A+
100/100

BAYOU MANOR Inspection Report, Violations & Safety Grade (HOUSTON, Texas)

4141 S BRAESWOOD BLVD, HOUSTON, Texas 77025

Phone: 7136662651

CMS Overall:5/5

Overview & Bed Count

Certified Beds
37
Avg Residents/Day
33.7
Ownership
Non profit - Corporation
Provider Type
Medicare
County
Harris
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall5/5
Health5/5
Staffing5/5
Quality5/5

Nurse Staffing Check

MetricThis FacilityTexas AvgDifference
RN Hours per Resident per Day0.710.44+0.27
Total Nurse Hours per Resident per Day5.413.42+2.00
CMS Staffing Rating5/51.9/5-
Nursing Staff Turnover28.6%50.8%-

Health Citation History

7 health citations on record

DateCategoryDescriptionSeverity
2026-05-19Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2025-12-11Pharmacy Service DeficienciesEnsure 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.D – Moderate Harm Potential
2025-11-10Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E – Moderate Harm Potential
2024-08-15Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential
2023-06-15Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.E – Moderate Harm Potential
2023-06-15Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.E – Moderate Harm Potential
2023-06-15Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential

Fire Safety Citation History

4 fire safety citations on record

DateCategoryDescriptionSeverity
2025-12-11Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.E – Moderate Harm Potential
2024-08-15Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.E – Moderate Harm Potential
2024-08-15Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential
2023-06-15Egress DeficienciesProvide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.E – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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