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Home / Texas / Houston

Park Manor of Westchase

11910 Richmond Ave, Houston, TX 77082 · Harris County · (281) 497-2838

125 certified beds, about 105 residents a day · For profit - Corporation · Medicare and Medicaid since 2005

Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 676059 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on April 9, 2026, inspectors cited 4 health deficiencies (the Texas average is 9.4, the national average 9.2).

Of 30 health citations since September 2023, 7 were rated as actual harm or immediate jeopardy to residents (6 immediate jeopardy).

CMS lists 2 fines totaling $33,494 in the last three years; the largest was $17,345, and the latest is dated February 9, 2026.

Nurses and nurse aides worked 3.25 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.38 of those hours.

39.6% of nursing staff left within the year CMS measured (Texas average 55.3%).

CMS links it to Hmg Healthcare, an affiliated group of 31 nursing homes.

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.

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 30 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
5J
1K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
13D
10E
0F
Potential for minimal harm
0A
0B
0C
June 13, 2026Complaint inspection · 1 citation
  1. D
    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
    F627 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 14, 2026
    Inspectors wrotePurpose: P1 Complaint Investigation Date: 6/2/2026 Intake: 1093120 [3030810] Census: 99 Abbreviations:Admin-AdministratorADL-Activities Daily LivingBIMS-Brief Interview for Mental StatusBOM-Business Office ManagerCNA-Certified Nurse AssistantC/O-Complaints OfCR-Closed RecordCVA-Cerebral Vascular AccidentDME-Durable Medical EquipmentDON- Director of NursingDX-DiagnosisFM-Family MemberHHC-Home Health CareHO-History OfHTN-HypertensionHX-HistoryIDT-Interdisciplinary TeamLTC-Long Term CareLVN - Licensed Vocational NurseMD-Medical DoctorMDS- Minimum Data SetNOMNC-Notice of Medicare Non-CoverageNP-Nurse PractitionerOT-occupational TherapyPCC-Point Click CarePCP-Primary Care PhysicianPRN- Pro Re NataPT-Physical TherapyROM- Range of MotionR/T-Related ToS/S-Signs and SymptomsSW-Social WorkerTrans-TransportationWC-WheelchairBased on record review and interviews, the facility failed to provide and [...]
April 9, 2026Standard inspection · 4 citations
  1. E
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 9, 2026
    Inspectors wroteBased on observation, interview and record reviews the facility failed to ensure the resident had the right to reside and receive services in the facility with reasonable accommodation of resident needs and preferences except when to do so would endanger the health or safety of the resident or other residents for 2 of 12 residents (Resident #6 and #107) reviewed for call light placement. The facility failed to ensure Resident #6's call light was within reach on 04/07/2026, while he was asleep in bed. The facility failed to ensure Resident #107's call light was within reach on 04/07/2026 and 04/08/2026, while he was lying in bed. These failures could place residents at risk of not receiving immediate assistance when needed.
  2. E
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    F640 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 9, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure withing 14-days the facility completed a resident assessment, and electronically transmitted encoded, accurate, and complete MDS data to the CMS System for 2 of 5 closed records (CR #10 and CR #25) reviewed for MDS transmission. The facility failed to ensure CR #10's admission MDS assessment was completed and transmitted within 14 days of CR's entry. The facility failed to ensure CR #25's admission MDS assessment was completed and transmitted within 14 days of CR's admission. Thess failures could place residents at risk of not having assessments completed and submitted in a timely manner as required.
  3. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 9, 2026
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure the resident environment remained as free of accident hazards as was possible for 2 of 8 (Resident #21 and Resident #33) resident rooms reviewed for accident hazards. The facility failed to ensure mouthwash, hand sanitizer, lotion, hair products and bath wash were properly stored and not out in the open in Resident #21's room on 04/07/2026, 04/08/2026, and 04/09/2026. The facility failed to ensure mouth wash, lotion and hair products were properly stored and not out in the open in Resident #33's room on 04/07/2026, 04/08/2026, and 04/09/2026. These failures could place residents at risk of injury due to unnecessary access to potentially harmful substances.
  4. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 9, 2026
    Inspectors wroteBased on observation, and interviews the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety and nutrition services for facility residents.1. The facility failed to ensure food items were properly labeled and dated in the Resident Guest Refreshment Room, located on 400 hall.2. The facility failed to ensure foods were properly sealed in the Resident Guest Refreshment Room, located on 400 hall.3. The facility failed to ensure the Resident Guest Room, on 400 hall did not present with a foul odor. These failures could place residents at risk of foodborne illness and disease.
February 9, 2026Complaint inspection · 1 citation
  1. J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on interview, and record reviews, the facility failed to ensure each resident received adequate supervision to prevent accidents for 1 of 5 residents (CR #1) reviewed for supervision. The facility failed to provide sufficient supervision to CR#l on 01/31/2026 at 8:00pm, he was located at approximately 7:00 AM on 02/01/2026, approximately 7 miles from the facility, in the parking lot of a local Emergency Care Center. Upon discovery, CR #1 had sustained a laceration to his right eye, suspected to be from a fall. CR #1 required hospitalization from 02/01/2026 through 02/02/2026. These failures could result in residents not receiving appropriate supervision leading to elopement, injuries, hospitalization, or death. The noncompliance was identified as PNC. The noncompliance began on 01/31/2026 and ended on 02/02/2026. The facility had corrected the noncompliance before the survey began. [...]
