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78/100

Avir at Pasadena Inspection Report, Violations & Safety Grade (PASADENA, Texas)

4300 VISTA RD, PASADENA, Texas 77504

Phone: 7139466787

CMS Overall:4/5

Overview & Bed Count

Certified Beds
131
Avg Residents/Day
109.2
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Harris
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall4/5
Health4/5
Staffing1/5
Quality5/5

Nurse Staffing Check

MetricThis FacilityTexas AvgDifference
RN Hours per Resident per Day0.200.44-0.24
Total Nurse Hours per Resident per Day3.203.42-0.21
CMS Staffing Rating1/51.9/5-
Nursing Staff Turnover39.2%50.8%-

Health Citation History

11 health citations on record

DateCategoryDescriptionSeverity
2026-08-21Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D – Moderate Harm Potential
2026-08-21Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2026-02-12Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2026-02-12Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.D – Moderate Harm Potential
2024-11-21Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J – Immediate Jeopardy
2024-11-21Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2024-11-21Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.E – Moderate Harm Potential
2024-11-21Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2023-10-12Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2023-10-12Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.D – Moderate Harm Potential
2023-10-12Resident Assessment and Care Planning DeficienciesCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D – Moderate Harm Potential

Fire Safety Citation History

7 fire safety citations on record

DateCategoryDescriptionSeverity
2026-02-12Services DeficienciesHave properly installed electrical wiring and gas equipment.F – Moderate Harm Potential
2024-11-21Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2024-11-21Smoke DeficienciesProvide properly protected cooking facilities.E – Moderate Harm Potential
2024-11-21Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.E – Moderate Harm Potential
2024-11-21Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.D – Moderate Harm Potential
2023-10-12Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2023-10-12Egress DeficienciesProvide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.E – Moderate Harm Potential

Total Penalties & Fines

$8,021
Total Fine Amount (CMS)
1
Number of Fines
1
Total Penalties
DateTypeFine AmountPayment Denial
2024-11-21Fine$8,021-

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