Above average — CMS composite of the measures below.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Bayou Manor during CMS and state inspections, most recent first.
Failure to Complete Timely Comprehensive Care Plan for a Resident at Fall Risk: A resident with weakness, unsteady gait, impaired mobility, confusion, and a history of falls had actual falls and did not have a completed comprehensive person-centered care plan in a timely manner. The MDS Coordinator stated the care plan had not been completed, while the DON and other staff said they relied on the care plan for resident-specific guidance and that it was the MDS Coordinator’s responsibility to develop it.
A resident received IV NS that was not labeled with the required identifying information, and multiple opened OTC supplements in medication carts were found without open dates, including acidophilus and vitamin B products. An LPN stated the IV fluid came from an emergency kit and was not labeled, and staff acknowledged that multi-dose meds should be dated when opened.
A resident with Parkinson's disease was not given the prescribed extended-release Carbidopa-Levodopa at bedtime, and instead received the regular-release formulation for about a month. The error was discovered by a family member after noticing worsening symptoms and finding the correct medication locked away. Staff and pharmacy confirmed the extended-release medication was not administered as ordered, and facility policy for medication verification was not followed.
A resident with severe cognitive impairment and hypertension was administered an incorrect dose of Amlodipine due to a failure in verifying the updated physician's order. The LVN gave 10mg instead of the prescribed 5mg, despite recent training on medication administration. The DON was informed and noted the importance of comparing orders with the MAR, as per facility policy.
Failure to Complete Timely Comprehensive Care Plan for a Resident at Fall Risk
Penalty
Summary
The facility failed to develop and implement a comprehensive person-centered care plan for one resident who was identified as a fall risk and had actual falls. The resident was an older female with diagnoses including generalized muscle weakness, unsteady gait, and lack of coordination. Her MDS showed a BIMS score of 09, indicating a moderate problem with thinking and memory, and the MDS also noted a history of falls on admission. Record review showed the resident was admitted with a primary diagnosis of fall with altered mental status and dehydration. Hospital records documented impaired upper extremity strength, impaired endurance, impaired functional mobility, impaired trunk control, and that she was a high fall risk. The care plan dated after surveyor intervention included fall risk, bladder incontinence, and actual falls with no injury due to poor balance, unsteady gait, and confusion, but the comprehensive person-centered care plan had not been completed in a timely manner. In interview, the MDS Coordinator stated the resident had no comprehensive person-centered care plan because she had not completed one, and acknowledged it was her responsibility to complete care plans on admission. Staff members stated they normally refer to the care plan to know what care to provide, and the DON stated the baseline care plan was initiated within the first 21 days of admission while the comprehensive person-centered care plan was the MDS Coordinator's responsibility. The facility policy stated the comprehensive person-centered care plan must include measurable objectives and timetables and be developed within seven days of the required MDS assessment and no more than 21 days after admission.
Unlabeled IV Fluids and Open Medications in Medication Carts
Penalty
Summary
The facility failed to label drugs and biologicals used in the facility in accordance with accepted professional principles, including required accessory and cautionary instructions and expiration dates, for two medication carts reviewed. The deficiencies involved an opened bottle of acidophilus in the 300-hall nurses medication cart that was not dated and was stored in the refrigerator area without a date, as well as opened bottles of vitamin B1 100 mg, vitamin B12 500 mg, and vitamin B12 1000 mg in the 300-hall medication cart that were open but not dated. Staff on the medication carts stated they did not know the bottles were not labeled and acknowledged that multi-dose medications should be dated when opened. The report also identified unlabeled IV fluids administered to Resident #1. Resident #1 was a female with diagnoses including cancer, anemia, and hypertension, and her cognitive status was intact. Her record showed an order for 0.9% normal saline at 100 cc/hr IV x 1 hour, later changed to 0.9% normal saline at 100 cc/hr IV x 1 liter after a low blood pressure episode. Observation of the resident receiving IV therapy showed the fluids were not labeled with the type of fluid, resident name, date of administration, rate, or the initials of the nurse administering it. The LVN who administered the IV therapy stated the normal saline came from the emergency kit and was not labeled, and that she forgot to label it. She also stated she had opened the acidophilus bottle but forgot to label it and did not realize it was supposed to be refrigerated. The DON stated that all medications, including IV fluids, should be labeled and that nurses and medication aides were responsible for ensuring medication carts were clean and all medications were within date.
Failure to Administer Ordered Extended-Release Medication
Penalty
Summary
The facility failed to provide appropriate pharmaceutical services for a resident diagnosed with Parkinson's disease, dementia, lack of coordination, and cognitive communication disease. Upon admission, the resident had physician orders for both regular-release and extended-release (ER) Carbidopa-Levodopa, with the ER formulation to be administered at bedtime. Despite this, staff administered the regular-release medication in place of the ER formulation at night for approximately one month. Medication administration records indicated that the ER medication was documented as given, but in reality, only the regular-release was provided. This error persisted until a family member discovered the discrepancy during a visit, noting increased tremors and ataxia in the resident and observing that the ER tablets were not accessible in the medication cart. Interviews with facility staff, including the DON and the pharmacist, confirmed that the ER medication was not administered as ordered, and the regular-release was substituted instead. The error was also documented in a Medication Error Report. The facility's policy required staff to check medication labels and confirm the medication name and dose with the MAR, but this procedure was not followed, resulting in the resident not receiving the prescribed ER medication for an extended period.
Medication Administration Error Due to Incorrect Dosage
Penalty
Summary
The facility failed to provide pharmaceutical services that ensured the accurate administration of medications for a resident, specifically concerning the administration of Amlodipine, a medication used to lower blood pressure. The resident, who had a history of severe cognitive impairment, hypertension, and other significant medical conditions, was prescribed a decreased dose of Amlodipine due to peripheral edema. However, the Licensed Vocational Nurse (LVN) administered the incorrect dose of 10mg instead of the prescribed 5mg. The error occurred despite the LVN having recently attended an in-service on medication administration. During the medication administration process, the LVN prepared and administered multiple medications through the resident's gastrostomy tube but failed to verify the correct dose of Amlodipine as per the updated physician's order. The LVN acknowledged the mistake during an interview, attributing it to not correctly reading the updated dose on the Medication Administration Record (MAR). The Director of Nursing (DON) was informed of the medication error and stated that the facility's policy required nurses to compare the physician's order with the MAR and the medication packaging. The DON also mentioned conducting monthly in-services to remind staff of proper medication administration procedures. The facility's policy on administering medications through an enteral tube emphasized the importance of verifying the medication name and dose with the MAR, which was not adhered to in this instance.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Houston
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Holly Hall | 2.6 mi | ★★★★★ | 15 | 0 |
| Paradigm At Westbury | 2.7 mi | ★★★★★ | 18 | 1 |
| Garden Terrace Healthcare Center Of Houston | 3.1 mi | ★★★★★ | 8 | 1 |
| The Methodist Hospital Snf | 3.2 mi | ★★★★★ | 0 | 0 |
| Seven Acres Jewish Senior Care Services | 3.3 mi | ★★★★★ | 2 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.