Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Caraday Of Houston during CMS and state inspections, most recent first.
A resident who required staff assistance for bathing was unable to take showers according to personal preference due to a prolonged lack of hot water, as confirmed by multiple residents, staff, and maintenance records. The facility's failure to maintain adequate water temperature prevented residents from exercising their rights to self-determination and personal hygiene.
Two residents with cognitive and behavioral impairments were involved in a physical altercation in the dining room, resulting in one resident sustaining a facial injury. The incident was witnessed by staff and another resident, and the aggressor admitted to the act. Despite care plans identifying risks and interventions for aggression, staff did not prevent the altercation, leading to a deficiency in protecting residents from abuse and neglect.
A medication aide left a cup containing multiple pills, labeled for a resident, unattended on a medication cart while the resident was unavailable. Staff interviews confirmed that this practice violates facility policy, which requires medications to be prepared and administered to only one resident at a time and not left unattended. The incident demonstrated noncompliance with regulations for secure storage and proper labeling of medications.
Two residents' rooms were found to have ongoing gnat infestations, with gnats observed on walls, personal items, and a urinal placed on the floor. Staff interviews indicated that pest control services and in-house treatments were performed, but the issue persisted, possibly due to urine spills and overflowing trash. The facility's pest control contract did not cover flying insects like gnats, and repeated treatments were documented without resolution.
Failure to Ensure Resident Choice Due to Lack of Hot Water for Showers
Penalty
Summary
The facility failed to promote and facilitate resident self-determination by not ensuring the availability of hot water, which prevented residents from taking showers according to their preferences. One resident, who had normal cognitive functioning and required staff assistance for bathing due to impaired mobility and contractures, was unable to exercise his right to choose when and how to bathe because the water temperature was consistently too cold. Documentation showed that the resident repeatedly expressed dissatisfaction with the lack of hot water, refusing to shower until the water temperature met his preference. Multiple records and interviews confirmed that the hot water issue persisted for an extended period, with several residents reporting that they could not bathe or shower for weeks due to cold water. Staff, including an RN, acknowledged that the facility frequently lost hot water in the residential areas, particularly in the showers, and that residents' complaints were communicated to both administration and the ombudsman. Maintenance staff identified a failed pump in the boiler room as the cause, which affected water temperatures throughout the building, especially when the kitchen and laundry were in use. The facility's own policies required maintaining a safe, clean, and homelike environment, including reasonable accommodation of resident preferences and support for daily living activities. Despite these policies, the lack of hot water directly impacted residents' ability to maintain personal hygiene and exercise their rights regarding daily routines, as confirmed by resident and ombudsman interviews and facility documentation.
Failure to Prevent Resident-to-Resident Physical Abuse
Penalty
Summary
The facility failed to protect two residents from abuse and neglect when a resident-to-resident physical altercation occurred in the dining room. One resident, who had a history of cognitive impairment, anxiety, bipolar disorder, and communication deficits, was struck in the face by another resident, resulting in bleeding from the left eye. The incident was witnessed by a dietary aide and another resident, and it was reported that the aggressor admitted to hitting the other resident after being called a name. The injured resident refused medical assessment and treatment from both nursing staff and EMS, but an X-ray later confirmed there was no facial bone fracture or dislocation. The aggressor had a documented history of moderate cognitive impairment, cerebrovascular disease, hypertension, and behavioral issues, including poor impulse control and a tendency toward verbal altercations. His care plan identified a risk for physical aggression and outlined interventions such as monitoring for triggers, providing cues to alleviate anxiety, and involving psychiatric and psychological services. Despite these interventions, the resident engaged in a physical altercation, which was not prevented by staff. Interviews with staff and residents indicated that this was the first known physical altercation involving the aggressor, although verbal altercations had occurred previously. The facility's policy required protection of residents from abuse and neglect by anyone, including other residents. However, the failure to prevent the altercation and ensure the safety of both residents constituted a deficiency in upholding residents' rights to be free from abuse and neglect.
Medications Left Unattended on Medication Cart
Penalty
Summary
A medication aide was observed leaving a medication cup containing at least seven pills, labeled for a specific resident, unattended on a medication cart. The aide explained that the resident was taking a shower and intended to return to administer the medications later. Multiple staff interviews confirmed that facility protocol prohibits leaving open medications unattended on the cart, and that medications should be prepared for only one resident at a time and administered immediately. Staff also stated that pre-popping medications is not allowed, as it can lead to confusion about which medications are in the cup and may prevent proper verification of medication rights, such as checking vital signs before administration. A review of the facility's policy on medication preparation and administration confirmed that staff are required to observe the six rights of medication administration and to prepare medications for only one resident at a time. The failure to follow these procedures was directly observed and acknowledged by staff, with the medication cup left on the cart while the resident was unavailable. This incident demonstrated noncompliance with state and federal requirements for the secure storage and proper labeling of drugs and biologicals, as well as facility policy.
Failure to Maintain Effective Pest Control Program Resulting in Gnat Infestation
Penalty
Summary
The facility failed to maintain an effective pest control program, resulting in the presence of gnats in resident rooms. Observations revealed gnats on the walls, pictures, lighting, and on a urinal placed on the floor in a resident's room. Interviews with the resident and housekeeping staff confirmed the ongoing issue, with staff noting that the room always had gnats and suggesting possible causes such as overflowing trash or food left out. The resident reported that a substance had been placed by maintenance to catch the gnats, but it was ineffective. Additional interviews with nursing and maintenance staff indicated that pest control had recently sprayed the facility and the affected room, but gnats persisted. Maintenance staff tracked treatments in a log and reported treating the room weekly, but acknowledged that gnats were always present. Record review showed that the facility's pest control contract did not cover flying insects such as gnats, and that additional service for these pests would incur extra fees. Maintenance logs documented repeated treatments for gnats in the affected rooms over several days. Staff interviews suggested that the source of the gnats may be related to a resident's use of a urinal and urine spills on the floor, as well as the resident's desire for independence. Despite regular pest control visits and additional in-house treatments, the facility was unable to eliminate the gnats, resulting in unsanitary living conditions for the residents involved.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 782 citations issued within 25 miles in the last 12 months — including the 69 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Houston
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Ashford Gardens | 0.8 mi | ★★★★★ | 24 | 0 |
| West Janisch Health Care Center | 1.6 mi | ★★★★★ | 19 | 4 |
| Highland Park Care Center | 2.4 mi | ★★★★★ | 0 | 0 |
| Houston Heights Nursing And Rehabilitation Center | 2.9 mi | ★★★★★ | 2 | 0 |
| Avir At Veterans Memorial | 4.7 mi | ★★★★★ | 22 | 3 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.