Above average — CMS composite of the measures below.
A standard survey is most likely before around August 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 Park Manor Of Conroe during CMS and state inspections, most recent first.
The facility failed to provide palatable, attractive, and properly tempered food, as evidenced by numerous grievances and direct complaints from a resident with multiple medical conditions who experienced repeated episodes of diarrhea and acid reflux. Staff interviews and records revealed ongoing issues with cold, overcooked meals, disregard for resident meal preferences, and lack of consistent food temperature checks.
Surveyors identified multiple failures in the dietary department, including improper cleaning of dishes and silverware, lack of proper labeling and sealing of dry storage items, and inadequate use and documentation of sanitizer test strips and dishwashing temperatures. Staff interviews and observations revealed confusion about procedures, expired test strips in use, and repeated resident complaints about dirty dishware. Not all dietary staff had current food handler certifications, and facility records showed ongoing grievances related to food service cleanliness and safety.
A resident with multiple medical conditions did not consistently receive meals in accordance with her documented food preferences, specifically requesting no sausage or gravy, yet continued to be served these items. Despite her repeated requests and documentation on meal tickets, dietary staff failed to follow her preferences, and numerous grievances were recorded regarding meal quality and staff not reading meal tickets.
A resident with type 2 diabetes mellitus was admitted to a facility without receiving prescribed insulin due to a failure in the admission process. The omission of insulin led to dangerously high blood sugar levels, resulting in hospitalization for diabetic ketoacidosis (DKA). The admitting nurse and assisting nurse did not ensure insulin orders were entered into the EMR, and oversight by unit managers and the DON was lacking, contributing to the delay in treatment.
Failure to Provide Palatable and Properly Tempered Food
Penalty
Summary
The facility failed to provide food and drink that was palatable, attractive, and served at a safe and appetizing temperature, as evidenced by multiple grievances and direct observations. On one occasion, cold grilled cheese sandwiches and tomato soup were served during dinner, and in the months of August and September, the dietary department received 28 grievances regarding cold and overcooked food. Resident interviews and council meeting minutes confirmed ongoing dissatisfaction with food temperature, quality, and failure to honor meal preferences, such as repeated serving of unwanted items and incorrect meal tickets. A resident with multiple medical conditions, including Type 2 Diabetes, GERD, hypertension, gout, and anxiety disorder, experienced increased episodes of diarrhea and acid reflux, which she attributed to the food served. Her care plan required staff to alert medical providers and offer alternatives if she was unable to consume her diet, but she reported that her preferences were not followed, and her requests were ignored. Documentation showed that she received meals with items she specifically requested to avoid, and her complaints were not adequately addressed by dietary staff. Interviews with staff revealed a lack of consistent food temperature checks and failure to read meal tickets, resulting in repeated errors. The dietary manager acknowledged receiving numerous grievances, some of which she considered valid, and admitted that some staff worked without proper food handler certification. The facility's grievance logs and resident council minutes corroborated the frequency and nature of complaints, including cold, overcooked food and disregard for resident preferences. Staff interviews further confirmed that complaints about food quality and temperature were common and ongoing.
Deficient Food Storage, Dishwashing, and Sanitation Practices in Dietary Department
Penalty
Summary
Dietary staff failed to ensure that all dishes and silverware were properly cleaned before use during meal services. Observations revealed dirty mugs with coffee residue and other food substances stacked with clean dishware, and interviews with dietary aides confirmed that there was confusion and lack of knowledge regarding the dishwashing process, including how to check dishwasher temperatures and use sanitizer test strips. Staff admitted to reusing previous temperature log entries without actually checking the dishwasher, and expired test strips were found in use. Multiple residents and staff reported ongoing issues with dirty dishes and silverware, with one resident documenting 31 instances of receiving filthy silverware over four months. Resident council meeting minutes and grievance logs also reflected repeated complaints about unclean dishware. Dry storage practices in the kitchen were also deficient. Numerous food items, including bags of cereal, pasta, condiments, and bread, were found not dated, improperly sealed, or left open on shelves. Some items were left on the floor or stored in a manner that did not maintain freshness, and staff interviews revealed inconsistent practices for labeling and rotating stock. The dietary manager acknowledged that previous management did not focus on proper food labeling or temperature checks, and staff were unclear on procedures for receiving and storing food deliveries. Record reviews showed that not all dietary staff had current food handler certifications, and the contracted dietary company’s policies for ware washing and dry goods storage were not being followed. Staff training was inconsistent, and there was a lack of oversight in ensuring compliance with professional standards for food safety and sanitation. The facility had received numerous grievances and complaints about the dietary department, particularly regarding the cleanliness of dishes and the handling of food items.
