For profit - Corporation · 125 certified beds · CMS number 676050
Focused Care at Pasadena, Pasadena, TX
CMS records 34 health deficiencies at Focused Care at Pasadena in Pasadena, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Feb 13, 2026. The highest severity cited is K (immediate jeopardy to resident health or safety). 6 citations were at the immediate jeopardy level. CMS lists 3 fines totaling $131,012 and 1 payment denial in the last three years.
- 34deficiencies, 3 cycles (TX median 25)
- 9in the latest cycle (TX median 8)
- Khighest severity · Immediate jeopardy
- $131,012fines, last 3 years
- 1CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Focused Care at Pasadena as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Focused Care at Pasadena may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (9 deficiencies)
Standard inspection Feb 13, 2026. CMS counts 9 health deficiencies and 1 fire safety deficiency in this cycle.
Jul 9, 2026 · Complaint inspection
2 deficiencies, highest D
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- No plan of correction on file
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- No plan of correction on file
Mar 18, 2026 · Complaint inspection
2 deficiencies, highest E
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 24, 2026
F760 · No significant medication errors
Requirement cited (CMS): Ensure that residents are free from significant medication errors.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 10, 2026
Feb 13, 2026 · Standard inspection
5 deficiencies, highest E
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 Apr 13, 2026
F759 · Medication error rate under 5 percent
Requirement cited (CMS): Ensure medication error rates are not 5 percent or greater.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 27, 2026
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 27, 2026
F645 · Pre-admission screening for mental disorder or intellectual disability
Requirement cited (CMS): PASARR screening for Mental disorders or Intellectual Disabilities
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 27, 2026
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 27, 2026
Previous cycle: 5 deficiencies (standard inspection Nov 20, 2024)
Standard inspection Nov 20, 2024. CMS counts 5 health deficiencies and 1 fire safety deficiency in this cycle.
Nov 20, 2024 · Standard inspection
1 deficiency, 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 21, 2024
Oct 16, 2024 · Complaint inspection
4 deficiencies, highest E
F814 · Garbage disposal
Requirement cited (CMS): Dispose of garbage and refuse properly.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 12, 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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 12, 2024
F690 · Bladder, bowel, and catheter care
Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 12, 2024
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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 12, 2024
Earlier cycle: 20 deficiencies (standard inspection Oct 13, 2023)
Standard inspection Oct 13, 2023. CMS counts 20 health deficiencies and 2 fire safety deficiencies in this cycle.
Aug 28, 2024 · Complaint inspection
2 deficiencies, highest J
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 Aug 29, 2024
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 Nov 12, 2024
Aug 8, 2024 · Complaint inspection
3 deficiencies, highest D
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 10, 2024
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 10, 2024
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 10, 2024
Feb 20, 2024 · Complaint inspection
2 deficiencies, highest K
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
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Mar 15, 2024
F600 · Freedom from abuse and neglect
Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Mar 15, 2024
Dec 1, 2023 · Complaint inspection
2 deficiencies, highest D
F600 · Freedom from abuse and neglect
Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 6, 2023
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 6, 2023
Nov 12, 2023 · Complaint inspection
2 deficiencies, highest J
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
- Correction date Nov 30, 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 Nov 30, 2023
Oct 13, 2023 · Standard + complaint inspection
9 deficiencies, highest E
F850 · Full-time social worker in larger homes
Requirement cited (CMS): Hire a qualified full-time social worker in a facility with more than 120 beds.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Oct 27, 2023
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 Oct 27, 2023
F804 · Palatable, attractive food at safe temperatures
Requirement cited (CMS): Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Oct 27, 2023
F727 · RN coverage and director of nursing
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Oct 27, 2023
F657 · Care plan timing and team review
Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Oct 27, 2023
F655 · Baseline care plan within 48 hours
Requirement cited (CMS): Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 27, 2023
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Oct 27, 2023
F636 · Full assessment at admission and yearly
Requirement cited (CMS): Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Oct 27, 2023
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 27, 2023
Tags cited in more than one inspection
7 tags cited on more than one inspection date at Focused Care at Pasadena; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F580 Telling residents and families about changes | 3 | Oct 16, 2024; Aug 28, 2024; Nov 12, 2023 |
| F641 Accurate resident assessments | 3 | Jul 9, 2026; Feb 13, 2026; Oct 13, 2023 |
| F656 Comprehensive person-centered care plan | 3 | Jul 9, 2026; Feb 13, 2026; Aug 8, 2024 |
| F812 Food safety and sanitation | 3 | Nov 20, 2024; Oct 16, 2024; Oct 13, 2023 |
| F550 Dignity and the right to exercise rights | 2 | Aug 8, 2024; Dec 1, 2023 |
| F600 Freedom from abuse and neglect | 2 | Feb 20, 2024; Dec 1, 2023 |
| F689 Accident prevention and supervision | 2 | Feb 20, 2024; Nov 12, 2023 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Aug 28, 2024 | Fine | $40,699 |
| Aug 28, 2024 | Payment Denial | 46 days from Sep 27, 2024 |
| Feb 20, 2024 | Fine | $77,458 |
| Nov 12, 2023 | Fine | $12,855 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 2.95 h (below the Texas median of 3.27 h)
- RN hours per resident per day
- 0.40 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.53 h
- Nursing staff turnover
- 76.6% (Texas median 52.1%)
- Administrators who left
- 2
- CMS overall rating
- 1 of 5
- Health inspection rating
- 1 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 3 of 5
CMS figures for Focused Care at Pasadena, copied as published; Texas medians are ours.
Facility details
- Address
- 3434 Watters Road, Pasadena, TX 77504
- Phone
- (713) 941-9155
- County
- Harris
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Chain (CMS)
- Focused Post Acute Care Partners
- Certified beds
- 125
- Average residents per day
- 73.3
- In Medicare/Medicaid since
- May 16, 2005
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How quickly is the family called if a resident falls or their condition changes? (F580, cited 3 times)
- How does the home check that resident assessments match what staff actually observe? (F641, cited 3 times)
- How are a resident's goals and preferences written into the care plan? (F656, cited 3 times)
- When was the kitchen last inspected, and how are food temperatures checked? (F812, cited 3 times)
Other nursing homes in Pasadena and the same chain
- The Suites Pasadena
Pasadena · 46 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 Pasadena
Pasadena · 13 deficiencies - Focused Care at Mount Pleasant
Mount Pleasant · 84 deficiencies - Focused Care at Linden
Linden · 62 deficiencies - Focused Care of Gilmer
Gilmer · 49 deficiencies - Focused Care at Hogan Park
Midland · 48 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.