For profit - Partnership · 116 certified beds · CMS number 675365
Pasadena Post Acute, Pasadena, TX
CMS records 14 health deficiencies at Pasadena Post Acute in Pasadena, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on May 15, 2026. The highest severity cited is K (immediate jeopardy to resident health or safety). 3 citations were at the immediate jeopardy level. CMS lists 2 fines totaling $27,254 in the last three years.
- 14deficiencies, 3 cycles (TX median 25)
- 4in the latest cycle (TX median 8)
- Khighest severity · Immediate jeopardy
- $27,254fines, last 3 years
- 3CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Pasadena Post Acute as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Pasadena Post Acute may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (4 deficiencies)
Standard inspection May 15, 2026. CMS counts 4 health deficiencies and 2 fire safety deficiencies in this cycle.
May 15, 2026 · Standard inspection
4 deficiencies, highest D
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 May 18, 2026
F805 · Food prepared for individual needs
Requirement cited (CMS): Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 18, 2026
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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 18, 2026
F558 · Accommodating individual needs and preferences
Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 18, 2026
Previous cycle: 1 deficiency (standard inspection Apr 3, 2025)
Standard inspection Apr 3, 2025. CMS counts 1 health deficiency and 3 fire safety deficiencies in this cycle.
Apr 3, 2025 · Standard inspection
1 deficiency, highest D
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 Apr 4, 2025
Earlier cycle: 9 deficiencies (standard inspection Feb 2, 2024)
Standard inspection Feb 2, 2024. CMS counts 9 health deficiencies and 4 fire safety deficiencies in this cycle.
Feb 2, 2024 · Standard + complaint inspection
9 deficiencies, highest K
F908 · Equipment kept in safe working order
Requirement cited (CMS): Keep all essential equipment working safely.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 22, 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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 22, 2024
F756 · Monthly pharmacist medication review
Requirement cited (CMS): Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 22, 2024
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 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
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Feb 22, 2024
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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 22, 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
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Feb 22, 2024
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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 22, 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
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Feb 22, 2024
Tags cited in more than one inspection
1 tag cited on more than one inspection date at Pasadena Post Acute; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F689 Accident prevention and supervision | 2 | May 15, 2026; Feb 2, 2024 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Feb 2, 2024 | Fine | $13,627 |
| Feb 2, 2024 | Fine | $13,627 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.46 h (above the Texas median of 3.27 h)
- RN hours per resident per day
- 0.37 h (about the same as the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 3.18 h
- Nursing staff turnover
- 43.3% (Texas median 52.1%)
- Administrators who left
- 1
- CMS overall rating
- 3 of 5
- Health inspection rating
- 2 of 5
- Staffing rating
- 2 of 5
- Quality measure rating
- 5 of 5
CMS figures for Pasadena Post Acute, copied as published; Texas medians are ours.
Facility details
- Address
- 4006 Vista Rd, Pasadena, TX 77504
- Phone
- (713) 943-1592
- County
- Harris
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Partnership
- Chain (CMS)
- Not part of a chain in CMS data
- Certified beds
- 116
- Average residents per day
- 98.2
- In Medicare/Medicaid since
- Aug 3, 1994
- 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 does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 2 times)
- How does the home adapt rooms and routines for residents with limited mobility, vision, or hearing? (F558, cited 1 time)
- 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)
Other nursing homes in Pasadena
- 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 - Avir at Pasadena
Pasadena · 13 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.