5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Located in Houston’s Braeswood neighborhood, Brazos Tower at Bayou Manor is a skilled nursing home. It’s a part of a Continuing Care Retirement Community campus that spans nursing home, assisted living, independent living, and memory care under one operator, Brazos Presbyterian Homes, Inc. The community holds 33 skilled nursing beds. It tends to run close to full, with an occupancy rate of about 80%. Residents accepted include those covered by Medicare and those paying privately, giving families multiple ways to arrange care.
Staffing is the home’s defining feature. Nursing staffing averages 5 hours and 47 minutes of direct care per resident daily, a figure that reflects meaningful hands-on attention for residents with more complex needs. Residents stay an average of 52 days, pointing to a strong focus on short-term, post-acute rehabilitation alongside longer-term nursing care. On-site rehabilitation services and respite care support residents recovering from a hospital stay or surgery. Residents also have access to 24-hour staffing.
For residents who need memory support, Brazos Tower holds an Alzheimer’s certification, which means it has additional training and programming for cognitive care needs. State inspection history for the community focuses on building and life-safety matters, such as fire drill documentation, emergency generator and alarm system upkeep, and door and extinguisher placement. These were not concerns tied to clinical or resident care.
Amenities on-site include an indoor pool, a wellness and fitness center, a salon, and a massage and aerobics studio for residents who want to stay active. Social life centers on a 180-seat event and performance space and a bistro-style dining venue for casual, restaurant-quality meals. There’s also a meeting lounge and reserved parking available. It’s in a moderately walkable stretch of the Braeswood corridor; some errands can be handled on foot, with a mix of nearby amenities.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 5th out of 239 homes in Texas for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 52m per day | ▲ 105% State avg: 25m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 12m per day | ▲ 28% State avg: 57m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 4h 18m per day | ▲ 113% State avg: 2h 1m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 5h 53m per day | ▲ 96% State avg: 3h 0m per day · National avg: 3h 27m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 6m per day | ▲ 41% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 32m per day | ▲ 58% State avg: 20m per day · National avg: 29m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Brazos Tower at Bayou Manor is legally operated by Brazos Presbyterian Homes, Inc.
In Texas, the Health and Human Services Commission (HHSC) is the primary regulatory body that conducts unannounced inspections and publishes quality reports for all long-term care homes.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Texas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 6 | 6 | This facility has total citations in line with the Texas average (6 vs. TX avg 6).— At avg |
|
Life safety citations
Citations related to building safety — fire prevention, emergency egress, and similar.
| 6 | 6 | This facility has life safety citations in line with the Texas average (6 vs. TX avg 6).— At avg |
Inspections
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 1 | 1 | This facility has inspections with citations in line with the Texas average (1 vs. TX avg 1).— At avg |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Texas average 7.4
Last Health inspection on Nov 2025
Texas average 25.9
Texas average 3.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
4 of 5 citations resulted from standard inspections; and 1 of 5 resulted from complaint investigations.
100% better than Texas averageTexas average: 2
100% better than Texas averageTexas average: 0.4
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
94% more staff per resident than Texas average
6% worse than Texas average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 4 RN Staff are full-time employees. No contractors work on this role.
4
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursAssists with medical care and medications.
10 total: 8 full-time employees and 2 contractors.
10
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.1 hoursHelps with daily care and mobility.
28 total: 22 full-time employees and 6 contractors.
