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Park Manor Of Westchase

📍 11910 Richmond Ave, Houston, TX 77082 📞 (281) 497-2838 🛏️ 125 beds

Inspection History Overview

Detailed Inspection Reports

Notice: These are official CMS inspection narratives containing detailed regulatory findings. This information is not available in searchable format anywhere else online.

February 22, 2025 Health Inspection

Fines and Penalties by Year

2025 1 penalties totaling $16,149

$16,149
Feb 22, 2025

Fine

2021 2 penalties totaling $14,750

$9,750
Nov 10, 2021

Fine

$5,000
Apr 16, 2021

Fine

2020 1 penalties totaling $1,310

$1,310
Jun 22, 2020

Fine

2019 3 penalties totaling $19,038

$8,587
Nov 5, 2019

Fine

$10,451
Jan 25, 2019

Fine

$0
Jan 25, 2019

Payment Denial

2018 1 penalties totaling $8,769

$8,769
Nov 21, 2018

Fine

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Health Violations by Year

2025 9 violations

Tag 0550 D Feb 22, 2025

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Mar 15, 2025
Tag 0640 E Feb 22, 2025

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

✓ Corrected: Mar 15, 2025
Tag 0677 D Feb 22, 2025

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

✓ Corrected: Mar 15, 2025
Tag 0689 J Feb 22, 2025

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Feb 23, 2025
Tag 0690 D Feb 22, 2025

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Mar 15, 2025
Tag 0693 D Feb 22, 2025

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

✓ Corrected: Mar 15, 2025
Tag 0695 D Feb 22, 2025

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Mar 15, 2025
Tag 0761 E Feb 22, 2025

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: Mar 15, 2025
Tag 0880 E Feb 22, 2025

Provide and implement an infection prevention and control program.

✓ Corrected: Mar 15, 2025

2024 1 violations

Tag 0584 D Jan 31, 2024

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.

✓ Corrected: Feb 29, 2024
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2023 13 violations

Tag 0677 D Dec 22, 2023

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

✓ Corrected: Jan 31, 2024
Tag 0690 E Dec 22, 2023

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Jan 31, 2024
Tag 0698 E Dec 22, 2023

Provide safe, appropriate dialysis care/services for a resident who requires such services.

✓ Corrected: Jan 31, 2024
Tag 0686 K Sep 19, 2023

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Sep 26, 2023
Tag 0600 J Sep 1, 2023

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Sep 8, 2023
Tag 0607 J Sep 1, 2023

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Sep 8, 2023
Tag 0609 D Sep 1, 2023

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Sep 8, 2023
Tag 0610 D Sep 1, 2023

Respond appropriately to all alleged violations.

✓ Corrected: Sep 8, 2023
Tag 0656 E Sep 1, 2023

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Sep 8, 2023
Tag 0689 J Sep 1, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Sep 8, 2023
Tag 0777 G Sep 1, 2023

Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.

✓ Corrected: Sep 8, 2023
Tag 0656 D Aug 24, 2023

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Sep 15, 2023
Tag 0695 D Aug 24, 2023

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Sep 15, 2023

2022 3 violations

Tag 0584 D Oct 6, 2022

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.

✓ Corrected: Oct 21, 2022
Tag 0761 D Oct 6, 2022

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: Oct 21, 2022
Tag 0755 D Feb 23, 2022

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Mar 7, 2022
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2021 10 violations

Tag 0880 D Nov 30, 2021

Provide and implement an infection prevention and control program.

✓ Corrected: Jan 3, 2022
Tag 0677 E Nov 10, 2021

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

✓ Corrected: Dec 9, 2021
Tag 0641 D Aug 4, 2021

Ensure each resident receives an accurate assessment.

