Pasadena Post Acute
Nursing Home · 4006 Vista Rd, Pasadena, TX 77504 · 7139431592
Scores by dimension
| Dimension | Score | Data confidence |
|---|---|---|
| Safety & compliance | 3.0 / 5 | high |
| Staffing | 2.3 / 5 | high |
| Clinical outcomes | 3.8 / 5 | high |
| Enforcement | 3.5 / 5 | high |
| Financial stability | 4.1 / 5 | med |
Key facts
| Care type | Nursing Home |
| Beds | 116 |
| Ownership | For Profit - Limited Liability Company |
| Operator | Liberty County Hospital District No. 1 |
| Certified since | 1994-08-03 |
| CMS overall star | 3 / 5 |
| Accepts Medicaid | Yes |
| Price tier | $$$$$ of 5 · ~$507/day reported charge (within TX) |
Inspection & enforcement record
- Health-inspection citations: 3 immediate jeopardy · 0 actual harm · 8 potential for harm · 0 minor
- Federal fines: $27,254 · payment denials: 0 · penalty actions: 2
Recent inspection findings
The 8 most recent health-inspection deficiencies on file with CMS, newest first. Severity is the CMS scope/severity scale (A–L); G and above mean actual harm or immediate jeopardy. "Corrected" shows the date the facility certified the fix.
| Date | Finding | Severity | Status |
|---|---|---|---|
| 2025-04-03 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (Resident Assessment and Care Planning Deficiencies, tag 0644) | D | corrected 2025-04-04 |
| 2024-02-02 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Resident Rights Deficiencies, tag 0580) | K · immediate jeopardy | corrected 2024-02-22 |
| 2024-02-02 | 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. (Resident Rights Deficiencies, tag 0584) | E | corrected 2024-02-22 |
| 2024-02-02 | Develop 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 Deficiencies, tag 0656) | K · immediate jeopardy | corrected 2024-02-22 |
| 2024-02-02 | Develop 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 Deficiencies, tag 0657) | D | corrected 2024-02-22 |
| 2024-02-02 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Quality of Life and Care Deficiencies, tag 0689) | K · immediate jeopardy | corrected 2024-02-22 |
| 2024-02-02 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Pharmacy Service Deficiencies, tag 0755) | E | corrected 2024-02-22 |
| 2024-02-02 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Pharmacy Service Deficiencies, tag 0756) | E | corrected 2024-02-22 |
Staffing
Nurse hours per resident per day (CMS Payroll-Based Journal) — the strongest objective predictor of care. "Expected" is what CMS's case-mix model says this facility's resident acuity calls for.
- Total nurse staffing: 3.43 hrs/resident/day (expected 4.16 for this facility's resident acuity — below expected) (US median 3.69 · TX 3.27)
- Registered-nurse staffing: 0.36 hrs/resident/day (expected 0.73 for this facility's resident acuity — below expected) (US median 0.58)
- Breakdown: nurse aide 1.99 · LPN 1.08 hrs/resident/day
- Weekend total staffing: 3.07 hrs/resident/day (expected 3.69 for this facility's resident acuity — below expected)
- Annual nursing-staff turnover: 45.7% · RN turnover 37.5% (US median 45.3% · lower is better)
- Resident acuity (nursing case-mix index): 1.49 (1.0 ≈ national average; higher = more care-intensive residents)
Clinical outcomes — the measures behind the score
The 8 CMS MDS quality measures (2025Q1-2025Q4) driving this facility's clinical score — the same measures behind the CMS QM star. All are adverse-event rates: lower is better. Worst first. The quarterly column shows the four most recent quarters (Q1→Q4); benchmarks are the national percentile and the TX state median.
| Measure | 4-qtr avg | Quarterly (Q1→Q4) | Benchmark |
|---|---|---|---|
| Percentage of short-stay residents who newly received an antipsychotic medication (short stay) | 1.9% | 7.9 → 0 → 0 → 0 | worse than 73% of US homes · TX median 0.7% |
| Percentage of long-stay residents who received an antipsychotic medication (long stay) | 19.2% | 11.1 → 18.4 → 24 → 20.8 | worse than 71% of US homes · TX median 8.1% |
| Percentage of long-stay residents with pressure ulcers (long stay) | 3.7% | 4.7 → 3.6 → 2.2 → 4.4 | better than 60% of US homes · TX median 3.4% |
| Percentage of long-stay residents with a urinary tract infection (long stay) | 0.3% | 1.1 → 0 → 0 → 0 | better than 73% of US homes · TX median 0.3% |
| Percentage of long-stay residents whose need for help with daily activities has increased (long stay) | 6.4% | 11.1 → 0 → 11.1 → 2.7 | better than 81% of US homes · TX median 14.8% |
| Percentage of long-stay residents whose ability to walk independently worsened (long stay) | 5.7% | 15 → 0 → 2.9 → 5.2 | better than 85% of US homes · TX median 13% |
| Percentage of long-stay residents experiencing one or more falls with major injury (long stay) | 0.3% | 1.1 → 0 → 0 → 0 | better than 92% of US homes · TX median 3% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder (long stay) | 0% | 0 → 0 → 0 → 0 | better than 100% of US homes · TX median 0% |
What this costs
- This facility's reported avg daily charge: $507/day · $$$$$ (price tier 5 of 5 among Texas nursing homes) — from its own federal cost report, FY ending 2024-12. Gross charges across all payers and services: higher than a quoted private rate, but computed identically for every facility, which makes the tier a fair within-state comparison.
- Payer mix (resident days): 11% Medicaid · 10% Medicare · 79% other/private · 81% occupancy
- Texas median (quoted rates): $185/day semi-private · $250/day private (national: $315 · $355)
- Accepts Medicaid: yes
- This facility's quoted rate: not public. This facility's quoted private rate isn't published by any federal or state source. Medicare covers short rehab stays (up to 100 days, copays after day 20); long-term stays are private pay until savings spend down to Medicaid. How to get the real number →
Market medians: CareScout Cost of Care Survey 2025 (collected July–November 2025), state-level — individual providers vary widely around a median. Facility-level prices aren't published by any government source; how to get a real quote.
Hospitals serving Harris County
Hospitals in the same county — those with an emergency department first, then by CMS hospital star rating. Useful for transfers and emergencies.
| Hospital | City | ER | CMS star | Type |
|---|---|---|---|---|
| Houston Methodist Baytown Hospital | Baytown | Yes | 5★ | Acute care |
| Houston Methodist Clear Lake Hospital | Nassau Bay | Yes | 5★ | Acute care |
| Houston Methodist Hospital | Houston | Yes | 5★ | Acute care |
| Houston Methodist West Hospital | Houston | Yes | 5★ | Acute care |
| Houston Methodist Willowbrook Hospital | Houston | Yes | 5★ | Acute care |
| Houston VA Medical Center | Houston | Yes | 5★ | Acute care - Veterans Administration |
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Full interactive report card → Facility's own website ↗ CMS Care Compare ↗
Source: CMS Provider Information + Health Deficiencies + Penalties (as of 2026-05). Part of our Harris County nursing homes coverage. Spot an error? Tell us.