Deficiency Index

Park Manor of Conroe

Conroe, Texas · CCN 675894

31 surveys since 2010. The first finding at harm level was recorded in 2014.

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

Citations on record
71
Surveys
31
Harm or worse
9
Immediate jeopardyall corrected before survey
2
The record, 2010–2025
’10’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy2

Findings at the most serious level CMS records. All were recorded as past non-compliance — corrected before the survey.

Beyond CMS’s monthly file27/31

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

The facility

Certified beds
125
Ownership
For profit - Limited Liability company
Chain
Independent
County
Montgomery
Medicare-certified since
2001

CMS ratings

Overall
5
Health inspection
5
Staffing
1
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=10, floor 20).

Last survey on record

Nov 25, 2025

349 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 day3.103.25
Registered-nurse hours per resident day0.22—
Annual nurse turnover43.5%54.0%

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

Enforcement

Fines
$13,627 across 1 penalty

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ114.3%K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD342.9%E342.9%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 7 of the 71 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8122×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F6771×

    Provide care and assistance to perform activities of daily living for any resident who is unable.

  • F7601×

    Ensure that residents are free from significant medication errors.

  • 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.

  • F8041×

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

In the surveyor’s words

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

  • Immediate jeopardy, patternF880Jan 2, 2021

    Based on observation, interview and record review the facility failed to ensure an infection prevention and control program designed to provide a safe and sanitary environment and to help prevent the development and transmission of communicable diseases and infections were maintained for 3 of 4 wings (wing #1, #2 and #3) and 16 of 16 residents (Resident #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13, #14, #15, and #16) reviewed for infection control. The facility did not cohort residents based on their COVID-19 status (COVID-19 positive, COVID-19 negative and unknown) on wing #1, #2, and #3. […]

  • Immediate jeopardy, isolatedF760Sep 5, 2024

    Based on interview and record review, the facility failed to ensure 1 resident (CR#1) of 8 residents reviewed for medication administration were free of significant medication errors. -CR#1 was transferred to the hospital due to concerns of hyperglycemia (high blood sugar), and when he arrived at the hospital his blood sugar (the amount of glucose in the blood) was over 600, when the normal range should be 70-130. There was an omission of insulin injections to treat diabetes from 08/20/2024-08/24/2024, and the first dosage was given on 08/25/2024 the same day CR#1 discharged to the hospital. […]

  • No harm, potential for more than minimal, patternF804Nov 25, 2025

    Based on interview and record review, the facility failed to provide food and drink that is palatable, attractive, and at a safe and appetizing temperature for 1 of 1 kitchen reviewed for food service safety. On 09/25/25, dietary served cold grilled cheese sandwiches and tomato soup during the dinner meal service.In September and August 2025, the facility received 28 grievances to the dietary department regarding cold and overcooked food served during meals.] This failure could place residents at risk of contracting a foodborne illness and a diminished quality of life. Findings included: Record review of Resident #1's facesheet revealed an eighty-one-year-old female who was admitted to the facility on [DATE]. […]

  • No harm, potential for more than minimal, patternF812Nov 25, 2025

    Based on observation, interviews, and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for 1 of 1 kitchen reviewed for kitchen compliance. 1. Dietary staff failed to ensure all dishes and silverware were properly cleaned before utilizing during meal services. 2. Dietary staff failed to properly label/date dry storage items stored inside their pantry. 3. Dietary staff failed to properly seal dry storage items inside their pantry. 4. Dietary staff failed to utilize the chlorine sanitizer test strips and accurately document the results during each shift. 5. Dietary staff failed to document dishwashing temperatures daily. […]

  • No harm, potential for more than minimal, patternF812Jan 27, 2023

    Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for food procurement in that: -Food items not labeled and not dated. These failures could affect residents who ate food from the facility kitchen and place them at risk of food borne illness and disease. Findings include: Observation of the facility's kitchen and interview on 01/24/23 between 8:30 am and 8:40 am with the Food Service Manager revealed the following: A container of canned Pineapple dated 1/18/23 No used by date A container of grits no label no used by date A container of scrambled eggs dated 1/13/23 No used by date A Carton of Cream Cheese expiry date 1/11/23 1 Bag… […]

Read 27 findings in full →The most serious and the most recent: 27 of 71 on record.

Every survey on record

FindingsAt actual harm or above

  • Nov 25, 2025Complaint3 findings
  • May 29, 2025Standard1 finding
  • Sep 5, 2024Complaint1 finding · 1 harm
  • Jan 27, 2023Standard and complaint2 findings
  • Nov 23, 2022Infection control1 finding
  • Nov 4, 2021Standard1 finding
  • Jan 2, 2021Infection control1 finding · 1 harm
  • Aug 30, 2019Complaint1 finding
Show the 23 earlier surveys
  • Jan 4, 2019Complaint2 findings
  • Jul 27, 2018Standard5 findings
  • Jul 11, 2018Complaint2 findings
  • Feb 14, 2018Complaint2 findings
  • Nov 1, 2017Complaint1 finding
  • Jul 27, 2017Standard6 findings · 2 harm
  • Feb 16, 2017Complaint2 findings
  • Dec 7, 2016Complaint2 findings
  • Aug 11, 2016Standard5 findings
  • Mar 23, 2016Complaint2 findings · 2 harm
  • Oct 22, 2015Standard4 findings · 1 harm
  • Dec 5, 2014Standard3 findings
  • Oct 31, 2014Complaint2 findings
  • Sep 29, 2014Complaint3 findings · 2 harm
  • Sep 9, 2014Complaint1 finding
  • Feb 13, 2014—1 finding
  • Nov 22, 2013—3 findings
  • May 17, 2013—1 finding
  • Nov 15, 2012—6 findings
  • Oct 2, 2012—3 findings
  • Jun 28, 2012—1 finding
  • Nov 3, 2011—1 finding
  • Nov 4, 2010—2 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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