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Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 81 Google reviews
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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
This facility has areas of concern that warrant careful consideration. Registered Nurse hours are 46% of the EveryPlace reference benchmark; ask how RN coverage is allocated across shifts. The latest standard survey recorded 10 findings, above the TX average of 9.1. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
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
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Concerns
Rating Trends
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Distribution · 82 analyzed
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.
Personalized based on this facility's data
Key Review Excerpts
“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!”
“They are always short workers. When you pressed the call button it takes any where between 15-30 minutes for someone to come to the room.”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
13
measures
2
measures
2
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 on anti-anxiety or sleep medication
Residents whose walking got worse
Residents on antipsychotic 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
Detailed Medicare record · up to 3-year lookback
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.
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
Provide properly protected cooking facilities.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
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.
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.
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.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
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
West Wharton County Hospital District
for profit
HOUSTON I ENTERPRISES, LLC
MARK TULLIA
Creative Solutions in Healthcare
149 facilities nationwide
Chain avg rating: 2.7/5 · Rank 84 of 148
Key personnel
Contact this facility directly and verify the details that matter most to your family.
Medicare Care Compare
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Google Reviews
81 reviews from families & visitors
Official Website
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EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
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