Focused Care at Pasadena
Pasadena, Texas · CCN 676050
30 surveys since 2012. The first finding at harm level was recorded in 2018.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 100
- Surveys
- 30
- Harm or worse
- 14
- Immediate jeopardy
- 11
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
- 125
- Ownership
- For profit - Corporation
- Chain
- FOCUSED POST ACUTE CARE PARTNERS
- County
- Harris
- Medicare-certified since
- 2005
CMS ratings
- Overall
- 1
- Health inspection
- 1
- Staffing
- 1
- Quality measures
- 3
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more 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
Jul 9, 2026
123 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 | 2.95 | 3.25 |
| Registered-nurse hours per resident day | 0.40 | — |
| Annual nurse turnover | 76.6% | 54.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $131,012 across 3 penalties
- Payment denials
- 1
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J411.8% | K25.9% | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1235.3% | E1647.1% | F— |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F5803×
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- F6413×
Ensure each resident receives an accurate assessment.
- F6563×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F8123×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F5502×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
In the surveyor’s words
From the most serious findings on record at Focused Care at Pasadena, in the surveyor’s own words.
- Immediate jeopardy, patternF600Feb 20, 2024
Based on interview and record review, the facility failed to ensure the resident's right to be free from abuse for 1 resident (CR#1) of 10 reviewed for neglect. -The facility failed to ensure CR#1 was free from neglect when she had multiple falls with serious injuries. -The facility failed to complete assessments, assess her pain, and implement adequate interventions to address CR#1's repeated falls with injuries. CR#1 died on [DATE] at the hospital after a fall, sustaining a head injury on [DATE]. -The facility failed to adequately assess CR#1 when she cried out in pain saying her leg was broken on [DATE] when she readmitted to the facility at 2:14 p.m. […]
- Immediate jeopardy, patternF689Feb 20, 2024
Based on interview and record review, the facility failed to ensure each resident receives adequate supervision and assistance devices to prevent falls and major injuries causing her to be hospitalized several times with major injuries for 1 (CR#1) of ten residents reviewed for accidents, hazards, and supervision. -The facility failed to provide adequate assistive devices for CR#1 who was on anticoagulants had a history of major falls with injury on [DATE] (unwitnessed fall-fractured nose and femur), [DATE] (unwitnessed fall), [DATE] (unwitnessed fall found face down), [DATE] (unwitnessed fall cerebral hemorrhage and neck pain). -The facility failed to conduct a thorough assessment and manage pain after CR#1's fall on [DATE] and left CR#1 unattended. […]
- Immediate jeopardy, patternF925Aug 15, 2022
Based on observation, interview, and record review, the facility failed to maintain an effective pest control program as evidenced by: - CR#1 was found on [DATE] covered in fire ants and sustained hundreds of ant bites. CR#1 died at the facility within 4 hours after sustaining the fire ant bites. -Observation of the facility's grounds on [DATE] at 11:30 a.m. with Maintenance revealed this Surveyor found 1 untreated ant mound outside, near CR #1's room. Maintenance said Pest Control just left the facility that morning and also walked around the facility and grounds and did not see the ant mound. - Observation on [DATE] at 12:00 p.m. […]
- Immediate jeopardy, isolatedF580Aug 28, 2024
Based on interview, and record review, the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for one (CR#1) of five residents reviewed for quality of care. The facility failed to immediately assess and treat CR #1 and contact the doctor from [DATE]- [DATE] after CR#1 experienced ongoing vomiting and distress. CR#1 was transported to the hospital on [DATE] at 11am. An Immediate Jeopardy (IJ) situation was identified on [DATE] at 4:31 PM. […]
- Immediate jeopardy, isolatedF684Aug 28, 2024
Based on interview, and record review, the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for one (CR#1) of five residents reviewed for quality of care. The facility failed to immediately assess and treat CR #1 and contact the doctor from [DATE]- [DATE] after CR#1 experienced ongoing vomiting and distress. CR#1 was transported to the hospital on [DATE] at 11am. An Immediate Jeopardy (IJ) situation was identified on [DATE] at 4:31 PM. […]
Read 31 findings in full →The most serious and the most recent: 31 of 100 on record.
Every survey on record
FindingsAt actual harm or above
- Jul 9, 2026Complaint2 findings
- Mar 18, 2026Complaint2 findings
- Feb 13, 2026Standard5 findings
- Nov 20, 2024Standard1 finding
- Oct 16, 2024Complaint4 findings
- Aug 28, 2024Complaint2 findings · 2 harm
- Aug 8, 2024Complaint3 findings
- Feb 20, 2024Complaint2 findings · 2 harm
Show the 22 earlier surveys
- Dec 1, 2023Complaint2 findings
- Nov 12, 2023Complaint2 findings · 2 harm
- Oct 13, 2023Standard and complaint9 findings
- Aug 15, 2022Complaint6 findings · 6 harm
- Jul 21, 2022Standard6 findings
- Jun 15, 2022Complaint1 finding
- Apr 29, 2021Standard4 findings
- Feb 8, 2021Complaint2 findings · 1 harm
- May 31, 2019Standard and complaint8 findings
- May 8, 2019Complaint1 finding
- Jul 17, 2018Complaint1 finding
- Jun 15, 2018Standard4 findings
- Feb 21, 2018Complaint1 finding · 1 harm
- Jun 1, 2017Standard9 findings
- Jun 23, 2016Standard1 finding
- May 18, 2016Complaint2 findings
- Jul 17, 2015Complaint4 findings
- Apr 17, 2015Standard and complaint1 finding
- Jan 15, 2015Complaint2 findings
- Apr 17, 2014Standard2 findings
- May 9, 2013—1 finding
- Apr 27, 2012—10 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.
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