Skilled nursing facility · CMS certification number 676239
VILLA TOSCANA AT CYPRESS WOODS
HOUSTON, Texas · Medicare and Medicaid · 120 certified beds in Care Compare
In Care Compare’s provider information: Penalties: 4 · Fines: 3 · Fines, total amount: $41,204.00 · Payment denials: 1. The most recent penalty on file: September 4, 2026, Fine, $16,350. Every penalty on file ↓
VILLA TOSCANA AT CYPRESS WOODS: its citable report, full history — $295 · an email when it changes — $99/month
What stands out
- Its latest cost report on file is for fiscal year 2025, covering April 1, 2024 to March 31, 2025 (364 days), and CMS processed it on October 10, 2025.
- Net patient revenue rose from $6.1M in fiscal year 2024 to $7.4M in fiscal year 2025.
- Its result from service to patients: −$1.3M (2023), −$1.5M (2024), −$266K (2025).
- Its cost reports on file run from fiscal year 2009 to fiscal year 2025.
- Its net patient revenue of $7.4M ranks 211th of the 484 nursing facilities in Texas whose latest cost report on file is fiscal year 2025.
- 4 of the 5 nursing facilities in Texas closest in size to it, whose latest cost report on file is fiscal year 2025, also report a loss on service to patients.
VILLA TOSCANA AT CYPRESS WOODS: Medicare cost reports
Form CMS-2540-10: every report is settled.
| Form CMS-2540-10 | 2025 · report 1440580 | 2024 · report 1442552 | 2023 · report 1367079 | 2022 · report 1361175 | 2021 · report 1314655 | 2020 · report 1328515 | 2019 · report 1253392 | 2018 · report 1221825 | 2017 · report 1218827 | 2016 · report 1183267 | 2015 · report 1153271 | 2014 · report 1148377 | 2013 · report 1114922 | 2012 · report 1081464 | 2011 · report 1051770 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | April 1, 2024 | April 1, 2023 | September 1, 2022 | October 1, 2021 | October 1, 2020 | October 1, 2019 | October 1, 2018 | October 1, 2017 | October 1, 2016 | October 1, 2015 | February 27, 2015 | January 1, 2014 | January 1, 2013 | January 1, 2012 | January 1, 2011 |
| Period ended | March 31, 2025 | March 31, 2024 | March 31, 2023 | August 31, 2022 | September 30, 2021 | September 30, 2020 | September 30, 2019 | September 30, 2018 | September 30, 2017 | September 30, 2016 | September 30, 2015 | December 31, 2014 | December 31, 2013 | December 31, 2012 | December 31, 2011 |
| Days, where not a full year | — | — | 211 | — | — | — | — | — | — | — | 215 | — | — | — | — |
| Processed by CMS | October 10, 2025 | November 17, 2025 | October 24, 2023 | August 4, 2023 | April 22, 2022 | August 1, 2022 | March 27, 2020 | March 25, 2019 | January 31, 2019 | February 1, 2018 | February 22, 2017 | December 12, 2016 | December 14, 2015 | December 3, 2014 | December 9, 2013 |
| Total patient revenue | $7,615,714 | $6,452,263 | $3,920,575 | $6,479,786 | $6,365,075 | $8,279,700 | $8,919,032 | $9,828,482 | $9,546,106 | $9,806,980 | $6,115,860 | $13,199,051 | $14,537,728 | $17,300,107 | $15,515,050 |
| Contractual allowances and discounts | $250,013 | $311,335 | $900,310 | $869,748 | $418,726 | $1,326,512 | $1,623,657 | $2,084,415 | $2,207,884 | $2,481,414 | $1,382,722 | $3,530,218 | $4,742,602 | $6,973,321 | $5,807,929 |
| Net patient revenue | $7,365,701 | $6,140,928 | $3,020,265 | $5,610,038 | $5,946,349 | $6,953,188 | $7,295,375 | $7,744,067 | $7,338,222 | $7,325,566 | $4,733,138 | $9,668,833 | $9,795,126 | $10,326,786 | $9,707,121 |
| Total operating expenses | $7,632,155 | $7,644,339 | $4,348,755 | $6,542,605 | $7,134,806 | $10,080,939 | $9,959,690 | $9,968,053 | $7,339,001 | $10,388,257 | $5,510,831 | $10,151,530 | $10,629,147 | $11,082,341 | $10,577,068 |
