The Brightpointe
Conroe, Texas · CCN 676420
17 surveys since 2017, 4 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
- 43
- Surveys
- 17
- Harm or worse
- 4
- Immediate jeopardy
- 4
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 150
- Ownership
- For profit - Corporation
- Chain
- PUREHEALTH
- County
- Montgomery
- Medicare-certified since
- 2017
CMS ratings
- Overall
- 3
- Health inspection
- 3
- 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=18, floor 20).
Last survey on record
May 30, 2024
893 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 4.26 | 3.26 |
| Registered-nurse hours per resident day | 0.69 | — |
| Annual nurse turnover | 54.9% | 55.3% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $21,037 across 1 penalty
- Payment denials
- 1
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J323.1% | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D753.8% | E323.1% | F— |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6562×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F6842×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F7262×
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- F5801×
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- F6021×
Protect each resident from the wrongful use of the resident's belongings or money.
In the surveyor’s words
From the most serious findings on record at The Brightpointe, in the surveyor’s own words.
- Immediate jeopardy, isolatedF580Sep 21, 2023
Based on interview and record review the facility failed to immediately inform resident's physician when a resident experienced increased shortness of breath for 1 of 1 resident (CR #1) reviewed for physician notification. LVN A failed to notify MD A in a timely manner on 8/5/23 when CR #1 was having increased shortness of breath. This caused a delay in CR #1 going to the hospital for to respiratory distress. RN A consulted with the NP but not the physician when CR#1 was having a change in condition An Immediate Jeopardy (IJ) situation was identified on 9/15/2023 9:10 am. […]
- Immediate jeopardy, isolatedF684Sep 21, 2023
Based on interview and record review, the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for 1 resident of 1 (CR #1) reviewed for quality of care. The facility failed to adequately assess and provide PRN respiratory treatments to CR #1 on 8/5/23 when he had increased shortness of breath, which led to respiratory distress and hospitalization . CR #1 was admitted to the hospital for shortness of breath. An Immediate Jeopardy (IJ) situation was identified on 9/15/2023 9:10 am. […]
- Immediate jeopardy, isolatedF726Sep 21, 2023
Based on interview and record review the facility failed to ensure licensed nurses had the specific competencies and skill sets necessary to care for residents' needs, as identified through resident assessments, and described in the plan of care for 1 of 1 nurse (LVN A) reviewed for nursing services. LVN A failed to have required documentation of competencies on change of condition. An Immediate Jeopardy (IJ) situation was identified on 9/15/2023 9:10 am. While the IJ was removed on 09/19/2023 at 1:09 p.m., the facility remained out of compliance at a severity level of actual harm that is not immediate and a scope of isolated due to the facility's need to evaluate the effectiveness of the corrective systems. […]
- No harm, potential for more than minimal, widespreadF761Dec 16, 2021
Based on observation, interview, and record review the facility failed to ensure drugs and biologicals used in the facility were labeled in accordance with currently accepted professional principles, included the appropriate accessory and cautionary instructions, the expiration date when applicable and stored all drugs and biologicals in locked compartments and under proper temperature controls, for 3 of 3 medication carts ( 100 North Med Cart, 200 North Med Cart and 200 West Med Cart) reviewed for medication storage. […]
- No harm, potential for more than minimal, patternF602Mar 20, 2024
Based on interview and record review the facility failed to ensure the resident was free from misappropriation of property for 4 of 5 residents (Resident #1. CR #1, CR #3 and CR #4) reviewed for misappropriation of property. - The facility failed to ensure that LVN A did not misappropriate CR #1's Tylenol #3 over a 3-month period (June 2023 to August 2023). - The facility failed to have a system in place to identify drug diversion of controlled substances and to take action on the pharmacist consultant's identified discrepancies during random control drug audits for Resident #1, CR #3 and CR #4 even after an alleged case of drug diversion by LVN A over a three-month period. These failure could place residents at risk for misappropriation of medications and uncontrolled pain. […]
Read 21 findings in full →The most serious and the most recent: 21 of 43 on record.
Every survey on record
FindingsAt actual harm or above
- May 30, 2024Standard1 finding
- Mar 20, 2024Complaint6 findings
- Sep 21, 2023Complaint7 findings · 3 harm
- Mar 9, 2023Standard1 finding
- Feb 7, 2023Complaint1 finding
- Dec 16, 2021Standard2 findings
- Sep 25, 2020Standard1 finding
- Apr 25, 2019Standard and complaint1 finding
Show the 9 earlier surveys
- Jan 16, 2019Complaint1 finding
- Nov 20, 2018Complaint2 findings
- Nov 14, 2018Complaint2 findings
- Oct 3, 2018Complaint1 finding · 1 harm
- May 2, 2018Complaint2 findings
- Apr 20, 2018Standard5 findings
- Feb 27, 2018Complaint1 finding
- Feb 7, 2018Complaint3 findings
- Nov 3, 2017Complaint6 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.
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction