nursing home in Pasadena, TX
Focused Care at Pasadena
3434 Watters Road, Pasadena, TX 77504 · (713) 941-9155
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★1
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Focused Care at Pasadena at a glance
Focused Care at Pasadena is a 125-bed for-profit nursing home in Pasadena, Texas (Harris County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.
Residents receive about 2.9 hours of nursing care per day (0.4 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (February 13, 2026) found 9 health citations. The Texas average is 9.4.
Federal regulators fined it 3 times in the past three years, totaling $131,012.
Nursing staff turnover is 76.6% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 125
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Focused Post Acute Care Partners
- Medicare-certified since
- May 16, 2005
- Resident/family council
- Resident
- County
- Harris County
- CMS Certification Number
- 676050
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 4 / 5 | 4 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 2 / 5 | 3.2 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 2.95 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.40 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.03 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.53 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 76.6% | 55.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 85.7% | 54.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 2 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 9 | 9 | 9 | Average |
| Citations from complaint investigations (latest cycle) (lower is better) | 4 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 181 | 102 | 80.6 | Worse |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 3 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $131,012 | $44,141 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 4 | 2 | 1 | Worse |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 125 | 113 | 107 | |
| Average residents per day | 73 | 76 | 86 | |
| Occupancy | 58.6% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.3% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 4.5% | 3.8% | 4.6% | Average |
| Long-stay residents given antipsychotic medication (lower is better) | 15% | 9.6% | 15.4% | Average |
| Long-stay residents with a urinary tract infection (lower is better) | 1.6% | 0.8% | 1.6% | Average |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.3% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 7.4% | 15.8% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 8.4% | 14% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 0% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 8.2% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 6.7% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 97.3% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99.2% | 96.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.4% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 90.1% | 88% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 97% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 34 health deficiencies and 4 fire safety deficiencies in the inspection records CMS currently publishes. 6 citations involved actual harm, including 6 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 9, 2026 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Deficient, Provider has no plan of correction |
| July 9, 2026 Complaint | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Deficient, Provider has no plan of correction |
| March 18, 2026 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | E Potential harm, pattern | Corrected April 10, 2026 |
| March 18, 2026 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected April 24, 2026 |
| February 13, 2026 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | F Potential harm, widespread | Corrected March 27, 2026 |
| February 13, 2026 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | E Potential harm, pattern | Corrected March 27, 2026 |
| February 13, 2026 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | E Potential harm, pattern | Corrected March 27, 2026 |
| February 13, 2026 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | E Potential harm, pattern | Corrected March 27, 2026 |
| February 13, 2026 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected March 27, 2026 |
| February 13, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected April 13, 2026 |
| November 20, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected November 21, 2024 |
| November 20, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected November 21, 2024 |
| October 16, 2024 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. Quality of Life and Care Deficiencies · Tag F0690 | E Potential harm, pattern | Corrected November 12, 2024 |
| October 16, 2024 Complaint | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Tag F0814 | E Potential harm, pattern | Corrected November 12, 2024 |
| October 16, 2024 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected November 12, 2024 |
| October 16, 2024 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | E Potential harm, pattern | Corrected November 12, 2024 |
| August 28, 2024 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | J Immediate jeopardy, isolated | Corrected August 29, 2024 |
| August 28, 2024 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | J Immediate jeopardy, isolated | Corrected November 12, 2024 |
| August 8, 2024 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected August 10, 2024 |
| August 8, 2024 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected August 10, 2024 |
| August 8, 2024 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected August 10, 2024 |
| February 20, 2024 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | K Immediate jeopardy, pattern | Corrected March 15, 2024 |
| February 20, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | K Immediate jeopardy, pattern | Corrected March 15, 2024 |
| December 1, 2023 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected December 6, 2023 |
| December 1, 2023 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected December 6, 2023 |
