The Courtyards At Pasadena
4048 RED BLUFF ROAD, Pasadena, TX, 77503
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 - Limited Liability company · Chain: Fundamental Healthcare
- Certified beds
- 196 · avg 126 residents/day
- Total nursing staff turnover
- 48.8% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 53.8% — near the Texas averageTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $8,827 total
State licensing & capacity
- License number
- 147738
- Service type
- Medicare/medicaid
- Licensed capacity
- 196 beds
- Bed type breakdown
- 64 Medicare-only · 132 Medicaid/Medicare
- Current license effective
- April 1, 2023
- Current license expires
- April 1, 2026
- Initial license date
- September 5, 2007
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Liberty County Hospital District No 1 (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Red Bluff Llc Dba Pasadena Healthcare Llc
- Administrator
- Lisa Stephens
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Fundamental Healthcare chain — 69 facilities across 7 states. Chain-wide average overall rating 2.4 / 5.
Disclosed owners (7 on record)
- Lisa Stephens
Operational/managerial Control · since 2018
- Fundamental Administrative Services Llc
Adp of The Snf · since 2017
- Fundamental Clinical And Operational Services, Llc
Adp of The Snf · since 2017
- Liberty County Hospital District No. 1
5% or Greater Direct Ownership Interest · 100% · since 2017
- Michael Buxbaum
Adp of The Snf · since 2017
- Red Bluff Llc
Operational/managerial Control · since 2017
+ 1 additional owner on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, 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 16)
- E0880·Mar 19, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- F0812·Mar 19, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0770·Mar 19, 2025
Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
- D0740·Mar 19, 2025
Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- D0661·Mar 19, 2025
Resident Assessment and Care Planning Deficiencies
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
- E0641·Mar 19, 2025
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- D0880·Apr 10, 2024Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0656·Feb 1, 2024Complaint
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Federal penalties
By year
- 20241 fine · $8,827
Most recent events
- Jan 27, 2024Fine · $8,827
Fire-safety citations
8 Life-Safety-Code citations on file. Most recent: Mar 19, 2025. 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
The Courtyards at Pasadena is a 196-bed nursing home in Pasadena, TX, operated by Red Bluff LLC under a hospital district license. CMS rates it 3 stars overall, with a 2-star staffing rating and 4-star quality-measures rating. The facility is currently at 64% of licensed capacity — about 126 residents in a building licensed for 196. One CMS fine of $8,827 is on record.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 2 stars. Each resident receives about 204 minutes of nursing care per day — roughly 37 minutes less than at a 4-star-staffing facility in Texas. Residents here also need more hands-on care than at a typical facility — sicker, or less mobile on average — so those 204 minutes stretch thinner than the raw number suggests.
The facility carries one CMS fine totaling $8,827. That figure sits well below the Texas median fine of $20,699 among facilities that have received fines, and about 30% of Texas nursing homes have received no fines at all.
The building is operating at roughly 64% of its 196 licensed beds, with about 126 residents on a given day. Other signals in this record — below-average staffing, a thin resident mix — provide context for that vacancy level.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing on nights and weekends
With a 2-star staffing rating and 204 daily nursing minutes per resident, ask how many nurses and aides are assigned per resident on evenings, nights, and weekends specifically.
Resident acuity and care complexity
CMS data shows residents here need more hands-on care than the Texas average — ask how the facility adjusts staffing when a resident's condition changes significantly.
Current bed availability and waitlists
At 64% occupancy with 196 licensed beds, ask what is driving the vacancy level and whether census has been stable, declining, or recovering over the past 12 months.
Management company's role day-to-day
The licensed owner is a hospital district, but day-to-day operations run through Red Bluff LLC — ask which entity sets staffing budgets, hires administrators, and handles complaints.
Resident Council meeting frequency
A Resident Council is on record but no Family Council — ask how often the Resident Council meets and how family members can raise concerns if their relative cannot advocate independently.
Quality measures for short stays
Long-stay quality rates 5 stars while short-stay quality rates 3 stars — ask what the most common short-stay outcomes are and how rehospitalization rates compare to nearby facilities.
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.