June 11, 2025Complaint inspection · 1 citation
  1. D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 30, 2025
    Inspectors wroteBased on interview and record review the facility failed to develop and implement a baseline for each resident that included instructions needed to provide effective and person-centered care for the resident that met professional standards of care within 48 hours of the resident's admission for 1 of 5 residents ( Resident # 1) reviewed for care plans. The facility failed to develop a comprehensive care plan which addressed and included measurable objectives and timeframes related to Resident # 1's pressure wound of the left lateral thigh (a position or direction that is away from the midline or middle of the body) thigh which she had since her admission 4/24/2025. This deficient practice could affect any resident and contribute to residents not having their needs met according to their assessment.
February 22, 2025Standard inspection, Complaint inspection · 9 citations
  1. J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · Corrected (the home has a date of correction) February 23, 2025
    Inspectors wroteBased on interview and record review the facility failed to ensure the resident environment remained as free of accident hazards as possible and that each resident received adequate supervision and assistance devices to prevent accidents for 1 out of 23 residents (CR #1) reviewed for adequate supervision. -CR #1 left the faciity on [DATE] on pass and did not return. The facility did not know where he was and did not make attempts to locate CR#1. This deficiency exposed residents living in the facility to potential harm, injury or death due to not being adequately monitored. An Immediate Jeopardy (IJ) was identified on 02/21/2025. The IJ template was provided to the facility on [DATE] at 11:13am. While the IJ was removed on 02/21/2025 at 1:40pm with the Administrator, DON, and Regional VP of Operations. [...]
  2. E
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    F640 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) March 15, 2025
    Inspectors wroteBased on Record review and interview, the facility failed to transmit encoded, accurate, and complete MDS data to the CMS System within 14 days after a facility completes the resident's assessment for 2 out of 3 residents, (CR #96 and CR #97) reviewed for MDS transmission. -The facility failed to transmit a completed Discharge MDS assessment for CR #96 within 14 days of completion. -The facility failed to transmit a completed Discharge MDS assessment for CR #97 within 14 days of completion. These failures could place residents at-risk of not having their assessment completed and submitted timely, which could result in denial of services and or payment for services.
  3. E
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 15, 2025
    Inspectors wroteBased on observation and interview the facility failed to ensure drugs and biologicals used in the facility were labeled in accordance with professional principles, and included the appropriate accessory and cautionary instructions, and the expiration date when applicable for and 3 (shared medication cart between Hall 100 and 400, 200 and 300 ) of 6 medication carts reviewed for medication storage. - The facility failed to ensure the 200,300, shared 100 and 400 hall medication carts did not contain eyedrops, ointment, and nasal spray that were opened but not labeled with the resident's name and not dated. This failure could place residents at risk of adverse medication reactions and infections. Findings Include: During observation on 02/19/25 at 2:50 PM, the following medications were found in the medication carts for 200 hall with LVN AA: [...]
  4. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 15, 2025
    Inspectors wroteBased on observation, interview and record review the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 3 of 4 residents (Resident #31, Residents #41 and Resident #76) reviewed for infection control practices. - The facility failed to ensure CNA C followed proper infection control and hand hygiene for Resident #31 during Foley and incontinent care. - CNA AA did not utilize appropriate hand hygiene during Foley catheter care for Resident #41 - CNA AA did not utilize appropriate hand hygiene during incontinent for Resident #41 - The facility failed to ensure CNA F Donned proper PPE while providing incontinent care for Resident # 76 who was in enhanced barrier precaution isolation. [...]
  5. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 15, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to treat each resident with respect and dignity and care for each resident in a manner and in an environment that promotes maintenance or enhancement of his or her quality of life for 1 of 21 (Resident #44) residents for dignity. -RT A pushed Resident #44 into the dining room with his catheter bag strapped onto his leg which had urine in it and was exposed with no privacy cover. This failure could put residents at risk of psychosocial distress from failure to protect their dignity.
  6. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 15, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a resident who was unable to carry out activities of daily living (ADLs) received the necessary services to maintain nutrition, grooming and personal and oral hygiene for 1 of 5 residents (Resident #31) reviewed for ADLs. The facility failed to ensure Resident #31was provided personal grooming (facial hair on the chin and under the chin) by facility staff. This failure could place residents at risk for not receiving the assistance needed for daily care and services
