For profit - Limited Liability company · 131 certified beds · CMS number 675625
Avir at Pasadena, Pasadena, TX
CMS records 13 health deficiencies at Avir at Pasadena in Pasadena, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Feb 12, 2026. The highest severity cited is J (immediate jeopardy to resident health or safety). 4 citations were at the immediate jeopardy level, 1 of them recorded as past non-compliance (fixed before the inspection). CMS lists 1 fine totaling $8,021 in the last three years.
- 13deficiencies, 3 cycles (TX median 25)
- 2in the latest cycle (TX median 8)
- Jhighest severity · Immediate jeopardy
- $8,021fines, last 3 years
- 4CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Avir at Pasadena as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Avir at Pasadena may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (2 deficiencies)
Standard inspection Feb 12, 2026. CMS counts 2 health deficiencies and 1 fire safety deficiency in this cycle.
Feb 12, 2026 · Standard inspection
2 deficiencies, highest E
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 20, 2026
F584 · Safe, clean, homelike surroundings
Requirement cited (CMS): Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 20, 2026
Previous cycle: 4 deficiencies (standard inspection Nov 21, 2024)
Standard inspection Nov 21, 2024. CMS counts 4 health deficiencies and 4 fire safety deficiencies in this cycle.
Nov 21, 2024 · Standard + complaint inspection
4 deficiencies, highest J
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 8, 2024
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Nov 22, 2024
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Past non-compliance (fixed before the inspection), Jan 2, 2024
F679 · Activities program
Requirement cited (CMS): Provide activities to meet all resident's needs.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 20, 2024
Earlier cycle: 7 deficiencies (standard inspection Oct 12, 2023)
Standard inspection Oct 12, 2023. CMS counts 7 health deficiencies and 2 fire safety deficiencies in this cycle.
Oct 12, 2023 · Standard inspection
3 deficiencies, highest E
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 3, 2023
F644 · Coordinating with PASARR screening
Requirement cited (CMS): Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 16, 2023
F607 · Abuse prevention policies
Requirement cited (CMS): Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 13, 2023
Sep 1, 2023 · Complaint inspection
4 deficiencies, highest J
F726 · Competent nurses and nurse aides
Requirement cited (CMS): Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Sep 12, 2023
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Sep 12, 2023
F626 · Returning after a hospital stay
Requirement cited (CMS): Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 12, 2023
F580 · Telling residents and families about changes
Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Sep 12, 2023
Tags cited in more than one inspection
1 tag cited on more than one inspection date at Avir at Pasadena; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F812 Food safety and sanitation | 3 | Feb 12, 2026; Nov 21, 2024; Oct 12, 2023 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Nov 21, 2024 | Fine | $8,021 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.08 h (below the Texas median of 3.27 h)
- RN hours per resident per day
- 0.25 h (below the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.65 h
- Nursing staff turnover
- 25.7% (Texas median 52.1%)
- Administrators who left
- 2
- CMS overall rating
- 4 of 5
- Health inspection rating
- 3 of 5
- Staffing rating
- 2 of 5
- Quality measure rating
- 5 of 5
CMS figures for Avir at Pasadena, copied as published; Texas medians are ours.
Facility details
- Address
- 4300 Vista Rd, Pasadena, TX 77504
- Phone
- (713) 946-6787
- County
- Harris
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Chain (CMS)
- Avir Health Group
- Certified beds
- 131
- Average residents per day
- 101.6
- In Medicare/Medicaid since
- Sep 11, 1996
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Both
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- When was the kitchen last inspected, and how are food temperatures checked? (F812, cited 3 times)
- How quickly is the family called if a resident falls or their condition changes? (F580, cited 1 time)
- How often are rooms cleaned and bed linens changed? (F584, cited 1 time)
- Can families get a summary of the home's abuse prevention and reporting policy? (F607, cited 1 time)
Other nursing homes in Pasadena and the same chain
- The Suites Pasadena
Pasadena · 46 deficiencies - Focused Care at Pasadena
Pasadena · 34 deficiencies - Paradigm at Faith Memorial
Pasadena · 22 deficiencies - The Courtyards at Pasadena
Pasadena · 17 deficiencies - Baywood Crossing Rehabilitation & Healthcare Cente
Pasadena · 16 deficiencies - Pasadena Post Acute
Pasadena · 14 deficiencies - Avir at El Paso
El Paso · 93 deficiencies - Avir at Patriot
El Paso · 78 deficiencies - Avir at Cowhorn Creek
Texarkana · 68 deficiencies - Avir at Kerrville
Kerrville · 67 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.