Avir At Pasadena is an average performer in CMS ratings, earning a C grade with a score of 65/100. Located in Pasadena, Texas, the facility meets baseline standards across most quality metrics.
Staffing at Avir At Pasadena is near the national average, with 3.55 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 12 deficiencies at Avir At Pasadena, including 4 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.55 | 3.8 | Average |
| Registered Nurses (RN) | 0.44 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.60 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.51 | 2.4 | Average |
| Weekend Total Nursing | 3.14 | 3.8 | Below Average |
| Weekend RN Hours | 0.30 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0689 Severity JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Nov 20, 2024 · Quality of Life and Care Deficiencies
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nov 20, 2024 · Nutrition and Dietary Deficiencies
- Tag 0679 Severity EProvide activities to meet all resident's needs.Nov 20, 2024 · Quality of Life and Care Deficiencies
- Tag 0880 Severity DProvide and implement an infection prevention and control program.Nov 20, 2024 · Infection Control Deficiencies
- Tag 0812 Severity EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Oct 11, 2023 · Nutrition and Dietary 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 | 1.9% | 4.5% | Better |
| Falls with major injury | 2.6% | 3.0% | Better |
| On antipsychotic medication | 3.7% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 12.8% | 14.0% | Average |
| Excessive weight loss | 1.3% | 7.5% | Better |
| New/worsened incontinence | 8.6% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $30,361
How This Grade Was Calculated
This facility's grade of C is based on a score of 65 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 4★ → 32 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -3 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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