The Courtyards At Pasadena faces challenges in its CMS ratings, earning a D grade with a score of 54/100. The facility ranks in the 61th percentile among Texas nursing homes, suggesting significant room for improvement.
With 3.40 total nurse hours per resident per day, The Courtyards 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 16 deficiencies at The Courtyards At Pasadena, including 1 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 | 3.40 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.44 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.88 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.08 | 2.4 | Below Average |
| Weekend Total Nursing | 3.10 | 3.8 | Below Average |
| Weekend RN Hours | 0.36 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Mar 18, 2025 · Nutrition and Dietary Deficiencies
- Tag 0641 Severity EEnsure each resident receives an accurate assessment.Mar 18, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0880 Severity EProvide and implement an infection prevention and control program.Mar 18, 2025 · Infection Control Deficiencies
- Tag 0661 Severity DEnsure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.Mar 18, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0740 Severity DEnsure each resident must receive and the facility must provide necessary behavioral health care and services.Mar 18, 2025 · Quality of Life and Care 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 | 8.9% | 4.5% | Worse |
| Falls with major injury | 1.4% | 3.0% | Better |
| On antipsychotic medication | 10.5% | 14.5% | Better |
| Urinary tract infections | 0.2% | 2.5% | Better |
| ADL decline (daily activities) | 8.0% | 14.0% | Better |
| Excessive weight loss | 4.4% | 7.5% | Better |
| New/worsened incontinence | 5.6% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $8,827
How This Grade Was Calculated
This facility's grade of D is based on a score of 54 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: -5 pts
- Fine deductions: -0 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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