Focused Care at Pasadena
Nursing Home · Pasadena, TX
CMS certification number676050
Contact & location
3434 Watters RoadPasadena, TX 77504
Harris County
- Phone
- (713) 941-9155
- ZIP code
- 77504 – all care providers
Facility details
- Certified beds
- 125
- Residents per day
- 73.3 (59% occupied)
- Ownership
- For profit - Corporation
- Legal name
- Chambers County Public Hospital District No. 1
- Chain
- Focused Post Acute Care Partners (25 facilities, avg 1.9★)
- Medicare certified since
- May 16, 2005
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 2.95 (state 3.39 · U.S. 3.86)
- Registered nurses (RN)
- 0.40 (state 0.43 · U.S. 0.69)
- Licensed practical nurses
- 0.52 (state 0.95 · U.S. 0.86)
- Nurse aides
- 2.03 (state 2.00 · U.S. 2.32)
- Weekend total
- 2.53 (state 2.98 · U.S. 3.42)
- Nursing staff turnover
- 76.6 (state 55.3 · U.S. 45.8)%
- RN turnover
- 85.7 (state 54.6 · U.S. 42.9)%
- Administrators who left
- 2 in the last year
Inspections
- Last standard inspection
- February 13, 2026
- Health deficiencies (last cycle)
- 7.0 (state 9.3 · U.S. 9.3)
- From complaints
- 2
- Citations on record (3 years)
- 32 health · 4 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-03-18 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-04-10 |
| 2026-03-18 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-24 |
| 2026-02-13 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-27 |
| 2026-02-13 | PASARR screening for Mental disorders or Intellectual Disabilities F0645 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-27 |
| 2026-02-13 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-27 |
| 2026-02-13 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-27 |
| 2026-02-13 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-13 |
| 2024-11-20 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-11-21 |
| 2024-10-16 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-11-12 |
| 2024-10-16 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-11-12 |
| 2024-10-16 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-11-12 |
| 2024-10-16 | Dispose of garbage and refuse properly. F0814 · Nutrition and Dietary Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-11-12 |
| 2024-08-28 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-11-12 |
| 2024-08-28 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-08-29 |
| 2024-08-08 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-10 |
| 2024-08-08 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-10 |
| 2024-08-08 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-10 |
| 2024-02-20 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2024-03-15 |
| 2024-02-20 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2024-03-15 |
| 2023-12-01 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-06 |
| 2023-12-01 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-06 |
| 2023-11-12 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2023-11-30 |
| 2023-11-12 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2023-11-30 |
| 2023-10-13 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. F0636 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-10-27 |
| 2023-10-13 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-10-27 |
| 2023-10-13 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-10-27 |
| 2023-10-13 | Have 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. F0727 · Nursing and Physician Services Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-10-27 |
| 2023-10-13 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-10-27 |
| 2023-10-13 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-10-27 |
| 2023-10-13 | Hire a qualified full-time social worker in a facility with more than 120 beds. F0850 · Administration Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2023-10-27 |
| 2023-10-13 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-27 |
| 2023-10-13 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-27 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
4 penalties in the last three years, including $131,012 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-08-28 | Payment Denial | 46 days payment denial |
| 2024-08-28 | Fine | $40,699 |
| 2024-02-20 | Fine | $77,458 |
| 2023-11-12 | Fine | $12,855 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Conley, Shawn (individual) | Administrator · NOT APPLICABLE | |
| Focused Post Acute Care Partners LLC (organization) | Administrator · NOT APPLICABLE | |
| Focused Post Acute Care Partners Management, LLC (organization) | Administrator · NOT APPLICABLE | |
| Fpacp Pasadena LLC (organization) | Administrator · NOT APPLICABLE | |
| Le, Truc (individual) | Administrator · NOT APPLICABLE | |
| McKenzie, Mark (individual) | Administrator · NOT APPLICABLE | |
| Sparrow, Britney (individual) | Administrator · NOT APPLICABLE | |
| Strubbe, Loretta (individual) | Administrator · NOT APPLICABLE | |
| Villarreal, John (individual) | Administrator · NOT APPLICABLE | |
| Wilson, Katrina (individual) | Administrator · NOT APPLICABLE | |
| Cooper, Kimberly (individual) | Corporate Officer · NOT APPLICABLE | |
| Newton, Elizabeth (individual) | Corporate Officer · NOT APPLICABLE | |
| Abernathy, Mary (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Humphrey, Eric (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Legg, Stephen (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| McKenzie, Mark (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Newton, Elizabeth (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Tinnerman, Linda (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Turner, Leslie (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Chambers County Public Hospital District No. 1 (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Conley, Shawn (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Focused Post Acute Care Partners LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Focused Post Acute Care Partners Management, LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Fpacp Pasadena LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| McKenzie, Mark (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Sparrow, Britney (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Strubbe, Loretta (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Villarreal, John (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Wilson, Katrina (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Focused Care at Pasadena?
Focused Care at Pasadena has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.
How many beds does Focused Care at Pasadena have?
It has 125 certified beds and cares for about 73 residents per day.
Has Focused Care at Pasadena been fined?
Yes. CMS lists 4 penalties totaling $131,012 in the last three years.
Who owns Focused Care at Pasadena?
It is part of Focused Post Acute Care Partners and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Focused Care at Pasadena?
(713) 941-9155. The facility is located at 3434 Watters Road, Pasadena, TX 77504.
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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.