28
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,585 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 22 | 6 | 28 | 8,115 | 92 | 100% | 7.7 |
| Licensed Practical Nurse | 8 | 2 | 10 | 3,137 | 92 | 100% | 10.1 |
| Medication Aide/Technician | 7 | 1 | 8 | 3,034 | 92 | 100% | 7.6 |
| Registered Nurse | 4 | 0 | 4 | 1,393 | 91 | 99% | 9.7 |
| Physical Therapy Aide | 0 | 4 | 4 | 984 | 70 | 76% | 6.7 |
| Dietitian | 1 | 0 | 1 | 512 | 61 | 66% | 8.4 |
| Nurse Practitioner | 1 | 0 | 1 | 504 | 63 | 68% | 8 |
| Speech Language Pathologist | 0 | 5 | 5 | 482 | 66 | 72% | 3.5 |
| Mental Health Service Worker | 1 | 0 | 1 | 456 | 57 | 62% | 8 |
| Qualified Social Worker | 0 | 1 | 1 | 413 | 62 | 67% | 6.7 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 360 | 45 | 49% | 8 |
| Administrator | 2 | 0 | 2 | 312 | 39 | 42% | 8 |
| Respiratory Therapy Technician | 0 | 9 | 9 | 244 | 59 | 64% | 3.9 |
| Physical Therapy Assistant | 0 | 4 | 4 | 195 | 50 | 54% | 3.7 |
| Diagnostic X-ray Services Staff | 0 | 1 | 1 | 48 | 12 | 13% | 4 |
| Occupational Therapy Aide | 0 | 1 | 1 | 46 | 14 | 15% | 3.3 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 18 | 3 | 3% | 6 |
| Medical Director | 0 | 1 | 1 | 12 | 12 | 13% | 1 |
Includes penalties issued in 2023
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
29% lower than Texas averageTexas average: $80K
383% more fines than Texas averageTexas average: 2.5
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Texas averageTexas average: 0.2
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 14, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 7, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
4.6
46% better than Texas averageTexas average: 8.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
6.3
61% better than Texas averageTexas average: 16.0
Percent of long-stay residents whose need for help with daily activities has increased
3.8%
77% better than Texas averageTexas average: 16.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
8.9%
43% better than Texas averageTexas average: 15.7%
Percent of long-stay residents experiencing one or more falls with major injury
4.2%
29% worse than Texas averageTexas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
10.6%
139% worse than Texas averageTexas average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Texas averageTexas average: 0.8%
Percent of long-stay residents who lose too much weight
0.0%
100% better than Texas averageTexas average: 3.5%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Texas averageTexas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
12.5%
59% worse than Texas averageTexas average: 7.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.2%
In line with Texas averageTexas average: 97.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
85.0%
13% worse than Texas averageTexas average: 97.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
89.0%
In line with Texas averageTexas average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Texas averageTexas average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
62.2%
29% worse than Texas averageTexas average: 88.0%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
72% of new residents, usually for short-term rehab.
28% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
29Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Brazos Tower at Bayou Manor from 2012–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #49 / 245Payroll — State benchmarkedThis home is ranked 49th out of 245 homes in Texas for payroll. Shows total annual staff payroll benchmarked to the Texas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #233 / 245Payroll % — State benchmarkedThis home is ranked 233rd out of 245 homes in Texas for payroll %. Shows payroll as a percentage of revenue versus the Texas average. Well-run Texas facilities typically land around 51–64% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (72% of admissions), and a typical Medicare stay runs around 26 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
6.4 miles from city center
Estimated distance in miles from Houston's city center to Brazos Tower at Bayou Manor's address, calculated via Google Maps.
Add your location
Info below is compiled from CMS reports & the TX Health & Human Services Commission (HHSC), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
| Park Manor of CyFair | AL NH SNF | Houston (White Oak Bend) | 120