| Net income from service to patients | −$266,454 | −$1,503,411 | −$1,328,490 | −$932,567 | −$1,188,457 | −$3,127,751 | −$2,664,315 | −$2,223,986 | −$779 | −$3,062,691 | −$777,693 | −$482,697 | −$834,021 | −$755,555 | −$869,947 |
| Total other income | $491,211 | $1,110,409 | $1,170,829 | $836,043 | $636,999 | $940,007 | $408,044 | $315,047 | −$7,625 | $3,724,945 | $5,950 | $6,208 | $5,534 | $5,628 | $10,251 |
| Net income after other income | $224,757 | −$393,002 | −$157,661 | −$96,524 | −$551,458 | −$2,187,744 | −$2,256,271 | −$1,908,939 | −$8,404 | $662,254 | −$771,743 | −$476,489 | −$828,487 | −$749,927 | −$859,696 |
| Net income | $224,757 | −$393,002 | −$157,661 | −$96,524 | −$551,458 | −$2,187,744 | −$2,256,271 | −$1,908,939 | −$8,404 | $662,252 | −$771,743 | −$476,490 | −$828,488 | −$749,927 | −$859,697 |
| Total facility beds, all components | 120 | 120 | 120 | 120 | 120 | 120 | 132 | 132 | 132 | 132 | 132 | 132 | 132 | 132 | 132 |
| Bed days available, all components | 43,800 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 869 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 24,502 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer patient days | 5,726 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total patient days, all components | 31,097 | 26,452 | 16,467 | 26,636 | 26,446 | 34,425 | 33,295 | 34,372 | 32,890 | 34,175 | 18,488 | 36,821 | 38,153 | 37,777 | 32,664 |
| Medicare discharges | 33 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid discharges | 140 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer discharges | 141 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total discharges, all components | 314 | 210 | 159 | 228 | 258 | 332 | 454 | 466 | 278 | 483 | 185 | 607 | 581 | 635 | 548 |
| Average length of stay, Medicare, in days | 26.33 | 47.45 | 30.48 | 66.25 | 36.26 | 52.56 | 33.44 | 31.63 | 27.48 | 28.89 | 35.89 | 30.88 | 35.54 | 31.52 | 34.52 |
| Average length of stay, Medicaid, in days | 175.01 | 207.64 | 183.6 | 182 | 188.1 | 178.25 | 138.38 | 152.7 | 359.4 | 202.2 | 528.09 | 271.35 | 255.63 | 438.63 | 542.06 |
| Average length of stay, all patients, in days | 99.04 | 125.96 | 103.57 | 116.82 | 102.5 | 103.69 | 73.34 | 73.76 | 118.31 | 70.76 | 99.94 | 60.66 | 65.67 | 59.49 | 59.61 |
Net income, fiscal years 2025, 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011. Checked against the form’s own arithmetic: what that check shows.
Form CMS-2540-96: every report is settled.
| Form CMS-2540-96 | 2010 · report 417739 | 2009 · report 384173 |
|---|---|---|
| Period began | January 1, 2010 | November 4, 2009 |
| Period ended | December 31, 2010 | December 31, 2009 |
| Days, where not a full year | — | 57 |
| Processed by CMS | September 14, 2011 | July 27, 2010 |
| Net patient revenue | $7,883,323 | $350,439 |
| Total operating expenses | $9,129,116 | $1,630,599 |
| Net income from service to patients | −$1,245,793 | −$1,280,160 |
| Total other income | $2,197 | — |
| Total other expenses | — | $1 |
| Net income | −$1,243,596 | −$1,280,161 |
| Total facility beds, all components | 132 | 132 |
| Total patient days, all components | 24,543 | 1,103 |
| Total discharges, all components | 457 | 16 |
| Average length of stay, Medicare, in days | 33.17 | 42.64 |
| Average length of stay, Medicaid, in days | 259 | 173 |
| Average length of stay, all patients, in days | 53.7 | 68.94 |
Net income, fiscal years 2010, 2009. Checked against the form’s own arithmetic: what that check shows.
