Nursing HomeInspections

Pasadena Post Acute

Nursing home in Pasadena, TX

Medicare & Medicaid certified3★ overall (CMS)

Call (713) 943-1592Send a messageMap ↗

Public-record details

Address
4006 Vista Rd, Pasadena, TX 77504
Phone
(713) 943-1592
Listed under
For-profit
Medicare CCN
675365
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
2 of 5
Staffing rating
2 of 5
Quality measures rating
5 of 5
Certified beds
116
Average residents per day
98
Ownership
For-profit, partnership
Legal business name
Liberty County Hospital District No 1
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Aug 3, 1994
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 675365. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: May 15, 2026. CMS lists 14 health citations for this facility across its last three standard inspection cycles and complaint inspections (Feb 2, 2024 to May 15, 2026): 9 from complaint inspections, 3 at the “actual harm” level or higher, including 3 at “immediate jeopardy”.

InspectionCitationSeverity
May 15, 2026Reasonably accommodate the needs and preferences of each resident.
Resident Rights
D
Potential for more than minimal harm, isolated
May 15, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
May 15, 2026Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary
D
Potential for more than minimal harm, isolated
May 15, 2026Provide and implement an infection prevention and control program.
Infection Control
D
Potential for more than minimal harm, isolated
Apr 3, 2025Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Feb 2, 2024Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated
Feb 2, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · complaint inspection
D
Potential for more than minimal harm, isolated
Feb 2, 2024Honor 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.
Resident Rights · complaint inspection
E
Potential for more than minimal harm, pattern
Feb 2, 2024Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection
E
Potential for more than minimal harm, pattern
Feb 2, 2024Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service · complaint inspection
E
Potential for more than minimal harm, pattern
Feb 2, 2024Keep all essential equipment working safely.
Environmental · complaint inspection
E
Potential for more than minimal harm, pattern
Feb 2, 2024Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection
K
Immediate jeopardy, pattern

Showing the 12 most recent of 14. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $27,254 in the last three years.

Feb 2, 2024Fine: $13,627
Feb 2, 2024Fine: $13,627

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.46 hours
Registered nurse (RN) time per resident per day
0.37 hours
Nurse aide time per resident per day
2.10 hours
Total nurse staffing on weekends
3.18 hours
Nursing staff turnover (yearly)
43%
RN turnover (yearly)
40%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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