PARK MANOR OF CYFAIR
The information listed below provides an in-depth look into the type and quality of care offered at Park Manor of Cyfair. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.
Address
PARK MANOR OF CYFAIR
11001 CRESCENT MOON DR
HOUSTON, TX 77064
(281) 477-8877
11001 CRESCENT MOON DR
HOUSTON, TX 77064
(281) 477-8877
Nursing Home Ratings
| Health Inspections | |
| Quality Measures | |
| Nursing Staff | |
| R.N. Staff Only | |
| Overall Rating | |
Percent of Beds Occupied
78%Number of Residents and Certified Beds
- Residents: 93
- Certified Beds: 120
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By For Profit - Corporation
- Offers Both Resident and Family Counseling Services
- This Facility is Part of a Chain or Franchise
Resident Services
The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Park Manor of Cyfair. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.
| Resident Services | Resident Conditions | Percent of Service Days |
Ultra-High Rehabilitation Plus Extensive Services
Rehabilitation 720 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
- Tracheostomy care
- Ventilator or respirator
- Isolation for active infectious disease while a resident
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 11-16 | 2.0% |
| ADL Index Range: 2-10 | 0.6% |
| Total Percent: | 2.7% |
Very High Rehabilitation Plus Extensive Services
Rehabilitation 500 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
- Tracheostomy care
- Ventilator or respirator
- Isolation for active infectious disease while a resident
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 11-16 | 3.9% |
| ADL Index Range: 2-10 | 2.0% |
| Total Percent: | 6.0% |
High Rehabilitation Plus Extensive Services
Rehabilitation 325 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
- Tracheostomy care
- Ventilator or respirator
- Isolation for active infectious disease while a resident
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 11-16 | 3.7% |
| Total Percent: | 3.7% |
Ultra-High Rehabilitation
Rehabilitation 720 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
| ADL Index Range: 11-16 | 18.4% |
| ADL Index Range: 6-10 | 27.2% |
| ADL Index Range: 0-5 | 16.9% |
| Total Percent: | 62.4% |
Very High Rehabilitation
Rehabilitation 500 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 10.2% |
| ADL Index Range: 6-10 | 9.4% |
| ADL Index Range: 0-5 | 1.5% |
| Total Percent: | 21.1% |
High Rehabilitation
Rehabilitation 325 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 0.4% |
| ADL Index Range: 0-5 | 0.9% |
| Total Percent: | 1.3% |
Medium Rehabilitation
Rehabilitation 150 Minutes Per Week Minimum
- Five days any combination of three rehabilitation disciplines
| ADL Index Range: 11-16 | 1.4% |
| Total Percent: | 1.4% |
Extensive Services
- Tracheostomy care
- Ventilator or respirator
- Isolation for active infectious disease while a resident
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 2-16 - Isolation for active infectious disease | 1.5% |
| Total Percent: | 1.5% |
Rating Details For Park Manor of Cyfair
Nursing Staff - 
The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.
| Nursing Hours Per Resident Per Day | Reported | Expected |
| Registered Nurse (RN) Hours | 33 Minutes | 1 Hour and 17 Minutes |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 41 Minutes | 43 Minutes |
| Certified Nursing Assistant (CNA) Hours | 2 Hours and 4 Minutes | 2 Hours and 24 Minutes |
| Total Licensed Nurse Hours | 1 Hour and 13 Minutes | 1 Hour and 60 Minutes |
| Total Nurse Hours | 3 Hours and 18 Minutes | 4 Hours and 23 Minutes |
Quality of Care - 
Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Texas are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.
