Federal inspection record · CMS data as of October 1, 2026
Conroe Health Care Center
2019 N Frazier, Conroe, TX · (936) 441-2120
- Certified beds
- 108
- Residents per day
- 87
- Ownership
- Non-Profit
- Chain
- Health Services Management
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- November 14, 1996
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Conroe Health Care Center carries 107.25 inspection points. That is fewer than 31% of Texas's 1,166 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–51 pts
- 3★ 51–85 pts
- 2★ 85–145.75 pts
- 1★ over 145.75 pts
Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
20 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
K
Provide safe and appropriate respiratory care for a resident when needed.
Everything else, by area of care
Pharmacy Service6E
- E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure that residents are free from significant medication errors.
- E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure that residents are free from significant medication errors.
Quality of Life and Care4D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- D
Provide enough food/fluids to maintain a resident's health.
Resident Rights3F
- F
Keep residents' personal and medical records private and confidential.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Assessment and Care Planning3E
- E
Ensure each resident receives an accurate assessment.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental1D
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspection history
2025-04-11
13 health deficiencies · 2 fire-safety deficiencies
Top issue: Pharmacy Service (3 deficiencies)
2024-02-01
4 health deficiencies · 4 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2022-11-09
3 health deficiencies · 2 fire-safety deficiencies
Top issue: Pharmacy Service (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 40 min of nursing staff time a day, 30 min of it from a registered nurse.
This home
3 h 40 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 60% of nursing staff and 27% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$12,860 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-11-14 | Fine | $12,860 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.9 pts worse | 2.9 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts better | 1.8 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.6 pts better | 100.0% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better | 100.0% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.6 pts better | 2.6% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.4 pts worse | 2.7% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.6 pts worse | 5.5% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.1 pts worse | 19.9% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.2 pts worse | 11.0% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened0.5 pts better | 12.4% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4 pts better | 11.8% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.4 pts better | 0.4% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.8 pts worse | 15.3% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.1 pts worse | 3.8% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine10.9 pts better | 99.6% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.2 pts better | 11.0% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.4 pts better | 1.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine14.6 pts better | 100.0% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.9 pts worse | 28.4% | 25.5% | 23.4% |
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Who owns and runs it
9 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Cohen, Daniel | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Cohen, Daniel | Adp Of The SNF · Individual | 0% | 1 facilities |
| Conroe Realty, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Health Services Management, Inc. | Adp Of The SNF · Organization | 0% | 15 facilities |
| Hsmtx/Conroe, LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Hsmtx/Conroe, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Murrell, Edward | Corporate Director · Individual | 0% | 77 facilities |
| Nguyen, Charles | Adp Of The SNF · Individual | 0% | 5 facilities |
| White, Joshua | Operational/Managerial Control · Individual | 0% | 16 facilities |
·
Fire safety
8 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Gas, Vacuum, and Electrical Systems2F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Miscellaneous1F
- F
Have simulated fire drills held at unexpected times.
Services1C
- C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
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Other homes nearby
-
Woodland Manor Nursing and Rehabilitation
Conroe, TX · Slp Operations
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h
- Fines
- $58,978
-
The Brightpointe
Conroe, TX · Purehealth
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 13 min
- Fines
- $0
-
Park Manor Of Conroe
Conroe, TX
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 12 min
- Fines
- $13,627