  7. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 15, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents who were incontinent of bladder received appropriate treatment and services to prevent urinary tract infections and to restore continence to the extent possible for 1 of 3 residents (Resident #31) reviewed for incontinent care. The facility failed to ensure CNA C did not place foley bag on Resident #31's bed during foley care. The facility failed to ensure CNA C properly cleaned Resident #31during incontinent care. This failure could place residents at risk for pain, infection, injury, and hospitalization.
  8. D
    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.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 15, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide care and services to prevent complications for 1 of 3 residents reviewed with gastrostomy tubes. (g-tubes) (Resident #76) CNA F did not inform the nurse to turn off Resident #76's gastrostomy tube feeding prior to providing care. CNA F lowered the head of Resident #76's bed to a flat position for incontinent care while the g-tube feeding continued to infuse. This failure could place residents with g- tubes at risk for complications, aspiration, and pneumonia.
  9. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 15, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that a resident who needed respiratory care and services, including oxygen administration was provided such care, consistent with professional standards of practice for 1 of 3 residents (Resident #81) reviewed for respiratory therapy in that: The facility failed to ensure Resident #81's oxygen was set according to physician orders. This failure could place residents at risk of respiratory distress.
June 6, 2024Complaint inspection · 2 citations
  1. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 8, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure Residents who are incontinent of bowel received appropriate treatment and services to prevent urinary tract infections for 1of 7 residents (Resident #3) reviewed for incontinent care in that: -Resident #3 did not receive incontinent care that followed infection control protocols. CNA A did not follow acceptable hand-sanitizing practices during incontinent care for Resident #3. These failures placed residents requiring incontinent care at risk of infections with the potential for complications and hospitalization.
  2. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 8, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to establish, and maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 3 of 7 residents (Residents #3, #5 and #9) reviewed for infection control procedures in that: -CNA A did not use an alcohol-based sanitizer between changing gloves while providing incontinent care to Resident #3. -LVN A did not clean Resident #5's peri-wound (the area around a wound) before applying dressing during wound care. -LVN A did not remove his gown and gloves after leaving Resident B's room and came back in again and continued providing care to Resident #5. [...]
January 31, 2024Complaint inspection · 1 citation
  1. D
    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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 29, 2024
    Inspectors wroteBased on observations and interviews, the facility failed to provide a safe, functional, sanitary, and comfortable environment for 2 of 6 (Resident #2 and Resident #4) residents reviewed for environmental concerns in that: The facility failed to provide a safe, clean and sanitary restroom for Resident #2 on 01/31/24. The facility failed to provide a safe, clean and sanitary resident room for Resident #4 on 01/31/24. These failures place residents at risk of infection and safety hazards due to an unsafe, unsanitary and uncomfortable environment.
December 22, 2023Standard inspection, Complaint inspection · 3 citations
  1. E
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 31, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents who were incontinent of bladder received appropriate treatment and services to prevent urinary tract infections and to restore continence to the extent possible for 3 of 4 residents (Resident #87, Resident #27, and Resident #80) reviewed for incontinent care. - The facility failed to ensure Resident #87's privacy bag, foley bag and tubing were not placed on the floor. - The facility failed to ensure Resident # 27's privacy bag, foley bag and tubing were not touching the floor, and LVN O followed appropriate procedure and infection control during foley care for Resident #27. - The facility failed to ensure CNA J cleaned Resident #80 completely during incontinent care. These failures could place residents at risk for pain, infection, injury, and hospitalization.
  2. E
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) January 31, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure dialysis service were provided consistently with professional standards of practice for 1 of 3 resident reviewed for dialysis services. (Resident #244) The facility failed to consistently document Resident #244's dialysis communication form. This failure could place residents who received dialysis at risk for complications and not receiving proper care and treatment to meet their needs.
  3. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 31, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a resident who was unable to carry out activities of daily living (ADLs) received the necessary services to maintain nutrition, grooming and personal and oral hygiene for 1 of 4 residents (Resident #80) reviewed for ADLs. The facility failed to ensure Resident #80 was provided incontinent care in a timely manner, causing her incontinent brief and linen saturated with urine. This failure could place residents at risk for discomfort, infection, and dignity issues.
September 19, 2023Complaint inspection · 1 citation
  1. K
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · Immediate jeopardy to resident health or safety, pattern · found on a complaint visit · Corrected (the home has a date of correction) September 26, 2023
