Park Manor Of Cypress Station

Penalties

• Mar 20, 2026 — Fine ($4,305)
• Jun 13, 2025 — Fine ($8,281)
• Sep 25, 2023 — Fine ($21,236)

Inspection findings

1. Mar 20, 2026 Health · 3 findings
   • Serious Scope/severity G Complaint

     F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

     Corrected Mar 21, 2026 · CMS health inspection

   • Serious Scope/severity G Complaint

     F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Develop and implement policies and procedures to prevent abuse, neglect, and theft.

     Corrected Mar 21, 2026 · CMS health inspection

   • Serious Scope/severity G Complaint

     F0656 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.

     Corrected Mar 21, 2026 · CMS health inspection

2. Jun 13, 2025 Health · 10 findings
   • Not serious Scope/severity D Complaint

     F0557 Resident Rights Deficiencies

     Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

     Corrected Jun 14, 2025 · CMS health inspection

   • Serious Scope/severity K Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Jun 14, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0690 Quality of Life and Care Deficiencies

     Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

     Corrected Jun 14, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Jun 14, 2025 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0759 Pharmacy Service Deficiencies

     Ensure medication error rates are not 5 percent or greater.

     Corrected Jun 14, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0760 Pharmacy Service Deficiencies

     Ensure that residents are free from significant medication errors.

     Corrected Jun 14, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0761 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.

     Corrected Jun 14, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jun 14, 2025 · CMS health inspection

   • Not serious Scope/severity E

     K0343 Smoke Deficiencies

     Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

     Corrected Jun 14, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0352 Smoke Deficiencies

     Properly install and monitor supervisory attachments on automatic sprinkler systems.

     Corrected Jun 14, 2025 · CMS fire safety

3. May 9, 2024 Health · 8 findings
   • Not serious Scope/severity D

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Jun 7, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0760 Pharmacy Service Deficiencies

     Ensure that residents are free from significant medication errors.

     Corrected Jun 7, 2024 · CMS health inspection

   • Not serious Scope/severity F

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Jun 7, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jun 7, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0919 Environmental Deficiencies

     Make sure that a working call system is available in each resident's bathroom and bathing area.

     Corrected Jun 7, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0925 Environmental Deficiencies

     Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

     Corrected Jun 7, 2024 · CMS health inspection

   • Not serious Scope/severity D

     K0345 Smoke Deficiencies

     Have approved installation, maintenance and testing program for fire alarm systems.

     Corrected Jun 7, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected Jun 7, 2024 · CMS fire safety

4. Sep 25, 2023 Health · 5 findings
   • Not serious Scope/severity D Complaint

     F0558 Resident Rights Deficiencies

     Reasonably accommodate the needs and preferences of each resident.

     Corrected Sep 27, 2023 · CMS health inspection

   • Serious Scope/severity K Complaint

     F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

     Corrected Sep 27, 2023 · CMS health inspection

   • Serious Scope/severity K Complaint

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Sep 27, 2023 · CMS health inspection

   • Serious Scope/severity J Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Sep 27, 2023 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0804 Nutrition and Dietary Deficiencies

     Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

     Corrected Sep 27, 2023 · CMS health inspection

5. Mar 17, 2023 Fire Safety · 9 findings
   • Not serious Scope/severity C

     E0029 Emergency Preparedness Deficiencies

     Develop a communication plan.

     Corrected Apr 24, 2023 · CMS fire safety

   • Not serious Scope/severity D

     F0656 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.

     Corrected Mar 24, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Mar 24, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0759 Pharmacy Service Deficiencies

     Ensure medication error rates are not 5 percent or greater.

     Corrected Mar 24, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0761 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.

     Corrected Mar 24, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0919 Environmental Deficiencies

     Make sure that a working call system is available in each resident's bathroom and bathing area.

     Corrected Mar 24, 2023 · CMS health inspection

   • Not serious Scope/severity F

     K0345 Smoke Deficiencies

     Have approved installation, maintenance and testing program for fire alarm systems.

     Corrected Apr 24, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Apr 24, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected Apr 24, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• ADELEKAN, ADEBUKOLA — operational/managerial control, NOT APPLICABLE, since 04/26/2011
• ADELEKAN, ADEBUKOLA — adp of the snf, NOT APPLICABLE, since 04/26/2011
• BALSAMO, KRYSTAL — operational/managerial control, NOT APPLICABLE, since 04/01/2018
• BALSAMO, KRYSTAL — adp of the snf, NOT APPLICABLE, since 04/01/2018
• CULP, ROLAND — adp of the snf, NOT APPLICABLE, since 04/01/2018
• CULP, ROLAND — operational/managerial control, NOT APPLICABLE, since 04/01/2018
• DASPIT, LAURENCE — adp of the snf, NOT APPLICABLE, since 04/01/2018
• DASPIT, LAURENCE — operational/managerial control, NOT APPLICABLE, since 04/01/2018
• DOHN, WILLIAM — adp of the snf, NOT APPLICABLE, since 04/01/2018
• MITCHELL, VINCENT — operational/managerial control, NOT APPLICABLE, since 09/30/2024
• MITCHELL, VINCENT — adp of the snf, NOT APPLICABLE, since 09/30/2024
• MURRELL, EDWARD — operational/managerial control, NOT APPLICABLE, since 04/01/2018
• MURRELL, EDWARD — corporate officer, NOT APPLICABLE, since 11/02/2012
• PICO, ANA — operational/managerial control, NOT APPLICABLE, since 04/01/2018
• PICO, ANA — adp of the snf, NOT APPLICABLE, since 04/01/2018
• PRINCE, DEREK — operational/managerial control, NOT APPLICABLE, since 04/01/2018
• PRINCE, DEREK — adp of the snf, NOT APPLICABLE, since 04/01/2018
• REINARZ, CHRISTIAN — adp of the snf, NOT APPLICABLE, since 04/01/2018
• ROLLO, JEFFERY — operational/managerial control, NOT APPLICABLE, since 04/01/2018
• ROLLO, JEFFERY — corporate officer, NOT APPLICABLE, since 11/01/2012
• STANBRIDGE, NORMA — adp of the snf, NOT APPLICABLE, since 04/01/2018
• STRAMECKI, ANTHONY — corporate director, NOT APPLICABLE, since 11/01/2016
• STRAMECKI, ANTHONY — operational/managerial control, NOT APPLICABLE, since 04/01/2018
• VRATIS, KACEY — operational/managerial control, NOT APPLICABLE, since 04/01/2018
• WAY, GEORGE — operational/managerial control, NOT APPLICABLE, since 04/01/2018
• CIBC BANK USA — 5% or greater direct ownership interest, since 04/01/2018
• CIBC BANK USA — adp of the snf, NOT APPLICABLE, since 04/01/2018
• FORVIS MAZARS LLP — adp of the snf, NOT APPLICABLE, since 04/01/2018
• FORVIS MAZARS LLP — 5% or greater direct ownership interest, since 04/01/2018
• HMG LONG TERM CARE, LLC — operational/managerial control, NOT APPLICABLE, since 02/01/2012
• HMG PARK MANOR OF CYPRESS STATION, L.L.C. — operational/managerial control, NOT APPLICABLE, since 03/31/2017
• SABRA HEALTH CARE REIT INC — operational/managerial control, NOT APPLICABLE, since 02/01/2012
• ZIONS BANCORPORATION — 5% or greater direct ownership interest, since 04/01/2018