Non profit - Corporation · 108 certified beds · CMS number 675648
Conroe Health Care Center, Conroe, TX
CMS records 20 health deficiencies at Conroe Health Care Center in Conroe, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Apr 11, 2025. The highest severity cited is K (immediate jeopardy to resident health or safety). 1 citation was at the immediate jeopardy level. CMS lists 1 fine totaling $12,860 in the last three years.
- 20deficiencies, 3 cycles (TX median 25)
- 13in the latest cycle (TX median 8)
- Khighest severity · Immediate jeopardy
- $12,860fines, last 3 years
- 2CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Conroe Health Care Center as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Conroe Health Care Center may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (13 deficiencies)
Standard inspection Apr 11, 2025. CMS counts 13 health deficiencies and 2 fire safety deficiencies in this cycle.
Apr 11, 2025 · Standard inspection
13 deficiencies, highest G
F921 · Safe, functional, sanitary building
Requirement cited (CMS): Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 2, 2025
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 2, 2025
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 2, 2025
F760 · No significant medication errors
Requirement cited (CMS): Ensure that residents are free from significant medication errors.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 2, 2025
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 2, 2025
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 2, 2025
F686 · Pressure ulcer prevention and care
Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Severity
- G Actual harm (not immediate jeopardy), isolated
- Status
- Correction date May 2, 2025
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 2, 2025
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 2, 2025
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 2, 2025
F584 · Safe, clean, homelike surroundings
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 2, 2025
F583 · Personal privacy and confidential records
Requirement cited (CMS): Keep residents' personal and medical records private and confidential.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date May 2, 2025
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 2, 2025
Previous cycle: 4 deficiencies (standard inspection Feb 1, 2024)
Standard inspection Feb 1, 2024. CMS counts 4 health deficiencies and 4 fire safety deficiencies in this cycle.
Nov 14, 2024 · Complaint inspection
1 deficiency, highest K
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Nov 21, 2024
Feb 1, 2024 · Standard inspection
3 deficiencies, highest E
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 23, 2024
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 23, 2024
F700 · Bed rail safety
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 23, 2024
Earlier cycle: 3 deficiencies (standard inspection Nov 9, 2022)
Standard inspection Nov 9, 2022. CMS counts 3 health deficiencies and 2 fire safety deficiencies in this cycle.
Nov 9, 2022 · Standard inspection
3 deficiencies, highest D
F760 · No significant medication errors
Requirement cited (CMS): Ensure that residents are free from significant medication errors.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 25, 2022
F692 · Nutrition and hydration
Requirement cited (CMS): Provide enough food/fluids to maintain a resident's health.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 25, 2022
F658 · Professional standards in care
Requirement cited (CMS): Ensure services provided by the nursing facility meet professional standards of quality.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 25, 2022
Tags cited in more than one inspection
3 tags cited on more than one inspection date at Conroe Health Care Center; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F755 Pharmacy services and a consultant pharmacist | 2 | Apr 11, 2025; Feb 1, 2024 |
| F760 No significant medication errors | 2 | Apr 11, 2025; Nov 9, 2022 |
| F761 Drug labeling and secure storage | 2 | Apr 11, 2025; Feb 1, 2024 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Nov 14, 2024 | Fine | $12,860 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.64 h (above the Texas median of 3.27 h)
- RN hours per resident per day
- 0.51 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 3.45 h
- Nursing staff turnover
- 52.6% (Texas median 52.1%)
- Administrators who left
- 0
- CMS overall rating
- 2 of 5
- Health inspection rating
- 2 of 5
- Staffing rating
- 2 of 5
- Quality measure rating
- 3 of 5
CMS figures for Conroe Health Care Center, copied as published; Texas medians are ours.
Facility details
- Address
- 2019 N Frazier, Conroe, TX 77301
- Phone
- (936) 441-2120
- County
- Montgomery
- Accepts
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Chain (CMS)
- Health Services Management
- Certified beds
- 108
- Average residents per day
- 88.8
- In Medicare/Medicaid since
- Nov 14, 1996
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How are new medication orders filled, and how quickly can urgent medications arrive? (F755, cited 2 times)
- What happens when a medication error is discovered, and who is notified? (F760, cited 2 times)
- How are medications stored and secured on each unit? (F761, cited 2 times)
- How do staff learn about and respect each resident's personal routines and choices? (F550, cited 1 time)
Other nursing homes in Conroe and the same chain
- Woodland Manor Nursing and Rehabilitation
Conroe · 26 deficiencies - The Brightpointe
Conroe · 13 deficiencies - Park Manor of Conroe
Conroe · 7 deficiencies - Richmond Health Care Center
Richmond · 23 deficiencies - College Street Health Care Center
Beaumont · 22 deficiencies - West Janisch Health Care Center
Houston · 20 deficiencies - Liberty Health Care Center
Liberty · 19 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.