Pasadena Post Acute faces challenges in its CMS ratings, earning a D grade with a score of 47/100. The facility ranks in the 52th percentile among Texas nursing homes, suggesting significant room for improvement.
Staffing at Pasadena Post Acute is near the national average, with 3.46 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 11 deficiencies at Pasadena Post Acute, including 3 classified as serious — among the most concerning citation levels. The most notable finding involved: coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.46 | 3.8 | Average |
| Registered Nurses (RN) | 0.40 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.02 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.04 | 2.4 | Below Average |
| Weekend Total Nursing | 3.07 | 3.8 | Below Average |
| Weekend RN Hours | 0.37 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0644 Severity DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Apr 2, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0580 Severity KImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Feb 1, 2024 · Resident Rights Deficiencies
- Tag 0656 Severity KDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Feb 1, 2024 · Resident Assessment and Care Planning Deficiencies
- Tag 0689 Severity KEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Feb 1, 2024 · Quality of Life and Care Deficiencies
- Tag 0584 Severity EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for dFeb 1, 2024 · Resident Rights Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 4.9% | 4.5% | Average |
| Falls with major injury | 0.6% | 3.0% | Better |
| On antipsychotic medication | 21.0% | 14.5% | Worse |
| Urinary tract infections | 0.3% | 2.5% | Better |
| ADL decline (daily activities) | 8.8% | 14.0% | Better |
| Excessive weight loss | 4.2% | 7.5% | Better |
| New/worsened incontinence | 5.2% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $27,254
How This Grade Was Calculated
This facility's grade of D is based on a score of 47 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -2 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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