Bayou Manor
4141 S Braeswood Blvd, Houston, TX 77025 · Harris County · (713) 666-2651
37 certified beds, about 34 residents a day · Non profit - Corporation · Medicare since 2011
CMS high performing icon Part of a continuing care retirement community Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 676282 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on December 11, 2025, inspectors cited 1 health deficiency (the Texas average is 9.4, the national average 9.2).
None of its 7 health citations since June 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 5.28 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.77 of those hours.
27.9% of nursing staff left within the year CMS measured (Texas average 55.3%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
306/23
108/24
111/25
112/25
105/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 7 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
3D
4E
0F
Potential for minimal harm
0A
0B
0C
May 19, 2026Complaint inspection · 1 citation
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on interview and record review, the facility failed to develop and implement a comprehensive person-centered care plan for the residents, consistent with residents' rights, that include measurable objectives and timeframes to meet the residents' medical, nursing, mental and psychological needs, for 1 (Resident # 1) of 6 residents reviewed for comprehensive person-centered care plan. The MDS Coordinator failed to develop a comprehensive person-centered care plan for Resident # 1 within the timeframe and measurable objective for Resident # 1 who was a fall risk and had actual falls on 05/17/2026 and 05/18/2026. This failure could place residents at risk for recurrent falls by not having their needs met.
December 11, 2025Standard inspection · 1 citation
- D 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.
Inspectors wroteBased on observations, interviews, and record reviews the facility failed to label drugs and biologicals used in the facility in accordance with currently accepted professional principles, and include the appropriate accessory and cautionary instructions, and the expiration date when applicable for two medications cart (300 hall nurses cart and 300 hall Medication Aides cart) of the facility's four medication carts reviewed for medication storage. The facility failed to ensure IV fluids were labeled and dated before administering the fluids to Resident#1. The facility failed to ensure that an opened bottle of acidophilus was dated and stored in the refrigerator. The facility failed to ensure that an opened bottle of vitamin B 1 100mg was dated after opening and before storing in the 300-hall nurses medication cart. [...]
November 10, 2025Complaint inspection · 1 citation
- E Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on interview and record review, the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of one resident (CR #1) of four residents reviewed for medication administration. -CR #1 had an order for an extended-release anti-Parkinsonism medication but was given the regular-release medication instead.-The error was repeated for one month before the resident's family member discovered the error. The failure placed residents at risk for health conditions not being adequately treated. Findings Include:Record review of the admission Record for CR #1 revealed she was [AGE] years old and was admitted to the facility on [DATE]. [...]
August 15, 2024Standard inspection · 1 citation
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, interview and record review the facility failed to provide pharmaceutical services, including procedures that assured the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals, to meet the needs of each resident for 1 of 4 residents (Resident #26) reviewed for pharmacy services. The facility failed to administer the physician prescribed decreased dose of Amlodipine (a medication used to lower blood pressure) for Resident #26's peripheral edema (swelling of lower legs or hands). This failure could place residents at risk of unwanted side effects and inadequate therapeutic outcomes.
June 15, 2023Standard inspection · 3 citations
- E Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on interview and record review, the facility failed to ensure an irregularity noted by the pharmacist was acted upon for 1 (Resident #4) of 6 residents reviewed for pharmacy review. The facility failed to ensure: 1. The pharmacist's Physician Notification Letter dated 03/07/2023 reflected Resident #4 had a routine order for a medication (Robitussin Nighttime DM [Dextromethorphan]) that was not recommended for routine use in the elderly. 2. The pharmacist's Physician Notification Letter dated 05/09/2023 reflected Resident #4 was still receiving the medication routinely as of 6/14/23. The physician signed the 05/09/2023 letter, agreeing to discontinue the routine administration of the medication . These failures could place residents at risk for complications resulting from receiving a medication contraindicated for routine use. Findings Include: [...]
- E Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure one resident (Resident #4) of 6 residents reviewed for pharmacy services had a drug regimen that was free from an unnecessary drug, which was administered for an excessive duration. The facility failed to ensure: 1. The pharmacist's Physician Notification Letter dated 03/07/2023 reflected Resident #4 had a routine order for a medication (Robitussin Nighttime DM [Dextromethorphan]) that was not recommended for routine use in the elderly. 2. The pharmacist's Physician Notification Letter dated 05/09/2023 reflected Resident #4 was still receiving the medication routinely as of 6/14/23. The physician signed the 05/09/2023 letter, agreeing to discontinue the routine administration of the medication. 3. [...]
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and record review, the facility failed to store food in accordance with professional standards for food service safety. The facility failed to ensure: -Previously opened frozen foods were not sealed or labeled with the date they were opened. -Previously opened refrigerated foods were not sealed or labelled with the date they were opened. -Non-perishable foods in the pantry were not labelled with the date they were opened. The failure placed residents at risk for food-borne illness associated with improper food storage.
Fire safety inspections
4 fire safety citations on file: 1 on December 11, 2025, 2 on August 15, 2024, 1 on June 15, 2023.