VILLA TOSCANA AT CYPRESS WOODS: nurse staffing hours by quarter →
Who owns VILLA TOSCANA AT CYPRESS WOODS, as filed with CMS
Care Compare
- ADP OF THE SNF: BLAKE, GARY (individual), since 09/01/2022; GUERRERO, TERESA (individual), since 01/01/2025; HOUSTON I ENTERPRISES, LLC (organization), since 04/20/2026; TRULLIA, MARK (individual), since 04/20/2026
- CORPORATE DIRECTOR: THOMPSON, JOHNNY (individual), since 01/01/2024; WILLIG, ZACHARY (individual), since 04/01/2026
- MANAGING CONTROL - GOVERNING BODY: BOWERS, SEAN (individual), since 07/01/2024; CISNEROS, ALFRED (individual), since 02/18/2008; COBB, TRAVIS (individual), since 10/05/2022; COOPER, STEPHEN (individual), since 11/11/2022; HARDIN, SHERRIE (individual), since 09/04/2024; KERZEE, RICHARD (individual), since 09/24/2007; KORENEK, PATRICIA (individual), since 05/05/2018; SOECHTING, PAUL (individual), since 11/22/2024; STRACK, JOE (individual), since 02/11/2022; THOMPSON, JOHNNY (individual), since 01/01/2024
- OPERATIONAL/MANAGERIAL CONTROL: BLAKE, GARY (individual), since 09/01/2022; BLAKE, MALISA (individual), since 09/01/2022; HOUSTON I ENTERPRISES, LLC (organization), since 09/01/2022
Ownership percentage for each: NOT APPLICABLE.
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of WEST WHARTON COUNTY HOSPITAL DISTRICT (enrollment ID O20230110000410).
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: WEST WHARTON COUNTY HOSPITAL DISTRICT (organization), 100.00%, since 09/01/2022
- ADP OF THE SNF: GARY R BLAKE (individual), since 09/01/2022; HOUSTON I ENTERPRISES, LLC (organization), since 04/20/2026; MARK TRULLIA (individual), since 04/20/2026; TERESA GUERRERO (individual), since 01/01/2025
- CORPORATE DIRECTOR: JOHNNY THOMPSON (individual), 100.00%, since 01/01/2024; ZACHARY WILLIG (individual), 0.00%, since 04/01/2026
- MANAGING CONTROL - GOVERNING BODY: ALFRED CISNEROS (individual), since 02/18/2008; JOE STRACK (individual), since 02/11/2022; JOHNNY THOMPSON (individual), since 01/01/2024; PATRICIA A KORENEK (individual), since 05/05/2018; PAUL SOECHTING (individual), since 11/22/2024; RICHARD KERZEE (individual), since 09/24/2007; SEAN BOWERS (individual), since 07/01/2024; SHERRIE HARDIN (individual), since 09/04/2024; STEPHEN COOPER (individual), since 11/11/2022; TRAVIS COBB (individual), since 10/05/2022
- OPERATIONAL/MANAGERIAL CONTROL: GARY R BLAKE (individual), 50.00%, since 09/01/2022; HOUSTON I ENTERPRISES, LLC (organization), 100.00%, since 09/01/2022; MALISA A BLAKE (individual), 50.00%, since 09/01/2022
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company, real estate investment trust and holding company: No: WEST WHARTON COUNTY HOSPITAL DISTRICT; HOUSTON I ENTERPRISES, LLC; HOUSTON I ENTERPRISES, LLC.
Private equity company, real estate investment trust and holding company: Paused by CMS: GARY R BLAKE; MARK TRULLIA; TERESA GUERRERO; JOHNNY THOMPSON; ZACHARY WILLIG; ALFRED CISNEROS; JOE STRACK; JOHNNY THOMPSON; PATRICIA A KORENEK; PAUL SOECHTING; RICHARD KERZEE; SEAN BOWERS; SHERRIE HARDIN; STEPHEN COOPER; TRAVIS COBB; GARY R BLAKE; MALISA A BLAKE.
