Elder Care Record

Texas › Montgomery County › Conroe

Conroe Health Care Center

2019 N Frazier, Conroe, TX 77301

CCN 675648 · Non-profit, corporation · 108 certified beds · chain Health Services Management

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Conroe Health Care Center, in Conroe, Texas, is certified for 108 beds under non-profit, corporation ownership and belongs to the Health Services Management chain.

CMS gives it 2 of 5 stars overall, below the Texas median of 3; the health inspection rating is 2, staffing 2 and quality measures 3.

Inspectors recorded 20 health deficiencies across the three most recent survey cycles (13, 4, 3 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 18.5 per 100 beds, about the same as the state median of 22.5.

CMS lists 1 penalty in the period covered: fines totalling $13K.

Reported nurse staffing is 3.6 hours per resident per day (0.5 RN), close to the Texas median of 3.3; nursing staff turnover is 52.6%.

20health deficiencies, 3 survey cycles2 at actual harm or worse
$13Kfines listed by CMS1 penalty in period
3.6nurse hours per resident per daystate median 3.3
82%occupancy (residents ÷ beds)89 residents a day

Compared with county, state and nation

MeasureThis facilityMontgomery Co. medianTexas medianUS average
Overall star rating2333.0
Health citations, 3 cycles20202528.7
Citations per 100 beds18.514.022.526.8
Total nurse hours per resident day3.63.53.33.9
RN hours per resident day0.50.40.40.7
Nursing staff turnover52.6%52.6%52.1%45.8%
Fines listed$12,860$14,020$16,801—

County and state figures are medians across facilities (12 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)13
Cycle 24
Cycle 33

Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 11 Apr 2025, 1 Feb 2024.

Severity mix: K ×1 G ×1 D ×12 E ×5 F ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
11 Apr 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard survey2 May 2025
11 Apr 2025F0583Keep residents' personal and medical records private and confidential.FStandard survey2 May 2025
11 Apr 2025F0641Ensure each resident receives an accurate assessment.EStandard survey2 May 2025
11 Apr 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey2 May 2025
11 Apr 2025F0761Ensure 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.EStandard survey2 May 2025
11 Apr 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey2 May 2025
11 Apr 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey2 May 2025
11 Apr 2025F0584Honor 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.DStandard survey2 May 2025
11 Apr 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey2 May 2025
11 Apr 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey2 May 2025
11 Apr 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey2 May 2025
11 Apr 2025F0760Ensure that residents are free from significant medication errors.DStandard survey2 May 2025
11 Apr 2025F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DStandard survey2 May 2025
14 Nov 2024F0695Provide safe and appropriate respiratory care for a resident when needed.KComplaint investigation21 Nov 2024
1 Feb 2024F0761Ensure 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.EStandard survey23 Feb 2024
1 Feb 2024F0700Try 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.DStandard survey23 Feb 2024
1 Feb 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey23 Feb 2024
9 Nov 2022F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey25 Nov 2022
9 Nov 2022F0692Provide enough food/fluids to maintain a resident's health.DStandard survey25 Nov 2022
9 Nov 2022F0760Ensure that residents are free from significant medication errors.DStandard survey25 Nov 2022

Penalties

DateTypeAmountDetail
14 Nov 2024Fine$12,860

Staffing

Total nursing3.64 h
Nurse aides2.07 h
LPN1.07 h
RN0.51 h
Weekend total3.45 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 52.6%, RNs 37.5%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityTexas medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay12.5%14.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.4%0.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.3%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.4%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay15.9%12.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay5.6%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay11.2%8.3%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: non-profit, corporation. Legal business name: Winnie-Stowell Hospital District. Chain: Health Services Management (16 facilities).

OrganisationRole in the CMS recordInterestSince
Conroe Realty, LLC5% or greater mortgage interestNOT APPLICABLE01/01/2024
Health Services Management, Inc.5% or greater mortgage interestNOT APPLICABLE01/01/2024
Hsmtx/Conroe, LLCOperational/managerial controlNOT APPLICABLE01/01/2024
Conroe Realty, LLCAdp of the snfNOT APPLICABLE01/01/2024
Health Services Management, Inc.Adp of the snfNOT APPLICABLE01/01/2024
Hsmtx/Conroe, LLCAdp of the snfNOT APPLICABLE03/05/2025

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Montgomery County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Park Manor of ConroeConroe12555175.6$14K25 Nov 2025
Park Manor of the WoodlandsThe Woodlands124443129.7—5 Feb 2026
The Heights On Valley RanchPorter1224431613.1—15 May 2025
Willis Nursing and RehabilitationWillis1144511311.4$7K3 Dec 2025
The BrightpointeConroe150333138.7$21K30 May 2024
The Broadmoor At Creekside ParkThe Woodlands1123222925.9$47K13 Mar 2026
The Woodlands Nursing and Rehabilitation CenterThe Woodlands2143223014.0$24K4 Jun 2026
Kingwood Rehabilitation and Healthcare CenterKingwood1941112914.9$73K29 Jun 2025

All 12 facilities in Montgomery County

Questions and answers

How many deficiencies has Conroe Health Care Center been cited for?

20 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.

Has Conroe Health Care Center been fined?

Yes. CMS lists fines totalling $13K in the period covered.

How does staffing at Conroe Health Care Center compare?

Reported total nurse staffing is 3.6 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.

Who operates Conroe Health Care Center?

It is part of the Health Services Management chain. Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Hsmtx/Conroe, LLC. Individual owners and managers are not listed on this site.

When was Conroe Health Care Center last inspected?

The most recent survey or investigation in the CMS record is dated 11 Apr 2025; the most recent standard health survey was 11 Apr 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.