Every fire safety citation4 citations
- E Have simulated fire drills held at unexpected times.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Inspect, test, and maintain automatic sprinkler systems.
- E Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Texas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 5.28 | 3.39 | 3.86 |
| Registered nurses | 0.77 | 0.43 | 0.69 |
| All nursing staff on weekends | 4.83 | 2.98 | 3.42 |
| Nurse aides | 3.48 | ||
| Licensed practical nurses | 1.02 | ||
| Nursing staff turnover (share who left in a year) | 27.9% | 55.3% | 45.8% |
| Registered nurse turnover | 50.0% | 54.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.76 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.45 on weekdays and 4.83 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.46 in April to June 2025 to 5.28 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 5.28 | 0.77 | 5.45 | 4.83 | 2.0% | 0 of 90 | 34 |
| Oct to Dec 2025 | 6.37 | 0.87 | 6.56 | 5.88 | 0.9% | 0 of 92 | 28 |
| Jul to Sep 2025 | 6.04 | 0.85 | 6.20 | 5.65 | 0.4% | 0 of 92 | 32 |
| Apr to Jun 2025 | 5.46 | 0.85 | 5.53 | 5.27 | 1.9% | 0 of 91 | 33 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Texas, Jan to Mar 2026 | 3.33 | 0.40 | 3.50 | 2.93 | 2.2% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Texas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 5.8 | 15.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 4.9 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.4 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.3 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.5 | 1.6 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 10.3 | 3.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 21.4 | 9.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 28.0 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 3.4 | 12.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.0 | 2.2 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.6 | 2.1 | 1.8 |
Owners and operators
Legal business name: BRAZOS PRESBYTERIAN HOMES INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Darden, Sharon | Corporate director | Individual | 01/01/2022 | |
| Gans, Andy | Corporate director | Individual | 01/01/2018 | |
| Hartman, John | Corporate director | Individual | 01/01/2018 | |
| Hudson, John | Corporate director | Individual | 01/01/2021 | |
| Lakin, Judy | Corporate director | Individual | 01/01/2026 | |
| Leathers, Richard | Corporate director | Individual | 01/01/2013 | |
| Lemen, John | Corporate director | Individual | 01/01/2017 | |
| McPhail, Suzanne | Corporate director | Individual | 01/01/2018 | |
| Redden, Kathleen | Corporate director | Individual | 01/01/2011 | |
| Wennenweser, Jeanette | Corporate director | Individual | 01/01/2015 | |
| Braly, Locke | Corporate officer | Individual | 01/01/2025 | |
| Elledge, David | Corporate officer | Individual | 01/01/2025 | |
| Kinsey, Deidre | Corporate officer | Individual | 09/01/2024 | |
| Nash, Jeffrey | Corporate officer | Individual | 04/29/2026 | |
| Nunn, Richard | Corporate officer | Individual | 01/01/2015 | |
| Cummings, Michael | Operational/managerial control | Individual | 12/15/2025 | |
| Kinsey, Deidre | Operational/managerial control | Individual | 09/01/2024 | |
| Camacho-Acevedo, Roberto | Adp of the SNF | Individual | 02/26/2024 | |
| Cummings, Michael | Adp of the SNF | Individual | 02/02/2026 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 5 problems in this area, most recently on December 11, 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."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on May 19, 2026: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on June 15, 2023: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
Other nursing homes nearby
- Holly Hall Houston, 2.6 mi · 3 of 5 stars · 24 citations
- Paradigm at Westbury Houston, 2.7 mi · 1 of 5 stars · 42 citations
- Garden Terrace Healthcare Center of Houston Houston, 3.1 mi · 2 of 5 stars · 24 citations
- The Methodist Hospital SNF Houston, 3.2 mi · 5 of 5 stars · 2 citations
- Seven Acres Jewish Senior Care Services Houston, 3.3 mi · 4 of 5 stars · 14 citations
- Brookdale Galleria Houston, 3.6 mi · 3 of 5 stars · 27 citations
- St. Dominic Village Rehabilitation and Nursing Cent Houston, 3.9 mi · 1 of 5 stars · 14 citations
- Avir at Orem Houston, 4.2 mi · 4 of 5 stars · 19 citations
Texas contacts for a concern about a nursing home
These are the official offices in Texas. NursingHomeClear cannot take or act on complaints.
- Resident advocate: Texas Office of the State Long-Term Care Ombudsman, 800-252-2412. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
Common questions
- What is Bayou Manor's Medicare star rating?
- CMS rates Bayou Manor 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Bayou Manor get at its last inspection?
- 1 health deficiency at the standard inspection on December 11, 2025. The Texas average is 9.4.
- Has Bayou Manor been fined?
- CMS lists no fines in the last three years.
- Does Bayou Manor accept Medicaid?
- CMS lists it as "Medicare", so it is not certified for Medicaid.
- Who owns Bayou Manor?
- CMS lists 19 owners and managers. Legal business name: BRAZOS PRESBYTERIAN HOMES INC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.