Public Record
The Courtyards at Pasadena
Operated by Fundamental Healthcare
From CMS
Facility profile
- CMS overall rating
- 3 / 5
- Certified beds
- 196
- Avg. residents per day
- 131.2
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Health citations
- 16
- Fire safety findings
- 8
- Inspections on file
- 9
- Last inspection
- 2025-03-19
*CMS
*CMS
*CMS
*CMS
Citations
16 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0641Generalpotential for harm
Ensure each resident receives an accurate assessment.
- 0661Generalpotential for harm
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
- 0740Generalpotential for harm
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- 0770Generalpotential for harm
Provide timely, quality laboratory services/tests to meet the needs of residents.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0814Generalno actual harm
Dispose of garbage and refuse properly.
- 0689Seriousimmediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0686Seriousactual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- 0761Generalpotential for harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- 0693Generalpotential for harm
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- View inspection reportInspection
- View inspection reportInspection
- View inspection reportInspectionFire Safety4 deficiencies
- Inspection6 deficiencies
676155 03/19/2025 The Courtyards at Pasadena 4048 Red Bluff Road Pasadena, TX 77503 F 0641 Ensure each resident receives an accurate assessment. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on…
Read full statement of deficiencies - Inspection1 deficiency
676155 04/10/2024 The Courtyards at Pasadena 4048 Red Bluff Road Pasadena, TX 77503 F 0880 Provide and implement an infection prevention and control program. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**…
Read full statement of deficiencies - View inspection reportInspectionFire Safety2 deficiencies
- Inspection3 deficiencies
676155 02/01/2024 The Courtyards at Pasadena 4048 Red Bluff Road Pasadena, TX 77503 F 0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS…
Read full statement of deficiencies - Inspection1 deficiency
676155 01/27/2024 The Courtyards at Pasadena 4048 Red Bluff Road Pasadena, TX 77503 F 0689 Level of Harm - Immediate jeopardy to resident health or safety Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. **NOTE- TERMS IN…
Read full statement of deficiencies - Inspection1 deficiency
676155 05/11/2023 The Courtyards at Pasadena 4048 Red Bluff Road Pasadena, TX 77503 F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can…
Read full statement of deficiencies - View inspection reportInspectionFire Safety2 deficiencies
Showing the 10 most recent inspections. 1 earlier inspection is also on record.
Ownership
Fundamental Healthcare
69nursing homes nationwide, in CMS records
26 in Texas, 43 in other states.
Counted from the chain CMS itself discloses for this home, which matches CMS Care Compare. ReadyRule's own common-control analysis is a separate and broader lens, and the two can differ.
FAQ
Questions and answers
- What is The Courtyards at Pasadena?
- The Courtyards at Pasadena is a Medicare- and Medicaid-certified nursing home in Pasadena, TX, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 676155.
- What is the CMS rating for The Courtyards at Pasadena?
- The Courtyards at Pasadena has a CMS overall rating of 3 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does The Courtyards at Pasadena have?
- The Courtyards at Pasadena is certified for 196 beds. It serves an average of 131.2 residents per day.
- How many citations does The Courtyards at Pasadena have?
- The Courtyards at Pasadena has 16 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was The Courtyards at Pasadena last inspected?
- The Courtyards at Pasadena was last inspected on March 19, 2025. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
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