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Clarewood House Extended Care Center

7400 Clarewood Dr, Houston, TX 77036 · Harris County · (713) 774-5821

60 certified beds, about 35 residents a day · Non profit - Corporation · Medicare and Medicaid since 2004

Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
1 of 5
CMS note: This facility reported a high number of days without a registered nurse onsite.
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 676021 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on December 3, 2025, inspectors cited 2 health deficiencies (the Texas average is 9.4, the national average 9.2).

None of its 6 health citations since August 2023 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 0.41 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.00 of those hours.

50.0% of nursing staff left within the year CMS measured (Texas average 55.3%).

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 6 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
4D
1E
1F
Potential for minimal harm
0A
0B
0C
July 30, 2026Complaint inspection · 1 citation
  1. D
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Not yet corrected
    Inspectors wroteBased on observation, interview, and record review the facility failed to protect the confidentiality of personal health care information for 1 of 8 (Resident #1) residents reviewed for confidentiality of records. The facility failed to protect private documentation and information for Resident #1 on 07/14/2026 by having a shower sheet which contained personal, private information on the nurse counter in full view for anyone to see. This failure could affect residents by placing them at risk for loss of privacy and dignity.
December 3, 2025Standard inspection · 2 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) January 29, 2026
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure that food was prepare, distributed, and served food in accordance with professional standards for food service safety. The facility failed to ensure that equipment was clean. The facility failed to ensure that plates, bowls, and cups with dried food particles, and glasses with water spots and stains were not stored with clean plates, bowls and glasses. The facility failed to ensure that menu items on the steam table were maintained at 135 degrees F and above.-The facility failed to ensure that cooked poultry in the walk-in cooler was at the correct holding temperature of 41 degrees F and below.-The facility failed to ensure that pans with food particles on them were not stored with clean pans. These failures could place residents who ate food prepared by the kitchen at risk of foodborne disease.
  2. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 29, 2026
    Inspectors wroteBased on interviews and record reviews, the facility failed to maintain clinical records in accordance with acceptable professional standards and practices that are complete, accurately documented, readily accessible and systematically organized for 1 of 1 resident (Resident # 1) reviewed for clinical records. The facility failed to ensure the MDS Coordinator accurately documented and uploaded Resident # 1's care conference reports for 09/10/2025. This failure could place residents at risk for missing progress towards achieving their person-centered plan of care, and delayed care.
September 12, 2024Standard inspection · 1 citation
  1. D
    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
    F661 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 26, 2024
    Inspectors wroteBased on record review and interviews, the facility failed to provide the contact information of the practitioner responsible for the care of the resident; the resident representative information including contact information; the advance directive information; all special instructions or precautions for ongoing care, as appropriate; and comprehensive care plan goals for 1 of 3 residents (Resident #18's) reviewed for closed records reviewed for an effective discharge process. The facility failed to ensure Resident #18's, who was discharged on 07/15/2024, discharge summary was complete. [...]
August 17, 2023Standard inspection · 2 citations
  1. E
    Honor the resident's right to organize and participate in resident/family groups in the facility.
    F565 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 31, 2023
    Inspectors wroteBased on interview and record review, the facility failed to ensure that residents had a right to organize and participate in resident groups in the facility for 6 of 6 anonymous residents reviewed for resident council. Six residents in a confidential resident group interview were unaware that meeting minutes were created prior to their participation in the group meeting for the month of August 2023. This failure placed 6 residents that frequently would attend meetings, and that could participate in a Resident Council, at risk of not having the right to voice their concerns in a Resident Council meeting.
  2. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 24, 2023
    Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to implement a comprehensive person-centered care plan, consistent with the resident rights that included measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment for 1 of 13 residents (Resident #1) reviewed for care plans. -The facility failed to ensure a comprehensive care plan for pressure wounds was implemented for Resident #1. This failure placed residents at risk of not receiving care and treatment to meet the resident's physical, mental, and psychosocial needs.

Fire safety inspections

2 fire safety citations on file: 1 on September 12, 2024, 1 on August 17, 2023.

Every fire safety citation2 citations
  1. D
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · September 12, 2024 · Corrected (the home has a date of correction)
  2. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · August 17, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeTexasUnited States
All nursing staff (RN, LPN and aides)0.413.393.86
Registered nurses0.000.430.69
All nursing staff on weekends0.652.983.42
Nurse aides0.38
Licensed practical nurses0.03
Nursing staff turnover (share who left in a year)50.0%55.3%45.8%
Registered nurse turnover83.3%54.6%42.9%
Administrators who leftnot reported

CMS expects 3.55 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 0.31 on weekdays and 0.65 on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 100.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.43 in April to June 2025 to 0.41 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20260.410.000.310.65 100.0%90 of 9035
Oct to Dec 20254.940.805.034.70 4.7%0 of 9234
Jul to Sep 20254.770.654.884.49 6.2%3 of 9233
Apr to Jun 20254.430.604.504.25 7.9%0 of 9136
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Texas, Jan to Mar 20263.330.403.502.932.2%0.7% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Texas

JobMedianMiddle halfEmployed
Texas, all employers
CNAs (nursing assistants)$18.03$16.97 to $20.7188,680
LPNs and LVNs$29.92$27.46 to $32.8957,560
Registered nurses$46.14$38.06 to $50.53271,380
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeTexasUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
9.115.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.30.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.00.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.93.33.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.51.6
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
7.43.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
0.09.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
14.225.723.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
12.012.312.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.32.21.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.52.11.8

Owners and operators

Legal business name: CLAREWOOD HOUSE, INC.

NameRoleTypeShareSince
Pheifer, PatrickDirect ownership interestIndividual09/10/2001
Freeman, CarolineIndirect ownership interestIndividual01/01/2001
Spaw, RichardIndirect ownership interestIndividual01/01/2009
Tanguilig-Robinson, CynthiaIndirect ownership interestIndividual01/01/2020
Freeman, CarolineManaging control - governing bodyIndividual01/01/2001
Spaw, RichardManaging control - governing bodyIndividual01/01/2009
Maddox, GaryCorporate directorIndividual11/01/2013
Pheifer, PatrickOperational/managerial controlIndividual09/10/2001
Tanguilig-Robinson, CynthiaOperational/managerial controlIndividual01/01/2020
Freeman, CarolineTrustee of the SNFIndividual01/01/2001
Maddox, GaryTrustee of the SNFIndividual01/01/1992
Spaw, RichardTrustee of the SNFIndividual01/01/2009
Pheifer, PatrickAdp of the SNFIndividual09/10/2001
Tanguilig-Robinson, CynthiaAdp of the SNFIndividual01/01/2020

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on December 3, 2025: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on July 30, 2026: "Keep residents' personal and medical records private and confidential."
  3. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on December 3, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  4. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 0.65 hours per resident per day, below the Texas average of 2.98.

Other nursing homes nearby

Texas contacts for a concern about a nursing home

These are the official offices in Texas. NursingHomeClear cannot take or act on complaints.

Common questions

What is Clarewood House Extended Care Center's Medicare star rating?
CMS rates Clarewood House Extended Care Center 5 out of 5 stars overall, with 5 for health inspections, 1 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Clarewood House Extended Care Center get at its last inspection?
2 health deficiencies at the standard inspection on December 3, 2025. The Texas average is 9.4.
Has Clarewood House Extended Care Center been fined?
CMS lists no fines in the last three years.
Does Clarewood House Extended Care Center accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Clarewood House Extended Care Center?
CMS lists 14 owners and managers. Legal business name: CLAREWOOD HOUSE, INC.

Sources

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