Nursing HomeInspections

Focused Care at Pasadena

Nursing home in Pasadena, TX

Medicare & Medicaid certified1★ overall (CMS)

Call (713) 941-9155Send a messageMap ↗

Public-record details

Address
3434 Watters Road, Pasadena, TX 77504
Phone
(713) 941-9155
Listed under
For-profit
Medicare CCN
676050
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measures rating
3 of 5
Certified beds
125
Average residents per day
73
Ownership
For-profit, corporation
Legal business name
Chambers County Public Hospital District No. 1
Chain
Focused Post Acute Care Partners (25 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
May 16, 2005
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 676050. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Feb 13, 2026. CMS lists 32 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 13, 2023 to Mar 18, 2026): 18 from complaint inspections, 6 at the “actual harm” level or higher, including 6 at “immediate jeopardy”.

InspectionCitationSeverity
Mar 18, 2026Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated
Mar 18, 2026Ensure that residents are free from significant medication errors.
Pharmacy Service · complaint inspection
E
Potential for more than minimal harm, pattern
Feb 13, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Feb 13, 2026Provide and implement an infection prevention and control program.
Infection Control
D
Potential for more than minimal harm, isolated
Feb 13, 2026Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning
E
Potential for more than minimal harm, pattern
Feb 13, 2026PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning
E
Potential for more than minimal harm, pattern
Feb 13, 2026Ensure medication error rates are not 5 percent or greater.
Pharmacy Service
E
Potential for more than minimal harm, pattern
Nov 20, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary
E
Potential for more than minimal harm, pattern
Oct 16, 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
E
Potential for more than minimal harm, pattern
Oct 16, 2024Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care · complaint inspection
E
Potential for more than minimal harm, pattern
Oct 16, 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
E
Potential for more than minimal harm, pattern
Oct 16, 2024Dispose of garbage and refuse properly.
Nutrition and Dietary · complaint inspection
E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 32. 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 3 fines totalling $131,012 and 1 denial of Medicare payment for new admissions in the last three years.

Aug 28, 2024Fine: $40,699
Aug 28, 2024Payment denial for 46 days from Sep 27, 2024
Feb 20, 2024Fine: $77,458
Nov 12, 2023Fine: $12,855

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
2.95 hours
Registered nurse (RN) time per resident per day
0.40 hours
Nurse aide time per resident per day
2.03 hours
Total nurse staffing on weekends
2.53 hours
Nursing staff turnover (yearly)
77%
RN turnover (yearly)
86%
Administrators who left in the past year
2

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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All 8 in Pasadena →