Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: FUNDAMENTAL HEALTHCARE (66 facilities, chain avg rating 2.4★)
3/5
Health inspection rating (on-site)
inspected May 14, 2026
1
Serious findings on record
most recent Jan 27, 2024
$8,827
Fines, last 3 years
3.30
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
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 quality measures from resident assessments and claims.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, isolated · 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): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Jan 28, 2024 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 17 inspection findings. Open the full record below to read every finding.
E · Potential for more than minimal harm, pattern
The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. F-0755
E · Potential for more than minimal harm, pattern
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. F-0812
E · Potential for more than minimal harm, pattern
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. F-0880
View all 17 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
Date
Severity
What the facility was cited for
May 14, 2026
E · Potential for more than minimal harm, pattern
The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755
May 14, 2026
E · Potential for more than minimal harm, pattern
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. · F-0812
May 14, 2026
E · Potential for more than minimal harm, pattern
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. · F-0880
May 14, 2026
D · Potential for more than minimal harm, isolated
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. · F-0656
May 14, 2026
D · Potential for more than minimal harm, isolated
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. · F-0677
May 14, 2026
D · Potential for more than minimal harm, isolated
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. · F-0695
Mar 19, 2025
F · Potential for more than minimal harm, widespread
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. · F-0812
Mar 19, 2025
E · Potential for more than minimal harm, pattern
The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Mar 19, 2025
E · Potential for more than minimal harm, pattern
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. · F-0880
Mar 19, 2025
D · Potential for more than minimal harm, isolated
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. · F-0661
Mar 19, 2025
D · Potential for more than minimal harm, isolated
The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. · F-0740
Mar 19, 2025
D · Potential for more than minimal harm, isolated
The facility did not provide timely, quality laboratory tests to meet residents' needs. · F-0770
Apr 10, 2024
D · Potential for more than minimal harm, isolated
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 · F-0880
Feb 1, 2024
E · Potential for more than minimal harm, pattern
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 · F-0656
Feb 1, 2024
E · Potential for more than minimal harm, pattern
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. · F-0812
Feb 1, 2024
C · Potential for minimal harm, widespread
The facility did not dispose of garbage and refuse properly. · F-0814
Jan 27, 2024
▲ J · Immediate jeopardy, isolated
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 · F-0689
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (6 → 6).
Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2024
All citations:
5
Serious citations (G–L):
1
2025
All citations:
6
Serious citations (G–L):
0
2026
All citations:
6
Serious citations (G–L):
0
All bars start at zero. Exact values and supporting details remain below.
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.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
Date
Type
Amount / length
Jan 27, 2024
Fine
$8,827
Nurse staffing (from payroll records, adjusted for how much care residents need)
Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityTexas averageU.S. average
Total nurse staffing (hours per resident per day)
This facility:
3.30
Texas average:
3.46
U.S. average:
3.95
Registered Nurse hours
This facility:
0.37
Texas average:
0.44
U.S. average:
0.69
Weekend total nurse staffing
This facility:
3.07
Texas average:
3.04
U.S. average:
3.50
All bars start at zero. Exact values and supporting details remain below.
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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.26 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
No verified facility-specific private-pay price is available in our data for The Courtyards at Pasadena. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
Request the room type, effective date and itemized daily rate in writing.
Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
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
All 9 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain Fundamental Healthcare — 66 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
CMS records place this facility in Harris, TX — 97 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
Facility data as of CMS processing date 2026-08-01. CCN 676155.
This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).
The Care File
Visit checklist — The Courtyards at Pasadena
4048 Red Bluff Road, Pasadena, TX 77503 · (713) 477-7877
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, isolated): 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 plan of correction for the findings in your most recent state inspection?"
☐ "CMS reports 50% total nursing staff turnover here — who on the care team has been with you longest?"
☐ "Can I visit again unannounced, at a mealtime or on a weekend?"
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)