About The Suites Pasadena
The Suites Pasadena, located in Pasadena, TX, is a for-profit organization that accepts Medicare and Medicaid.
Why Families Choose The Suites Pasadena
Key Performance Indicators
- CMS Overall Rating 1 Stars
- Nursing Hours 3.83 hrs
- Safety Record Clean
Chain Affiliations & Network
This facility is part of the EDURO HEALTHCARE network. This chain operates 35 facilities.
Chain Performance Overview
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Nursing Staff Analysis
Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Mixed Staffing Levels
The Suites Pasadena provides more care hours than the state average and less than the national average.
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 1 |
|
| Health Inspection | 1 |
|
| Quality Measures | 3 |
|
| Staffing | 2 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 169 | Oct 31, 2024 |
| Weighted Average | 250 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.
Medicare claims-based measures
Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.
| Measure | Rate |
|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) | 28.4% |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | 3.0% |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | N/A |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | N/A |
MDS-based measures
Resident assessment data; often used for long-stay care quality.
| Measure | Rate |
|---|---|
| Percentage of long-stay residents whose need for help with daily activit... (QM401) | 19.0% |
| Percentage of long-stay residents who lose too much weight (QM404) | 0.0% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 1.8% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 0.0% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 2.5% |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.0% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 0.0% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 62.7% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 37.2% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 0.0% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | N/A |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 8.6% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 88.5% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 39.4% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 10.9% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 19.4% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 2.0% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2023: 17 complaints
- 2024: 12 complaints
- 2025: 5 complaints
- 2026: 2 complaints
- Total: 36 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Feb 20, 2026 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. |
| Sep 22, 2025 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| Sep 22, 2025 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Sep 22, 2025 | Keep residents' personal and medical records private and confidential. |
| Mar 12, 2025 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. |
| Feb 25, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. |
| Nov 22, 2024 | Ensure that residents are fully informed and understand their health status, care and treatments. |
| Nov 22, 2024 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. |
| Apr 25, 2024 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. |
| Apr 25, 2024 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Apr 25, 2024 | Provide and implement an infection prevention and control program. |
| Apr 05, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Apr 01, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Feb 05, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. |
| Feb 05, 2024 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Feb 05, 2024 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| Jan 24, 2024 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. |
| Jan 24, 2024 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. |
| Sep 20, 2023 | Ensure each resident receives an accurate assessment. |
| Sep 20, 2023 | Provide and implement an infection prevention and control program. |
| Sep 20, 2023 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. |
| Sep 20, 2023 | Dispose of garbage and refuse properly. |
| Sep 20, 2023 | Ensure medication error rates are not 5 percent or greater. |
| Sep 20, 2023 | 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. |
| Sep 20, 2023 | 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. |
| Sep 20, 2023 | Provide enough food/fluids to maintain a resident's health. |
| Sep 20, 2023 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| Sep 20, 2023 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted |
| Sep 20, 2023 | PASARR screening for Mental disorders or Intellectual Disabilities |
| Sep 20, 2023 | Assure the security of all personal funds of residents deposited with the facility. |
| Sep 20, 2023 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. |
| Sep 20, 2023 | Honor the resident's right to manage his or her financial affairs. |
| Sep 20, 2023 | Ensure that residents are fully informed and understand their health status, care and treatments. |
| Sep 20, 2023 | Implement a program that monitors antibiotic use. |
| Sep 20, 2023 | Develop and implement policies and procedures for flu and pneumonia vaccinations. |
| Jun 21, 2026 | Ensure that residents are free from significant medication errors. |
Nearby Hospitals
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MEMORIAL HERMANN NORTHEAST HOSPITAL
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Baylor St Lukes Medical Center
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WOMANS HOSPITAL OF TEXAS,THE
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ST LUKE'S HOSPITAL AT THE VINTAGE
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Owner & Operator Information
Business Entity
Legal Business Name Not Available
Management & Direction
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| The Methodist Hospital Snf | N/A | 5 |
| Mrc The Crossings | N/A | 5 |
| Ignite Medical Resort Webster, LLC | N/A | 5 |
| Bayou Manor | N/A | 5 |
| The Vosswood Nursing Center | N/A | 4 |
| East View Healthcare | N/A | 5 |
| The Hallmark | N/A | 5 |
| Houston Transitional Care | N/A | 5 |
| Baywind Village Skilled Nursing and Rehab | N/A | 5 |
| The Meridian | N/A | 4 |
Related Analysis
Best Nursing Homes in Pasadena, TX
Compare The Suites Pasadena to the top-rated facilities in the area.
Ownership Details
Complete list of registered owners, including direct and indirect ownership.
Noted Deficiencies
Detailed history of deficiencies with descriptions and correction dates.
Nursing Hours Analysis
Detailed breakdown of staffing hours per resident by role.
Frequently Asked Questions
- Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
- Long-term Residential Care: Assistance with daily living activities for extended stays
- Short-term Rehabilitation: Recovery services after hospital stays or surgeries
- Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
- Level of care needed (skilled nursing vs. long-term care)
- Room type (private vs. semi-private)
- Insurance coverage (Medicare, Medicaid, private insurance)
- Length of stay and specific services required
For current rates and to discuss payment options, contact The Suites Pasadena directly at 2819980399. Their admissions team can help determine coverage and out-of-pocket expenses.
Environment & Cleanliness
- Overall cleanliness and odors
- Resident room conditions
- Common area maintenance
- Safety features and accessibility
Staff & Care Quality
- Staff-to-resident ratios
- How staff interact with residents
- Response time to resident needs
- Staff knowledge and professionalism
Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.