Federal inspection record · CMS data as of October 1, 2026
The Suites Pasadena
4900 East Sam Houston Parkway South, Pasadena, TX · (281) 998-0399
- Certified beds
- 50
- Residents per day
- 29
- Ownership
- For-Profit
- Chain
- Eduro Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 20, 2013
1
How this home got 2 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.
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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.
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Quality measures
★★★★★no change
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
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
The Suites Pasadena carries 133.75 inspection points. That is fewer than 23% 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
46 health citations on record since 2023. 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.
Harm and immediate-jeopardy citations (5)
-
K
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
K
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Resident Assessment and Care Planning11E
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Assure that each resident’s assessment is updated at least once every 3 months.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Ensure each resident receives an accurate assessment.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Rights8E
- D
Keep residents' personal and medical records private and confidential.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- E
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- E
Ensure that residents are fully informed and understand their health status, care and treatments.
- E
Honor the resident's right to manage his or her financial affairs.
- E
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
- E
Assure the security of all personal funds of residents deposited with the facility.
Pharmacy Service6E
- D
Ensure that residents are free from significant medication errors.
- E
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.
- D
Ensure that residents are free from significant medication errors.
- D
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.
- E
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- E
Ensure medication error rates are not 5 percent or greater.
Quality of Life and Care6F
- F
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 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.
- E
Provide enough food/fluids to maintain a resident's health.
- E
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.
Nutrition and Dietary4F
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- C
Dispose of garbage and refuse properly.
Infection Control4F
- D
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- F
Implement a program that monitors antibiotic use.
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Administration1F
- F
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Inspection history
2026-01-16
8 health deficiencies · 13 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (5 deficiencies)
2024-10-31
10 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
2023-09-19
28 health deficiencies · 11 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 23 min of nursing staff time a day, 43 min of it from a registered nurse.
This home
3 h 23 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 77% of nursing staff and 90% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$121,752 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-01-16 | Fine | $31,961 |
| 2024-02-20 | Fine | $4,938 |
| 2024-02-12 | Fine | $4,938 |
| 2024-01-22 | Fine | $14,814 |
| 2024-01-17 | Fine | $65,101 |
| 2024-01-17 | Payment Denial · 57 day denial | $0 |
6
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 long-stay residents assessed and appropriately given the pneumococcal vaccine13.1 pts worse | 83.3% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine17 pts worse | 80.0% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.6 pts better | 2.6% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.8 pts better | 1.5% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.7 pts worse | 7.6% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6.7 pts better | 11.1% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.4 pts better | 3.4% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased9.2 pts worse | 25.0% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.6 pts worse | 1.4% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.6 pts worse | 14.1% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers11.8 pts worse | 15.5% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine45.1 pts worse | 43.6% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit9.5 pts better | 2.7% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.5 pts worse | 2.9% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine68.2 pts worse | 17.2% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.7 pts worse | 28.2% | 25.5% | 23.4% |
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Who owns and runs it
7 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 |
|---|---|---|---|
| Maverick County Hospital District | 5% Or Greater Direct Ownership Interest · Organization | 100% | 11 facilities |
| Bewsey, Michael | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 26 facilities |
| Bonilla, Nestor | Corporate Officer · Individual | 0% | 2 facilities |
| Fuller, Tonya | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Fuller, Tonya | Adp Of The SNF · Individual | 0% | 1 facilities |
| Jian, Peter | Adp Of The SNF · Individual | 0% | 11 facilities |
| Pasadena Nursing And Rehab Center LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
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Fire safety
26 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness7F
- F
Establish policies and procedures including evacuation.
- F
List the names and contact information of those in the facility.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
List the names and contact information of those in the facility.
- F
Establish emergency prep training and testing.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Conduct risk assessment and an All-Hazards approach.
Smoke6F
- F
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Install an approved automatic sprinkler system.
- E
Install corridor and hallway doors that block smoke.
- E
Provide properly protected cooking facilities.
- F
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous4F
- F
Provide a written emergency evacuation plan.
- F
Have simulated fire drills held at unexpected times.
- F
Provide a written emergency evacuation plan.
- F
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems4F
- E
Have proper medical gas storage and administration areas.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure medical gas and vacuum systems have documented maintenance programs.
- E
Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.
Egress3E
- E
Have properly located and lighted "Exit" signs.
- E
Install proper backup exit lighting.
- D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Services1F
- F
Have properly installed electrical wiring and gas equipment.
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Other homes nearby
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Hca Houston Healthcare Southeast
Pasadena, TX · Hca Healthcare
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 7 h 32 min
- Fines
- $0
-
Baywood Crossing Rehabilitation & Healthcare Cente
Pasadena, TX
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 2 h 57 min
- Fines
- $0
-
Avir at Pasadena
Pasadena, TX · Avir Health Group
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 12 min
- Fines
- $8,021