Deficiency Index

Park Manor of the Woodlands

The Woodlands, Texas · CCN 676273

38 surveys since 2011, 18 of them producing a finding at harm level or worse.

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

Citations on record
118
Surveys
38
Harm or worse
18
Immediate jeopardy
9
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy9

Findings at the most serious level CMS records.

Beyond CMS’s monthly file34/38

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

The facility

Certified beds
124
Ownership
For profit - Corporation
Chain
HMG HEALTHCARE
County
Montgomery
Medicare-certified since
2011

CMS ratings

Overall
4
Health inspection
4
Staffing
3
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=15, floor 20).

Last survey on record

Feb 5, 2026

277 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 day3.933.25
Registered-nurse hours per resident day0.46—
Annual nurse turnover43.6%54.0%

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 minimalD758.3%E325.0%F18.3%
No harm, potential for minimalA—B—C18.3%
CMS’s current file: 12 of the 118 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.

  • F6561×

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

  • F6771×

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

  • F6901×

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  • F6931×

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

In the surveyor’s words

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

  • No harm, potential for more than minimal, widespreadF812Nov 21, 2025

    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 reviewed for food procurement in 1 of 1 kitchen to demonstrate the prevalence of the noncompliance in that: -The facility failed to ensure 10 pounds of raw fish was stored at proper temperature. -The facility failed to ensure scoops were not stored in food bins. -The facility failed to ensure gallons of milk were not stored on a rack 4 1/2 inches off the floor. These failures could place residents at risk of food borne illnesses and diseases. […]

  • No harm, potential for more than minimal, patternF880Nov 21, 2025

    Based on observation, interview and record review the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 3 of 3 residents (Resident #75, Resident #78 and Resident #79) and 1 of 1 Kitchen (Kitchen A) reviewed for infection control. 1.The facility failed to ensure MA E used the required PPE for Resident #75, who was on enhanced barrier precautions, while checking BP on 9/23 /25. 2. The facility failed to ensure LVN K used the required PPE for Resident #78 on 9/23/25. 3. The facility failed to ensure CNA B maintained hand hygiene during incontinent/FC on 9/24/25 for Resident #79. 4. […]

  • No harm, potential for more than minimal, patternF807Jul 14, 2023

    Based on interview and observation the facility failed to ensure residents received drinks consistent with preference and sufficient to maintain hydration for 10 of 10 (confidential group) and 3 of 21 (Resident #1, Resident #2, and Resident # 78) of residents reviewed for hydration. The facility did not provide hot coffee to residents during mealtimes. This failure could place residents who depend on the facility for their hydration needs at risk for thirst, dehydration, and decreased quality of life. Findings included: Record review Resident #1's face sheet revealed resident admitted to the facility on [DATE]. […]

  • No harm, potential for more than minimal, patternF812Jul 14, 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 1.The facility failed to ensure that ice scoops will be cleaned and stored in a separate container that limits cross-contamination. 2.The facility failed to ensure that all cold and dry goods items will be stored 6 inches above the floor. These failures could place residents at risk of foodborne illness and disease. Findings included: 1. Observation on 7/13/23 at 8:30 AM with Dietary A revealed that the ice scoop was left in the ice bin on top of the ice. 2. […]

  • No harm, potential for more than minimal, isolatedF677Nov 21, 2025

    Based on observation, interview and record review the facility failed to ensure a resident who was unable to carry out activities of daily living received the necessary services to maintain good nutrition, grooming, and personal and oral hygiene for 1 of 3 residents (Resident #79) reviewed for ADL care. The facility failed to ensure CNA B cleaned Resident #79 properly during incontinent care on 9/24/25.This failure could place residents at risk for pain, infection and hospitalization.Record review of Resident #79's face sheet reflected the date of admission was 8/27/25 and readmitted on [DATE]. […]

Read 37 findings in full →The most serious and the most recent: 37 of 118 on record.

Every survey on record

FindingsAt actual harm or above

  • Feb 5, 2026Complaint1 finding
  • Nov 21, 2025Standard6 findings
  • Aug 8, 2024Standard1 finding
  • Jul 14, 2023Standard4 findings
  • Jun 16, 2022Standard2 findings
  • Jan 28, 2022Complaint1 finding
  • Aug 24, 2020Complaint4 findings
  • Jan 16, 2020Complaint2 findings · 2 harm
Show the 30 earlier surveys
  • Nov 26, 2019Complaint2 findings
  • Aug 22, 2019Complaint2 findings
  • May 22, 2019Standard and complaint4 findings
  • Dec 29, 2017Complaint1 finding
  • Jul 20, 2017Complaint2 findings
  • Jun 27, 2017Complaint1 finding
  • May 18, 2017Standard and complaint10 findings
  • Mar 29, 2017Complaint1 finding
  • Nov 22, 2016Complaint1 finding
  • Oct 26, 2016Complaint1 finding
  • Jul 15, 2016Complaint6 findings · 6 harm
  • Jun 9, 2016Standard and complaint6 findings
  • May 17, 2016Complaint1 finding
  • Oct 22, 2015Complaint1 finding
  • Jun 9, 2015Complaint1 finding
  • May 1, 2015Standard and complaint15 findings · 2 harm
  • Jul 17, 2014Complaint4 findings · 3 harm
  • Jun 13, 2014Complaint1 finding
  • Mar 28, 2014Standard and complaint8 findings
  • Mar 17, 2014Complaint4 findings · 4 harm
  • Jan 27, 2014—7 findings · 1 harm
  • Aug 22, 2013—1 finding
  • Apr 18, 2013—1 finding
  • Mar 7, 2013—2 findings
  • Feb 7, 2013—5 findings
  • Apr 5, 2012—1 finding
  • Mar 1, 2012—4 findings
  • Oct 21, 2011—1 finding
  • Aug 24, 2011—2 findings
  • Aug 4, 2011—1 finding

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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