For profit - Corporation · 50 certified beds · CMS number 676332
The Suites Pasadena, Pasadena, TX
CMS records 46 health deficiencies at The Suites Pasadena in Pasadena, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jan 16, 2026. The highest severity cited is K (immediate jeopardy to resident health or safety). 4 citations were at the immediate jeopardy level. CMS lists 6 fines totaling $286,133 and 1 payment denial in the last three years.
- 4 immediate jeopardy (J/K/L) citations
- A tag cited in 3 inspections
- Ownership changed in the last 12 months (CMS)
- 46deficiencies, 3 cycles (TX median 25)
- 8in the latest cycle (TX median 8)
- Khighest severity · Immediate jeopardy
- $286,133fines, last 3 years
- 1CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for The Suites Pasadena as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and The Suites Pasadena may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (8 deficiencies)
Standard inspection Jan 16, 2026. CMS counts 8 health deficiencies and 13 fire safety deficiencies in this cycle.
Mar 12, 2026 · Complaint inspection
1 deficiency, highest D
F760 · No significant medication errors
Requirement cited (CMS): Ensure that residents are free from significant medication errors.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 6, 2026
Jan 16, 2026 · Standard + complaint inspection
7 deficiencies, highest F
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 27, 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
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Feb 27, 2026
F658 · Professional standards in care
Requirement cited (CMS): Ensure services provided by the nursing facility meet professional standards of quality.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 20, 2026
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 20, 2026
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 Feb 21, 2026
F638 · Quarterly assessment reviews
Requirement cited (CMS): Assure that each resident’s assessment is updated at least once every 3 months.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 21, 2026
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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 20, 2026
Previous cycle: 10 deficiencies (standard inspection Oct 31, 2024)
Standard inspection Oct 31, 2024. CMS counts 10 health deficiencies and 2 fire safety deficiencies in this cycle.
Aug 25, 2025 · Complaint inspection
3 deficiencies, highest K
F686 · Pressure ulcer prevention and care
Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Sep 22, 2025
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 22, 2025
F583 · Personal privacy and confidential records
Requirement cited (CMS): Keep residents' personal and medical records private and confidential.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 22, 2025
Feb 21, 2025 · Complaint inspection
2 deficiencies, highest D
F806 · Allergies, preferences, and meal substitutes
Requirement cited (CMS): Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 12, 2025
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 Feb 25, 2025
Oct 31, 2024 · Standard + complaint inspection
5 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 22, 2024
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 22, 2024
F760 · No significant medication errors
Requirement cited (CMS): Ensure that residents are free from significant medication errors.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 22, 2024
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 Nov 22, 2024
F552 · Being informed about health and treatment
Requirement cited (CMS): Ensure that residents are fully informed and understand their health status, care and treatments.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 22, 2024
Earlier cycle: 28 deficiencies (standard inspection Sep 19, 2023)
Standard inspection Sep 19, 2023. CMS counts 28 health deficiencies and 11 fire safety deficiencies in this cycle.
Mar 29, 2024 · Complaint inspection
3 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 Apr 25, 2024
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 25, 2024
F605 · Limits on psychotropic drugs and chemical restraints
Requirement cited (CMS): Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 25, 2024
Mar 12, 2024 · Complaint inspection
1 deficiency, highest G
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
- G Actual harm (not immediate jeopardy), isolated
- Status
- Correction date Apr 5, 2024
Feb 19, 2024 · Complaint inspection
1 deficiency, 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 Apr 1, 2024
Jan 29, 2024 · Complaint inspection
3 deficiencies, highest J
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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 5, 2024
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 Feb 5, 2024
F658 · Professional standards in care
Requirement cited (CMS): Ensure services provided by the nursing facility meet professional standards of quality.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 5, 2024
Jan 17, 2024 · Complaint inspection
2 deficiencies, highest E
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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 24, 2024
F568 · Accounting for resident funds
Requirement cited (CMS): Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 24, 2024
Sep 19, 2023 · Standard + complaint inspection
18 deficiencies, highest K
F883 · Flu and pneumonia vaccines
Requirement cited (CMS): Develop and implement policies and procedures for flu and pneumonia vaccinations.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 20, 2023
F881 · Antibiotic stewardship
Requirement cited (CMS): Implement a program that monitors antibiotic use.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Sep 20, 2023
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Sep 20, 2023
F835 · Effective administration
Requirement cited (CMS): Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Sep 20, 2023
F814 · Garbage disposal
Requirement cited (CMS): Dispose of garbage and refuse properly.
