The Courtyards at Pasadena

Name: The Courtyards at Pasadena
Address: 4048 RED BLUFF ROAD, Pasadena, TX, 77503, US
Telephone: 7134777877

4048 Red Bluff Road, Pasadena, TX 77503 · Harris County · 196 certified beds · avg 134 residents/day · certified since Oct 5, 2007

Part of chain: FUNDAMENTAL HEALTHCARE (66 facilities, chain avg rating 2.4★)

3/5

Health inspection rating (on-site)

Serious findings on record

$8,827

Fines, last 3 years

3.30

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

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.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, one-off · Jan 27, 2024 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: Jan 28, 2024 (Deficient, Provider has date of correction)

All citations in the current public record (17)

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 14, 2026	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
May 14, 2026	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 14, 2026	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 14, 2026	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
May 14, 2026	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
May 14, 2026	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Mar 19, 2025	F · Potential for harm, facility-wide	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.
Mar 19, 2025	E · Potential for harm, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Mar 19, 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.
Mar 19, 2025	D · Potential for harm, one-off	When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care.
Mar 19, 2025	D · Potential for harm, one-off	The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety.
Mar 19, 2025	D · Potential for harm, one-off	The facility did not provide timely, quality laboratory tests to meet residents' needs.
Apr 10, 2024	D · Potential for harm, one-off	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. · from a complaint
Feb 1, 2024	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Feb 1, 2024	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.
Feb 1, 2024	C · Minimal risk, facility-wide	The facility did not dispose of garbage and refuse properly.
Jan 27, 2024	▲ J · Immediate jeopardy, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (6 → 6).

Year	Citations	Serious (G–L)	Worst severity that year
2024	5	1	J ▲
2025	6	0	F
2026	6	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)

1 fine totaling $8,827.

Date	Type	Amount / length
Jan 27, 2024	Fine	$8,827

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)	3.30	3.46	3.95	bottom 49% in Texas; bottom 27% in the U.S.
Registered Nurse hours	0.37	0.44	0.69	bottom 46% in Texas; bottom 18% in the U.S.
Weekend total nurse staffing	3.07	3.04	3.50	top 37% in Texas; bottom 35% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.39	0.34	0.48	top 27% in Texas; top 50% in the U.S.
Total nursing staff turnover (%)	49.6	55.3	45.8	top 44% in Texas; bottom 38% in the U.S.
RN turnover (%)	46.7	54.6	42.9	top 41% in Texas; bottom 41% in the U.S.

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 3.26, RN 0.37, weekend 3.03. Staffing rating: 2/5.

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: 3/5 · long-stay residents: 4/5 · short-stay residents: 2/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Liberty County Hospital District No 1	Organization	5% or Greater Direct Ownership Interest	100%	04/01/2017
Buxbaum, Michael	Individual	ADP of the SNF	NOT APPLICABLE	04/01/2017
Forman, Murray	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	11/26/2025
Fundamental Administrative Services LLC	Organization	ADP of the SNF	NOT APPLICABLE	04/01/2017
Fundamental Clinical and Operational Services, LLC	Organization	ADP of the SNF	NOT APPLICABLE	04/01/2017
Red Bluff LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	04/01/2017
Stephens, Lisa	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2018
Stephens, Lisa	Individual	ADP of the SNF	NOT APPLICABLE	04/01/2018
Stratton, Charles	Individual	Corporate Director	NOT APPLICABLE	03/31/2017

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 is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"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?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"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
Focused Care at Pasadena	2.3 mi	Pasadena, TX	★☆☆☆☆	1/5
Avir at Pasadena	2.3 mi	Pasadena, TX	★★★★☆	3/5
Pasadena Post Acute	2.6 mi	Pasadena, TX	★★★☆☆	2/5
Baywood Crossing Rehabilitation & Healthcare Cente	3.0 mi	Pasadena, TX	★★★★☆	4/5
Hca Houston Healthcare Southeast	3.0 mi	Pasadena, TX	★★★★★	5/5
The Suites Pasadena	3.1 mi	Pasadena, TX	★☆☆☆☆	1/5
Paradigm at Faith Memorial	3.2 mi	Pasadena, TX	★★★☆☆	3/5
Sylan Shores Health and Wellness	4.1 mi	La Porte, TX	★☆☆☆☆	2/5	abuse
Park Manor of South Belt	7.3 mi	Houston, TX	★★★★☆	4/5
Magnolia Crossing Nursing and Rehabilitation Cente	7.8 mi	Houston, TX	★★★☆☆	4/5
Jacinto Nursing and Rehabilitation Center	7.8 mi	Houston, TX	★☆☆☆☆	2/5
Bay Ridge Healthcare Center	8.1 mi	La Porte, TX	★☆☆☆☆	1/5

Compare this facility with the 3 closest →

All facilities in Pasadena →

Facility data as of CMS processing date 2026-08-01. CCN 676155.

The Care File

Visit checklist — The Courtyards at Pasadena

4048 Red Bluff Road, Pasadena, TX 77503 · 7134777877

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $8,827

Most serious findings on record:

▲ Jan 27, 2024 (F-0689, Immediate jeopardy, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "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?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 676155 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)