Inspection Reports for
Park Manor of CyFair
11001 Crescent Moon Dr, Houston, TX 77064, United States, TX, 77064
Back to Facility ProfileInspection Report — Jul 21, 2026
Citations: 6
Date: Jul 21, 2026
Visit Reason
State-compiled facility profile showing 1 inspection from 2026 with 6 life safety citations.
Findings
The most recent comprehensive inspection cited 6 violations of state standards, all related to life safety code. No health code violations or enforcement actions were found.
Citations (6)
The facility failed to meet the National Electrical Code and to follow lighting guidelines in the Lighting Handbook.
The facility failed to make sure exterior doors can be kept open in emergency and to make sure no one was locked out.
The facility failed to make sure there are insect screens on any window that can be opened and that all exterior doors are sealed against the weather.
The facility failed to prohibit smoking in any room, ward, or compartment where flammable liquids, combustible gas, or oxygen are used or stored and in any other hazardous locations or the facility failed to post "No Smoking" signs in these areas.
The facility failed to make sure electrical extension cords or multi-receptacle plug-in adaptors were not used as a substitute for approved wiring methods in the facility.
The facility failed to evaluate and change the plan as needed within 30 days after an emergency situation, remodeling or adding on to the facility or at least annually.
Report Facts
Inspections on page: 1
Inspection Report — Aug 7, 2025
Annual Inspection
Citations: 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 — Apr 15, 2025
Complaint Investigation
Citations: 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.
Citations (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 — Jun 6, 2024
Routine
Citations: 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.
Citations (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 — Jun 6, 2024
Citations: 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.
Citations (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 — Apr 25, 2023
Routine
Citations: 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.
Citations (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 |
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