Conroe Health Care Center

Name: Conroe Health Care Center
Address: 2019 N FRAZIER, Conroe, TX, 77301, US
Telephone: 9364412120

2019 N Frazier, Conroe, TX 77301 · Montgomery County · 108 certified beds · avg 89 residents/day · certified since Nov 14, 1996

Part of chain: HEALTH SERVICES MANAGEMENT (16 facilities, chain avg rating 2.9★)

2/5

Health inspection rating (on-site)

Serious findings on record

$12,860

Fines, last 3 years

3.20

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, repeated · Nov 14, 2024 · F-0695 · triggered by a complaint

The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.

Why it matters: Mistakes in breathing care can quickly become life-threatening for residents who depend on oxygen or equipment.

Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.

Corrected: Nov 21, 2024 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Apr 11, 2025 · F-0686

The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.

Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: May 2, 2025 (Deficient, Provider has date of correction)

All citations in the current public record (20)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Apr 11, 2025	▲ G · Actual harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Apr 11, 2025	F · Potential for harm, facility-wide	The facility did not keep residents' personal and medical information private and confidential.
Apr 11, 2025	E · Potential for harm, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Apr 11, 2025	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Apr 11, 2025	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Apr 11, 2025	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Apr 11, 2025	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Apr 11, 2025	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Apr 11, 2025	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Apr 11, 2025	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Apr 11, 2025	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Apr 11, 2025	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Apr 11, 2025	D · Potential for harm, one-off	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Nov 14, 2024	▲ K · Immediate jeopardy, repeated	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint
Feb 1, 2024	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Feb 1, 2024	D · Potential for harm, one-off	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
Feb 1, 2024	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Nov 9, 2022	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Nov 9, 2022	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Nov 9, 2022	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (3 → 13).

Year	Citations	Serious (G–L)	Worst severity that year
2022	3	0	D
2024	4	1	K ▲
2025	13	1	G ▲

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

1 fine totaling $12,860.

Date	Type	Amount / length
Nov 14, 2024	Fine	$12,860

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Texas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.20	3.46	3.95	bottom 39% in Texas; bottom 22% in the U.S.
Registered Nurse hours	0.44	0.44	0.69	top 36% in Texas; bottom 29% in the U.S.
Weekend total nurse staffing	3.04	3.04	3.50	top 39% in Texas; bottom 33% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.56	0.34	0.48	top 10% in Texas; top 27% in the U.S.
Total nursing staff turnover (%)	52.6	55.3	45.8	bottom 49% in Texas; bottom 30% in the U.S.
RN turnover (%)	37.5	54.6	42.9	top 26% in Texas; top 42% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.64, RN 0.51, weekend 3.45. Staffing rating: 2/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 2/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Cohen, Daniel	Individual	Operational/Managerial Control	NOT APPLICABLE	05/06/2024
Cohen, Daniel	Individual	ADP of the SNF	NOT APPLICABLE	05/06/2024
Conroe Realty, LLC	Organization	5% or Greater Mortgage Interest	NOT APPLICABLE	01/01/2024
Conroe Realty, LLC	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2024
Health Services Management, INC.	Organization	5% or Greater Mortgage Interest	NOT APPLICABLE	01/01/2024
Health Services Management, INC.	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2024
Hsmtx/Conroe, LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	01/01/2024
Hsmtx/Conroe, LLC	Organization	ADP of the SNF	NOT APPLICABLE	03/05/2025
Murrell, Edward	Individual	Corporate Director	NOT APPLICABLE	01/01/2024
Nguyen, Charles	Individual	ADP of the SNF	NOT APPLICABLE	06/01/2024
White, Joshua	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2024

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"How do you protect residents' privacy, both in their medical records and in day-to-day care?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Woodland Manor Nursing and Rehabilitation	1.4 mi	Conroe, TX	★☆☆☆☆	1/5
The Brightpointe	3.5 mi	Conroe, TX	★★★☆☆	3/5
Park Manor of Conroe	3.5 mi	Conroe, TX	★★★★★	5/5
Willis Nursing and Rehabilitation	7.1 mi	Willis, TX	★★★★☆	5/5
Park Manor of the Woodlands	8.5 mi	The Woodlands, TX	★★★★☆	4/5
Ridgewood at the Woodlands	11.3 mi	The Woodlands, TX	★☆☆☆☆	2/5
The Woodlands Nursing and Rehabilitation Center	11.8 mi	The Woodlands, TX	★★★☆☆	2/5
The Broadmoor at Creekside Park	13.4 mi	The Woodlands, TX	★★★☆☆	2/5
The Heights of Magnolia	14.7 mi	Magnolia, TX		—/5
The Village at Gleannloch Farms	15.9 mi	Spring, TX	★★★★★	5/5
Tomball Rehab & Nursing	18.1 mi	Tomball, TX	★☆☆☆☆	2/5
Park Manor of Tomball	19.3 mi	Tomball, TX	★★☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Conroe →

Facility data as of CMS processing date 2026-08-01. CCN 675648.

The Care File

Visit checklist — Conroe Health Care Center

2019 N Frazier, Conroe, TX 77301 · 9364412120

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $12,860

Most serious findings on record:

▲ Nov 14, 2024 (F-0695, Immediate jeopardy, repeated): The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
▲ Apr 11, 2025 (F-0686, Actual harm, one-off): The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.

Questions for the administrator:

☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 675648 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)