Changes in ownership
- July 1, 2026, enrollment ownership file; no longer listed: HONOR X ENTERPRISES, LLC (OTHER); LINDA F HUGGINS (CORPORATE DIRECTOR); DAVID MAK (CORPORATE OFFICER); first listed: ALFRED CISNEROS (MANAGING CONTROL - GOVERNING BODY), associated since February 18, 2008; ZACHARY WILLIG (CORPORATE DIRECTOR), associated since April 1, 2026; MARK TRULLIA (ADP OF THE SNF), associated since April 20, 2026; SHERRIE HARDIN (MANAGING CONTROL - GOVERNING BODY), associated since September 4, 2024; TRAVIS COBB (MANAGING CONTROL - GOVERNING BODY), associated since October 5, 2022; JOE STRACK (MANAGING CONTROL - GOVERNING BODY), associated since February 11, 2022; HOUSTON I ENTERPRISES, LLC (ADP OF THE SNF), associated since April 20, 2026; JOHNNY THOMPSON (MANAGING CONTROL - GOVERNING BODY), associated since January 1, 2024; JOHNNY THOMPSON (CORPORATE DIRECTOR), associated since January 1, 2024; RICHARD KERZEE (MANAGING CONTROL - GOVERNING BODY), associated since September 24, 2007; TERESA GUERRERO (ADP OF THE SNF), associated since January 1, 2025; SEAN BOWERS (MANAGING CONTROL - GOVERNING BODY), associated since July 1, 2024; STEPHEN COOPER (MANAGING CONTROL - GOVERNING BODY), associated since November 11, 2022; PAUL SOECHTING (MANAGING CONTROL - GOVERNING BODY), associated since November 22, 2024; GARY R BLAKE (ADP OF THE SNF), associated since September 1, 2022; PATRICIA A KORENEK (MANAGING CONTROL - GOVERNING BODY), associated since May 5, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- May 15, 2023, enrollment ownership file; no longer listed: STONEGATE SENIOR LIVING, LLC (OPERATIONAL/MANAGERIAL CONTROL); CYPRESSWOOD SNF OPERATIONS LLC (OPERATIONAL/MANAGERIAL CONTROL); SHEMIKA SMITH-WHITE (W-2 MANAGING EMPLOYEE); LARRY N PRICE (OFFICER); first listed: WEST WHARTON COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST), associated since September 1, 2022; HONOR X ENTERPRISES, LLC (OTHER), associated since September 1, 2022; HOUSTON I ENTERPRISES, LLC (OPERATIONAL/MANAGERIAL CONTROL), associated since September 1, 2022; LINDA F HUGGINS (DIRECTOR), associated since September 1, 2022; GARY R BLAKE (OPERATIONAL/MANAGERIAL CONTROL), associated since September 1, 2022; MALISA A BLAKE (OPERATIONAL/MANAGERIAL CONTROL), associated since September 1, 2022; DAVID MAK (OFFICER), associated since May 17, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
Recent changes on this record
- October 1, 2026: provider_name: Villa Toscana at Cypress Woods (capital letters changed). NH_ProviderInfo_Oct2026.csv
- September 4, 2026: A penalty was recorded: Fine. NH_Penalties_Oct2026.csv
- July 8, 2026: A deficiency was cited under tag F 0727, scope and severity F. NH_HealthCitations_Sep2026_2.csv
Inspections of VILLA TOSCANA AT CYPRESS WOODS
- Cycle 1: health May 6, 2026 (11 deficiencies), fire safety May 6, 2026 (3)
- Cycle 2: health February 28, 2025 (10 deficiencies), fire safety February 28, 2025 (3)
- Cycle 3: health December 1, 2023 (16 deficiencies), fire safety December 1, 2023 (3)
Deficiencies cited at VILLA TOSCANA AT CYPRESS WOODS
40 deficiencies on file, by tag, newest citation first
every one from a health inspection; 33 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0727, nursing and physician services: July 8, 2026 (F, from a complaint, Deficient, Provider has date of correction, corrected July 9, 2026).
- F 0656, resident assessment and care planning: May 6, 2026 (D, Deficient, Provider has date of correction, corrected May 8, 2026); December 1, 2023 (E, from a complaint, Deficient, Provider has date of correction, corrected December 4, 2023).
- F 0812, nutrition and dietary: May 6, 2026 (E, Deficient, Provider has date of correction, corrected May 8, 2026); February 28, 2025 (E, Deficient, Provider has date of correction, corrected March 1, 2025); December 1, 2023 (E, from a complaint, Deficient, Provider has date of correction, corrected December 4, 2023).
- F 0558, resident rights: March 19, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected March 20, 2026); January 28, 2025 (E, from a complaint, Deficient, Provider has date of correction, corrected January 29, 2025); December 1, 2023 (E, Deficient, Provider has date of correction, corrected December 4, 2023).
- F 0677, quality of life and care: March 19, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected March 20, 2026); January 28, 2025 (E, from a complaint, Deficient, Provider has date of correction, corrected January 29, 2025).
- F 0692, quality of life and care: March 19, 2026 (E, from a complaint, Deficient, Provider has date of correction, corrected March 20, 2026); December 1, 2023 (E, from a complaint, Deficient, Provider has date of correction, corrected December 4, 2023).