✓ Corrected: Aug 23, 2021
Tag 0947 E Aug 4, 2021

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

✓ Corrected: Aug 23, 2021
Tag 0600 D Jul 9, 2021

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Jul 30, 2021
Tag 0656 D Jul 9, 2021

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Jul 30, 2021
Tag 0686 D Jul 9, 2021

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Jul 30, 2021
Tag 0883 D Jul 9, 2021

Develop and implement policies and procedures for flu and pneumonia vaccinations.

✓ Corrected: Jul 30, 2021
Tag 0552 D Apr 16, 2021

Ensure that residents are fully informed and understand their health status, care and treatments.

Tag 0880 D Apr 16, 2021

Provide and implement an infection prevention and control program.

2020 7 violations

Tag 0880 F Apr 27, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Jun 8, 2020
Tag 0641 D Feb 3, 2020

Ensure each resident receives an accurate assessment.

Tag 0684 J Feb 3, 2020

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Feb 5, 2020
Tag 0690 D Feb 3, 2020

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Tag 0726 D Feb 3, 2020

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Tag 0812 F Feb 3, 2020

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

Tag 0880 D Feb 3, 2020

Provide and implement an infection prevention and control program.

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2019 15 violations

Tag 0580 G Nov 5, 2019

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Nov 29, 2019
Tag 0583 D Feb 28, 2019

Keep residents' personal and medical records private and confidential.

✓ Corrected: Mar 4, 2019
Tag 0656 D Feb 28, 2019

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Mar 4, 2019
Tag 0690 D Feb 28, 2019

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Mar 9, 2019
Tag 0761 E Feb 28, 2019

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: Mar 4, 2019
Tag 0801 F Feb 28, 2019

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

✓ Corrected: Mar 4, 2019
Tag 0812 F Feb 28, 2019

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

✓ Corrected: Mar 4, 2019
Tag 0814 F Feb 28, 2019

Dispose of garbage and refuse properly.

✓ Corrected: Mar 4, 2019
Tag 0842 D Feb 28, 2019

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Mar 4, 2019
Tag 0558 E Jan 25, 2019

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Jan 28, 2019
Tag 0585 E Jan 25, 2019

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

✓ Corrected: Jan 28, 2019
Tag 0600 G Jan 25, 2019

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Jan 28, 2019
Tag 0609 D Jan 25, 2019

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Jan 28, 2019
Tag 0610 D Jan 25, 2019

Respond appropriately to all alleged violations.

✓ Corrected: Jan 28, 2019
Tag 0842 D Jan 25, 2019

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Mar 4, 2019

2018 15 violations

Tag 0656 E Nov 21, 2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Dec 5, 2018
Tag 0677 E Nov 21, 2018

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

✓ Corrected: Dec 5, 2018
Tag 0677 D Jun 20, 2018

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

✓ Corrected: Jun 25, 2018
Tag 0761 D Jun 20, 2018

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: Jun 25, 2018
Tag 0880 E Jun 20, 2018

Provide and implement an infection prevention and control program.

✓ Corrected: Jun 25, 2018
Tag 0609 E Feb 23, 2018

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Feb 28, 2018
Tag 0610 E Feb 23, 2018

Respond appropriately to all alleged violations.

✓ Corrected: Feb 28, 2018
Tag 0636 F Feb 23, 2018

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

✓ Corrected: Feb 28, 2018
Tag 0645 E Feb 23, 2018

PASARR screening for Mental disorders or Intellectual Disabilities

✓ Corrected: Feb 28, 2018
Tag 0655 E Feb 23, 2018

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: Feb 28, 2018
Tag 0656 F Feb 23, 2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Feb 28, 2018
Tag 0677 E Feb 23, 2018

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

✓ Corrected: Feb 28, 2018
Tag 0689 E Feb 23, 2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Feb 28, 2018
Tag 0758 E Feb 23, 2018

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

✓ Corrected: Feb 28, 2018
Tag 0880 E Feb 23, 2018

Provide and implement an infection prevention and control program.

✓ Corrected: Feb 28, 2018
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