Texas › Harris County › Pasadena
Focused Care At Pasadena
3434 Watters Road, Pasadena, TX 77504
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Focused Care At Pasadena, in Pasadena, Texas, is certified for 125 beds under for-profit, corporation ownership and belongs to the Focused Post Acute Care Partners chain.
CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 1, staffing 1 and quality measures 3.
Inspectors recorded 32 health deficiencies across the three most recent survey cycles (7, 10, 15 by cycle, most recent first), 6 of them at the actual-harm or immediate-jeopardy level. That is 25.6 per 100 beds, about the same as the state median of 22.5.
CMS lists 4 penalties in the period covered: fines totalling $131K and 1 payment denial.
Reported nurse staffing is 2.9 hours per resident per day (0.4 RN), close to the Texas median of 3.3; nursing staff turnover is 76.6%.
Compared with county, state and nation
| Measure | This facility | Harris Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 32 | 22 | 25 | 28.7 |
| Citations per 100 beds | 25.6 | 19.0 | 22.5 | 26.8 |
| Total nurse hours per resident day | 2.9 | 3.3 | 3.3 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 76.6% | 52.1% | 52.1% | 45.8% |
| Fines listed | $131,012 | $30,361 | $16,801 | — |
County and state figures are medians across facilities (97 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 13 Feb 2026, 20 Nov 2024.
Severity mix: J ×4 K ×2 D ×10 E ×16
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 18 Mar 2026 | F0760 | Ensure that residents are free from significant medication errors. | E | Complaint investigation | 10 Apr 2026 |
| 18 Mar 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 24 Apr 2026 |
| 13 Feb 2026 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 27 Mar 2026 |
| 13 Feb 2026 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | E | Standard survey | 27 Mar 2026 |
| 13 Feb 2026 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 27 Mar 2026 |
| 13 Feb 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 27 Mar 2026 |
| 13 Feb 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 13 Apr 2026 |
| 20 Nov 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 21 Nov 2024 |
| 16 Oct 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | Complaint investigation | 12 Nov 2024 |
| 16 Oct 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Complaint investigation | 12 Nov 2024 |
| 16 Oct 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 12 Nov 2024 |
| 16 Oct 2024 | F0814 | Dispose of garbage and refuse properly. | E | Complaint investigation | 12 Nov 2024 |
| 28 Aug 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | Complaint investigation | 12 Nov 2024 |
| 28 Aug 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 29 Aug 2024 |
| 8 Aug 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 10 Aug 2024 |
| 8 Aug 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 10 Aug 2024 |
| 8 Aug 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 10 Aug 2024 |
| 20 Feb 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | Complaint investigation | 15 Mar 2024 |
| 20 Feb 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Complaint investigation | 15 Mar 2024 |
| 1 Dec 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 6 Dec 2023 |
| 1 Dec 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 6 Dec 2023 |
| 12 Nov 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | Complaint investigation | 30 Nov 2023 |
| 12 Nov 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 30 Nov 2023 |
| 13 Oct 2023 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | Standard survey | 27 Oct 2023 |
| 13 Oct 2023 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 27 Oct 2023 |
| 13 Oct 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 27 Oct 2023 |
| 13 Oct 2023 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | E | Standard survey | 27 Oct 2023 |
| 13 Oct 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 27 Oct 2023 |
| 13 Oct 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 27 Oct 2023 |
| 13 Oct 2023 | F0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | E | Complaint investigation | 27 Oct 2023 |
| 13 Oct 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 27 Oct 2023 |
| 13 Oct 2023 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 27 Oct 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 28 Aug 2024 | Payment denial | — | 46 days |
| 28 Aug 2024 | Fine | $40,699 | |
| 20 Feb 2024 | Fine | $77,458 | |
| 12 Nov 2023 | Fine | $12,855 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 76.6%, RNs 85.7%; 2 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 7.4% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.3% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.6% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.3% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.4% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 8.4% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.5% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 15.0% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Chambers County Public Hospital District No. 1. Chain: Focused Post Acute Care Partners (25 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Chambers County Public Hospital District No. 1 | Operational/managerial control | NOT APPLICABLE | 04/01/2022 |
| Focused Post Acute Care Partners LLC | Operational/managerial control | NOT APPLICABLE | 04/01/2022 |
| Focused Post Acute Care Partners Management, LLC | Operational/managerial control | NOT APPLICABLE | 04/01/2022 |
| Fpacp Pasadena LLC | Operational/managerial control | NOT APPLICABLE | 04/01/2022 |
| Focused Post Acute Care Partners LLC | Adp of the snf | NOT APPLICABLE | 07/16/2025 |
| Focused Post Acute Care Partners Management, LLC | Adp of the snf | NOT APPLICABLE | 07/16/2025 |
| Fpacp Pasadena LLC | Adp of the snf | NOT APPLICABLE | 07/16/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Harris County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Bayou Manor | Houston | 37 | 5 | 5 | 5 | 7 | 18.9 | — | 19 May 2026 |
| Clarewood House Extended Care Center | Houston | 60 | 5 | 5 | 1 | 5 | 8.3 | — | 3 Dec 2025 |
| East View Healthcare | Houston | 125 | 5 | 5 | 1 | 11 | 8.8 | — | 24 Feb 2026 |
| Hca Houston Healthcare Southeast | Pasadena | 30 | 5 | 5 | 4 | 5 | 16.7 | — | 15 May 2025 |
| Ignite Medical Resort Webster, LLC | Webster | 70 | 5 | 5 | 2 | 12 | 17.1 | — | 24 Apr 2026 |
| Park Manor of Cyfair | Houston | 120 | 5 | 5 | 2 | 8 | 6.7 | — | 1 May 2026 |
| Parkway Place | Houston | 42 | 5 | 3 | 5 | 18 | 42.9 | $46K | 22 Apr 2026 |
| Richard A. Anderson (State of Texas Veterans Land | Houston | 120 | 5 | 4 | 5 | 14 | 11.7 | $15K | 11 Sep 2025 |
All 97 facilities in Harris County
Questions and answers
How many deficiencies has Focused Care At Pasadena been cited for?
32 health deficiencies across the three most recent survey cycles, 6 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Focused Care At Pasadena been fined?
Yes. CMS lists fines totalling $131K in the period covered, plus 1 payment denial.
How does staffing at Focused Care At Pasadena compare?
Reported total nurse staffing is 2.9 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Focused Care At Pasadena?
It is part of the Focused Post Acute Care Partners chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Chambers County Public Hospital District No. 1, Focused Post Acute Care Partners LLC and Focused Post Acute Care Partners Management, LLC. Individual owners and managers are not listed on this site.
When was Focused Care At Pasadena last inspected?
The most recent survey or investigation in the CMS record is dated 18 Mar 2026; the most recent standard health survey was 13 Feb 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.