Aspire Hospital
An acute care hospital in Conroe, Texas 77304
2006 South Loop 336 West, Suite 500, Conroe, Texas 77304. (936) 647-3500.
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The short answer
Record last released by CMS on Oct 20, 2026.
- Not rated CMS’s overall rating
- Not rated patient survey rating
- 3 deficiencies cited in the last three years
- 30 beds
Each figure’s source sits beside it, in its section below.
What these words mean2
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
The last inspection on record was on May 2, 2025: a complaint inspection.
3 deficiencies cited in the last three years.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
2 deficiencies in 1 month of the last 36. Last cited May 2025. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
May 2, 2025: complaint inspection2 deficiencies
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Patient Rights: Personal Privacy
The inspectors’ words, 193 words
“PATIENT RIGHTS: PERSONAL PRIVACY CFR(s): 482.13(c)(1) The patient has the right to personal privacy. This Standard is not met as evidenced by: 35028 Based on observation, interview, and record review, the facility failed to provide care in a setting that protected the patients’ identity from the public. This was evidenced by the facility’s failure to ensure that the view into the dining room from outside protected the privacy of 17 of 17 patients (Patients 11-27). Findings were: During a tour of the unit on 5/1/2025 at 10:30am, it was observed that two of the three windows in the dining room allowed neighbors to see into the dining room. Located behind the hospital were three two-story homes. A frosted windowpane obscured the view into the dining room from one of the homes. The other two windowpanes in the dining room were not frosted. The second and third homes had a view into the dining room from their second story back windows. In an interview with Staff B (DPO) and Staff H (CNO/RM) during the tour, they stated that two of the three windows (those that were not frosted) did not ensure the patient’s privacy.”
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Patient Rights: Care In Safe Setting
The inspectors’ words, 537 words
“PATIENT RIGHTS: CARE IN SAFE SETTING CFR(s): 482.13(c)(2) The patient has the right to receive care in a safe setting. This Standard is not met as evidenced by: 35028 Based on observation, interview, and record review, the facility failed to provide care in a safe setting for 17 of 17 patients (Patients 11-27). This was evidenced by the facility’s failure to ensure that: A) Rubber gloves, markers, and Styrofoam cup plastic sleeves were stored in locking cabinets in the dining room. B) A blood pressure cuff, two cordless phones, and two plastic trash bags were placed out of the reach of patients in the Nurse’s Station. C) The housekeeping cart was secured by the housekeeper when unattended. Findings were: A) Dining Room: Rubber Gloves, Markers, and Styrofoam Cup Plastic Sleeves. Observation in the dining room on 5/1/2025 at 10:30am and on 5/2/2025 at 9:00 am revealed two boxes of rubber gloves in an unsecured cabinet. The gloves had been removed on the evening of 5/1/2025 only to resurface in the cabinet the following day. The lock on the cabinet was broken. On the counter were two markers with sharp points. Fifteen sleeves of white disposable Styrofoam cups were also stored out in the open adjacent to the cabinet. The sleeves were made of a very light-weight clear plastic. In an interview with Staff B (DPO) and Staff H (CNO/RM) during the observations in the dining room, they stated that the rubber gloves were a safety issue in that they could be used for strangulation or suffocation. They also stated that the two markers could be used as weapons. Additionally, they stated the plastic sleeves for the Styrofoam cups could be used for strangulation or suffocation. B) Nurse’s Station: Blood Pressure Cuff, Cordless Phones, and Plastic Trash Bags. Observation of the Nurse’s Station on 5/1/2025 at 10:30am showed the two doors into the station were half doors. The doors were shut and locked, requiring a key to unlock them. A blood pressure cuff was on a narrow ledge to the left of one of the doors and two cordless phones were on a narrow ledge to the right of the other door. The surveyor was able to reach into the Nurse’s Station and remove the blood pressure cuff and the two phones. Plastic trash bags were used to line two trash receptacles just inside one of the doors. They were within arm’s reach. In an interview with Staff H (CNO/RM) during the observation of the Nurse’s Station, he stated that the phones contained batteries that could be swallowed, and the blood pressure cuff tubing and trash bags posed a strangulation / suffocation risk. C) Housekeeping Cart. During a tour of the unit on 5/1/2025 at 10:30am, the housekeeper was observed entering a patient bedroom and leaving the housekeeping cart unmanned just outside the bedroom door. The lock on the cart was broken. There were various housekeeping chemicals and plastic bags in the cart. In an interview with Staff U (Housekeeper) and Staff B (DPO) during the tour, she stated she usually has another housekeeper with her to monitor the cart. She stated she knew the cart was supposed to be locked when unattended, but the lock was broken.”
Nov 16, 2023: standard inspection1 deficiency
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Respiratory Care Services Policies
The inspectors’ words, 135 words
“RESPIRATORY CARE SERVICES POLICIES CFR(s): 482.57(b) Services must be delivered in accordance with medical staff directives. This Standard is not met as evidenced by: 47892 Based on document review and interview the facility failed to have 2 (Policy #RP.001 and Policy #RP.004) of 2 respiratory care policies approved by the Medical Executive Committee (MEC) and Governing Body (GB). Findings: A review of the policies titled, “HHN (hand-held nebulizer) Policy #RP.001 with a revised date of 11/01/2023 and Oxygen Policy #RP.004 with a revised date of 11/01/2023 revealed the policies had not been submitted to the MEC or GB for approval. During an interview with Staff #1 on 11/15/2023 at 2:15 PM, it was confirmed that Policy #RP.001 titled “HHN” and Policy #RP.004 titled “Oxygen” had not been submitted or approved through the MEC and GB.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| May 2, 2025 | Complaint inspection | 2 deficiencies cited |
| Nov 16, 2023 | Standard inspection | 1 deficiency cited |
How do patients fare?