- F 0583, resident rights: November 14, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected November 15, 2025); December 1, 2023 (F, Deficient, Provider has date of correction, corrected December 4, 2023).
- F 0604, freedom from abuse, neglect, and exploitation: November 14, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected November 15, 2025).
- F 0687, quality of life and care: November 14, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected November 15, 2025).
- F 0755, pharmacy service: November 14, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected November 15, 2025); February 28, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected March 1, 2025); December 1, 2023 (D, from a complaint, Deficient, Provider has date of correction, corrected December 4, 2023).
- F 0761, pharmacy service: November 14, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected November 15, 2025); February 28, 2025 (E, Deficient, Provider has date of correction, corrected March 1, 2025).
- F 0759, pharmacy service: February 28, 2025 (E, Deficient, Provider has date of correction, corrected March 1, 2025); December 1, 2023 (D, from a complaint, Deficient, Provider has date of correction, corrected December 4, 2023).
- F 0600, freedom from abuse, neglect, and exploitation: February 7, 2025 (E, from a complaint, Deficient, Provider has date of correction, corrected February 9, 2025).
- F 0880, infection control: February 7, 2025 (E, from a complaint, Deficient, Provider has date of correction, corrected February 9, 2025); October 1, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected December 23, 2024); December 1, 2023 (E, from a complaint, Deficient, Provider has date of correction, corrected December 4, 2023).
- F 0689, quality of life and care: October 1, 2024 (J, from a complaint, Deficient, Provider has date of correction, corrected October 2, 2024); August 9, 2024 (J, from a complaint, Past Non-Compliance, corrected April 30, 2024).
- F 0580, resident rights: September 12, 2024 (E, from a complaint, Deficient, Provider has date of correction, corrected September 13, 2024); August 30, 2023 (J, from a complaint, Deficient, Provider has date of correction, corrected August 31, 2023).
- F 0684, quality of life and care: September 12, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected September 13, 2024); August 30, 2023 (J, from a complaint, Deficient, Provider has date of correction, corrected August 31, 2023).
- F 0609, freedom from abuse, neglect, and exploitation: December 1, 2023 (D, from a complaint, Deficient, Provider has date of correction, corrected December 4, 2023); August 30, 2023 (D, from a complaint, Deficient, Provider has date of correction, corrected August 31, 2023).
- F 0657, resident assessment and care planning: December 1, 2023 (D, from a complaint, Deficient, Provider has date of correction, corrected December 4, 2023).
- F 0690, quality of life and care: December 1, 2023 (D, from a complaint, Deficient, Provider has date of correction, corrected December 4, 2023).
- F 0695, quality of life and care: December 1, 2023 (D, from a complaint, Deficient, Provider has date of correction, corrected December 4, 2023).
- F 0700, quality of life and care: December 1, 2023 (E, from a complaint, Deficient, Provider has date of correction, corrected December 4, 2023).
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| September 4, 2026 | Fine | $16,350 | 146502 | ||
| September 12, 2024 | Fine | $15,886 | 113293 | ||
| September 12, 2024 | Payment Denial | December 12, 2024 | 11 | ||
| August 9, 2024 | Fine | $8,968 | 113111 | ||
| August 30, 2023 | Fine | $12,973 | 111251 |
From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.
VILLA TOSCANA AT CYPRESS WOODS in Care Compare
- Ownership Type: For profit - Limited Liability company
- Legal Business Name: WEST WHARTON COUNTY HOSPITAL DISTRICT
- Date First Approved to Provide Medicare and Medicaid Services: 2009-11-04
- Provider Resides in Hospital: Y
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: Harris
- Telephone Number: 2815866088
- Chain Name: CREATIVE SOLUTIONS IN HEALTHCARE
- Chain ID: 169
- Provider Changed Ownership in Last 12 Months: N
- With a Resident and Family Council: Resident
- Automatic Sprinkler Systems in All Required Areas: Yes
- Average Number of Residents per Day: 104.5
- Overall Rating: 2
- Health Inspection Rating: 2
- QM Rating: 2
- Long-Stay QM Rating: 4
- Short-Stay QM Rating: 1
Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · penalties NH_Penalties_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.
Other nursing facilities in HOUSTON
Report a figure on VILLA TOSCANA AT CYPRESS WOODS’s record that differs from its CMS file, quoting 676239.