Deficiency Index

Bayou Manor

Houston, Texas · CCN 676282

15 surveys since 2011, and no finding has been recorded at harm level.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
62
Surveys
15
Harm or worse
0
Immediate jeopardy
0
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worseNone

No finding on record has been cited at harm level or above.

Beyond CMS’s monthly file10/15

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
37
Ownership
Non profit - Corporation
Chain
Independent
County
Harris
Medicare-certified since
2011

CMS ratings

Overall
5
Health inspection
5
Staffing
5
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=7, floor 20).

Last survey on record

May 19, 2026

174 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day5.284.47
Registered-nurse hours per resident day0.77—
Annual nurse turnover27.9%37.8%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD342.9%E457.1%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 7 of the 62 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F7552×

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  • F6561×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F7561×

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  • F7571×

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

  • F7611×

    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.

In the surveyor’s words

From the most serious findings on record at Bayou Manor, in the surveyor’s own words.

  • No harm, potential for more than minimal, patternF755Nov 10, 2025

    Based on interview and record review, the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of one resident (CR #1) of four residents reviewed for medication administration. -CR #1 had an order for an extended-release anti-Parkinsonism medication but was given the regular-release medication instead.-The error was repeated for one month before the resident's family member discovered the error.The failure placed residents at risk for health conditions not being adequately treated. Findings Include:Record review of the admission Record for CR #1 revealed she was [AGE] years old and was admitted to the facility on [DATE]. […]

  • No harm, potential for more than minimal, patternF756Jun 15, 2023

    Based on interview and record review, the facility failed to ensure an irregularity noted by the pharmacist was acted upon for 1 (Resident #4) of 6 residents reviewed for pharmacy review. The facility failed to ensure: 1. The pharmacist's Physician Notification Letter dated 03/07/2023 reflected Resident #4 had a routine order for a medication (Robitussin Nighttime DM [Dextromethorphan]) that was not recommended for routine use in the elderly. 2. The pharmacist's Physician Notification Letter dated 05/09/2023 reflected Resident #4 was still receiving the medication routinely as of 6/14/23. The physician signed the 05/09/2023 letter, agreeing to discontinue the routine administration of the medication . […]

  • No harm, potential for more than minimal, patternF757Jun 15, 2023

    Based on observation, interview, and record review, the facility failed to ensure one resident (Resident #4) of 6 residents reviewed for pharmacy services had a drug regimen that was free from an unnecessary drug, which was administered for an excessive duration. The facility failed to ensure: 1. The pharmacist's Physician Notification Letter dated 03/07/2023 reflected Resident #4 had a routine order for a medication (Robitussin Nighttime DM [Dextromethorphan]) that was not recommended for routine use in the elderly. 2. The pharmacist's Physician Notification Letter dated 05/09/2023 reflected Resident #4 was still receiving the medication routinely as of 6/14/23. The physician signed the 05/09/2023 letter, agreeing to discontinue the routine administration of the medication. 3. […]

  • No harm, potential for more than minimal, patternF812Jun 15, 2023

    Based on observation, interview, and record review, the facility failed to store food in accordance with professional standards for food service safety. The facility failed to ensure: -Previously opened frozen foods were not sealed or labeled with the date they were opened. -Previously opened refrigerated foods were not sealed or labelled with the date they were opened. -Non-perishable foods in the pantry were not labelled with the date they were opened. The failure placed residents at risk for food-borne illness associated with improper food storage. Findings include: Findings include: Observation on 06/13/2023 at 8:00 a.m., revealed the facility was part of a campus that included assisted and independent living. All three entities were serviced by the same kitchen. […]

  • No harm, potential for more than minimal, isolatedF656May 19, 2026

    Based on interview and record review, the facility failed to develop and implement a comprehensive person-centered care plan for the residents, consistent with residents' rights, that include measurable objectives and timeframes to meet the residents' medical, nursing, mental and psychological needs, for 1 (Resident # 1) of 6 residents reviewed for comprehensive person-centered care plan. The MDS Coordinator failed to develop a comprehensive person-centered care plan for Resident # 1 within the timeframe and measurable objective for Resident # 1 who was a fall risk and had actual falls on 05/17/2026 and 05/18/2026. […]

Read 20 findings in full →The most serious and the most recent: 20 of 62 on record.

Every survey on record

FindingsAt actual harm or above

  • May 19, 2026Complaint1 finding
  • Dec 11, 2025Standard1 finding
  • Nov 10, 2025Complaint1 finding
  • Aug 15, 2024Standard1 finding
  • Jun 15, 2023Standard3 findings
  • Jan 24, 2020Standard5 findings
  • Mar 8, 2019Standard and complaint6 findings
  • Mar 22, 2018Standard7 findings
Show the 7 earlier surveys
  • Apr 6, 2017Standard6 findings
  • Mar 23, 2016Standard5 findings
  • Feb 27, 2015Standard2 findings
  • Feb 13, 2014Standard11 findings
  • Apr 11, 2013—7 findings
  • May 31, 2012—3 findings
  • Mar 30, 2011—3 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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