For profit - Limited Liability company · 180 certified beds · CMS number 676207

The Colonnades at Reflection Bay, Pearland, TX

CMS records 42 health deficiencies at The Colonnades at Reflection Bay in Pearland, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on May 1, 2026. The highest severity cited is K (immediate jeopardy to resident health or safety). 5 citations were at the immediate jeopardy level, 1 of them recorded as past non-compliance (fixed before the inspection). CMS lists 6 fines totaling $120,183 in the last three years.

Inspections and deficiencies

CMS findings for The Colonnades at Reflection Bay as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and The Colonnades at Reflection Bay may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare

Most recent cycle (17 deficiencies)

Standard inspection May 1, 2026. CMS counts 17 health deficiencies and 4 fire safety deficiencies in this cycle.

May 1, 2026 · Standard inspection

6 deficiencies, highest E

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 May 28, 2026

F695 · Respiratory and oxygen care

Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 28, 2026

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 May 28, 2026

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 May 28, 2026

F627 · Permitted transfers, discharge planning, and return rights

Requirement cited (CMS): Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 28, 2026

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 May 28, 2026

Nov 20, 2025 · Complaint inspection

3 deficiencies, highest E

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 Nov 21, 2025

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
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Nov 21, 2025

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 Nov 21, 2025

Oct 24, 2025 · Complaint inspection

8 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 Nov 20, 2025

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 Nov 20, 2025

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 Nov 20, 2025

F695 · Respiratory and oxygen care

Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Nov 20, 2025

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
J Immediate jeopardy to resident health or safety, isolated
Status
Correction date Nov 20, 2025

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), Oct 19, 2025

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
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Nov 20, 2025

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
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Nov 20, 2025
Previous cycle: 15 deficiencies (standard inspection Feb 18, 2025)

Standard inspection Feb 18, 2025. CMS counts 15 health deficiencies and 3 fire safety deficiencies in this cycle.

Jun 6, 2025 · Complaint inspection

3 deficiencies, highest K

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 Jun 30, 2025

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 Jun 30, 2025

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
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jun 30, 2025

Apr 21, 2025 · Complaint inspection

1 deficiency, 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
Correction date May 20, 2025

Feb 18, 2025 · Standard + complaint inspection

4 deficiencies, highest K

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Mar 14, 2025

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 Mar 14, 2025

F760 · No significant medication errors

Requirement cited (CMS): Ensure that residents are free from significant medication errors.

Severity
K Immediate jeopardy to resident health or safety, pattern
Status
Correction date Mar 14, 2025

F695 · Respiratory and oxygen care

Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Mar 14, 2025

Dec 31, 2024 · Complaint inspection

1 deficiency, highest D

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 Jan 24, 2025

Dec 4, 2024 · Complaint inspection

3 deficiencies, highest D

F925 · Pest control

Requirement cited (CMS): Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Dec 26, 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
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Dec 26, 2024

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 Dec 26, 2024

Oct 4, 2024 · Complaint inspection

3 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 Oct 25, 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
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Oct 25, 2024

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
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Oct 25, 2024
Earlier cycle: 10 deficiencies (standard inspection Dec 8, 2023)

Standard inspection Dec 8, 2023. CMS counts 10 health deficiencies and 3 fire safety deficiencies in this cycle.

Jul 30, 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 Aug 31, 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
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 31, 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
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 31, 2024

May 31, 2024 · Complaint inspection

1 deficiency, highest F

F925 · Pest control

Requirement cited (CMS): Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Severity
F No actual harm, potential for more than minimal harm, widespread
Status
Correction date Jun 20, 2024

Dec 8, 2023 · Standard inspection

1 deficiency, highest G

F684 · Quality of care

Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Severity
G Actual harm (not immediate jeopardy), isolated
Status
Correction date Dec 15, 2023

Oct 13, 2023 · Complaint inspection

3 deficiencies, highest E

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Oct 24, 2023

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 Oct 24, 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
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Oct 24, 2023

Oct 6, 2023 · Complaint inspection

2 deficiencies, highest G

F607 · Abuse prevention policies

Requirement cited (CMS): Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Severity
G Actual harm (not immediate jeopardy), isolated
Status
Past non-compliance (fixed before the inspection), May 16, 2023

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
Past non-compliance (fixed before the inspection), May 16, 2023

Tags cited in more than one inspection

12 tags cited on more than one inspection date at The Colonnades at Reflection Bay; each date counts once and does not mean the same incident. PNC = past non-compliance.

TagInspectionsDates
F690 Bladder, bowel, and catheter care4May 1, 2026; Jun 6, 2025; Oct 4, 2024; Jul 30, 2024
F880 Infection prevention and control program4Feb 18, 2025; Oct 4, 2024; Jul 30, 2024; Oct 13, 2023
F689 Accident prevention and supervision3Nov 20, 2025; Oct 24, 2025 (PNC); Jul 30, 2024
F695 Respiratory and oxygen care3May 1, 2026; Oct 24, 2025; Feb 18, 2025
F761 Drug labeling and secure storage3May 1, 2026; Nov 20, 2025; Oct 13, 2023
F550 Dignity and the right to exercise rights2May 1, 2026; Oct 13, 2023
F656 Comprehensive person-centered care plan2Oct 24, 2025; Apr 21, 2025
F677 Help with daily care2Jun 6, 2025; Oct 4, 2024
F684 Quality of care2Dec 31, 2024; Dec 8, 2023
F755 Pharmacy services and a consultant pharmacist2Nov 20, 2025; Oct 24, 2025
F842 Complete, confidential medical records2Oct 24, 2025; Feb 18, 2025
F925 Pest control2Dec 4, 2024; May 31, 2024

Fines and payment denials

DateTypeAmount / length
Oct 24, 2025Fine$10,361
Oct 24, 2025Fine$17,345
Jun 6, 2025Fine$44,960
Feb 18, 2025Fine$29,782
Dec 8, 2023Fine$9,525
Oct 6, 2023Fine$8,210

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
0.60 h (above the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
3.11 h
Nursing staff turnover
49.7% (Texas median 52.1%)
Administrators who left
0
CMS overall rating
1 of 5
Health inspection rating
1 of 5
Staffing rating
3 of 5
Quality measure rating
4 of 5

CMS figures for The Colonnades at Reflection Bay, copied as published; Texas medians are ours.

Facility details

Address
12001 Shadow Creek Parkway, Pearland, TX 77584
Phone
(713) 434-3800
County
Brazoria
Accepts
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Chain (CMS)
Cantex Continuing Care
Certified beds
180
Average residents per day
142.6
In Medicare/Medicaid since
Jan 23, 1984
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 support residents who need help with toileting or incontinence? (F690, cited 4 times)
  • How do staff track and report infections among residents? (F880, cited 4 times)
  • How does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 3 times)
  • How are oxygen equipment and breathing treatments managed and checked? (F695, cited 3 times)

Other nursing homes in Pearland and the same chain

Source

CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.

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