BAYOU MANOR
Open-data reference.
BAYOU MANOR is a non profit - corporation facility in HOUSTON, TX with 37 certified beds and a 5-star overall CMS rating. The facility has 5 deficiency records on file. Total penalties: $57K.
4141 S BRAESWOOD BLVD, HOUSTON, TX 77025
Phone: 7136662651
Overall Rating
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 676282
- Ownership
- Non profit - Corporation
- Provider Type
- Medicare
- Beds
- 37
- Residents
- 32
- In Hospital
- No
- County
- Harris
- Last Inspection
- Dec 11, 2025
Staffing Data
- RN Hours
- 0.85 (nat'l avg: 0.68)
- LPN Hours
- 1.10
- CNA Hours
- 4.10
- Total Nursing Hours
- 6.04 (nat'l avg: 3.89)
- PT Hours
- 0.11
- Nursing Turnover
- 24.4%
- RN Turnover
- 20.0%
What the CMS Record Reveals About BAYOU MANOR
BAYOU MANOR operates 37 certified beds in HOUSTON, TX with approximately 32 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (5★), staffing levels (5★), and quality measures (4★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
The inspection file contains 5 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 12 penalties totaling $57K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 6.04 total nursing hours per resident day (national average 3.89), with RN coverage at 0.85 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.
Classified as "Non profit - Corporation" ownership and operating as a "Medicare" provider, BAYOU MANOR falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 24.4%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.
Deficiency History (5 most recent)
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Category: Pharmacy Service Deficiencies
Corrected: Dec 15, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Category: Pharmacy Service Deficiencies
Corrected: Oct 1, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Jul 15, 2023
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Category: Pharmacy Service Deficiencies
Corrected: Jul 15, 2023
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Category: Pharmacy Service Deficiencies
Corrected: Jul 15, 2023
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 3.6% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 3.4% | No |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 7.6% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | Yes |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 0.0% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.9% | Yes |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 95.1% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 86.8% | No |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | N/A | Yes |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 27.4% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 85.0% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 62.2% | No |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 11.1% | Yes |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 13.2% | No |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 28.9% | Yes |
Penalty History 12 penalties totaling $57K
| Date | Type | Amount |
|---|---|---|
| Aug 14, 2023 | Fine | $5K |
| Aug 7, 2023 | Fine | $5K |
| Jul 17, 2023 | Fine | $14K |
| Jun 26, 2023 | Fine | $5K |
| Jun 20, 2023 | Fine | $5K |
| Jun 12, 2023 | Fine | $4K |
| Jun 5, 2023 | Fine | $4K |
| May 30, 2023 | Fine | $4K |
| May 23, 2023 | Fine | $3K |
| May 15, 2023 | Fine | $3K |
| May 8, 2023 | Fine | $2K |
| Apr 17, 2023 | Fine | $5K |
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County Health Data
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Frequently Asked Questions
What is the overall CMS rating for BAYOU MANOR?
What are the staffing levels at BAYOU MANOR?
How many beds does BAYOU MANOR have?
Does BAYOU MANOR have any deficiencies on record?
Has BAYOU MANOR received any fines or penalties?
Who owns BAYOU MANOR?
When was BAYOU MANOR last inspected?
What quality measures are tracked for BAYOU MANOR?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.
Read our methodology — how this data is sourced, computed, and verified.