The Suites Pasadena has received an F grade based on CMS data, with a score of 1/100 — 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 3.22 total nurse hours per resident per day, The Suites 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 39 deficiencies at The Suites Pasadena, including 4 classified as serious — among the most concerning citation levels. The most notable finding involved: assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.22 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.34 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.85 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.04 | 2.4 | Below Average |
| Weekend Total Nursing | 2.98 | 3.8 | Below Average |
| Weekend RN Hours | 0.33 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0636 Severity DAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.Jan 15, 2026 · Resident Assessment and Care Planning Deficiencies
- Tag 0686 Severity KProvide appropriate pressure ulcer care and prevent new ulcers from developing.Aug 24, 2025 · Quality of Life and Care Deficiencies
- Tag 0684 Severity EProvide appropriate treatment and care according to orders, resident’s preferences and goals.Aug 24, 2025 · Quality of Life and Care Deficiencies
- Tag 0583 Severity DKeep residents' personal and medical records private and confidential.Aug 24, 2025 · Resident Rights Deficiencies
- Tag 0550 Severity DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Feb 20, 2025 · 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 | 11.5% | 4.5% | Worse |
| Falls with major injury | 0.0% | 3.0% | Better |
| On antipsychotic medication | 5.5% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 25.0% | 14.0% | Worse |
| Excessive weight loss | 0.0% | 7.5% | Better |
| New/worsened incontinence | 18.5% | 45.0% | Better |
⚠️ Penalties & Fines
18 penalties recorded by CMS
Total fines: $345,937
How This Grade Was Calculated
This facility's grade of F is based on a score of 1 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 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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