    Inspectors wroteBased on observation, interview and record review, facility failed to ensure residents received treatment and care in accordance with professional standards of practice to promote healing, prevent infection and prevent new ulcers from developing for three (CR #1, Resident #2, and Resident #3) of three residents reviewed for treatment of pressure ulcer. The facility failed to ensure CR #1, Resident #2, and Resident #3, received treatment and care in accordance with professional standards of practice, The facility failed to provide daily wound care for CR #1, Resident #2, and Resident #3, resulting in re-infection of wounds, hospitalization, and amputation of CR #1's right foot. Wounds were getting infected and some of the pressure ulcers increased in size and not improving. [...]
September 1, 2023Complaint inspection · 7 citations
  1. J
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 8, 2023
    Inspectors wroteBased on interview and record review, the facility failed to ensure the resident's right to be free from neglect for 1 of 20 residents (CR #1) reviewed for neglect. - The facility failed to ensure CR #1 had adequate supervision to prevent an accident on [DATE] which resulted in a fall with major injury (left femur fracture) requiring surgery on [DATE]. CR #1 passed away on [DATE] after being released back to the facility from the hospital. The facility failed to read and notify the NP accurately of X-Ray results of CR #1's impression of left femur fracture. - The facility failed to update CR #1's care plan and put interventions in place after continued falls. The facility failed to adequately educate staff on caring for residents with high risk for fall. - An Immediate Jeopardy (IJ) was identified on [DATE] at 5:23 PM. [...]
  2. J
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 8, 2023
    Inspectors wroteBased on interview and record review, the facility failed to implement policies and procedures that prohibit and prevent abuse, neglect, and exploitation of residents for 1 of 20 residents CR #1(Closed Record) reviewed for abuse and neglect policies. The facility failed to ensure CR #1 had adequate supervision to prevent an accident which resulted in a fall with major injury (left femur fracture) requiring surgery on [DATE]. The facility failed to read and notify the NP accurately of X-Ray results of CR #1's impression of left femur fracture resulting in delayed treatment. The facility failed to update CR #1's care plan and put interventions in place after continued falls, An Immediate Jeopardy (IJ) was identified on [DATE] at 5:23 PM. [...]
  3. J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 8, 2023
    Inspectors wroteBased on interview and record review, the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for 1 of 20 residents (CR #1 (Closed Record)) reviewed for free of accidents, hazards, supervision, and devices., in that: The facility failed to ensure CR #1 had adequate supervision to prevent an accident on [DATE] which resulted in a fall with major injury (left sub-capital femoral neck fracture that resulted to him having surgery) on [DATE]. CR #1 declined and passed away on [DATE] after being released back to the facility from the hospital. The Facility failed to implement interventions after each incident of fall for CR #1 on, [DATE], [DATE] and [DATE], An Immediate Jeopardy (IJ) was identified on [DATE] at 5:23 PM. [...]
  4. G
    Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
    F777 · Administration · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 8, 2023
    Inspectors wroteBased on observation, interview, and record review the facility failed to promptly notify the ordering physician, physician assistant, nurse practitioner, or clinical nurse specialist of results that fall outside of clinical reference ranges in accordance with facility policies and procedures for notification of a practitioner or per the ordering physician order for 1 (CR #1) of 20 residents reviewed for radiology services in that: -The facility failed to report CR#1's ( Closed Record) x-ray results of a fracture of the left hip, femur, in a prompt manner. CR #1 fell on [DATE] at 2:00 PM, X-Ray done and NP got result on [DATE] and CR #1 transferred to hospital at 1:13 PM on [DATE] - CR #1 had a hip fracture that had delayed treatment which caused harm to the resident. [...]
  5. E
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) September 8, 2023
    Inspectors wroteBased on interview and record review the facility failed to revise the comprehensive care plan for 1 of 5 residents (CR #1) reviewed for care plans in that: -- CR #1's care plan was not revised by staff after multiple falls and a fall with injury. Interventions in place were not current and updated on the plan of care. This failure affected 1 resident and placed an additional 20 residents with falls at risk of not having their individually assessed needs met to prevent further falls and to prevent resident injury, hospitalizations, and deaths.
  6. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 8, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure allegations of abuse and neglect are thoroughly investigated and report results of the investigation to the stage agency within 5 working days of the incident for 1 of 5 residents (Resident #19) reviewed for allegations of neglect as evidence by: The facility did not complete an investigation regarding Resident #19's complaint and report the findings to the agency within 5 working days. This failure could place residents at the facility in jeopardy of having their complaints and concerns reported and investigated for potential mental, physical, or emotional abuse.
  7. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 8, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure allegations of abuse and neglect are thoroughly investigated and report results of the investigation to the stage agency within 5 working days of the incident for 1 of 5 residents (Resident #19) reviewed for allegations of neglect as evidence by: The facility did not complete an investigation regarding Resident #19's complaint and report the findings to the agency within 5 working days. This failure could place residents at the facility in jeopardy of having their complaints and concerns reported and investigated for potential mental, physical, or emotional abuse.

