The Lev at Winchester

1112 Smith Dr · Alvin, TX · 77511 · 2813316125

94 certified beds Government - Hospital district Chain: Oakbend Medical Center Hospital-based

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.

Red flags

RN staffing in the bottom 10% nationally

0.16 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

Score breakdown

Inspection record 30% of score 62
Serious harm & abuse 20% 100
Staffing 20% 44
Federal penalties 15% 81
Trend 10% 30
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 4 of 5 Staffing: 1 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.213.48 min · 4.1 strong
RN hours / resident-day0.160.55–0.75
Weekend hours / resident-day2.89≈ weekday level
Nursing turnover / year55%median 45%
Fines (3-yr window)1 · $3,174

Inspection citations (14 in the current record)

  • Potential for harm · E December 5, 2025 · found via complaint

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

    Corrected January 27, 2026 · Resident Rights

  • Potential for harm · D August 8, 2025

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

    Corrected August 9, 2025 · Resident Rights

  • Potential for harm · D August 8, 2025

    Ensure each resident receives an accurate assessment.

    Corrected August 9, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E August 8, 2025

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

    Corrected August 9, 2025 · Quality of Life and Care

  • Potential for harm · F August 8, 2025

    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.

    Corrected August 26, 2025 · Nursing and Physician Services

  • Potential for harm · D August 8, 2025

    Provide and implement an infection prevention and control program.

    Corrected August 9, 2025 · Infection Control

  • Potential for harm · D June 28, 2024

    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.

    Corrected July 26, 2024 · Nursing and Physician Services

  • Potential for harm · E June 28, 2024 · found via complaint

    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.

    Corrected July 26, 2024 · Pharmacy Service

  • Potential for harm · E April 6, 2024 · found via complaint

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

    Corrected April 24, 2024 · Quality of Life and Care

  • Potential for harm · E April 20, 2023

    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.

    Corrected April 21, 2023 · Nursing and Physician Services

  • Potential for harm · E April 20, 2023

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

    Corrected April 21, 2023 · Nutrition and Dietary

  • Potential for harm · D April 20, 2023

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

    Corrected April 21, 2023 · Resident Assessment and Care Planning

  • Potential for harm · E April 20, 2023

    Provide and implement an infection prevention and control program.

    Corrected April 21, 2023 · Infection Control

  • Potential for harm · D April 20, 2023

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

    Corrected April 21, 2023 · Infection Control

Federal penalties

DateTypeAmount / length
July 31, 2023Fine$3,174

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676264 · certified since November 4, 2010. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.