- Severity
- C No actual harm, potential for minimal harm, widespread
- Status
- Correction date Sep 20, 2023
F801 · Qualified dietitian and food staff
Requirement cited (CMS): Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Sep 20, 2023
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 Sep 20, 2023
F758 · Psychotropic drug safeguards
Requirement cited (CMS): Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 20, 2023
F693 · Feeding tube use and care
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 20, 2023
F692 · Nutrition and hydration
Requirement cited (CMS): Provide enough food/fluids to maintain a resident's health.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 20, 2023
F686 · Pressure ulcer prevention and care
Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Sep 20, 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 Sep 20, 2023
F645 · Pre-admission screening for mental disorder or intellectual disability
Requirement cited (CMS): PASARR screening for Mental disorders or Intellectual Disabilities
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 20, 2023
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
- Correction date Sep 20, 2023
F570 · Bonding for deposited funds
Requirement cited (CMS): Assure the security of all personal funds of residents deposited with the facility.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 20, 2023
F569 · Balance notices and returning funds
Requirement cited (CMS): Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 20, 2023
F567 · Managing personal money
Requirement cited (CMS): Honor the resident's right to manage his or her financial affairs.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 20, 2023
F552 · Being informed about health and treatment
Requirement cited (CMS): Ensure that residents are fully informed and understand their health status, care and treatments.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 20, 2023
Tags cited in more than one inspection
9 tags cited on more than one inspection date at The Suites Pasadena; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F684 Quality of care | 3 | Aug 25, 2025; Mar 29, 2024; Jan 29, 2024 |
| F552 Being informed about health and treatment | 2 | Oct 31, 2024; Sep 19, 2023 |
| F644 Coordinating with PASARR screening | 2 | Jan 16, 2026; Oct 31, 2024 |
| F658 Professional standards in care | 2 | Jan 16, 2026; Jan 29, 2024 |
| F686 Pressure ulcer prevention and care | 2 | Aug 25, 2025; Sep 19, 2023 |
| F689 Accident prevention and supervision | 2 | Jan 16, 2026; Feb 19, 2024 |
| F760 No significant medication errors | 2 | Mar 12, 2026; Oct 31, 2024 |
| F761 Drug labeling and secure storage | 2 | Jan 16, 2026; Oct 31, 2024 |
| F880 Infection prevention and control program | 2 | Mar 29, 2024; Sep 19, 2023 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Jan 16, 2026 | Fine | $31,961 |
| Feb 20, 2024 | Fine | $4,938 |
| Feb 12, 2024 | Fine | $4,938 |
| Jan 22, 2024 | Fine | $14,814 |
| Jan 17, 2024 | Fine | $65,101 |
| Jan 17, 2024 | Payment Denial | 57 days from Feb 28, 2024 |
| Sep 19, 2023 | Fine | $164,381 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.66 h (above the Texas median of 3.27 h)
- RN hours per resident per day
- 0.43 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 3.17 h
- Nursing staff turnover
- 75.5% (Texas median 52.1%)
- Administrators who left
- 1
- CMS overall rating
- 1 of 5
- Health inspection rating
- 1 of 5
- Staffing rating
- 2 of 5
- Quality measure rating
- 3 of 5
CMS figures for The Suites Pasadena, copied as published; Texas medians are ours.
Facility details
- Address
- 4900 East Sam Houston Parkway South, Pasadena, TX 77505
- Phone
- (281) 998-0399
- County
- Harris
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Chain (CMS)
- Eduro Healthcare
- Certified beds
- 50
- Average residents per day
- 31.3
- In Medicare/Medicaid since
- Mar 20, 2013
- 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 make sure doctor's orders are followed consistently across shifts? (F684, cited 3 times)
- How do doctors and nurses explain changes in treatment to residents and their families? (F552, cited 2 times)
- If a resident has a mental health condition or intellectual disability, how are PASARR recommendations included in their care? (F644, cited 2 times)
- How do nursing leaders check that daily care follows current clinical guidelines? (F658, cited 2 times)
Other nursing homes in Pasadena and the same chain
- 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 Pasadena
Pasadena · 13 deficiencies - Richardson Nursing and Rehabilitation
Richardson · 63 deficiencies - Memorial Medical Nursing and Rehabilitation
San Antonio · 57 deficiencies - San Antonio North Nursing and Rehabilitation
San Antonio · 56 deficiencies - Greenview Nursing and Rehabilitation
Waco · 53 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.