• 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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Dispose of garbage and refuse properly.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Ensure each resident receives an accurate assessment.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Hire a qualified full-time social worker in a facility with more than 120 beds.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ensure each resident receives an accurate assessment.
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.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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.
+ 1 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1 | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Apr 1, 2022 |
| CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1 | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Apr 1, 2022 |
| FOCUSED POST ACUTE CARE PARTNERS LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Apr 1, 2022 |
| FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Apr 1, 2022 |
| FPACP PASADENA LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Apr 1, 2022 |
| CONLEY, SHAWN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Apr 1, 2021 |
| MCKENZIE, MARK | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Apr 1, 2021 |
| SPARROW, BRITNEY | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Dec 1, 2024 |
| STRUBBE, LORETTA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Apr 1, 2021 |
| VILLARREAL, JOHN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Apr 22, 2025 |
| WILSON, KATRINA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 10, 2025 |
| COOPER, KIMBERLY | CORPORATE OFFICER | Individual | N/A | Jan 29, 2024 |
| NEWTON, ELIZABETH | CORPORATE OFFICER | Individual | N/A | Feb 22, 2024 |
This chain operates 25 facilities. View all →