Nursing home in Pasadena, Texas
HCA Houston Healthcare Southeast
Medicare
4801 EAST SAM HOUSTON PARKWAY SOUTH, Pasadena, TX 77505
(713) 359-2000
CMS star ratings
CMS gives this nursing home an overall star rating of 5 out of 5. Each rating is compared with the mean of rated nursing homes in Texas (1,165 for the overall rating) and in the U.S. (14,565). How to read an inspection report.
Overall rating
- This nursing home5
- Texas average2.7 (1,165 rated)
- U.S. average3.0 (14,565 rated)
Health inspections
- This nursing home5
- Texas average2.8 (1,165 rated)
- U.S. average2.8 (14,565 rated)
Staffing
- This nursing home4
- Texas average1.9 (1,163 rated)
- U.S. average2.9 (14,494 rated)
Quality measures
- This nursing home4
- Texas average3.7 (1,162 rated)
- U.S. average3.6 (14,495 rated)
Health inspections
Most recent standard health inspection (rating cycle 1): May 15, 2025. CMS counts 5 health deficiencies in rating cycle 1.
- This nursing home5
- Texas average9.4 (1,171 with data)
- U.S. average9.2 (14,652 with data)
Rating cycle 1 health deficiencies. Averages include every nursing home with a count in the CMS file; fewer is better.
Deficiencies since Sep 30, 2023
Inspectors cited 5 health deficiencies on 1 inspection date since Sep 30, 2023. By level of harm: 5 potential for harm.
- 0 Immediate jeopardy to resident health or safety
- 0 Actual harm
- 5 No actual harm, potential for more than minimal harm
- 0 No actual harm, potential for minimal harm
| Date | Tag | Deficiency | Scope and severity | Inspection type | Status |
|---|---|---|---|---|---|
| May 15, 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft.Freedom from Abuse, Neglect, and Exploitation Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Aug 31, 2025 |
| May 15, 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Aug 31, 2025 |
| May 15, 2025 | F0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Aug 31, 2025 |
| May 15, 2025 | F0583 | Keep residents' personal and medical records private and confidential.Resident Rights Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Aug 31, 2025 |
| May 15, 2025 | F0690 | Provide 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 Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Aug 31, 2025 |
Staffing
Total nurse staffing
Reported hours per resident per day.
- This nursing home6.90 hours
- Texas average3.39 hours (1,148 with data)
- U.S. average3.86 hours (14,351 with data)
Registered nurse staffing
Reported hours per resident per day.
- This nursing home3.69 hours
- Texas average0.43 hours (1,148 with data)
- U.S. average0.69 hours (14,351 with data)
Nursing staff turnover
Share of nursing staff who left during the year, as reported to CMS.[26]
- This nursing homeNot available
- Texas average55.3% (1,051 with data)
- U.S. average45.8% (13,538 with data)
Penalties
CMS lists 0 penalties for this nursing home: 0 fines totaling $0, and 0 payment denials. CMS counts penalties from the last 3 years.
Facility details
| Certified beds | 30 |
|---|---|
| Average residents per day | 21.6 |
| Ownership | For profit - Corporation |
| Provider type | Medicare |
| Inside a hospital | Yes |
| Continuing care retirement community | No |
| Resident and family council | None |
| Automatic sprinklers in all required areas | Yes |
| Chain | HCA Healthcare (3 facilities) |
| Legal business name | CHCA BAYSHORE LP |
| First approved for Medicare and Medicaid | Apr 12, 2024 |
| County | Harris |
| CMS certification number | 745052 |
Also in Pasadena
| Nursing home | CMS overall rating | Health inspection rating | Certified beds | Ownership |
|---|---|---|---|---|
| Avir at Pasadena | 131 | For profit - Limited Liability company | ||
| Baywood Crossing Rehabilitation & Healthcare Cente | 124 | For profit - Corporation | ||
| Paradigm at Faith Memorial | 112 | For profit - Limited Liability company | ||
| Pasadena Post Acute | 116 | For profit - Partnership | ||
| The Courtyards at Pasadena | 196 | For profit - Limited Liability company | ||
| Focused Care at Pasadena | 125 | For profit - Corporation | ||
| The Suites Pasadena | 50 | For profit - Corporation |
| Hospital | CMS overall rating | Type | Emergency services |
|---|---|---|---|
| HCA Houston Healthcare Southeast | Acute Care Hospitals | Yes | |
| St Luke's Patients Medical Center | Acute Care Hospitals | Yes | |
| Oceans Behavioral Hospital of Pasadena | Not available | Psychiatric | No |
| Surgery Specialty Hospitals of America SE Houston | Not available | Acute Care Hospitals | Yes |
CMS footnotes on this page
- [26]
- This facility did not submit staffing data or submitted staffing data that is considered to be invalid for the purpose of calculating turnover. This measure will receive the minimum points for calculating the overall staffing score and rating.