The Colonnades at Reflection Bay
12001 Shadow Creek Parkway, Pearland, TX 77584 · CCN 676207
SFF Candidate
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★★★ 5
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 180
- Avg residents/day
- 149.2
- Phone
- 7134343800
Inspection history vs Texas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-02-18 | 19 | 9.1 | 9.5 | +9.9 worse |
| 2 | 2023-12-08 | 12 | 9.4 | 9.8 | +2.6 worse |
| 3 | 2022-09-30 | 12 | 8.1 | 9.3 | +3.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 8 |
| Resident assessment and care planning | 4 |
| Nursing and physician services | 1 |
| Pharmacy service | 4 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.35 | 52.2% |
| RN staffing (reported) | 0.48 | 50.0% |
| Total nurse staffing (adjusted) | 3.39 | — |
Fines & penalties
- Total fines
- $115,667
- Number of fines
- 4
- Number of penalties
- 4
- Payment denials
- 0
Chain
- Chain
- CANTEX CONTINUING CARE
- Facilities in chain
- 38
- Chain avg overall
- 3.10 / 5
Inspection citations (43)5 immediate jeopardy3 actual harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-11-20 · Health
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-11-20 · Health
Potential for more than minimal harm
- EF0761Ensure 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.2025-11-20 · Health
Potential for more than minimal harm
- EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-10-24 · Health · corrected 2026-01-13
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-10-24 · Health · corrected 2026-01-13
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-10-24 · Health · corrected 2025-10-19
Immediate jeopardy
- JF0693Ensure 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.2025-10-24 · Health · corrected 2026-01-13
Immediate jeopardy
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-10-24 · Health · corrected 2026-01-13
Potential for more than minimal harm
- JF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-10-24 · Health · corrected 2026-01-13
Immediate jeopardy
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-10-24 · Health · corrected 2026-01-13
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-10-24 · Health · corrected 2026-01-13
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-06-06 · Health · corrected 2025-06-30
Potential for more than minimal harm
- KF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-06-06 · Health · corrected 2025-06-30
Immediate jeopardy
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-06-06 · Health · corrected 2025-06-30
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-04-21 · Health · corrected 2025-05-20
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-02-18 · Health · corrected 2025-03-14
Potential for more than minimal harm
- KF0760Ensure that residents are free from significant medication errors.2025-02-18 · Health · corrected 2025-03-14
Immediate jeopardy
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-02-18 · Health · corrected 2025-03-14
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-02-18 · Health · corrected 2025-03-14
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-12-31 · Health · corrected 2025-01-24
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2024-12-04 · Health · corrected 2024-12-26
Potential for more than minimal harm
- DF0584Honor 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.2024-12-04 · Health · corrected 2024-12-26
Potential for more than minimal harm
- DF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2024-12-04 · Health · corrected 2024-12-26
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-10-04 · Health · corrected 2024-10-25
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-10-04 · Health · corrected 2024-10-25
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-10-04 · Health · corrected 2024-10-25
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-07-30 · Health · corrected 2024-08-31
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-07-30 · Health · corrected 2024-08-31
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-07-30 · Health · corrected 2024-08-31
Potential for more than minimal harm
- FF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2024-05-31 · Health · corrected 2024-06-20
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-12-08 · Health · corrected 2023-12-15
Actual harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-10-13 · Health · corrected 2023-10-24
Potential for more than minimal harm
- 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.2023-10-13 · Health · corrected 2023-10-24
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-10-13 · Health · corrected 2023-10-24
Potential for more than minimal harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-10-06 · Health · corrected 2023-05-16
Actual harm
- GF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-10-06 · Health · corrected 2023-05-16
Actual harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-09-30 · Health · corrected 2022-11-11
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2022-09-30 · Health · corrected 2022-11-11
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-09-30 · Health · corrected 2022-11-11
Potential for more than minimal harm
- DF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2022-09-30 · Health · corrected 2022-11-11
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-09-30 · Health · corrected 2022-11-11
Potential for more than minimal harm
- CF0814Dispose of garbage and refuse properly.2022-09-30 · Health · corrected 2022-11-11
Potential for minimal harm
- EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2022-09-30 · Health · corrected 2022-11-11
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| SWEENY HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2015-02-01 |
| COLONNADES HEALTH CARE CENTER LTD CO | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2015-02-15 |
| PAGGEOT, FRANCES | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-07 |
| RAJAN, KAVITHA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | — |
| PARK, KELLY | Individual | CORPORATE OFFICER | — | 2019-08-01 |
Other facilities in Pearland
| Name | Overall | Beds |
|---|---|---|
| Oasis at Pearland | ★☆☆☆☆ | 138 |
| Thrive Rehabilitation of Pearland | ★☆☆☆☆ | 104 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.