| November 12, 2023 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | J Immediate jeopardy, isolated | Corrected November 30, 2023 |
| November 12, 2023 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected November 30, 2023 |
| October 13, 2023 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected October 16, 2023 |
| October 13, 2023 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | D Potential harm, isolated | Corrected October 16, 2023 |
| October 13, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected October 27, 2023 |
| October 13, 2023 Complaint | Hire a qualified full-time social worker in a facility with more than 120 beds. Administration Deficiencies · Tag F0850 | E Potential harm, pattern | Corrected October 27, 2023 |
| October 13, 2023 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected October 27, 2023 |
| October 13, 2023 Standard | 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. Nursing and Physician Services Deficiencies · Tag F0727 | E Potential harm, pattern | Corrected October 27, 2023 |
| October 13, 2023 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | E Potential harm, pattern | Corrected October 27, 2023 |
| October 13, 2023 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | E Potential harm, pattern | Corrected October 27, 2023 |
| October 13, 2023 Standard | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Tag F0636 | E Potential harm, pattern | Corrected October 27, 2023 |
| October 13, 2023 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected October 27, 2023 |
| October 13, 2023 Standard | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected October 27, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 4 federal penalties in the past three years, including $131,012 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| August 28, 2024 | Payment Denial | 46 days from September 27, 2024 |
| August 28, 2024 | Fine | $40,699 |
| February 20, 2024 | Fine | $77,458 |
| November 12, 2023 | Fine | $12,855 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| CONLEY, SHAWN Individual | adp of the snf | NOT APPLICABLE | 04/01/2021 |
| FOCUSED POST ACUTE CARE PARTNERS LLC Organization | adp of the snf | NOT APPLICABLE | 07/16/2025 |
| FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC Organization | adp of the snf | NOT APPLICABLE | 07/16/2025 |
| FPACP PASADENA LLC Organization | adp of the snf | NOT APPLICABLE | 07/16/2025 |
| LE, TRUC Individual | adp of the snf | NOT APPLICABLE | 01/01/2025 |
| MCKENZIE, MARK Individual | adp of the snf | NOT APPLICABLE | 04/01/2021 |
| SPARROW, BRITNEY Individual | adp of the snf | NOT APPLICABLE | 12/01/2024 |
| STRUBBE, LORETTA Individual | adp of the snf | NOT APPLICABLE | 04/01/2021 |
| VILLARREAL, JOHN Individual | adp of the snf | NOT APPLICABLE | 04/22/2025 |
| WILSON, KATRINA Individual | adp of the snf | NOT APPLICABLE | 02/10/2025 |
| COOPER, KIMBERLY Individual | corporate officer | NOT APPLICABLE | 01/29/2024 |
| NEWTON, ELIZABETH Individual | corporate officer | NOT APPLICABLE | 02/22/2024 |
| ABERNATHY, MARY Individual | managing control - governing body | NOT APPLICABLE | 05/01/2024 |
| HUMPHREY, ERIC Individual | managing control - governing body | NOT APPLICABLE | 05/01/2024 |
| LEGG, STEPHEN Individual | managing control - governing body | NOT APPLICABLE | 01/01/2024 |
| MCKENZIE, MARK Individual | managing control - governing body | NOT APPLICABLE | 04/01/2021 |
| NEWTON, ELIZABETH Individual | managing control - governing body | NOT APPLICABLE | 02/22/2024 |
| TINNERMAN, LINDA Individual | managing control - governing body | NOT APPLICABLE | 01/01/2024 |
| TURNER, LESLIE Individual | managing control - governing body | NOT APPLICABLE | 03/15/2017 |
| CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1 Organization | operational/managerial control | NOT APPLICABLE | 04/01/2022 |
| CONLEY, SHAWN Individual | operational/managerial control | NOT APPLICABLE | 04/01/2021 |
| FOCUSED POST ACUTE CARE PARTNERS LLC Organization | operational/managerial control | NOT APPLICABLE | 04/01/2022 |
| FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC Organization | operational/managerial control | NOT APPLICABLE | 04/01/2022 |
| FPACP PASADENA LLC Organization | operational/managerial control | NOT APPLICABLE | 04/01/2022 |
| MCKENZIE, MARK Individual | operational/managerial control | NOT APPLICABLE | 04/01/2021 |
| SPARROW, BRITNEY Individual | operational/managerial control | NOT APPLICABLE | 12/01/2024 |
| STRUBBE, LORETTA Individual | operational/managerial control | NOT APPLICABLE | 04/01/2021 |
| VILLARREAL, JOHN Individual | operational/managerial control | NOT APPLICABLE | 04/22/2025 |
| WILSON, KATRINA Individual | operational/managerial control | NOT APPLICABLE | 02/10/2025 |
Other nursing homes near Focused Care at Pasadena
Avir at Pasadena
4300 Vista Rd, Pasadena, TX 77504 · under 1 mi
For-profit · 131 beds · Part of Avir Health Group
★★★★★4Above average- ★★★★★3Average
HCA Houston Healthcare Southeast
4801 East Sam Houston Parkway South, Pasadena, TX 77505 · 1.9 mi
For-profit · 30 beds · Part of HCA Healthcare
★★★★★5Much above averageThe Suites Pasadena
4900 East Sam Houston Parkway South, Pasadena, TX 77505 · 1.9 mi
For-profit · 50 beds · Part of Eduro Healthcare
- New owner (last 12 months)
★★★★★1Much below averageParadigm at Faith Memorial
811 Garner Rd, Pasadena, TX 77502 · 2.1 mi
For-profit · 112 beds · Part of Paradigm Healthcare
★★★★★3AverageThe Courtyards at Pasadena
4048 Red Bluff Road, Pasadena, TX 77503 · 2.3 mi
For-profit · 196 beds · Part of Fundamental Healthcare
★★★★★3Average
Frequently asked questions
What is Focused Care at Pasadena's rating?
Focused Care at Pasadena has 1 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Focused Care at Pasadena receive?
Its most recent standard health inspection found 9 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Focused Care at Pasadena accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Focused Care at Pasadena?
It is for profit - corporation and part of Focused Post Acute Care Partners. The ownership section on this page lists the owners and managers reported to CMS.
Where is Focused Care at Pasadena and how do I contact it?
Focused Care at Pasadena is at 3434 Watters Road, Pasadena, TX 77504. Phone: (713) 941-9155.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.