Pasadena Post Acute - 3-Star Rehab Facility in Pasadena, TX | Placet0.40h
RN HOURS
per resident/day
3/5
CMS STARS
overall rating
3.9★
TRUST INDEX
Placet score
26.2%
BOUNCE BACK
30-day readmission
Clinical Quality Indicators
Long-stay residents — lower is better
Antipsychotic medication use 21.02%Falls causing major injury 0.58%Pressure ulcers (high-risk) 4.93%Admissions Contacts
No admissions contacts on file yet.
CMS Star Ratings
Last inspected: Apr 2025 (382 days ago)🔍 Health Inspection
3/5
★★★☆☆
📊 Quality Measures
4/5
★★★★☆
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Source: CMS MDS Quality Measures. Updated quarterly.
State avg: 26 min · US avg: 41 min
Total Nurse / Resident / Day
3h 27m
State avg: 3h 24m · US avg: 3h 53m
2 min
State avg: 4 min · US avg: 4 min
48 per 100
State avg: 51 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
Weekend vs. Weekday RN
99%above avg
US avg: 64%
Total Nurse Weekend
2h 40m
Federal Penalties
18 penalties · $245,286 total
| Date | Type | Fine | Denial Days |
|---|
| 2/2/2024 | Fine | $13,627 | - |
| 2/2/2024 | Fine | $13,627 | - |
| 2/2/2024 | Fine | $13,627 | - |
| 2/2/2024 | Fine | $13,627 | - |
| 2/2/2024 | Fine | $13,627 | - |
| 2/2/2024 | Fine | $13,627 | - |
| 2/2/2024 | Fine | $13,627 | - |
| 2/2/2024 | Fine | $13,627 | - |
| 2/2/2024 | Fine | $13,627 | - |
| 2/2/2024 | Fine | $13,627 | - |
| 2/2/2024 | Fine | $13,627 | - |
| 2/2/2024 | Fine | $13,627 | - |
| 2/2/2024 | Fine | $13,627 | - |
| 2/2/2024 | Fine | $13,627 | - |
| 2/2/2024 | Fine | $13,627 | - |
| 2/2/2024 | Fine | $13,627 | - |
| 2/2/2024 | Fine | $13,627 | - |
| 2/2/2024 | Fine | $13,627 | - |
Inspection Citations
Survey: April 3, 2025(3 citations)
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
Survey: February 2, 2024(27 citations)
🔴 Immediate JeopardyResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
26.2 per 100
State avg: 25.9 · US avg: 23.9
10.7 per 100
State avg: 12.0 · US avg: 12.0
0.6 per 100
State avg: 3.3 · US avg: 3.3
4.9 per 100
State avg: 4.2 · US avg: 5.1
3.6 per 100
State avg: 1.5 · US avg: 1.6
40.9 per 100
State avg: 88.0 · US avg: 79.7
Rates shown per 100 patients · Green = better than average · Amber = average · Red = below average
VBP Performance Score
24/100
Incentive Payment
-1.68% penalty
Healthcare-Assoc. Infections
7.1 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Avg Length of Stay
31.2 days
Avg Payment / Stay
$16,303.52
Patient Complexity
3.30 × avg
Avg LOS 15-30 days is typical for short-term rehab · Patient complexity = HCC risk score (1.0 = national average; higher = sicker patient mix)
🔴 Immediate Jeopardy
Resident Assessment and Care Planning Deficiencies
Complaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🔴 Immediate JeopardyQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmPharmacy Service DeficienciesComplaint
🟡 Potential for HarmPharmacy Service DeficienciesComplaint
🟡 Potential for HarmNutrition and Dietary DeficienciesComplaint
🟡 Potential for HarmEnvironmental DeficienciesComplaint
🔴 Immediate JeopardyResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🔴 Immediate JeopardyResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🔴 Immediate JeopardyQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmPharmacy Service DeficienciesComplaint
🟡 Potential for HarmPharmacy Service DeficienciesComplaint
🟡 Potential for HarmNutrition and Dietary DeficienciesComplaint
🟡 Potential for HarmEnvironmental DeficienciesComplaint
🔴 Immediate JeopardyResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🔴 Immediate JeopardyResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🔴 Immediate JeopardyQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmPharmacy Service DeficienciesComplaint
🟡 Potential for HarmPharmacy Service DeficienciesComplaint
🟡 Potential for HarmNutrition and Dietary DeficienciesComplaint
🟡 Potential for HarmEnvironmental DeficienciesComplaint
Survey: October 6, 2022(3 citations)
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies