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The Courtyards At Pasadena

4048 Red Bluff Road, Pasadena, TX 77503
7134777877
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Overall CMS Rating

3.0/5

vs State Average: 2.8 stars

3.0/5

Health Inspections

vs State Average: 2.8/5

2.0/5

Staffing Level

vs State Average: 2.1/5

4.0/5

Quality Measures

vs State Average: 3.8/5

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

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Ratings Deep Dive

Score
3.0
State Average
2.8
National Average
2.8
5 Deficiencies found in last inspections
1 Penalties in last 3 years
1 Fines issued
Citation Date Description Severity
Mar 19, 2025 Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. D
Mar 19, 2025 Ensure each resident must receive and the facility must provide necessary behavioral health care and services. D
Mar 19, 2025 Provide timely, quality laboratory services/tests to meet the needs of residents. D
Mar 19, 2025 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F
Mar 19, 2025 Ensure each resident receives an accurate assessment. E
Score
2.0
State Average
2.1
National Average
2.9
0.4 RN Hours / Resident / Day
3.4 Total Nurse Hours / Resident / Day
53.8% RN Turnover Rate
Score
4.0
State Average
3.8
National Average
3.6
5.0 Long-Stay QM Rating
3.0 Short-Stay QM Rating
125.9 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 LIBERTY COUNTY HOSPITAL DISTRICT NO. 1
OPERATIONAL/MANAGERIAL CONTROL RED BLUFF LLC
OPERATIONAL/MANAGERIAL CONTROL STEPHENS, LISA
CORPORATE DIRECTOR STRATTON, CHARLES
Recent Penalties
Date Type Fine
Jan 27, 2024 Fine $8,827

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