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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeTexasFocused Care at Pasadena

Focused Care at Pasadena

3434 Watters Rd, Pasadena, TX 775047139419155
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
1/5
Quality
3/5
Beds
125
certified
3 fine(s) totaling $131,012

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 125 certified beds with an average of 70 residents per day (56% occupancy)

• Last health inspection found 1 deficiencies (inspected Nov 20, 2024)

• Has been fined a total of $131,012 across 3 fine(s)

• Total nursing staff: 2.92 hours per resident per day

• Staff turnover rate: 71.1% (high)

• Part of the Focused Post Acute Care Partners chain (25 facilities)

Focused Care at Pasadena is a 1-star Medicare and Medicaid certified nursing home in Pasadena, Texas with 125 certified beds. It has been operating since 2005. The facility scored below average compared to Texas facilities.

Beds
125
Avg Residents/Day
70
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
May 16, 2005
Sprinklers
Yes
Council
Resident
County
Harris
Last Inspection
Nov 20, 2024
Deficiencies (Cycle 1)
1
Weighted Score
160.0
Infection Citations
0

Deficiency Citations (31)

F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Nov 20, 2024Corrected: NoCycle: 1
F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Oct 16, 2024Corrected: NoCycle: 2
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: Oct 16, 2024Corrected: NoCycle: 2
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Oct 16, 2024Corrected: NoCycle: 2
F0814Potential for Harm

Dispose of garbage and refuse properly.

Survey: Oct 16, 2024Corrected: NoCycle: 2
F0580Immediate Jeopardy

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Aug 28, 2024Corrected: NoCycle: 2
F0684Immediate Jeopardy

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Aug 28, 2024Corrected: NoCycle: 2
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Aug 8, 2024Corrected: NoCycle: 2
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Aug 8, 2024Corrected: NoCycle: 2
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Aug 8, 2024Corrected: NoCycle: 2
F0600Immediate Jeopardy

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Feb 20, 2024Corrected: NoCycle: 2
F0689Immediate Jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Feb 20, 2024Corrected: NoCycle: 2
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Oct 13, 2023Corrected: NoCycle: 2
F0636Potential for Harm

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Survey: Oct 13, 2023Corrected: NoCycle: 2
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Oct 13, 2023Corrected: NoCycle: 2
F0655Potential for Harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey: Oct 13, 2023Corrected: NoCycle: 2
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Oct 13, 2023Corrected: NoCycle: 2
F0727Potential for Harm

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.

Survey: Oct 13, 2023Corrected: NoCycle: 2
F0804Potential for Harm

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Survey: Oct 13, 2023Corrected: NoCycle: 2
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Oct 13, 2023Corrected: NoCycle: 2
F0850Potential for Harm

Hire a qualified full-time social worker in a facility with more than 120 beds.

Survey: Oct 13, 2023Corrected: NoCycle: 2
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Dec 1, 2023Corrected: NoCycle: 3
F0600Potential for Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Dec 1, 2023Corrected: NoCycle: 3
F0580Immediate Jeopardy

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Nov 12, 2023Corrected: NoCycle: 3
F0689Immediate Jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Nov 12, 2023Corrected: NoCycle: 3
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Jul 21, 2022Corrected: NoCycle: 3
F0693Potential for Harm

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Survey: Jul 21, 2022Corrected: NoCycle: 3
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Jul 21, 2022Corrected: NoCycle: 3
F0756Potential for Harm

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Survey: Jul 21, 2022Corrected: NoCycle: 3
F0761Potential for Harm

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Survey: Jul 21, 2022Corrected: NoCycle: 3

+ 1 more deficiencies

Total Fines
$131,012
Number of Fines
3
Payment Denials
1
Total Penalties
4

Penalty History

FineNov 12, 2023
$12,855
FineAug 28, 2024
$40,699
FineFeb 20, 2024
$77,458
Payment DenialAug 28, 2024
46 days denied

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.85 hrs
National avg: 2.35 hrs
LPN0.59 hrs
National avg: 0.86 hrs
RN0.48 hrs
National avg: 0.68 hrs
Total Nursing2.92 hrs
National avg: 3.89 hrs
Weekend Total2.50 hrs
National avg: 0.00 hrs
Physical Therapist0.02 hrs
National avg: 0.07 hrs
Total Turnover
71.1%
RN Turnover
92.9%
Administrators Left
3

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (13)

NameRoleTypeOwnership %Since
CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 15% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Apr 1, 2022
CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1OPERATIONAL/MANAGERIAL CONTROLOrganizationN/AApr 1, 2022
FOCUSED POST ACUTE CARE PARTNERS LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AApr 1, 2022
FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AApr 1, 2022
FPACP PASADENA LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AApr 1, 2022
CONLEY, SHAWNOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 1, 2021
MCKENZIE, MARKOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 1, 2021
SPARROW, BRITNEYOPERATIONAL/MANAGERIAL CONTROLIndividualN/ADec 1, 2024
STRUBBE, LORETTAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 1, 2021
VILLARREAL, JOHNOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 22, 2025
WILSON, KATRINAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 10, 2025
COOPER, KIMBERLYCORPORATE OFFICERIndividualN/AJan 29, 2024
NEWTON, ELIZABETHCORPORATE OFFICERIndividualN/AFeb 22, 2024

Nearby Nursing Homes

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Avir at Pasadena

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Pasadena Post Acute

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Hca Houston Healthcare Southeast

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Health
Not Rated
Staffing
Not Rated
Quality
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1.9 mi

The Suites Pasadena

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For profit$305,842 in fines
Health
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Quality
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Paradigm at Faith Memorial

Pasadena, TX · 112 beds

For profit$98,417 in fines
Health
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The Courtyards at Pasadena

Pasadena, TX · 196 beds

For profit$8,827 in fines
Health
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Frequently Asked Questions

What is the CMS rating for Focused Care at Pasadena?▾
Focused Care at Pasadena has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 1/5, and quality measures rating of 3/5. This facility is rated below average.
Has Focused Care at Pasadena had any health inspection violations?▾
Focused Care at Pasadena had 1 deficiency citations in its most recent health inspection (Nov 20, 2024). The facility has been fined a total of $131,012 across 3 fine(s).
What are the staffing levels at Focused Care at Pasadena?▾
Focused Care at Pasadena provides 2.92 total nursing staff hours per resident per day, including 0.48 RN hours, 0.59 LPN hours, and 1.85 nurse aide hours. The total staff turnover rate is 71.1%.
How many beds does Focused Care at Pasadena have?▾
Focused Care at Pasadena has 125 certified beds with an average of 70 residents per day, resulting in approximately 56% occupancy. The facility is For profit - Corporation owned and is part of the Focused Post Acute Care Partners chain.
Are there other nursing homes near Focused Care at Pasadena?▾
Yes, there are 7 other nursing homes in Pasadena, Texas with an average rating of 2.4/5. You can compare all facilities on the Pasadena nursing homes page.

Part of Focused Post Acute Care Partners

This chain operates 25 facilities. View all →