Focused Care at Pasadena

3434 Watters Road, Pasadena, TX 77504

Phone: 7139419155

CMS ratings and facility information

Focused Care at Pasadena is a Medicare-certified nursing facility in Pasadena, Harris County, Texas. CMS data for this profile was updated August 2026. Ratings and facility details can change; confirm current information with CMS and the facility.

CMS overall rating1 of 5 stars
Health inspection rating1 of 5
Staffing rating1 of 5
Quality measures rating3 of 5
Certified beds125
OwnershipFor profit - Corporation
CMS certification number676050

Staffing

Total nurse hours per resident day2.95
RN hours per resident day0.4
Nurse aide hours per resident day2.03
Total nursing staff turnover percent76.6
RN turnover percent85.7

Resident outcome measures

MeasureValueUnitPeriod
HospitalizationsNot availableevents_per_1000_resident_days20250101-20251231
Emergency-department visitsNot availableevents_per_1000_resident_days20250101-20251231
Falls with major injury2.29percent2025Q2-2026Q1
Pressure ulcers4.49percent2025Q2-2026Q1
Urinary tract infections1.55percent2025Q2-2026Q1
Antipsychotic medication use15percent2025Q2-2026Q1

Health inspection citations

Survey dateTagCitationSeverity
2026-02-130641Ensure each resident receives an accurate assessment.E
2026-02-130645PASARR screening for Mental disorders or Intellectual DisabilitiesE
2026-02-130759Ensure medication error rates are not 5 percent or greater.E
2026-02-130656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D
2026-02-130880Provide and implement an infection prevention and control program.D
2024-11-200812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2023-10-130636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.E
2023-10-130641Ensure each resident receives an accurate assessment.E
2023-10-130657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E
2023-10-130727Have 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.E
2023-10-130804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E
2023-10-130812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2023-10-130850Hire a qualified full-time social worker in a facility with more than 120 beds.E
2023-10-130609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2023-10-130655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD

Penalties

DateTypeAmount
2024-08-28Fine,699
2024-08-28Payment Denial
2024-02-20Fine,458
2023-11-12Fine,855

Ownership records

NameTypeRole
ABERNATHY, MARYIndividualMANAGING CONTROL - GOVERNING BODY
HUMPHREY, ERICIndividualMANAGING CONTROL - GOVERNING BODY
LEGG, STEPHENIndividualMANAGING CONTROL - GOVERNING BODY
MCKENZIE, MARKIndividualMANAGING CONTROL - GOVERNING BODY
NEWTON, ELIZABETHIndividualMANAGING CONTROL - GOVERNING BODY
TINNERMAN, LINDAIndividualMANAGING CONTROL - GOVERNING BODY
TURNER, LESLIEIndividualMANAGING CONTROL - GOVERNING BODY
COOPER, KIMBERLYIndividualCORPORATE OFFICER
NEWTON, ELIZABETHIndividualCORPORATE OFFICER
CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1OrganizationOPERATIONAL/MANAGERIAL CONTROL
FOCUSED POST ACUTE CARE PARTNERS LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL
FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL
FPACP PASADENA LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL
CONLEY, SHAWNIndividualOPERATIONAL/MANAGERIAL CONTROL
MCKENZIE, MARKIndividualOPERATIONAL/MANAGERIAL CONTROL
SPARROW, BRITNEYIndividualOPERATIONAL/MANAGERIAL CONTROL
STRUBBE, LORETTAIndividualOPERATIONAL/MANAGERIAL CONTROL
VILLARREAL, JOHNIndividualOPERATIONAL/MANAGERIAL CONTROL
WILSON, KATRINAIndividualOPERATIONAL/MANAGERIAL CONTROL
FOCUSED POST ACUTE CARE PARTNERS LLCOrganizationADP OF THE SNF
FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLCOrganizationADP OF THE SNF
FPACP PASADENA LLCOrganizationADP OF THE SNF
CONLEY, SHAWNIndividualADP OF THE SNF
LE, TRUCIndividualADP OF THE SNF
MCKENZIE, MARKIndividualADP OF THE SNF
SPARROW, BRITNEYIndividualADP OF THE SNF
STRUBBE, LORETTAIndividualADP OF THE SNF
VILLARREAL, JOHNIndividualADP OF THE SNF
WILSON, KATRINAIndividualADP OF THE SNF

Compare nursing homes in Harris County, Texas.

Source: Centers for Medicare & Medicaid Services Care Compare data. Data snapshot: August 2026. Read Our Data & Methodology. This directory does not provide medical or legal advice.