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The Lev at Winchester

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The Lev at Winchester is a government - hospital district facility in ALVIN, TX with 94 certified beds and a 3-star overall CMS rating. The facility has 20 deficiency records on file. Total penalties: $3K.

1112 SMITH DR, ALVIN, TX 77511

Phone: 2813316125

Overall Rating

3/5

Health Inspection

4/5

Staffing

1/5

Quality Measures

4/5

Long-Stay Quality

5/5

Facility Information

Provider Number
676264
Ownership
Government - Hospital district
Provider Type
Medicare and Medicaid
Beds
94
Residents
80
In Hospital
Yes
County
Brazoria
Last Inspection
Aug 8, 2025

Staffing Data

RN Hours
0.12 (nat'l avg: 0.68)
LPN Hours
1.16
CNA Hours
1.83
Total Nursing Hours
3.11 (nat'l avg: 3.89)
PT Hours
0.07
Nursing Turnover
46.7%

What the CMS Record Reveals About The Lev at Winchester

The Lev at Winchester operates 94 certified beds in ALVIN, TX with approximately 80 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (4★), staffing levels (1★), and quality measures (4★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 20 deficiency records from recent surveys, of which 3 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $3K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.11 total nursing hours per resident day (national average 3.89), with RN coverage at 0.12 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Government - Hospital district" ownership and operating as a "Medicare and Medicaid" provider embedded within a hospital campus, The Lev at Winchester falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 46.7%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (20 most recent)

E — Pattern - Minimal harm Dec 5, 2025 Tag: 0553

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

Category: Resident Rights Deficiencies

Corrected: Jan 27, 2026

D — Isolated - Minimal harm Aug 8, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Aug 9, 2025

F — Widespread - Minimal harm Aug 8, 2025 Tag: 0727

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Aug 26, 2025

E — Pattern - Minimal harm Aug 8, 2025 Tag: 0686

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

Category: Quality of Life and Care Deficiencies

Corrected: Aug 9, 2025

D — Isolated - Minimal harm Aug 8, 2025 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 9, 2025

D — Isolated - Minimal harm Aug 8, 2025 Tag: 0621

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

Category: Resident Rights Deficiencies

Corrected: Aug 9, 2025

E — Pattern - Minimal harm Jun 28, 2024 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Jul 26, 2024

D — Isolated - Minimal harm Jun 28, 2024 Tag: 0727

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Jul 26, 2024

E — Pattern - Minimal harm Apr 6, 2024 Tag: 0695

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

Category: Quality of Life and Care Deficiencies

Corrected: Apr 24, 2024

D — Isolated - Minimal harm Apr 20, 2023 Tag: 0883

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

Category: Infection Control Deficiencies

Corrected: Apr 21, 2023

E — Pattern - Minimal harm Apr 20, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Apr 21, 2023

D — Isolated - Minimal harm Apr 20, 2023 Tag: 0842

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 21, 2023

E — Pattern - Minimal harm Apr 20, 2023 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 21, 2023

E — Pattern - Minimal harm Apr 20, 2023 Tag: 0727

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Apr 21, 2023

D — Isolated - Minimal harm Apr 20, 2023 Tag: 0697

Provide safe, appropriate pain management for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 21, 2023

D — Isolated - Minimal harm Feb 15, 2023 Tag: 0790

Provide routine and 24-hour emergency dental care for each resident.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 15, 2023

K — Pattern - Jeopardy Feb 15, 2023 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 15, 2023

K — Pattern - Jeopardy Feb 15, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 15, 2023

K — Pattern - Jeopardy Feb 15, 2023 Tag: 0686

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

Category: Quality of Life and Care Deficiencies

Corrected: Mar 15, 2023

E — Pattern - Minimal harm Feb 15, 2023 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 15, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 9.3% Yes
Percentage of long-stay residents who lose too much weight Long Stay 8.0% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.4% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 1.3% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 0.4% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 100.0% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.7% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 9.2% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 18.7% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 97.5% No
Percentage of long-stay residents with pressure ulcers Long Stay 7.3% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 18.6% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 13.4% Yes

Penalty History 1 penalties totaling $3K

Date Type Amount
Jul 31, 2023 Fine $3K

Frequently Asked Questions

What is the overall CMS rating for The Lev at Winchester?
The Lev at Winchester has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (4★), staffing levels (1★), and quality measures (4★).
What are the staffing levels at The Lev at Winchester?
The Lev at Winchester reports 3.11 total nursing hours per resident day (national average: 3.89). RN hours are 0.12 per resident day (national average: 0.68). Nursing staff turnover is 46.7%.
How many beds does The Lev at Winchester have?
The Lev at Winchester has 94 certified beds with approximately 80 residents. The facility is located at 1112 SMITH DR, ALVIN, TX 77511.
Does The Lev at Winchester have any deficiencies on record?
Yes, The Lev at Winchester has 20 deficiencies on record from recent inspections. Of these, 3 are classified as causing actual harm or jeopardy.
Has The Lev at Winchester received any fines or penalties?
Yes, The Lev at Winchester has received 1 penalties totaling $3K.
Who owns The Lev at Winchester?
The Lev at Winchester is classified as "Government - Hospital district" ownership. The facility type is "Medicare and Medicaid" and is located within a hospital.
When was The Lev at Winchester last inspected?
The most recent health inspection for The Lev at Winchester was on Aug 8, 2025. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for The Lev at Winchester?
The Lev at Winchester is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial