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Nursing HomeMedicaid Investigative

Focused Care at Pasadena

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

3434 Watters Road, Bayshore Park · Pasadena, TX 77504125 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.5/5

based on 105 Google reviews

5
4
3
2
1
Focused Care at Pasadena Nursing Home in Pasadena, TX — Street View
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5/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • High staff turnover (71%)
  • High RN turnover (93%)

Bottom 25% in Texas · Below recommended RN staffing · Very high staff turnover · Worst in FOCUSED POST ACUTE CARE PARTNERS chain · $131,012 in fines · Very few deficiencies

Source: Medicare data

What this means for your family

This facility is a strong option for short-term rehabilitation, with many families praising the physical and occupational therapy teams. However, if you are seeking long-term care, you must be extremely vigilant regarding hygiene and responsiveness, as multiple recent reports indicate serious lapses in basic nursing care and sanitation.

Google Reviews

Google Reviews

105 reviews on Google
Families considering Focused Care at Pasadena will find a facility with a highly praised rehabilitation and physical therapy team, often described as life-changing for post-surgery recovery. However, there are serious, recurring allegations regarding neglect, specifically concerning hygiene, frequent unresponsiveness to call lights, and inadequate medication management. While some long-term residents receive excellent care, recent reviews highlight significant concerns regarding staffing shortages and inconsistent nursing quality.

Quality Themes

Tap a score for details
Food2.0Staff4.0Clean7.0Activities5.0Meds1.0MemoryN/AComms4.0ValueN/A

Strengths

  • Excellent rehabilitation and physical therapy services
  • Clean and well-maintained facility environment
  • Professional and helpful administrative/business office staff
  • Compassionate long-term nursing staff in specific wings

Concerns

  • Neglect regarding hygiene and incontinence care (mentioned by 4 reviewers)
  • Staffing shortages and slow response times (mentioned by 5 reviewers)
  • Inadequate medication management and pain control (mentioned by 3 reviewers)
  • Poor food quality and inconsistent meal service (mentioned by 3 reviewers)
  • Unprofessional or rude behavior from certain staff members (mentioned by 4 reviewers)

Rating Trends

Tap a year to see what changed

2344.1'19(18)3.83.4'21(11)3.02.3'23(9)4.52.9'25(32)4.3'26(6)

Distribution · 107 analyzed

5
55
4
14
3
2
2
1
1
35
11 reviews posted between Oct 23, 2025Oct 24, 2025 · 9 were 1-2 star

How They Respond to Reviews

37%response rate
Generic

The owner relies almost exclusively on templated responses that redirect all grievances to specific corporate phone numbers. There is no attempt to address the specific details of the complaints within the public forum.

Questions for Your Tour

  • 1We've heard great things about your physical therapy team; could you tell us more about how the rehabilitation services work for new residents?
  • 2How does the nursing team manage medication schedules and pain control to ensure everyone stays comfortable?
  • 3What steps are in place to ensure consistent hygiene and incontinence care throughout the day and night?
  • 4We noticed the facility is very well-maintained; what kind of daily activities or social programs do you offer to keep residents engaged?
  • 5How does the staff communicate important health updates or changes in condition to family members?
  • 6Could you describe the meal service process and how you ensure nutritional needs are met consistently?

Personalized based on this facility's data


Key Review Excerpts

Focused Care is a good place to come and do rehab. I am currently a resident here receiving rehab here and it has been great. All the employees are friendly and they are taking good care of me.

Rehab patient · 2026★★★★★

My mother has been in this facility for several years. I have nothing but praise for the staff and overall quality of care that she receives. Nichole in particular has been so helpful on several occasions.

Long-term resident's family · 2025★★★★★

My poor mother hadn’t been changed in 3 days and got a urine rash. My advice is avoid this place at all costs!

Long-term resident's family · 2025☆☆☆☆
Source: 105 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.33hrs
44%
Registered nurses for medical care
Total Nursing
2.87hrs
70%
All nurses + aides combined
Staff Turnover
72%
Lower is better (< 30% = good)
RN Turnover
83%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

14

measures

Worse Than Avg

1

measures

Mixed Results

2

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility7.2%
Better than Avg
Here
7.2%
US
19.5%
TX
18.4%
Harris
14.0%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
TX
2.5%
Harris
0.9%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility9.7%
Better than Avg
Here
9.7%
US
19.4%
TX
14.2%
Harris
12.9%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility8.0%
Better than Avg
Here
8.0%
US
14.4%
TX
16.1%
Harris
12.5%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility15.4%
Worse than Avg
Here
15.4%
US
15.4%
TX
9.4%
Harris
8.7%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.3%
Better than Avg
Here
99.3%
US
93.4%
TX
96.9%
Harris
95.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility94.2%
Better than Avg
Here
94.2%
US
81.8%
TX
89.2%
Harris
86.5%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility90.1%
Better than Avg
Here
90.1%
US
79.7%
TX
88.0%
Harris
86.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.0%
Better than Avg
Here
1.0%
US
1.6%
TX
1.5%
Harris
1.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

7deficiencies
4penalties
Near state avg (9.1)
18 complaint-triggered
$131,012 in fines

Families have filed numerous complaints at this facility, triggering nearly half of all inspections and revealing serious concerns about resident safety and protection from abuse. The most recurring problems involve failure to notify families about incidents affecting residents, accident prevention and supervision, and food safety issues. While all deficiencies show correction dates, the pattern of repeated complaints about fundamental safety and communication suggests ongoing challenges families should carefully consider.

Mar 18, 2026Complaint
2
0760Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Feb 13, 2026Routine
6
0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0641Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0645Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0759Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0656Potential for harm · IsolatedCorrected

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Nov 20, 2024Routine
2
0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

Oct 16, 2024Complaint
4
0814Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0580Potential for harm · PatternCorrected

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.

0690Potential for harm · PatternCorrected

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.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Aug 28, 2024Complaint
2
0580Immediate jeopardy · IsolatedCorrected

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.

0684Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Aug 8, 2024Complaint
3
0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0656Potential for harm · IsolatedCorrected

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.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Federal Penalties

Fine

Aug 28, 2024

$40,699

Payment Denial

Aug 28, 2024

46-day denial

Fine

Feb 20, 2024

$77,458

Fine

Nov 12, 2023

$12,855

Ownership & Operations

Who Operates This Facility

Owner / Operator

Chambers County Public Hospital District no 1

Organization Type

for profit

Management Company

FPACP PASADENA LLC

Administrator

JOHN A VILLARREAL

Chain Affiliation

Chain Name

Focused Post Acute Care Partners

Chain Size

25 facilities nationwide

Chain avg rating: 2.2/5 · Rank 20 of 25 (Worst)

Ownership & Management

Key personnel

Abernathy, MaryManaging Control - Governing BodyHumphrey, EricManaging Control - Governing BodyLegg, StephenManaging Control - Governing BodyMckenzie, MarkManaging Control - Governing BodyNewton, ElizabethManaging Control - Governing Body
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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