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Focused Care At Pasadena

3434 Watters Rd, Pasadena, TX 77504
7139419155
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Overall CMS Rating

1.0/5

vs State Average: 2.8 stars

2.0/5

Health Inspections

vs State Average: 2.8/5

1.0/5

Staffing Level

vs State Average: 2.1/5

3.0/5

Quality Measures

vs State Average: 3.8/5

4 penalties in last 3 years
Penalties
vs State Average: 1.8 penalties

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Ratings Deep Dive

Score
2.0
State Average
2.8
National Average
2.8
5 Deficiencies found in last inspections
4 Penalties in last 3 years
3 Fines issued
Citation Date Description Severity
Nov 20, 2024 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E
Oct 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. E
Oct 16, 2024 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E
Oct 16, 2024 Dispose of garbage and refuse properly. E
Oct 16, 2024 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. E
Score
1.0
State Average
2.1
National Average
2.9
0.5 RN Hours / Resident / Day
2.9 Total Nurse Hours / Resident / Day
92.9% RN Turnover Rate
Score
3.0
State Average
3.8
National Average
3.6
5.0 Long-Stay QM Rating
2.0 Short-Stay QM Rating
70.0 Avg Residents Per Day
Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

Ownership & Compliance

Ownership Info
5% OR GREATER DIRECT OWNERSHIP INTEREST CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1
OPERATIONAL/MANAGERIAL CONTROL CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1
OPERATIONAL/MANAGERIAL CONTROL FOCUSED POST ACUTE CARE PARTNERS LLC
OPERATIONAL/MANAGERIAL CONTROL FOCUSED POST ACUTE CARE PARTNERS MANAGEMENT, LLC
OPERATIONAL/MANAGERIAL CONTROL FPACP PASADENA LLC
OPERATIONAL/MANAGERIAL CONTROL CONLEY, SHAWN
OPERATIONAL/MANAGERIAL CONTROL MCKENZIE, MARK
OPERATIONAL/MANAGERIAL CONTROL SPARROW, BRITNEY
OPERATIONAL/MANAGERIAL CONTROL STRUBBE, LORETTA
OPERATIONAL/MANAGERIAL CONTROL VILLARREAL, JOHN
Recent Penalties
Date Type Fine
Aug 28, 2024 Fine $40,699
Aug 28, 2024 Payment Denial $0
Feb 20, 2024 Fine $77,458
Nov 12, 2023 Fine $12,855

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