Facility
120
TX AVG
79
Rank
#204 / 972 |
89.2%
Facility
89.2%
TX AVG
67.3
Rank
#33 / 195 | +32% | 3.27
Facility
3.27
TX AVG
3.63
Rank
#158 / 239 | +82% | -10% | $0
Facility
$0
TX AVG
$81.8k
Rank
#1 / 244 | 7
Facility
7
TX AVG
25.9
Rank
#11 / 241 | 2.3
Facility
2.3
TX AVG
3.7
Rank
#39 / 241 | - | 107 | - |
55
Facility
55
TX AVG
41
Rank
#385 / 1389 | Hmg Park Manor Of Cyfair, L.l.c | $9.7MFiscal year ending 08/2024
Facility
$9.7MFiscal year ending 08/2024
TX AVG
$8.4M
Rank
#127 / 245 | $4.4MFiscal year ending 08/2024
Facility
$4.4MFiscal year ending 08/2024
TX AVG
$3.5M
Rank
#129 / 245 | 45.1%Fiscal year ending 08/2024
Facility
45.1%Fiscal year ending 08/2024
TX AVG
47%
Rank
#120 / 245 | 675818 | ||||
| Houston Transitional Care | AL HOS MC NH PC RC SNF | Houston (Braeburn) | 70
Facility
70
TX AVG
79
Rank
#503 / 972 |
96.0%
Facility
96.0%
TX AVG
67.3
Rank
#4 / 195 | +43% | 3.17
Facility
3.17
TX AVG
3.63
Rank
#181 / 239 | +22% | -13% | $0
Facility
$0
TX AVG
$81.8k
Rank
#1 / 244 | 16
Facility
16
TX AVG
25.9
Rank
#62 / 241 | 5.3
Facility
5.3
TX AVG
3.7
Rank
#222 / 241 | - | 67 | - |
75
Facility
75
TX AVG
41
Rank
#67 / 1389 | Ahmad El-Saadi | $12.3MFiscal year ending 12/2023
Facility
$12.3MFiscal year ending 12/2023
TX AVG
$8.4M
Rank
#30 / 245 | $5.1MFiscal year ending 12/2023
Facility
$5.1MFiscal year ending 12/2023
TX AVG
$3.5M
Rank
#116 / 245 | 41.4%Fiscal year ending 12/2023
Facility
41.4%Fiscal year ending 12/2023
TX AVG
47%
Rank
#240 / 245 | 676435 | ||||
| Caraday of Houston | AL MC NH RC SNF | Houston (Northside / Northline) | 150
Facility
150
TX AVG
79
Rank
#63 / 972 | - | - | 3.76
Facility
3.76
TX AVG
3.63
Rank
#77 / 239 | -32% | +4% | $0
Facility
$0
TX AVG
$81.8k
Rank
#1 / 244 | 15
Facility
15
TX AVG
25.9
Rank
#55 / 241 | 3.8
Facility
3.8
TX AVG
3.7
Rank
#167 / 241 | - | 12 | - |
41
Facility
41
TX AVG
41
Rank
#707 / 1389 | E&R Cunningham Investments, LP | $2.7MFiscal year ending 12/2023
Facility
$2.7MFiscal year ending 12/2023
TX AVG
$8.4M
Rank
#244 / 245 | $1.8MFiscal year ending 12/2023
Facility
$1.8MFiscal year ending 12/2023
TX AVG
$3.5M
Rank
#241 / 245 | 66.5%Fiscal year ending 12/2023
Facility
66.5%Fiscal year ending 12/2023
TX AVG
47%
Rank
#82 / 245 | 676470 | ||||
| Brazos Tower at Bayou Manor | AL IL MC NH SNF | Houston (Braeswood) | 33
Facility
33
TX AVG
79
Rank
#757 / 972 | - | - | 5.78
Facility
5.78
TX AVG
3.63
Rank
#5 / 239 | -37% | +59% | $46.6k
Facility
$46.6k
TX AVG
$81.8k
Rank
#169 / 244 | 5
Facility
5
TX AVG
25.9
Rank
#6 / 241 | 1.7
Facility
1.7
TX AVG
3.7
Rank
#8 / 241 | - | 28 | - |
64
Facility
64
TX AVG
41
Rank
#209 / 1389 | Sharon Darden | $4.7MFiscal year ending 12/2023
Facility
$4.7MFiscal year ending 12/2023
TX AVG
$8.4M
Rank
#25 / 245 | $7.0MFiscal year ending 12/2023
Facility
$7.0MFiscal year ending 12/2023
TX AVG
$3.5M
Rank
#49 / 245 | 151%Fiscal year ending 12/2023
Facility
151%Fiscal year ending 12/2023
TX AVG
47%
Rank
#233 / 245 | 676282 | ||||
| Capstone Healthcare Estates on Orem | AL HOS MC NH PC RC SNF | Houston (Central Southwest) | 120
Facility
120
TX AVG
79
Rank
#204 / 972 |
74.9%
Facility
74.9%
TX AVG
67.3
Rank
#84 / 195 | +11% | 3.69
Facility
3.69
TX AVG
3.63
Rank
#95 / 239 | -25% | +2% | $34.4k
Facility
$34.4k
TX AVG
$81.8k
Rank
#149 / 244 | 20
Facility
20
TX AVG
25.9
Rank
#113 / 241 | 2.9
Facility
2.9
TX AVG
3.7
Rank
#92 / 241 | 1 | 90 | - |
55
Facility
55
TX AVG
41
Rank
#385 / 1389 | - | $9.3MFiscal year ending 12/2023
Facility
$9.3MFiscal year ending 12/2023
TX AVG
$8.4M
Rank
#126 / 245 | $4.2MFiscal year ending 12/2023
Facility
$4.2MFiscal year ending 12/2023
TX AVG
$3.5M
Rank
#106 / 245 | 45.8%Fiscal year ending 12/2023
Facility
45.8%Fiscal year ending 12/2023
TX AVG
47%
Rank
#76 / 245 | 676314 |
Brazos Tower at Bayou Manor is located in HOUSTON, Texas.
Here are the financial assistance programs available to residents in Texas.
Brazos Tower at Bayou Manor is in the Braeswood neighborhood of HOUSTON.
Brazos Tower at Bayou Manor is legally operated by Brazos Presbyterian Homes, Inc.
Brazos Tower at Bayou Manor has a walk score of 64. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Brazos Tower at Bayou Manor's occupancy is 80.2%.
Yes — see the floorplan options available at Brazos Tower at Bayou Manor on this page.
No, Brazos Tower at Bayou Manor has a no-pet policy.
Brazos Tower at Bayou Manor is registered as a non-profit in TX.
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