Fire safety inspections

11 fire safety citations on file: 9 on April 9, 2026, 2 on December 22, 2023.

Every fire safety citation11 citations
  1. F
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · April 9, 2026 · Corrected (the home has a date of correction)
  2. F
    Provide properly protected cooking facilities.
    K 324 · April 9, 2026 · Corrected (the home has a date of correction)
  3. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · April 9, 2026 · Corrected (the home has a date of correction)
  4. F
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · April 9, 2026 · Corrected (the home has a date of correction)
  5. F
    Have properly installed electrical wiring and gas equipment.
    K 511 · April 9, 2026 · Corrected (the home has a date of correction)
  6. E
    Install an approved automatic sprinkler system.
    K 351 · April 9, 2026 · Corrected (the home has a date of correction)
  7. E
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · April 9, 2026 · Corrected (the home has a date of correction)
  8. E
    Ensure proper usage of power strips and extension cords.
    K 920 · April 9, 2026 · Corrected (the home has a date of correction)
  9. D
    Install corridor and hallway doors that block smoke.
    K 363 · April 9, 2026 · Corrected (the home has a date of correction)
  10. E
    Provide properly protected cooking facilities.
    K 324 · December 22, 2023 · Corrected (the home has a date of correction)
  11. E
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · December 22, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
February 9, 2026Fine $17,345
February 22, 2025Fine $16,149

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeTexasUnited States
All nursing staff (RN, LPN and aides)3.253.393.86
Registered nurses0.380.430.69
All nursing staff on weekends3.022.983.42
Nurse aides2.11
Licensed practical nurses0.76
Nursing staff turnover (share who left in a year)39.6%55.3%45.8%
Registered nurse turnover58.3%54.6%42.9%
Administrators who left0

CMS expects 4.13 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 3.35 on weekdays and 3.02 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.17 in April to June 2025 to 3.25 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.250.383.353.02 0.0%0 of 90105
Oct to Dec 20253.410.443.483.20 0.0%0 of 92102
Jul to Sep 20253.230.363.342.97 0.0%0 of 92109
Apr to Jun 20253.170.363.282.90 0.0%5 of 91108
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Texas, Jan to Mar 20263.330.403.502.932.2%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.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Texas

JobMedianMiddle halfEmployed
Texas, all employers
CNAs (nursing assistants)$18.03$16.97 to $20.7188,680
LPNs and LVNs$29.92$27.46 to $32.8957,560
Registered nurses$46.14$38.06 to $50.53271,380
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

Work here? Share your pay anonymously

For Park Manor of Westchase. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

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Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeTexasUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
8.415.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.30.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.00.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
0.63.33.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.31.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
4.914.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.63.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
5.09.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
16.925.723.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
7.812.312.0

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Park Manor of Westchase's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (48.6% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

48.6% this home

No different from the national rate

US median of homes 51.5% · Texas: 116 better, 50 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 51 eligible stays.

Potentially preventable readmissions

11.7% this home

No different from the national rate

US median of homes 10.7% · Texas: 0 better, 9 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 61 eligible stays.

