Villa Toscana at Cypress Woods
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 78 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Above-median deficiencies (9 vs median 8.0)
Below average in Texas · Below recommended RN staffing · Below chain average · $37,827 in fines
What this means for your family
This facility is an excellent choice for short-term rehabilitation due to its outstanding therapy team and high-quality dining. However, if you are seeking long-term care, you must closely monitor nursing responsiveness and medication administration, as multiple families have reported dangerous delays in care and slow response to call lights.
Google Reviews
Google Reviews
78 reviews on Google“Families considering Villa Toscana should be aware of a significant divide between the high-quality rehabilitation/therapy services and serious concerns regarding nursing responsiveness and safety. While many praise the physical therapy team and the cleanliness of the facility, multiple reviewers report dangerous incidents involving falls, medication delays, and slow response times to call lights.”
Quality Themes
Tap a score for detailsStrengths
- Excellent physical and occupational therapy staff
- Clean and well-maintained facility
- Friendly and professional admissions team
- High-quality food and dining services
Concerns
- Slow response times to call lights and nursing requests (mentioned by 5 reviewers)
- Inadequate supervision leading to resident falls and injuries (mentioned by 3 reviewers)
- Poor communication from management and administration (mentioned by 3 reviewers)
- Difficulty reaching the facility by phone (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 79 analyzed
How They Respond to Reviews
The owner uses highly repetitive, templated responses that follow a strict formula of apologizing, expressing concern, and directing the reviewer to a single corporate phone number. While they occasionally mention recent ownership changes, they fail to address the specific details of the grievances, such as physical assault, medical record delays, or negligence.
Questions for Your Tour
- 1We've heard wonderful things about the therapy team and the dining services here; could you tell us more about how the physical therapy staff works with residents on a daily basis?
- 2What specific protocols do you have in place to ensure staff can respond quickly to call lights and nursing requests, especially during busy shifts?
- 3How does the administration ensure that families are kept informed and updated regarding any changes in a resident's care or health status?
- 4Can you describe the level of supervision and the safety measures in place to help prevent falls for residents who may be at higher risk?
- 5What does the medication management process look like to ensure everything is administered accurately and on schedule?
- 6What kind of daily activities or social programs are available to keep residents engaged and active within the community?
Personalized based on this facility's data
Key Review Excerpts
“I want to say thank to the awesome staff at this facility. I wish I and could give them 10 stars! They were very friendly and professional at all times. I likes that this home was always clean and kept in excellent condition.”
“My love one has resided in this nursing facility for 3 years or more. I have been very pleased with her level of care. I have always been made aware of any and ALL changes with her condition.”
“I received the best physical therapy from Chris and occupational therapy from Helen. Cruz is the absolute best! Kim and Lori and Melinda were wonderful nurses and everything and anything else that needed to be provided!”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
14
measures
2
measures
1
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose bladder or bowel control got worse
Residents whose walking got worse
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Villa Toscana shows a concerning pattern with 29 complaint-triggered deficiencies indicating families have filed reports about care issues. The facility has recurring problems in medication management, safety supervision, and infection control that persist across multiple surveys from 2022 to 2025. While all deficiencies show correction dates, the repeated nature of similar violations—particularly medication errors, accident hazards, and infection prevention—suggests ongoing quality challenges that families should investigate thoroughly before choosing this facility.
Mar 19, 2026Complaint3
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Nov 14, 2025Complaint5
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Quality of Life and Care Deficiencies
Provide appropriate foot care.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
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.
Feb 28, 2025Routine6
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure operating rooms are properly protected and written records are maintained and available for inspection.
Feb 28, 2025Complaint1
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Feb 7, 2025Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jan 28, 2025Complaint2
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Federal Penalties
Fine
Sep 12, 2024
$15,886
Payment Denial
Sep 12, 2024
11-day denial
Fine
Aug 9, 2024
$8,968
Fine
Aug 30, 2023
$12,973
Ownership & Operations
Who Operates This Facility
West Wharton County Hospital District
for profit
HOUSTON I ENTERPRISES, LLC
MARK TULLIA
Chain Affiliation
Creative Solutions in Healthcare
149 facilities nationwide
Chain avg rating: 2.7/5 · Rank 84 of 148
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
78 reviews from families & visitors
Official Website
Visit villatoscanarehab.com
Medicare data downloads
Original nursing home datasets
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