| Pasadena Post Acute | |
| 4006 Vista Rd, Pasadena, Texas 77504 | |
| (713) 943-1592 | |
| Name | Pasadena Post Acute |
|---|---|
| Location | 4006 Vista Rd, Pasadena, Texas |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 116 |
| Occupancy Rate | 84.66% |
| Medicare ID (CCN) | 675365 |
| Legal Business Name | Liberty County Hospital District No 1 |
| Ownership Type | For Profit - Partnership |
| NPI Number | 1003568171 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Liberty County Hospital District No. 1 |
| Doing Business As | Pasadena Post Acute |
| Address | 4006 Vista Rd, Pasadena, TX 77504 |
| Phone Number | 713-943-1592 |
| NPI Number | 1457394686 |
| Match | Possible same name, address or phone number |
| Organization Name | Raber Corporation |
| Doing Business As | Pasadena Care Center |
| Address | 4006 Vista Road, Pasadena, TX 77504 |
| Phone Number | 713-943-1592 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.46 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.37 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.99 | 0.86 |
| Nurse aide hours per resident per day | 2.1 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.18 | 3.42 |
| RN hours per resident per day on the weekend | 0.18 | 0.48 |
| Physical therapist hours per resident per day | 0.05 | 0.07 |
| Total nursing staff turnover | 43.3% | 45.8% |
| Registered nurse turnover | 40% | 42.9% |
| Number of administrators who have left the nursing home | 1 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 2 |
| Total Amount of Fines in Dollars | $27,254 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 2 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| May 15, 2026 | Reasonably accommodate the needs and preferences of each resident. F0558, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by May 18, 2026 |
| May 15, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 18, 2026 |
| May 15, 2026 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. F0805, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by May 18, 2026 |
| May 15, 2026 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by May 18, 2026 |
| Apr 3, 2025 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Apr 4, 2025 |
| Feb 2, 2024 | 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, Standard inspection, Complaint inspection | Immediate jeopardy, pattern | Corrected by Feb 22, 2024 |
| Feb 2, 2024 | 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, Standard inspection, Complaint inspection | Immediate jeopardy, pattern | Corrected by Feb 22, 2024 |
| Feb 2, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection, Complaint inspection | Immediate jeopardy, pattern | Corrected by Feb 22, 2024 |
| Feb 2, 2024 | Honor 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. F0584, Resident Rights, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Feb 22, 2024 |
| Feb 2, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Feb 22, 2024 |
| Feb 2, 2024 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756, Pharmacy Service, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Feb 22, 2024 |
| Feb 2, 2024 | Keep all essential equipment working safely. F0908, Environmental, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Feb 22, 2024 |
| Feb 2, 2024 | 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, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Feb 22, 2024 |
| Feb 2, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Feb 22, 2024 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 4.36 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 1.62 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 3.45 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 2.15 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.87 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 93.62 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 40.91 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 3.23 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 3.31 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 20.77 | 15.38 |
Baywood Crossing Rehabilitation & Healthcare Cente Location: 5020 Space Center Blvd, Pasadena, Texas 77505 Phone: (713) 575-1800 |
HCA Houston Healthcare Southeast Location: 4801 East Sam Houston Parkway South, Pasadena, Texas 77505 Phone: (713) 359-2000 |