Starfile / Texas

FOCUSED CARE AT PASADENA

3434 WATTERS RD, PASADENA, TX 77504 · CCN 676050

Inspection history vs Texas & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$131,012

Number of fines

3

Number of penalties

4

Payment denials

1

Chain

Chain

FOCUSED POST ACUTE CARE PARTNERS

Facilities in chain

25

Chain avg overall

2.20 / 5

Inspection citations (31)6 immediate jeopardy

1. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-11-20 · Health · corrected 2024-11-21

   Potential for more than minimal harm

2. EF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-10-16 · Health · corrected 2024-11-12

   Potential for more than minimal harm

3. EF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-10-16 · Health · corrected 2024-11-12

   Potential for more than minimal harm

4. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-10-16 · Health · corrected 2024-11-12

   Potential for more than minimal harm

5. EF0814Dispose of garbage and refuse properly.2024-10-16 · Health · corrected 2024-11-12

   Potential for more than minimal harm

6. JF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-08-28 · Health · corrected 2024-11-12

   Immediate jeopardy

7. JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-08-28 · Health · corrected 2024-08-29

   Immediate jeopardy

8. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-08-08 · Health · corrected 2024-08-10

   Potential for more than minimal harm

9. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-08-08 · Health · corrected 2024-08-10

   Potential for more than minimal harm

10. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-08-08 · Health · corrected 2024-08-10

    Potential for more than minimal harm

11. KF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-02-20 · Health · corrected 2024-03-15

    Immediate jeopardy

12. KF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-20 · Health · corrected 2024-03-15

    Immediate jeopardy

13. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-12-01 · Health · corrected 2023-12-06

    Potential for more than minimal harm

14. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-12-01 · Health · corrected 2023-12-06

    Potential for more than minimal harm

15. JF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-11-12 · Health · corrected 2023-11-30

    Immediate jeopardy

16. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-11-12 · Health · corrected 2023-11-30

    Immediate jeopardy

17. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-10-13 · Health · corrected 2023-10-27

    Potential for more than minimal harm

18. EF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2023-10-13 · Health · corrected 2023-10-27

    Potential for more than minimal harm

19. EF0641Ensure each resident receives an accurate assessment.2023-10-13 · Health · corrected 2023-10-27

    Potential for more than minimal harm

20. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-10-13 · Health · corrected 2023-10-27

    Potential for more than minimal harm

21. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-10-13 · Health · corrected 2023-10-27

    Potential for more than minimal harm

22. EF0727Have 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.2023-10-13 · Health · corrected 2023-10-27

    Potential for more than minimal harm

23. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-10-13 · Health · corrected 2023-10-27

    Potential for more than minimal harm

24. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-10-13 · Health · corrected 2023-10-27

    Potential for more than minimal harm

25. EF0850Hire a qualified full-time social worker in a facility with more than 120 beds.2023-10-13 · Health · corrected 2023-10-27

    Potential for more than minimal harm

26. DF0641Ensure each resident receives an accurate assessment.2022-07-21 · Health · corrected 2022-09-02

    Potential for more than minimal harm

27. DF0693Ensure 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.2022-07-21 · Health · corrected 2022-08-18

    Potential for more than minimal harm

28. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-07-21 · Health · corrected 2022-08-18

    Potential for more than minimal harm

29. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-07-21 · Health · corrected 2022-08-18

    Potential for more than minimal harm

30. DF0761Ensure 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.2022-07-21 · Health · corrected 2022-08-18

    Potential for more than minimal harm

31. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2022-07-21 · Health · corrected 2022-08-22

    Potential for more than minimal harm

Ownership

Other facilities in PASADENA

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.