Skilled Nursing

Focused Care at Pasadena

3434 Watters Rd, Pasadena, TX 77504

125beds
Skilled Nursingcare types
1/5CMS rating
Updated2026

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Inspection & Compliance

Data from CMS (Centers for Medicare & Medicaid Services), updated weekly. Medicare.gov Care Compare

2.5h

Hrs/resident · weekday

Expected: 2.5h

2.2h

Hrs/resident · weekend

vs 2.5h on weekdays

Not reported

30-day hospital readmission rate

Annual Staff Turnover Rates

High turnover is one of the strongest predictors of care quality. National average CNA turnover is ~75%.

RNs
83%
LPNs
CNAs
72%

Administrator turnover: 4 in the past year — above average

Health Inspection Deficiencies · Last 3 Years

SeriousImmediate Jeopardy0684Severity JAug 28, 2024

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected: Aug 29, 2024

SeriousImmediate Jeopardy0580Severity JAug 28, 2024

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected: Nov 12, 2024

SeriousImmediate Jeopardy0689Severity KFeb 20, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected: Mar 15, 2024

SeriousImmediate Jeopardy0600Severity KFeb 20, 2024

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected: Mar 15, 2024

SeriousImmediate Jeopardy0689Severity JNov 12, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected: Nov 30, 2023

SeriousImmediate Jeopardy0580Severity JNov 12, 2023

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected: Nov 30, 2023

26 standard deficiencies in the last 3 years

View all
0842Severity DMar 18, 2026

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0760Severity EMar 18, 2026

Ensure that residents are free from significant medication errors.

0880Severity DFeb 13, 2026

Provide and implement an infection prevention and control program.

0759Severity EFeb 13, 2026

Ensure medication error rates are not 5 percent or greater.

0656Severity DFeb 13, 2026

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0645Severity EFeb 13, 2026

PASARR screening for Mental disorders or Intellectual Disabilities

0641Severity EFeb 13, 2026

Ensure each resident receives an accurate assessment.

0812Severity ENov 20, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0814Severity EOct 16, 2024

Dispose of garbage and refuse properly.

0812Severity EOct 16, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0690Severity EOct 16, 2024

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0580Severity EOct 16, 2024

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0677Severity DAug 8, 2024

Provide care and assistance to perform activities of daily living for any resident who is unable.

0656Severity DAug 8, 2024

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0550Severity DAug 8, 2024

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0600Severity DDec 1, 2023

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0550Severity DDec 1, 2023

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0850Severity EOct 13, 2023

Hire a qualified full-time social worker in a facility with more than 120 beds.

0812Severity EOct 13, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0804Severity EOct 13, 2023

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0727Severity EOct 13, 2023

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.

0657Severity EOct 13, 2023

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0655Severity DOct 13, 2023

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0641Severity EOct 13, 2023

Ensure each resident receives an accurate assessment.

0636Severity EOct 13, 2023

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

0609Severity DOct 13, 2023

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

View full inspection history on Medicare.gov

Civil Monetary Penalties

No civil monetary penalties on record.

Nearby Hospitals

No hospitals found within 10 miles.

Proximity to emergency care is especially important for medically complex residents.

Ownership

CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1· For profit - Corporation

Data updated weekly from CMS. Last sync: Jun 26, 2026. Medicare.gov Care Compare →

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Data sourced from the Centers for Medicare & Medicaid Services and state licensing agencies. ← Back to search

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