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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D2 | E4 | F6 |
| Minimal | A· | B· | C3 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| May 15, 2025 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| May 15, 2025 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Apr 12, 2024 | Fire safety | Fire Safety Standard | 9 | Potential harm | — | Open → |
| Apr 12, 2024 | Health | Health Standard | 0 | No citations | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D2 | E4 | F6 |
| Minimal | A· | B· | C3 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| May 15, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 27, 2025 | |
| May 15, 2025 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 31, 2025 | |
| May 15, 2025 | F-0607 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
3 facilities in 2 states. CMS chain ID 701.
Chain average overall rating (CMS): 5
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Bayshore Partner, LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 99% | Jul 1, 2011 |
| Columbia Hospital Corporation - Delaware | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jul 1, 2011 |
| Columbia Hospital Corporation of West Houston | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jul 1, 2011 |
| Columbia/Hca of Houston, Inc | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jul 1, 2011 |
| Frisco Holding II | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Nov 17, 2006 |
| Hca Health Services of Texas Inc | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jul 1, 2011 |
| Hca Healthcare Inc | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jul 1, 2011 |
| Hca Inc | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jul 1, 2011 |
| Hca Squared LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Oct 24, 2011 |
| Healthserv Acquisition LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jul 1, 2011 |
| Healthtrust Inc - the Hospital Company | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jul 1, 2011 |
| Hercules Holding II | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jul 1, 2011 |
| Hospital Corp LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jul 1, 2011 |
| Houston Healthcare Holdings, Inc | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jul 1, 2011 |
| Hti Hospital Holdings Inc | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jul 1, 2011 |
| Indianapolis Hospital Partner, LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jul 1, 2011 |
| Pasadena Bayshore Hospital, Inc | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jul 1, 2011 |
| Women's Hospital Indianapolis, L.p | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jul 1, 2011 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Bayshore Partner, LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 99% | Jul 1, 2011 |
| Columbia Hospital Corporation - Delaware | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jul 1, 2011 |
| Columbia Hospital Corporation of West Houston | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jul 1, 2011 |
| Columbia/Hca of Houston, Inc | Organization | Indirect owner |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| The Suites Pasadena 4900 East Sam Houston Parkway South, Pasadena, TX 77505 CCN 676332 | 0.1 km | 50 | Mar 12, 2026 | 725 IJ1 harm | $122k | |
| Baywood Crossing Rehabilitation & Healthcare Cente 5020 Space Center Blvd, Pasadena, TX 77505 CCN 676309 | 1.8 km | 124 | Jul 2, 2026 | 263 open | — | |
| Avir at Pasadena 4300 Vista Rd, Pasadena, TX 77504 CCN 675625 | 2.8 km | 131 | Aug 21, 2026 | 181 IJ2 open | $8,021 | |
| Focused Care at Pasadena 3434 Watters Road, Pasadena, TX 77504 CCN 676050 | 3 km | 125 | Jul 9, 2026 | 386 IJ | $131k | |
| Pasadena Post Acute 4006 Vista Rd, Pasadena, TX 77504 CCN 675365 | 3.1 km | 116 | May 15, 2026 | 233 IJ | $27k | |
| The Courtyards at Pasadena 4048 Red Bluff Road, Pasadena, TX 77503 CCN 676155 | 4.9 km | 196 | May 14, 2026 | 251 IJ | $8,827 | |
| Paradigm at Faith Memorial 811 Garner Rd, Pasadena, TX 77502 CCN 675321 | 6.4 km | 112 | Apr 23, 2026 | 322 IJ | $19k | |
| Park Manor of South Belt 11902 Resource Pkwy, Houston, TX 77089 CCN 675819 | 7 km | 120 | Dec 12, 2025 | 16 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 745052 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 745052 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect |
| E · Potential harm Pattern |
| Corrected Aug 31, 2025 |
| May 15, 2025 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 31, 2025 |
| May 15, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Aug 31, 2025 |
| May 15, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Aug 31, 2025 |
| Apr 12, 2024 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 28, 2023 |
| Apr 12, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 28, 2023 |
| Apr 12, 2024 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 28, 2023 |
| Apr 12, 2024 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 28, 2023 |
| Apr 12, 2024 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 28, 2023 |
| Apr 12, 2024 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 28, 2023 |
| Apr 12, 2024 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Nov 28, 2023 |
| Apr 12, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Nov 28, 2023 |
| Apr 12, 2024 | K-0352 | Properly install and monitor supervisory attachments on automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Jan 19, 2024 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 6.92 (case-mix index 1.52).
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST |
| not provided |
| Jul 1, 2011 |
| Frisco Holding II | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Nov 17, 2006 |
| Hca Health Services of Texas Inc | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jul 1, 2011 |
| Hca Healthcare Inc | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jul 1, 2011 |
| Hca Inc | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jul 1, 2011 |
| Hca Squared LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Oct 24, 2011 |
| Healthserv Acquisition LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jul 1, 2011 |
| Healthtrust Inc - the Hospital Company | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jul 1, 2011 |
| Hercules Holding II | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jul 1, 2011 |
| Hospital Corp LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jul 1, 2011 |
| Houston Healthcare Holdings, Inc | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jul 1, 2011 |
| Hti Hospital Holdings Inc | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jul 1, 2011 |
| Indianapolis Hospital Partner, LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jul 1, 2011 |
| Pasadena Bayshore Hospital, Inc | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jul 1, 2011 |
| Women's Hospital Indianapolis, L.p | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jul 1, 2011 |
| Pasadena Bayshore Hospital, Inc | Organization | Partner | GENERAL PARTNERSHIP INTEREST | not provided | Jul 1, 2011 |
| Bayshore Partner, LLC | Organization | Partner | LIMITED PARTNERSHIP INTEREST | not provided | Jul 1, 2011 |
| Indianapolis Hospital Partner, LLC | Organization | Partner | LIMITED PARTNERSHIP INTEREST | not provided | Jul 1, 2011 |
| Women's Hospital Indianapolis, L.p | Organization | Partner | LIMITED PARTNERSHIP INTEREST | not provided | Jul 1, 2011 |
| Jeffrey Gibberman | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 2, 2023 |
| Demetrios Magoulas | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 5, 2025 |
| Yasmene Mcdaniel | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 17, 2022 |
| Eric Smith | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2021 |
| Jackson Wagner | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2023 |
| Demetrios Magoulas | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Dec 5, 2023 |
| Yasmene Mcdaniel | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Oct 17, 2022 |
| Jeffrey Gibberman | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 19, 2025 |