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Nursing homeFAID #14630

The Lev At Winchester

1112 SMITH DR, ALVIN, TX, 77511
(281) 331-6125
94 licensed beds

CMS rates The Lev At Winchester 3 out of 5 overall. Federal inspectors issued 22 citations across 9 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★3/5CMS Five-Star overall4/5 health inspections1/5 staffing3/5 quality measuresSource: CMS Care Compare

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What we can show you for free.
Bed capacity
94
CMS facility ID
676264
Care type
Nursing home
County
Brazoria
Facility name
The Lev At Winchester
Street address
1112 SMITH DR
City / state / ZIP
Alvin, TX 77511
Phone
(281) 331-6125

The Lev At Winchester is a Medicare/Medicaid-certified skilled nursing facility in Alvin, Texas. It is licensed for 94 beds — below the median for skilled nursing facilities in Texas (120 beds).

It is one of 8 senior care facilities in Alvin and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited The Lev At Winchester 22 times across 9 inspections in the last three years, including 1 food-safety citation; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Parent company
Oakbend Medical Center
Ownership type
Government - Hospital district

Registered owners & officers

Oakbend Medical Center
Direct owner — 100% stake — since 2017
Council, Jeff
Officer — since 2013
Crayton, Tom
Officer — since 2013
Douds, Robert
Officer — since 2016
Freudenberger, Joseph
Managing employee · Officer — since 2007
Haley, Jeff
Officer — since 2012
Martin, Melissa
Officer — since 2015
Mefford, Ruthanne
Officer — since 2015
Petrosewicz, Norma
Officer — since 2013
Popatia, Amirali
Officer — since 2011
Shkop, Aharon
Operational control — since 2022
Ssc Alvin Operating Company Llc
Operational control — since 2017
The Lev At Winchester Llc
Operational control — since 2022
Uthman, Edward
Officer — since 2008
Zerwas, John
Officer — since 2013

Regulatory standing

Federal court records
9 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
2010-11-04
CMS overall rating
3 of 5 stars
Health deficiencies
6 at the last standard inspection
Federal fines
None on record
Last standard inspection
2025-08-08
Nurse staffing
2.7 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$213 per day (≈ $6,480/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
75% Medicaid · 4% Medicare · 21% private/other
Occupancy
92% (fiscal year 2023)
Vs. state median
23% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
94
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.
2025-12-05Health inspectionComplaint-triggered1 citation
F-0553
E · No harm foundFrom a complaint
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2026-01-27
2025-08-08Health inspection5 citations
F-0621
D · No harm found
Treat residents equally regarding transfer, discharge, and provision of services for all residents, regardless of payment source
Corrected 2025-08-09
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2025-08-09
F-0686
E · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-08-09
F-0727
F · No harm found
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 2025-08-26
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-08-09
6 earlier / fire-safety inspections (16 citations)
2024-06-28Health inspectionComplaint-triggered2 citations
F-0727
D · No harm found
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 2024-07-26
F-0761
E · No harm foundFrom a 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 2024-07-26
2024-04-06Health inspectionComplaint-triggered1 citation
F-0695
E · No harm foundFrom a complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-04-24
2023-04-20Health inspection5 citations
F-0727
E · No harm found
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 2023-04-21
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-04-21
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-04-21
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-04-21
F-0883
D · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-04-21
2025-08-08Fire-safety inspection2 citations
K-0918
D · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-08-26
K-0929
E · No harm found
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Corrected 2025-08-26
2024-06-28Fire-safety inspection4 citations
K-0355
E · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-07-19
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-06-27
K-0374
E · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-06-27
K-0511
F · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2024-06-27
2023-04-20Fire-safety inspection2 citations
K-0372
F · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-04-06
K-0374
F · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-04-06
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 676264.
How it compares in Texas.
Inspection citations, 3 years
22
More than 19% of nursing homes in the state
State median: 33
Federal fines, 3 years
$0
No federal fines on record
State median: $15,642
Nurse staffing, hours per resident per day
2.7
Higher than 6% of nursing homes in the state
State median: 3.3
Nursing staff turnover, annual
57%
Higher than 68% of nursing homes in the state
State median: 50%

Resident outcomes

On 21 federal quality measures, this facility does better than the Texas average on 7 and worse on 9. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased18.7%15.8%13.5%Worse than state
Lose too much weight5.7%2.9%5.1%Worse than state
With a catheter inserted and left in their bladder0.0%0.3%0.7%Better than state
With a urinary tract infection0.0%0.8%1.5%Better than state
Have depressive symptoms1.3%2.3%13.5%Better than state
Were physically restrained0.0%0.0%0.1%Better than state
Experiencing one or more falls with major injury4.7%3.2%3.2%Worse than state
Assessed and appropriately given the pneumococcal vaccine100.0%96.4%93.7%Near state average
Ability to walk independently worsened16.0%12.9%12.7%Worse than state
Received an antianxiety or hypnotic medication19.1%17.8%19.5%Near state average
Assessed and appropriately given the seasonal influenza vaccine98.8%97.0%95.3%Near state average
With pressure ulcers6.7%3.7%4.5%Worse than state
With new or worsened bowel or bladder incontinence23.3%12.5%18.3%Worse than state
Received an antipsychotic medication10.6%9.8%15.4%Near state average
Hospitalizations per 1000 long-stay resident days1.452.051.81Better than state
Outpatient emergency department visits per 1000 long-stay resident days2.331.971.69Worse than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine100.0%88.7%82.3%Better than state
Newly received an antipsychotic medication2.5%1.4%1.5%Worse than state
Were assessed and appropriately given the seasonal influenza vaccine93.3%85.4%80.1%Near state average
Were rehospitalized after a nursing home admission14.2%25.5%23.4%Better than state
Had an outpatient emergency department visit14.5%12.2%11.8%Worse than state
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0727 3 inspections. 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.
  • F-0880 2 inspections. Provide and implement an infection prevention and control program.
  • K-0372 2 inspections. Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
  • K-0374 2 inspections. Install smoke barrier doors that can resist smoke for at least 20 minutes.

What its owners also hold

  • Oakbend Medical Center has an ownership stake on file at 32 nursing homes, averaging 2.4 of 5 on CMS's overall rating.
Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.
Where to check, and what's nearby.

Who to contact in Texas

  • Licensing: Texas Health and Human Services
  • File a complaint: 800-458-9858 · Online
  • Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
  • Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • Memorial Hermann Houston Physicians Hospital, about 9.9 miles.
  • Houston Methodist Clear Lake Hospital, about 12 miles. CMS rating 5 of 5.
  • St Luke's Patients Medical Center, about 15 miles. CMS rating 3 of 5.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 22 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered