Federal inspection record · CMS data as of October 1, 2026
Hca Houston Healthcare Southeast
4801 East Sam Houston Parkway South, Pasadena, TX · (713) 359-2000
- Certified beds
- 30
- Residents per day
- 18
- Ownership
- For-Profit
- Chain
- Hca Healthcare
- Medicare / Medicaid
- Medicare
- Certified since
- April 12, 2024
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change (already 5)
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Hca Houston Healthcare Southeast carries 24 inspection points. That is fewer than 91% of Texas's 1,166 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–51 pts
- 3★ 51–85 pts
- 2★ 85–145.75 pts
- 1★ over 145.75 pts
Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
5 health citations on record since 2025. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Freedom from Abuse, Neglect, and Exploitation1E
- E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control1E
- E
Provide and implement an infection prevention and control program.
Resident Rights1D
- D
Keep residents' personal and medical records private and confidential.
Quality of Life and Care1D
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspection history
2025-05-15
5 health deficiencies · 1 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
2024-04-12
0 health deficiencies · 9 fire-safety deficiencies
No concentrated health issue counts in this cycle.
4
Nursing time per resident, per day
Each resident here gets about 7 h 32 min of nursing staff time a day, 3 h 43 min of it from a registered nurse.
This home
7 h 32 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine2.1 pts worse | 86.6% | 88.7% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.2 pts worse | 1.6% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine3.7 pts better | 89.1% | 85.4% | 80.1% |
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Who owns and runs it
30 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Bayshore Partner, LLC | 5% Or Greater Direct Ownership Interest · Organization | 99% | 1 facilities |
| Bayshore Partner, LLC | Limited Partnership Interest · Organization | 0% | 1 facilities |
| Columbia Hospital Corporation - Delaware | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Columbia Hospital Corporation Of West Houston | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Columbia/Hca Of Houston, Inc | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Frisco Holding Ii | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 2 facilities |
| Gibberman, Jeffrey | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Gibberman, Jeffrey | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hca Health Services Of Texas Inc | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Hca Healthcare Inc | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 2 facilities |
| Hca Inc | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 2 facilities |
| Hca Squared LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Healthserv Acquisition LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Healthtrust Inc - The Hospital Company | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 2 facilities |
| Hercules Holding Ii | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 2 facilities |
| Hospital Corp LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Houston Healthcare Holdings, Inc | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Hti Hospital Holdings Inc | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 2 facilities |
| Indianapolis Hospital Partner, LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Indianapolis Hospital Partner, LLC | Limited Partnership Interest · Organization | 0% | 1 facilities |
| Magoulas, Demetrios | Corporate Officer · Individual | 0% | 1 facilities |
| Magoulas, Demetrios | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Mcdaniel, Yasmene | Corporate Officer · Individual | 0% | 1 facilities |
| Mcdaniel, Yasmene | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Pasadena Bayshore Hospital, Inc | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Pasadena Bayshore Hospital, Inc | General Partnership Interest · Organization | 0% | 1 facilities |
| Smith, Eric | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Wagner, Jackson | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Women's Hospital Indianapolis, L.p. | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Women's Hospital Indianapolis, L.p. | Limited Partnership Interest · Organization | 0% | 1 facilities |
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Fire safety
10 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- C
Provide properly protected cooking facilities.
- C
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems2F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have proper medical gas storage and administration areas.
Egress1F
- F
Have properly located and lighted "Exit" signs.
Services1F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Emergency Preparedness1C
- C
Conduct testing and exercise requirements.
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Other homes nearby
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The Suites Pasadena
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★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
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-
Baywood Crossing Rehabilitation & Healthcare Cente
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- Nursing / resident / day
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-
Avir at Pasadena
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- J
- Nursing / resident / day
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- Fines
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