Hca Houston Healthcare Southeast
4801 East Sam Houston Parkway South, Pasadena, TX 77505 · Harris County · 30 certified beds · avg 22 residents/day · certified since Apr 12, 2024
Part of chain: HCA HEALTHCARE (3 facilities, chain avg rating 4.7★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (5)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 15, 2025 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| May 15, 2025 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| May 15, 2025 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| May 15, 2025 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. |
| May 15, 2025 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2025 | 5 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Texas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 6.88 | 3.46 | 3.95 | top 1% in Texas; top 2% in the U.S. |
| Registered Nurse hours | 3.68 | 0.44 | 0.69 | top 1% in Texas; top 1% in the U.S. |
| Weekend total nurse staffing | 5.62 | 3.04 | 3.50 | top 1% in Texas; top 3% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 3.07 | 0.34 | 0.48 | top 1% in Texas; top 1% in the U.S. |
| Total nursing staff turnover (%) | 0.0 | 55.3 | 45.8 | — |
| RN turnover (%) | 0.0 | 54.6 | 42.9 | — |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 6.90, RN 3.69, weekend 5.64. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: —/5 · short-stay residents: 4/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bayshore Partner, LLC | Organization | 5% or Greater Direct Ownership Interest | 99% | 07/01/2011 |
| Columbia Hospital Corporation - Delaware | Organization | 5% or Greater Indirect Ownership Interest | — | 07/01/2011 |
| Columbia Hospital Corporation of West Houston | Organization | 5% or Greater Indirect Ownership Interest | — | 07/01/2011 |
| Columbia/Hca of Houston, INC | Organization | 5% or Greater Indirect Ownership Interest | — | 07/01/2011 |
| Frisco Holding II | Organization | 5% or Greater Indirect Ownership Interest | — | 11/17/2006 |
| Hca Health Services of Texas INC | Organization | 5% or Greater Indirect Ownership Interest | — | 07/01/2011 |
| Hca Healthcare INC | Organization | 5% or Greater Indirect Ownership Interest | — | 07/01/2011 |
| Hca INC | Organization | 5% or Greater Indirect Ownership Interest | — | 07/01/2011 |
| Hca Squared LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 10/24/2011 |
| Healthserv Acquisition LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 07/01/2011 |
| Healthtrust INC - the Hospital Company | Organization | 5% or Greater Indirect Ownership Interest | — | 07/01/2011 |
| Hercules Holding II | Organization | 5% or Greater Indirect Ownership Interest | — | 07/01/2011 |
| Hospital Corp LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 07/01/2011 |
| Houston Healthcare Holdings, INC | Organization | 5% or Greater Indirect Ownership Interest | — | 07/01/2011 |
| Hti Hospital Holdings INC | Organization | 5% or Greater Indirect Ownership Interest | — | 07/01/2011 |
| Indianapolis Hospital Partner, LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 07/01/2011 |
| Pasadena Bayshore Hospital, INC | Organization | 5% or Greater Indirect Ownership Interest | — | 07/01/2011 |
| Women's Hospital Indianapolis, L.P. | Organization | 5% or Greater Indirect Ownership Interest | — | 07/01/2011 |
| Bayshore Partner, LLC | Organization | Limited Partnership Interest | NOT APPLICABLE | 07/01/2011 |
| Gibberman, Jeffrey | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/02/2023 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| The Suites Pasadena | 0.1 mi | Pasadena, TX | ★☆☆☆☆ | 1/5 | |
| Baywood Crossing Rehabilitation & Healthcare Cente | 1.1 mi | Pasadena, TX | ★★★★☆ | 4/5 | |
| Avir at Pasadena | 1.7 mi | Pasadena, TX | ★★★★☆ | 3/5 | |
| Focused Care at Pasadena | 1.9 mi | Pasadena, TX | ★☆☆☆☆ | 1/5 | |
| Pasadena Post Acute | 2.0 mi | Pasadena, TX | ★★★☆☆ | 2/5 | |
| The Courtyards at Pasadena | 3.0 mi | Pasadena, TX | ★★★☆☆ | 3/5 | |
| Paradigm at Faith Memorial | 4.0 mi | Pasadena, TX | ★★★☆☆ | 3/5 | |
| Park Manor of South Belt | 4.4 mi | Houston, TX | ★★★★☆ | 4/5 | |
| Sylan Shores Health and Wellness | 4.7 mi | La Porte, TX | ★☆☆☆☆ | 2/5 | abuse |
| Magnolia Crossing Nursing and Rehabilitation Cente | 5.0 mi | Houston, TX | ★★★☆☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 745052.