Infections that led to a hospital stay

7.3% this home

No different from the national rate

US median of homes 7.1% · Texas: 4 better, 11 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 28 eligible stays.

Self-care and mobility at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Texas57.3% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 19 residents counted.

Falls with major injury

0.0% this home

Median of homes: Texas0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 30 residents counted.

New or worsened pressure ulcers

0.0% this home

Median of homes: Texas1.3% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 30 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Texas98.5% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 11 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: WINNIE-STOWELL HOSPITAL DISTRICT. CMS links this home to Hmg Healthcare, a group of 31 nursing homes averaging 3.2 stars overall.

NameRoleTypeShareSince
Cibc Bank USA5% or greater direct ownership interestOrganization04/01/2018
Forvis Mazars LLP5% or greater direct ownership interestOrganization04/01/2018
Sabra Health Care Reit Inc5% or greater direct ownership interestOrganization04/01/2018
Zions Bancorporation5% or greater direct ownership interestOrganization04/01/2017
Stramecki, AnthonyCorporate directorIndividual11/01/2016
Murrell, EdwardCorporate officerIndividual11/02/2012
Rollo, JefferyCorporate officerIndividual11/01/2012
Balsamo, KrystalOperational/managerial controlIndividual09/29/2021
Culp, RolandOperational/managerial controlIndividual04/01/2018
Daspit, LaurenceOperational/managerial controlIndividual04/01/2018
Dohn, WilliamOperational/managerial controlIndividual03/27/2019
Hill, CarrieOperational/managerial controlIndividual09/30/2024
Murrell, EdwardOperational/managerial controlIndividual04/01/2018
Odom, TiffanyOperational/managerial controlIndividual03/13/2024
Pico, AnaOperational/managerial controlIndividual04/01/2018
Polio, MayraOperational/managerial controlIndividual06/24/2024
Prince, DerekOperational/managerial controlIndividual04/01/2018
Reinarz, ChristianOperational/managerial controlIndividual05/13/2024
Rollo, JefferyOperational/managerial controlIndividual04/01/2018
Stramecki, AnthonyOperational/managerial controlIndividual04/01/2018
Vratis, KaceyOperational/managerial controlIndividual04/01/2018
Way, GeorgeOperational/managerial controlIndividual04/01/2018
Forvis Mazars LLPAdp of the SNFOrganization06/24/2025
Healthmark Group LtdAdp of the SNFOrganization06/24/2025
Hm Group LLCAdp of the SNFOrganization06/24/2025
Hmg Healthcare LLCAdp of the SNFOrganization06/24/2025
Hmg Park Manor of Westchase, L.L.C.Adp of the SNFOrganization06/24/2025
Sabra Health Care Reit IncAdp of the SNFOrganization04/01/2018
Vakil Pulmonary and Critical Care Associates PLLCAdp of the SNFOrganization04/01/2018
Balsamo, KrystalAdp of the SNFIndividual09/29/2021
Culp, RolandAdp of the SNFIndividual04/01/2018
Daspit, LaurenceAdp of the SNFIndividual04/01/2018
Dohn, WilliamAdp of the SNFIndividual03/27/2019
Hill, CarrieAdp of the SNFIndividual09/30/2024
Odom, TiffanyAdp of the SNFIndividual05/13/2024
Pico, AnaAdp of the SNFIndividual04/01/2018
Polio, MayraAdp of the SNFIndividual06/24/2024
Prince, DerekAdp of the SNFIndividual04/01/2018
Reinarz, ChristianAdp of the SNFIndividual05/13/2024
Stanbridge, NormaAdp of the SNFIndividual09/29/2014

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.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 13 problems in this area, most recently on April 9, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on June 13, 2026: "Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on April 9, 2026: "Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment."
  4. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 4 problems in this area, most recently on September 1, 2023: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."

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Common questions

What is Park Manor of Westchase's Medicare star rating?
CMS rates Park Manor of Westchase 2 out of 5 stars overall, with 1 for health inspections, 1 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Park Manor of Westchase get at its last inspection?
4 health deficiencies at the standard inspection on April 9, 2026. The Texas average is 9.4.
Has Park Manor of Westchase been fined?
Yes. CMS lists 2 fines totaling $33,494 in the last three years.
Does Park Manor of Westchase accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Park Manor of Westchase?
CMS lists 40 owners and managers, and links the home to Hmg Healthcare. Legal business name: WINNIE-STOWELL HOSPITAL DISTRICT.

Sources

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