- CMS gives no overall CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.: “There are too few measures or measure groups reported to calculate a star rating or measure group score.”
- CMS gives no CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.: “Results are not available for this reporting period.”
- Infections, compared by CMS with the national benchmark (Oct 1, 2024 to Sep 30, 2025): C. diff infections, no different than national benchmark.
CMS, Hospital General Information, Patient survey (HCAHPS) - Hospital, Healthcare Associated Infections - Hospital, Timely and Effective Care - Hospital and Medicare Spending Per Beneficiary - Hospital. Released Aug 13, 2026. Updated quarterly.
CMS, Complications and Deaths - Hospital and Unplanned Hospital Visits - Hospital. Released Sep 30, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Overall ratingCMS’s overall hospital quality star rating, 1 to 5 | Not rated |
| Patient survey ratingCMS star rating from its survey of the hospital’s patients (HCAHPS), 1 to 5 | Not rated |
Is it certified, and in good standing?
- Medicare-certified acute care hospital since Jan 1, 2014.
- Ownership: physician.
- It is accredited by the Center for Improvement in Healthcare Quality (CIHQ), whose surveys stand in for the state’s routine inspections.
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency on record in the last three years.
- Physician.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Has it been penalized?
- CMS doesn’t publish fines or other penalties for hospitals.
- Not among the hospitals whose Medicare payments CMS cut under the Hospital-Acquired Condition Reduction Program for fiscal year 2026.
- 2 deficiencies cited in the last three years came from inspections that included a complaint investigation.
CMS, Hospital-Acquired Condition (HAC) Reduction Program. Released Aug 13, 2026. Updated yearly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
What do patients say about their care?
- CMS doesn’t publish staffing levels for hospitals.
- 56% of its health care workers got a flu shot (Oct 1, 2024 to Mar 31, 2025).
CMS, Patient survey (HCAHPS) - Hospital and Timely and Effective Care - Hospital. Released Aug 13, 2026. Updated quarterly.
Who owns it?
- Aspire Hospital LLC owns an unstated share directly since May 15, 2009.
- 14 owners or officers are people: Dimitrios S Mantzoros (owns 5% or more directly, 11.7%); John C Sparks (owns 5% or more directly); Travis W Hird (owns 5% or more directly); James S Coleman (owns 5% or more directly); Kirk E Kanady (owns 5% or more directly); Nikos Mantzoros (corporate director, 0%); Nikos Mantzoros (managing employee (on the payroll), 0%); Stephen M Sims (owns 5% or more directly); Konstantinos Gkotsoulias (managing employee (under contract)); Linda A Corcoran (managing employee (on the payroll)); Dimitrios S Mantzoros (limited partner); Dimitrios S Mantzoros (corporate officer); Gregory C Mckeever (owns 5% or more directly); Cherie L Welsh (managing employee (on the payroll)).
- CMS’s Provider of Services file records no change of ownership.
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospital All Owners and Hospital Enrollments. Released Sep 29, 2026. Updated monthly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
How does it compare nearby?
- Of the 8 hospitals CMS lists in Montgomery County, 3 have an overall star rating from CMS: 1 rated 5 of 5, 1 rated 3 of 5, 1 rated 2 of 5.
- CMS gives this hospital no overall star rating to compare.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
| Place | Overall star rating |
|---|---|
| HCA Houston Healthcare Conroe | 2 |
| Voyages Behavioral Health of Conroe | Not given |
| St Luke’s the Woodlands Hospital | 3 |
| Woodland Springs | Not given |
| Chi St Lukes Lakeside Hospital | Not given |
| Houston Methodist the Woodlands Hospital | 5 |
| The Woodlands Specialty Hospital | Not given |
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for hospitals, so none are shown. The one payment cut CMS publishes for each hospital, under its Hospital-Acquired Condition Reduction Program, is shown where it applies.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- Most hospitals are accredited by a private organisation (The Joint Commission, DNV and others) whose routine inspections stand in for the state’s; those reports aren’t public, and QCOR holds only the state’s surveys: no inspection on record here doesn’t mean none took place.
- QCOR says its hospital inspection data are complete only through September 17, 2026, while it moves to a new system.
- CMS doesn’t publish staffing levels for hospitals.
Sources
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Centers for Medicare & Medicaid Services, Hospital General Information (xubh-q36u).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Patient survey (HCAHPS) - Hospital.
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Healthcare Associated Infections - Hospital (77hc-ibv8).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Complications and Deaths - Hospital (ynj2-r877).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Unplanned Hospital Visits - Hospital (632h-zaca).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Timely and Effective Care - Hospital (yv7e-xc69).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Medicare Spending Per Beneficiary - Hospital (rrqw-56er).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital-Acquired Condition (HAC) Reduction Program (yq43-i98g).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated yearly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Provider of Services File - Hospital & Non-Hospital Facilities (Hospital_and_other.DATA.Q3_2026.csv).
Released Oct 14, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR Hospital 2567 statements of deficiencies (Hospital_2567s_2010_to_2026YTD.xlsx).
Released Oct 20, 2026 and checked Oct 27, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital All Owners (Hospital_All_Owners_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital Enrollments (Hospital_Enrollments_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the hospital
The public record above comes first. Anything the hospital adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the hospital will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospital”, and paying will never change a finding, a rating or the order of results.