Inspection Reports for Park Manor of CyFair
11001 Crescent Moon Dr, Houston, TX 77064, United States, TX, 77064
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
3.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
6% worse than Texas average
Texas average: 3.5 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Aug 7, 2025
Visit Reason
The inspection was conducted as an annual survey of the nursing home facility to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Apr 15, 2025
Visit Reason
The inspection was conducted due to a complaint regarding improper transfer techniques used by CNAs, specifically the failure to use a gait belt when transferring a resident, which could place residents at risk for harm.
Complaint Details
The complaint investigation found that CNAs A and B transferred resident CR #1 without a gait belt on 04/01/25, causing the resident's legs to give out and the resident to be lowered to the floor. Interviews with CNAs and nursing staff confirmed the incident and lack of gait belt use. The Director of Rehabilitation confirmed that gait belts should be used for all transfers.
Findings
The facility failed to ensure that CNAs properly transferred a resident without using a gait belt, resulting in the resident being lowered to the floor during transfer. Interviews and record reviews confirmed the lack of proper transfer technique and non-use of gait belts, despite facility policy requiring their use.
Deficiencies (1)
Failure to ensure CNAs used a gait belt when transferring a resident, resulting in the resident being lowered to the floor.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nurse A | Entered progress notes regarding the resident being lowered to the floor and conducted assessment. | |
| CNA A | Assisted in transferring the resident without a gait belt and reported the incident. | |
| CNA B | Assisted in transferring the resident without a gait belt and reported the incident. | |
| Director of Rehabilitation | Director of Rehabilitation | Interviewed and stated gait belts should be used for all transfers and improper technique was used. |
Inspection Report
Routine
Deficiencies: 2
Date: Jun 6, 2024
Visit Reason
The inspection was conducted to assess the facility's compliance with residents' rights to a safe, clean, comfortable, and homelike environment, focusing on sanitation and cleanliness in resident rooms.
Findings
The facility failed to maintain cleanliness in the rooms of three residents, with trash and food debris present, unsanitary wall conditions, and evidence of flies. The Housekeeping Manager and Administrator acknowledged the issues and the need for immediate cleaning and quality improvement.
Deficiencies (2)
Failed to keep Resident #19's and Resident #47's rooms free of trash and food debris.
Failed to keep Resident #13's wall clean, with a brown smear above the bed.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Housekeeping Manager | Interviewed regarding cleanliness issues in Resident #19's and Resident #47's rooms and responsible for ensuring facility cleanliness. | |
| Administrator | Observed areas of concern and acknowledged the need for immediate cleaning and quality control. | |
| LVN A | Licensed Vocational Nurse | Interviewed about the substance on Resident #19's wall and floor. |
Inspection Report
Deficiencies: 2
Date: Jun 6, 2024
Visit Reason
The inspection was conducted to assess the facility's compliance with residents' rights to a safe, clean, comfortable, and homelike environment, focusing on sanitation and cleanliness in resident rooms.
Findings
The facility failed to maintain cleanliness in the rooms of three residents, with trash and food debris present, unsanitary wall conditions, and evidence of flies. The Housekeeping Manager and Administrator acknowledged the issues and the need for immediate cleaning and quality improvement.
Deficiencies (2)
Failed to keep Resident #19's and Resident #47's rooms free of trash and food debris.
Failed to keep Resident #13's wall clean, with a brown smear above the bed.
Report Facts
Residents reviewed for residents' rights: 6
Residents affected: 3
BIMS scores: 9
BIMS score: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Housekeeping Manager | Interviewed regarding cleanliness issues in residents' rooms and responsible for ensuring facility cleanliness | |
| Administrator | Observed areas of concern and acknowledged need for immediate cleaning and quality improvement | |
| LVN A | Licensed Vocational Nurse | Interviewed about the condition of Resident #19's closet and cleanliness responsibilities |
Inspection Report
Routine
Deficiencies: 6
Date: Apr 25, 2023
Visit Reason
The inspection was conducted to evaluate the facility's compliance with pharmaceutical services, medication administration, medication error rates, medication labeling and storage, and food quality and palatability.
Findings
The facility failed to provide pharmaceutical services meeting residents' needs, including expired insulin in nursing carts and unavailable pain medication. Medication error rate was 15%, exceeding the 5% threshold, involving incorrect medication administration and dosage errors. Insulin pens lacked open dates, compromising expiration tracking. Food preparation methods failed to conserve nutritive value, flavor, and appearance for puree and regular diets, resulting in poor taste and texture.
Deficiencies (6)
Facility failed to ensure expired insulin was removed from the 100 hall nursing cart for Resident #42.
Facility failed to have Hydrocodone-Acetaminophen available and failed to administer it as ordered for Resident #159.
Medication error rate was 15% based on 7 errors out of 44 opportunities involving 4 residents, including incorrect insulin administration and wrong vitamin supplements.
Failed to ensure residents were free from significant medication errors, including administering fast acting insulin instead of long acting insulin to Resident #37.
Failed to ensure drugs and biologicals were labeled with appropriate accessory and cautionary instructions and expiration dates; insulin pens lacked open dates for Residents #10, #37, and #77.
Failed to prepare puree and regular food by methods that conserve nutritive value, flavor, texture, and appearance for 4 residents (#159, #15, #40, #10).
Report Facts
Medication error rate: 15
Medication errors: 7
Residents involved in medication errors: 4
Insulin dosage: 18
Blood sugar level: 249
Hydrocodone-Acetaminophen dosage: 5
Calcium Carbonate dosage: 600
Calcium Carbonate dosage administered: 500
Multivitamin dosage: 1
Medication carts reviewed: 4
Residents affected by labeling deficiency: 3
Residents affected by food quality deficiency: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LVN A | Named in findings related to expired insulin, medication errors, and insulin administration errors | |
| MA A | Named in findings related to medication administration errors for Resident #159 | |
| MA B | Named in findings related to medication administration errors for Residents #16 and #6 | |
| DON | Director of Nursing | Provided interviews regarding medication administration policies and errors |
| Dietary Manager | Provided interviews regarding food preparation and quality issues |
Viewing
Loading inspection reports...
