, Houston. 2.9 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Hurricane evacuation zone
- Zip-Zone C on the Houston-Galveston hurricane evacuation ZIP-Zones. (Houston-Galveston Area Council, map updated Jul 30, 2026)
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane relatively high, inland flooding relatively moderate, coastal flooding relatively low, tornado very high, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | See above | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: no FEMA wildfire rating of moderate or higher here |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Afton Oaks Nursing and Rehabilitation Center a good nursing home?
CMS gives Afton Oaks Nursing and Rehabilitation Center an overall rating of 1 out of 5 stars, including 1/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Afton Oaks Nursing and Rehabilitation Center staffed?
Afton Oaks Nursing and Rehabilitation Center reports 3.27 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Afton Oaks Nursing and Rehabilitation Center had inspection problems?
Its most recent CMS inspection cited 26 deficiencies. This facility is on CMS's Special Focus list for enhanced oversight.
How many beds does Afton Oaks Nursing and Rehabilitation Center have?
Afton Oaks Nursing and Rehabilitation Center is certified for 169 beds.