| This Facility | Texas Average |
Long-Term Stay Preventive Actions
| Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 91% |
| Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 88% |
Long-Term Stay Deficiencies
| Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | 1% | 3% |
| Percent of Long-Stay Residents Who Were Physically Restrained | - | 4% |
| Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 1% | 4% |
| Percent of Long-Stay Residents Who Are More Depressed or Anxious | 4% | 13% |
| Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 4% | 12% |
| Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 3% | 5% |
| Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 16% | 12% |
| Percent of Long-Stay Residents Who Lose Too Much Weight | 4% | 6% |
| Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 64% | 46% |
| Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 8% | 18% |
| Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 12% | 9% |
| Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | - | 6% |
Short-Term Stay Preventive Actions
| Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 84% |
| Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 79% |
Short-Term Stay Deficiencies
| Percent of Short-Stay Residents Who Have Pressure Sores | 11% | 11% |
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 14% | 16% |
| Percent of Short-Stay Residents Who Have Delirium | 1% | 3% |
Health Inspection Details - 
All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 04/15/2011.
Degree of Harm
- Potential for Minimal Harm
- Minimal Harm or Potential for Harm
- Resident Harmed
- Immediate Jeopardy to Resident Health
Residents Affected
- Isolated
- Some Residents
- Many Residents
| Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Environmental
Have a Program to Keep Infection from Spreading.
|  |  |
Keep All Essential Equipment Working Safely.
| | |
Pharmacy Service
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
| |  |
Properly Mark Drugs and Other Similar Products.
| | |
Quality Care
Give Professional Services That Follow Each Resident's Written Care Plan.
| | |
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
| | |
Resident Assessment
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
| | |
Deficiencies from Complaints and Incidents
The table below lists incident reports by the nursing staff or administration for Park Manor of Cyfair, as well as complaints by residents or their family in the previous three years.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
| Formal Complaints | Degree of Harm | Residents Affected |
Administration
Give or Get Lab Tests to Meet the Needs of Residents.
| | |
Quickly Tell the Resident's Doctor the Results of Lab Tests.
| | |
Keep Accurate and Appropriate Medical Records.
| | |
Environmental
Have a Program to Keep Infection from Spreading.
| | |
Nutrition and Dietary
1) Provide 3 Meals Daily at Regular Times; or 2) Serve Breakfast Within 14 Hours After Dinner; or 3) Offer a Snack at Bedtime Each Day.
| | |
Store, Cook, and Give out Food in a Safe and Clean Way.
| | |
Store, Cook, and Give out Food in a Safe and Clean Way.
| | |
Make Sure That the Attending Doctor Orders Special Diets.
| | |
Pharmacy Service
Make Sure That Residents Are Safe from Serious Medication Errors.
| | |
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
| | |
Properly Mark Drugs and Other Similar Products.
| | |
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
| | |
Properly Mark Drugs and Other Similar Products.
| | |
Quality Care
Give Professional Services That Meet a Professional Standard of Quality.
| | |
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible.
| | |
Make Sure That Each Resident's Nutritional Needs Were Met.
| | |
Resident Assessment
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
| | |
Resident Rights
Keep Each Resident's Personal and Medical Records Private and Confidential.
| | |
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
| | |
Fire Safety
Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Park Manor of Cyfair had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 04/19/2011.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
| Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Automatic Sprinkler Systems
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
| | |
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
|  |  |
Properly Working Alarms on Sprinkler Valves.
| | |
Building Service Equipment
Properly Protected Cooking Facilities.
| | |
Corridor Walls and Doors
Corridor and Hallway Doors That Block Smoke.
| | |
Corridor and Hallway Doors That Block Smoke.
| | |
Electrical
Weekly Inspections and Monthly Testing of Generators.
| | |
Properly Installed Electrical Wiring and Equipment.
| | |
Properly Installed Electrical Wiring and Equipment.
| | |
Fire Alarm Systems
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
| | |
Furnishings and Decorations
Restrictions on the Use of Flammable Curtains.
| | |
Smoke Compartmentation and Control
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
| | |
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
| | |
Smoking Regulations
Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
| | |
Source: Medicare Nursing Home Compare; Department of Aging and Disability Services - Retrieved 2011
