Focused Care At Pasadena has received an F grade based on CMS data, with a score of 6/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Pasadena facility should carefully review its inspection history and quality metrics.
With 2.92 total nurse hours per resident per day, Focused Care At Pasadena falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent CMS inspections identified 31 deficiencies at Focused Care At Pasadena, including 6 classified as serious — among the most concerning citation levels. The most notable finding involved: procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 2.92 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.48 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.59 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 1.85 | 2.4 | Below Average |
| Weekend Total Nursing | 2.50 | 3.8 | Below Average |
| Weekend RN Hours | 0.28 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0812 Severity EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nov 19, 2024 · Nutrition and Dietary Deficiencies
- Tag 0580 Severity EImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Oct 15, 2024 · Resident Rights Deficiencies
- Tag 0690 Severity EProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to preventOct 15, 2024 · Quality of Life and Care 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 15, 2024 · Nutrition and Dietary Deficiencies
- Tag 0814 Severity EDispose of garbage and refuse properly.Oct 15, 2024 · 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 | 3.5% | 4.5% | Better |
| Falls with major injury | 1.9% | 3.0% | Better |
| On antipsychotic medication | 16.2% | 14.5% | Worse |
| Urinary tract infections | 0.4% | 2.5% | Better |
| ADL decline (daily activities) | 8.5% | 14.0% | Better |
| Excessive weight loss | 1.4% | 7.5% | Better |
| New/worsened incontinence | 8.9% | 45.0% | Better |
⚠️ Penalties & Fines
3 penalties recorded by CMS
Total fines: $131,012
How This Grade Was Calculated
This facility's grade of F is based on a score of 6 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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