Conroe, TX

Park Manor Of Conroe

5-star overall rating with 5-star inspections with $13,627 in total fines with 4 recent health deficiencies

1600 Grand Lake Dr, Conroe, TX

(936) 441-8266

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

125

Certified beds

Average residents

112

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Hmg Healthcare

Operator or chain grouping

Approved since

2001-12-05

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

33 facilities

Chain averages 3 overall / 3 health / 2 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.28

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

0.91

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

2.18

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

3.36

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.19

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

2.90

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.25

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.07

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.27

CMS adjusted RN staffing hours

Adjusted total hours

3.20

CMS adjusted total nurse staffing hours

Case-mix index

1.44

Higher values indicate more complex resident acuity

RN turnover

44%

Annual RN turnover · state 52% · national 45%

Total nurse turnover

54%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,019

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

18.31

Composite VBP score used to determine payment impact.

Payment multiplier

0.9819

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.46

Baseline 24.76% · Performance 21.70% · Measure score 3.46 · Achievement 0 · Improvement 3.46

Healthcare-associated infections

0

Baseline 7.44% · Performance 9.85% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

2.96

Baseline 48.23% · Performance 51.58% · Measure score 2.96 · Achievement 2.96 · Improvement 0

Adjusted total nurse staffing

0.90

Baseline 2.48 hours · Performance 2.94 hours · Measure score 0.90 · Achievement 0 · Improvement 0.90

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.91%	10.72% 0.2 pts worse	No Different than the National Rate · Eligible stays 164 · Observed rate 12.2% · Lower 95% interval 8.05%
Discharge to community	45.14%	50.57% 5.4 pts worse	No Different than the National Rate · Eligible stays 149 · Observed rate 36.24% · Lower 95% interval 38.49%
Medicare spending per beneficiary	1.16	1.02 0.1 pts worse
Drug regimen review with follow-up	93.14%	95.27% 2.1 pts worse	Numerator 95 · Denominator 102
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 102
Discharge self-care score	66.67%	53.69% 13 pts better	Numerator 40 · Denominator 60
Discharge mobility score	55%	50.94% 4.1 pts better	Numerator 33 · Denominator 60
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 102 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	9.85%	7.12% 2.7 pts worse	No Different than the National Rate · Eligible stays 100 · Observed rate 14% · Lower 95% interval 6.7%
Staff COVID-19 vaccination coverage	1.49%	8.2% 6.7 pts worse	Numerator 2 · Denominator 134
Staff flu vaccination coverage	51.57%	42% 9.6 pts better	Numerator 82 · Denominator 159
Discharge function score	65%	56.45% 8.5 pts better	Numerator 39 · Denominator 60
Transfer of health information to provider	95.77%	95.95% 0.2 pts worse	Numerator 68 · Denominator 71
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	0%	25.2% 25.2 pts worse	Numerator 0 · Denominator 38

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.1	2.1 About the same	1.9 0.2 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.3 · Expected 2.1 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.9	2.1 0.2 pts better	1.8 0.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 2.0 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	97.1% 2.9 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	97.9% 2.1 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	1.2%	3.3% 2.1 pts better	3.3% 2.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 1.2% · Q3 1.2% · Q4 1.2% · 4Q avg 1.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	2.7% 2.7 pts better	11.4% 11.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight	0.0%	3.3% 3.3 pts better	5.4% 5.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	7.2%	18.9% 11.7 pts better	19.6% 12.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.3% · Q2 3.9% · Q3 7.9% · Q4 7.7% · 4Q avg 7.2%
Percentage of long-stay residents who received an antipsychotic medication	0.4%	10.8% 10.4 pts better	16.7% 16.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.4% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	6.4%	15.4% 9 pts better	16.3% 9.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.7% · Q2 7.0% · Q3 9.0% · Q4 0.0% · 4Q avg 6.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	4.3%	16.1% 11.8 pts better	14.9% 10.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.8% · Q2 5.7% · Q3 1.4% · Q4 4.2% · 4Q avg 4.3% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.5% 0.5 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	0.8% 0.8 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	2.6%	15.0% 12.4 pts better	19.8% 17.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.3% · Q3 1.3% · Q4 6.3% · 4Q avg 2.6%
Percentage of long-stay residents with pressure ulcers	1.2%	4.2% 3 pts better	5.1% 3.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 0.0% · Q3 1.2% · Q4 2.3% · 4Q avg 1.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	89.7% 10.3 pts better	81.7% 18.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of short-stay residents who had an outpatient emergency department visit	7.8%	12.0% 4.2 pts better	12.0% 4.2 pts better	Short Stay · 20240701-20250630 · Adjusted 7.8% · Observed 8.0% · Expected 11.4% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.5% 1.5 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	100.0%	88.0% 12 pts better	79.7% 20.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	37.0%	25.9% 11.1 pts worse	23.9% 13.1 pts worse	Short Stay · 20240701-20250630 · Adjusted 37.0% · Observed 39.8% · Expected 25.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-29 · Fire 2025-05-29

4 health deficiencies

Top issue: Nutrition and Dietary (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-04-05 · Fire 2024-04-05

1 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

3 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2023-01-27 · Fire 2023-01-27

2 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-04-05

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-04-05

F · Potential for more than minimal harm 2024-04-05

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-04-05

E · Potential for more than minimal harm 2024-04-05

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-04-05

D · Potential for more than minimal harm 2023-01-27

K342 · Smoke Deficiencies

Fire Safety

Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

Corrected 2023-02-03

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-11-25

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-11-26

E · Potential for more than minimal harm 2025-11-25

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-11-26

D · Potential for more than minimal harm 2025-11-25

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2025-11-26

D · Potential for more than minimal harm 2025-05-29

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-06-16

J · Immediate jeopardy 2024-09-05

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-08-30

E · Potential for more than minimal harm 2023-01-27

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-02-10

D · Potential for more than minimal harm 2023-01-27

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2023-02-10

Penalties and ownership

What sits behind the stars

$13,627 2024-09-05

Fine

Fine · fine $13,627

Fine