Failure to Accommodate Resident Meal Preferences and Dietary Needs
Penalty
Summary
The facility failed to ensure that a resident consistently received meals that accommodated her stated food preferences, specifically regarding the exclusion of sausage and gravy from her meals. Despite the resident's repeated requests and documentation on her meal tickets to avoid these items, kitchen staff continued to serve her sausage for breakfast and meals covered in gravy. The resident reported that her preferences were not being honored, and she frequently had to remind staff about her dislikes, which were also communicated to dietary management and administration. Record reviews revealed that the resident had multiple medical diagnoses, including Type 2 Diabetes, GERD, hypertension, gout, and anxiety disorder, and was on a therapeutic diet as ordered by her physician. The care plan included interventions to offer alternatives if the resident did not like the meal and to document any issues with meal consumption. Nutrition progress notes and resident council meeting minutes documented ongoing complaints about the failure to follow meal preferences, as well as issues with food temperature and quality. The facility's grievance logs showed a significant number of complaints directed toward the dietary department over several months, many of which were related to meal preferences and food quality. Interviews with dietary managers and administrative staff confirmed that staff were not consistently reading or following the meal tickets, resulting in the resident receiving unwanted food items. The previous dietary manager acknowledged receiving valid grievances from the resident and attributed the ongoing issues to staff not taking the time to check meal tickets. The facility also had issues with dietary staff lacking proper food handler certifications and a high volume of grievances related to the dietary department, as confirmed by both staff and administrative records.
Failure to Administer Insulin Leads to Resident Hospitalization
Penalty
Summary
The facility failed to ensure that a resident with type 2 diabetes mellitus was free from significant medication errors, leading to a severe health crisis. The resident, who was moderately impaired cognitively, was admitted to the facility with a primary diagnosis of metabolic encephalopathy and a secondary diagnosis of type 2 diabetes mellitus. Upon admission, there was an omission of insulin injections from the resident's medication regimen, which was not administered from the time of admission until several days later. This omission resulted in the resident's blood sugar levels rising dangerously high, eventually leading to hospitalization for diabetic ketoacidosis (DKA), a potentially life-threatening condition. The deficiency was primarily due to a failure in the admission process, where the admitting nurse, LVN A, and assisting nurse, LVN B, did not ensure that the insulin orders were entered into the facility's electronic medical record (EMR) system. Despite receiving verbal orders from the primary physician to continue the resident's hospital discharge medication list, the insulin orders were not recorded, leading to the resident not receiving necessary insulin treatment. Additionally, the unit managers, ADON, and DON did not thoroughly review the admission records, which could have caught the error and prevented the delay in treatment. The situation was further exacerbated by a lack of oversight and communication among the facility's staff. The interdisciplinary team (IDT), which was responsible for reviewing clinical records and ensuring initial treatments were in place, failed to identify the missing insulin orders during their review. The resident's condition deteriorated due to the lack of insulin, resulting in a critical change in condition that required emergency medical intervention. The facility's failure to administer insulin as prescribed placed the resident at significant risk and led to a serious health emergency.
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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 Conroe
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Brightpointe | 0.5 mi | ★★★★★ | 0 | 0 |
| Woodland Manor Nursing And Rehabilitation | 2.9 mi | ★★★★★ | 10 | 3 |
| Conroe Health Care Center | 3.5 mi | ★★★★★ | 0 | 0 |
| Park Manor Of The Woodlands | 4.9 mi | ★★★★★ | 7 | 0 |
| Ridgewood At The Woodlands | 7.9 mi | ★★★★★ | 1 | 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.