Pasadena, TX

Hca Houston Healthcare Southeast

0-star overall rating with 0-star inspections with 9 fire-safety deficiencies in the latest cycle

4801 East Sam Houston Parkway South, Pasadena, TX

(713) 359-2000

Compare this facility

Overall

0 / 5

CMS overall stars

Health inspections

0 / 5

Survey and complaint cycles

Staffing

0 / 5

RN + nurse staffing

Quality measures

0 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

30

Certified beds

Average residents

0

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Hca Healthcare

Operator or chain grouping

Approved since

2024-04-12

CMS approved date

Coverage

Medicare

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.00

Registered nurse staffing

LPN hours / resident day

0.00

Licensed practical nurse staffing

Aide hours / resident day

0.00

Nurse aide staffing

Weekend hours

0.00

Weekend nurse staffing

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	83.7%	89.7% 6 pts worse	81.7% 2 pts better	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit	0.0%	12.0% 12 pts better	12.0% 12 pts better	Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication	1.2%	1.5% 0.3 pts better	1.6% 0.4 pts better	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	84.9%	88.0% 3.1 pts worse	79.7% 5.2 pts better	Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission	16.0%	25.9% 9.9 pts better	23.9% 7.9 pts better	Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-04-12 · Fire 2024-04-12

0 health deficiencies

No concentrated health issue counts in this cycle.

9 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-04-12

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2023-11-28

F · Potential for more than minimal harm 2024-04-12

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-11-28

F · Potential for more than minimal harm 2024-04-12

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2023-11-28

F · Potential for more than minimal harm 2024-04-12

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-11-28

F · Potential for more than minimal harm 2024-04-12

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-11-28

E · Potential for more than minimal harm 2024-04-12

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-11-28

C · Minimal harm 2024-04-12

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2023-11-28

C · Minimal harm 2024-04-12

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-11-28

C · Minimal harm 2024-04-12

K352 · Smoke Deficiencies

Fire Safety

Properly install and monitor supervisory attachments on automatic sprinkler systems.

Corrected 2024-01-19

Inspection history

Recent health citations

Penalties and ownership

What sits behind the stars

Ownership

Bayshore Partner, LLC

5% Or Greater Direct Ownership Interest · Organization

99% 1 facilities 2011-07-01

Bayshore Partner, LLC

Limited Partnership Interest · Organization

0% 1 facilities 2011-07-01

Columbia Hospital Corporation - Delaware

5% Or Greater Indirect Ownership Interest · Organization

0% 1 facilities 2011-07-01

Columbia Hospital Corporation Of West Houston

5% Or Greater Indirect Ownership Interest · Organization

0% 1 facilities 2011-07-01

Columbia/Hca Of Houston, Inc

5% Or Greater Indirect Ownership Interest · Organization

0% 1 facilities 2011-07-01

Frisco Inc

5% Or Greater Indirect Ownership Interest · Organization

0% 3 facilities 2006-11-17

Gibberman, Jeffrey

Operational/Managerial Control · Individual

0% 1 facilities 2023-08-02

Hca Health Services Of Texas Inc

5% Or Greater Indirect Ownership Interest · Organization

0% 1 facilities 2011-07-01

Hca Healthcare Inc

5% Or Greater Indirect Ownership Interest · Organization

0% 3 facilities 2011-07-01

Hca Inc

5% Or Greater Indirect Ownership Interest · Organization

0% 3 facilities 2011-07-01

Hca Squared LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 1 facilities 2011-10-24

Healthserv Acquisition, LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 1 facilities 2011-07-01

Healthtrust Inc - The Hospital Company

5% Or Greater Indirect Ownership Interest · Organization

0% 3 facilities 2011-07-01

Hercules Holding Ii

5% Or Greater Indirect Ownership Interest · Organization

0% 3 facilities 2011-07-01

Hospital Corp LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 1 facilities 2011-07-01

Houston Healthcare Holdings, Inc

5% Or Greater Indirect Ownership Interest · Organization

0% 1 facilities 2011-07-01

Hti Hospital Holdings Inc

5% Or Greater Indirect Ownership Interest · Organization

0% 3 facilities 2011-07-01

Indianapolis Hospital Partner, LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 1 facilities 2011-07-01

Indianapolis Hospital Partner, LLC

Limited Partnership Interest · Organization

0% 1 facilities 2011-07-01

Magoulas, Demetrios

Operational/Managerial Control · Individual

0% 1 facilities 2025-12-05

Magoulas, Demetrios

Corporate Officer · Individual

0% 1 facilities 2023-12-05

Mcdaniel, Yasmene

Operational/Managerial Control · Individual

0% 1 facilities 2022-10-17

Mcdaniel, Yasmene

Corporate Officer · Individual

0% 1 facilities 2022-10-17

Pasadena Bayshore Hospital, Inc

5% Or Greater Indirect Ownership Interest · Organization

0% 1 facilities 2011-07-01

Pasadena Bayshore Hospital, Inc

General Partnership Interest · Organization

0% 1 facilities 2011-07-01

Smith, Eric

Operational/Managerial Control · Individual

0% 3 facilities 2021-03-01

Wagner, Jackson

Operational/Managerial Control · Individual

0% 1 facilities 2023-05-01

Women's Hospital Indianapolis, L.p.

5% Or Greater Indirect Ownership Interest · Organization

0% 1 facilities 2011-07-01

Women's Hospital Indianapolis, L.p.

Limited Partnership Interest · Organization

0% 1 facilities 2011-07-01

Nearby options

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1-star overall rating with 1-star inspections with $345,937 in total fines with 9 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

Overall: 1 / 5
Health: 1 / 5
Staffing: 1 / 5
Fines: $345,937

#2

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Overall: 3 / 5
Health: 4 / 5
Staffing: 1 / 5
Fines: $0

#3

Avir at Pasadena

Pasadena, TX

4-star overall rating with 3-star inspections with $30,361 in total fines with 3 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

Overall: 4 / 5
Health: 3 / 5
Staffing: 4 / 5
Fines: $30,361

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Supporting pages

City page

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County

Harris County

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Chain

Hca Healthcare

Chain page for the operating group.

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