Baywood Crossing Rehabilitation & Healthcare Cente
Pasadena, Texas · CCN 676309
28 surveys since 2012, 4 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 106
- Surveys
- 28
- Harm or worse
- 4
- Immediate jeopardy
- 2
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 124
- Ownership
- For profit - Corporation
- Chain
- Independent
- County
- Harris
- Medicare-certified since
- 2012
CMS ratings
- Overall
- 4
- Health inspection
- 4
- Staffing
- 1
- Quality measures
- 5
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded fewer weighted findings than most of its peer group.
Weighted by harm level, against 377 for-profit facilities of 100–127 beds in Texas.
Last survey on record
Apr 3, 2026
220 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.00 | 3.25 |
| Registered-nurse hours per resident day | 0.21 | — |
| Annual nurse turnover | 43.3% | 54.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D850.0% | E850.0% | F— |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F5522×
Ensure that residents are fully informed and understand their health status, care and treatments.
- F6562×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F7552×
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- F7912×
Provide or obtain dental services for each resident.
- F5781×
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
In the surveyor’s words
From the most serious findings on record at Baywood Crossing Rehabilitation & Healthcare Cente, in the surveyor’s own words.
- No harm, potential for more than minimal, patternF791Nov 24, 2025
Based on observation, interview and record review the facility failed to assist residents in obtaining routine and 24- hour emergency dental care for 1 of 11 residents (Resident #1) reviewed for dental services in that: The facility failed to assist Resident #1 with obtaining dental services between 7/6/25 when dental pain was noted in Resident #1's electronic medical record and on 8/12/25 when Resident #1's family member made a grievance with the facility regarding Resident #1 wanting to see a dentist. This failure could place residents at risk of not having their oral health care needs met or dental pain.The findings include:Record review of Resident 1's face sheet, dated 10/15/25, revealed a 59- year-old male who was admitted to the facility on [DATE]. […]
- No harm, potential for more than minimal, patternF656May 21, 2025
Based on observation, interview and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident, that includes measurable objective and time frames to meet a resident's medical, nursing, mental and psychosocial needs for 2 (Resident #69 and Resident #302) of 7 residents reviewed for care plans. 1. The facility failed to ensure Resident #69's care plan included information regarding assist rails. 2. The facility failed to ensure Resident #302's care plan included information regarding her use of CPAP and advance directives information. The failure could place residents at risk of not receiving appropriate care and interventions to meet their needs. […]
- No harm, potential for more than minimal, patternF700May 21, 2025
Based on observation, interview and record review, the facility failed to attempt to assess residents for risk of entrapment from bed rails prior to installation, review the risks and benefits of bed rails prior to installation and obtain informed consent prior to installation for 2 (Resident #69 and Resident #5) of 8 residents reviewed for use of side rails. The facility failed to ensure Residents #69 and #5 had documentation and orders prior to installation of bed rails. This failure could place residents at risk of injury, not have adequate education regarding bed rails and/or staff not have adequate communication regarding residents' use of bed rails. […]
- No harm, potential for more than minimal, patternF552Apr 10, 2024
Based on interview, and record review, the facility failed to inform residents in advance of the risks and benefits of proposed care and treatment for 1 of 5 residents (Resident #3) reviewed for resident rights, in that: The facility failed to obtain a signed consent for antipsychotic medication, Quetiapine fumarate (Seroquel) that was administered to Resident #3. The failure could affect residents who received psychoactive medications without informed consents and placed them at risk of receiving treatments without informed consent. […]
- No harm, potential for more than minimal, patternF636Apr 10, 2024
Based on observation, interview, and record review, the facility failed to conduct initially and periodically a comprehensive, accurate, standardized reproducible assessment of each resident's functional capacity for 4 of 20 (Resident # 8, #26, #76 and & #97) residents review for accuracy of assessment. Resident # 8, #26, #76 and resident #97 were not accurately assessed for their oral dental needs on their MDS assessments. Resident # 76 was not accurately assessed for his vision on his annual MDS assessment. These failures could place the residents at risk for not receiving care and services to maintain their highest practicable mental, physical, and psychosocial well-being. […]
Read 24 findings in full →The most serious and the most recent: 24 of 106 on record.
Every survey on record
FindingsAt actual harm or above
- Jul 2, 2026Standard3 findings
- Apr 3, 2026Complaint2 findings
- Nov 24, 2025Complaint1 finding
- May 21, 2025Standard4 findings
- Apr 10, 2024Standard6 findings
- Feb 23, 2023Standard3 findings
- Aug 30, 2022Complaint1 finding
- Jan 13, 2022Infection control1 finding
Show the 20 earlier surveys
- Dec 3, 2021Standard4 findings
- Sep 17, 2020Standard and complaint6 findings
- Aug 27, 2020Complaint2 findings
- Aug 7, 2020Complaint3 findings
- May 9, 2020Complaint2 findings · 2 harm
- Jul 31, 2019Complaint2 findings
- May 20, 2019Complaint1 finding
- Mar 20, 2019Standard8 findings
- Mar 16, 2018Standard12 findings
- Feb 23, 2017Standard9 findings
- Mar 18, 2016Standard3 findings
- Jul 8, 2015Complaint3 findings · 2 harm
- Mar 20, 2015Standard1 finding
- Feb 6, 2014—5 findings
- Sep 27, 2013—2 findings
- Feb 28, 2013—15 findings
- Nov 8, 2012—1 finding
- Oct 31, 2012—2 findings
- Jun 6, 2012—2 findings
- Feb 23, 2012—2 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
- Trucare Living Centers-ColumbusColumbusno harm findings
- Windsor Nursing and Rehabilitation Center of CorpuCorpus Christino harm findings
- Lone Star Rehabilitation & Wellness CenterStephenvilleno harm findings
- Cypress Pointe Health & WellnessHouston2 harm findings
- Seven Oaks Nursing & RehabilitationBonhamno harm findings
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