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BAYOU MANOR

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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

5/5

Health Inspection

5/5

Staffing

5/5

Quality Measures

4/5

Long-Stay Quality

2/5

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)

E — Pattern - Minimal harm Nov 10, 2025 Tag: 0755

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

D — Isolated - Minimal harm Aug 15, 2024 Tag: 0755

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

E — Pattern - Minimal harm Jun 15, 2023 Tag: 0812

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

E — Pattern - Minimal harm Jun 15, 2023 Tag: 0757

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Category: Pharmacy Service Deficiencies

Corrected: Jul 15, 2023

E — Pattern - Minimal harm Jun 15, 2023 Tag: 0756

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

Frequently Asked Questions

What is the overall CMS rating for BAYOU MANOR?
BAYOU MANOR has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (5★), staffing levels (5★), and quality measures (4★).
What are the staffing levels at BAYOU MANOR?
BAYOU MANOR reports 6.04 total nursing hours per resident day (national average: 3.89). RN hours are 0.85 per resident day (national average: 0.68). Nursing staff turnover is 24.4%.
How many beds does BAYOU MANOR have?
BAYOU MANOR has 37 certified beds with approximately 32 residents. The facility is located at 4141 S BRAESWOOD BLVD, HOUSTON, TX 77025.
Does BAYOU MANOR have any deficiencies on record?
Yes, BAYOU MANOR has 5 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has BAYOU MANOR received any fines or penalties?
Yes, BAYOU MANOR has received 12 penalties totaling $57K.
Who owns BAYOU MANOR?
BAYOU MANOR is classified as "Non profit - Corporation" ownership. The facility type is "Medicare".
When was BAYOU MANOR last inspected?
The most recent health inspection for BAYOU MANOR was on Dec 11, 2025. The facility received a health inspection rating of 5 out of 5 stars.
What quality measures are tracked for BAYOU MANOR?
BAYOU MANOR is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

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.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial