01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-12-11 | 3 | 2025-12-11 | 1 |
| Cycle 2 | 2024-08-15 | 1 | 2024-08-15 | 2 |
| Cycle 3 | 2023-06-15 | 3 | 2023-06-15 | 1 |
CMS CCN 6762822026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Bayou Manor
4141 S Braeswood Blvd · Houston, TX 77025 · Harris County
Certified beds37CMS provider file
Recent citation rows11current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
11 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 1 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-05-19 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2026-06-19 · complaint2025-12-11 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2026-01-152025-12-11 · FIREK0712Severity E · pattern; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2026-01-152025-11-10 · HEALTHF0755Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2025-12-15 · complaint2024-08-15 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2024-10-012024-08-15 · FIREK0353Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2024-09-162024-08-15 · FIREK0372Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2024-09-162023-06-15 · HEALTHF0756Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Correction field: Deficient, Provider has date of correction · 2023-07-152023-06-15 · HEALTHF0757Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Correction field: Deficient, Provider has date of correction · 2023-07-152023-06-15 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2023-07-152023-06-15 · FIREK0223Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Correction field: Deficient, Provider has date of correction · 2023-07-0303 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- DARDEN, SHARONIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2022
- GANS, ANDYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2018
- HARTMAN, JOHNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2018
- HUDSON, JOHNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2021
- LAKIN, JUDYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2026
- LEATHERS, RICHARDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2013
- LEMEN, JOHNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2017
- MCPHAIL, SUZANNEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2018
- REDDEN, KATHLEENIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2011
- WENNENWESER, JEANETTEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2015
- BRALY, LOCKEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2025
- ELLEDGE, DAVIDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2025
- KINSEY, DEIDREIndividual · CORPORATE OFFICERNOT APPLICABLE · since 09/01/2024
- NASH, JEFFREYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/29/2026
- NUNN, RICHARDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2015
- CUMMINGS, MICHAELIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/15/2025
- KINSEY, DEIDREIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/01/2024
- CAMACHO-ACEVEDO, ROBERTOIndividual · ADP OF THE SNFNOT APPLICABLE · since 02/26/2024
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours5.28per resident day
RN hours0.77per resident day
Weekend nurse hours4.83per resident day
Staff turnover27.9%CMS reported field
06 / LOCAL RECORDS
Open the Houston ledger →Other published facilities nearby
Afton Oaks Nursing And Rehabilitation Center169 beds · CMS overall 1/544 citation rowsAshford Gardens202 beds · CMS overall 2/537 citation rowsAvir At Arden Wood174 beds · CMS overall 2/550 citation rowsAvir At Courtyard120 beds · CMS overall 4/526 citation rowsAvir At Golfcrest200 beds · CMS overall 2/532 citation rowsAvir At Houston148 beds · CMS overall 1/551 citation rowsAvir At Orem120 beds · CMS overall 4/537 citation rowsAvir At Veterans Memorial120 beds · CMS overall 1/538 citation rows