Focused Care at Pasadena
3434 Watters Rd · Pasadena, TX · 77504 · 7139419155
125 certified beds For profit - Corporation Chain: Focused Post Acute Care Partners
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $40,699 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
6 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Total nurse staffing below 3.0 hours per resident-day
2.87 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
72% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 2.87 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.33 | 0.55–0.75 |
| Weekend hours / resident-day | 2.52 | ≈ weekday level |
| Nursing turnover / year | 72% | median 45% |
| Fines (3-yr window) | 3 · $131,012 |
Inspection citations (32 in the current record)
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Potential for harm · E March 18, 2026 · found via complaint
Ensure that residents are free from significant medication errors.
Deficient, Provider has no plan of correction · Pharmacy Service
-
Potential for harm · D March 18, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Deficient, Provider has no plan of correction · Resident Assessment and Care Planning
-
Potential for harm · E February 13, 2026
Ensure each resident receives an accurate assessment.
Corrected March 27, 2026 · Resident Assessment and Care Planning
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Potential for harm · E February 13, 2026
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected March 27, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D February 13, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 27, 2026 · Resident Assessment and Care Planning
-
Potential for harm · E February 13, 2026
Ensure medication error rates are not 5 percent or greater.
Corrected March 27, 2026 · Pharmacy Service
-
Potential for harm · D February 13, 2026
Provide and implement an infection prevention and control program.
Corrected April 13, 2026 · Infection Control
-
Potential for harm · E November 20, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 21, 2024 · Nutrition and Dietary
-
Potential for harm · E October 16, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected November 12, 2024 · Resident Rights
-
Potential for harm · E October 16, 2024 · found via complaint
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 November 12, 2024 · Quality of Life and Care
-
Potential for harm · E October 16, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 12, 2024 · Nutrition and Dietary
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Potential for harm · E October 16, 2024 · found via complaint
Dispose of garbage and refuse properly.
Corrected November 12, 2024 · Nutrition and Dietary
-
Immediate jeopardy · J August 28, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected November 12, 2024 · Resident Rights
-
Immediate jeopardy · J August 28, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 29, 2024 · Quality of Life and Care
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Potential for harm · D August 8, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected August 10, 2024 · Resident Rights
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Potential for harm · D August 8, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 10, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 8, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 10, 2024 · Quality of Life and Care
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Immediate jeopardy · K February 20, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 15, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K February 20, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 15, 2024 · Quality of Life and Care
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Potential for harm · D December 1, 2023 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 6, 2023 · Resident Rights
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Potential for harm · D December 1, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 6, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J November 12, 2023 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected November 30, 2023 · Resident Rights
-
Immediate jeopardy · J November 12, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 30, 2023 · Quality of Life and Care
-
Potential for harm · D October 13, 2023
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected October 27, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E October 13, 2023
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected October 27, 2023 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 28, 2024 | Fine | $40,699 |
| August 28, 2024 | Payment Denial | 46 days |
| February 20, 2024 | Fine | $77,458 |
| November 12, 2023 | Fine | $12,855 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676050 · certified since May 16, 2005. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.