Focused Care At Pasadena
3434 WATTERS ROAD, Pasadena, TX, 77504-2015
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Focused Post Acute Care Partners
- Certified beds
- 125 · avg 70 residents/day
- Total nursing staff turnover
- 71.1% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 92.9% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 3 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 3 fines · $131,012 total
- Payment denials
- 1 denial
State licensing & capacity
- License number
- 308587
- Service type
- Medicare/medicaid
- Licensed capacity
- 125 beds
- Bed type breakdown
- 3 Medicare-only · 122 Medicaid/Medicare
- Current license effective
- April 1, 2025
- Current license expires
- April 1, 2028
- Initial license date
- May 3, 2005
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Chambers County Public Hospital District No 1 (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Fpacp Pasadena Llc
- Administrator
- John A Villarreal
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Focused Post Acute Care Partners chain — 25 facilities. Chain-wide average overall rating 2.2 / 5.
Disclosed owners (22 on record)
- Focused Post Acute Care Partners Llc
Adp of The Snf · since 2025
- Focused Post Acute Care Partners Management, Llc
Adp of The Snf · since 2025
- Fpacp Pasadena Llc
Adp of The Snf · since 2025
- John Villarreal
Operational/managerial Control · since 2025
- Katrina Wilson
Operational/managerial Control · since 2025
- Truc le
Adp of The Snf · since 2025
+ 16 additional owners on the federal record.
Recent change of ownership
April 2022 (4 years ago) · acquired from Focused Care at Pasadena
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 31)
- E0812·Nov 20, 2024
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E0814·Oct 16, 2024Complaint
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
- E0812·Oct 16, 2024Complaint
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E0690·Oct 16, 2024Complaint
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- E0580·Oct 16, 2024Complaint
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- J0684·Aug 28, 2024Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- J0580·Aug 28, 2024Complaint
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D0677·Aug 8, 2024Complaint
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Federal penalties
By year
- 20242 fines · $118K · 1 payment denial
- 20231 fine · $13K
Most recent events
- Aug 28, 2024Payment denial · 46 days · starting Sep 27, 2024
- Aug 28, 2024Fine · $41K
- Feb 20, 2024Fine · $77K
- Nov 12, 2023Fine · $13K
Largest single fine on record: $77K.
Fire-safety citations
4 Life-Safety-Code citations on file. Most recent: Nov 20, 2024. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Focused Care at Pasadena is a 125-bed Medicare/Medicaid nursing home in Pasadena (Harris County), TX, managed by Focused Post Acute Care Partners. CMS rates it 1 star overall — the lowest tier — with a 1-star staffing rating and 3 fines totaling $131,012 since the most recent inspection cycle. The facility is running at roughly 56% of licensed capacity, about 70 residents on an average day. The license is active through April 2028.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star — the lowest tier, shared by about 38% of Texas nursing homes. Each resident receives roughly 175 minutes of total nursing care per day, about 66 minutes less than at a 4-star-staffing facility in Texas. Registered nurse time specifically runs to about 29 minutes per resident per day, against 37 minutes at a 4-star-staffing Texas facility. Residents here also require more hands-on care than at a typical facility — more dependent or medically complex on average — so those already-low staffing hours stretch thinner than the raw numbers suggest.
About 7 in 10 nursing staff left in the past year — a very high turnover rate, above Texas's 75th percentile cutoff of 60%. RN turnover runs even higher: roughly 9 in 10 registered nurses left in the same period. A long-stay resident will likely cycle through multiple primary caregivers over the course of a year.
Three administrators have turned over in the past year. That level of leadership instability typically disrupts care coordination, staffing decisions, and response to regulatory findings.
CMS recorded 3 fines totaling $131,012. The state median for fined facilities in Texas is about $20,699; this facility's total is roughly six times that figure. About 30% of Texas nursing homes had no fines at all in the same period.
The facility is operating at about 56% of its 125 licensed beds — roughly 70 residents on an average day. That low occupancy level, paired with the staffing, turnover, and fine signals above, is a concrete fact to probe during any visit.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Administrator stability going forward
Three administrators have left in the past year — ask who is currently in the role, how long they have been here, and whether they plan to stay.
Nursing staff retention efforts
About 7 in 10 nursing staff left in the past year; ask what specific steps management is taking now to reduce that turnover and how long current bedside staff have been here.
Details behind the three CMS fines
CMS issued 3 fines totaling $131,012 — ask what the citations were for and what corrective actions the facility completed in response.
Why occupancy is at 56%
The facility averages about 70 residents against 125 licensed beds — ask whether low census reflects a business decision, difficulty attracting referrals, or something else.
RN coverage on nights and weekends
Reported RN time runs to about 29 minutes per resident per day; ask how many registered nurses are scheduled on overnight and weekend shifts specifically.
Resident Council participation
The facility has a Resident Council but no Family Council — ask how family members can raise concerns and how the facility responds to issues surfaced through the Resident Council.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.