A+
97/100

HCA HOUSTON HEALTHCARE SOUTHEAST Inspection Report, Violations & Safety Grade (PASADENA, Texas)

4801 EAST SAM HOUSTON PARKWAY SOUTH, PASADENA, Texas 77505

Phone: 7133592000

CMS Overall:5/5

Overview & Bed Count

Certified Beds
30
Avg Residents/Day
17.7
Ownership
For profit - Corporation
Provider Type
Medicare
County
Harris
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall5/5
Health5/5
Staffing4/5
Quality5/5

Nurse Staffing Check

MetricThis FacilityTexas AvgDifference
RN Hours per Resident per Day3.720.44+3.28
Total Nurse Hours per Resident per Day7.543.42+4.12
CMS Staffing Rating4/51.9/5-
Nursing Staff TurnoverN/A50.8%-

Health Citation History

5 health citations on record

DateCategoryDescriptionSeverity
2025-05-15Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.E – Moderate Harm Potential
2025-05-15Nutrition 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
2025-05-15Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2025-05-15Resident Rights DeficienciesKeep residents' personal and medical records private and confidential.D – Moderate Harm Potential
2025-05-15Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D – Moderate Harm Potential

Fire Safety Citation History

10 fire safety citations on record

DateCategoryDescriptionSeverity
2025-05-15Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2024-04-12Egress DeficienciesHave properly located and lighted "Exit" signs.F – Moderate Harm Potential
2024-04-12Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2024-04-12Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.F – Moderate Harm Potential
2024-04-12Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.F – Moderate Harm Potential
2024-04-12Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2024-04-12Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.E – Moderate Harm Potential
2024-04-12Emergency Preparedness DeficienciesConduct testing and exercise requirements.C – Minimal Harm Potential
2024-04-12Smoke DeficienciesProvide properly protected cooking facilities.C – Minimal Harm Potential
2024-04-12Smoke DeficienciesProperly install and monitor supervisory attachments on automatic sprinkler systems.C – Minimal Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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