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Nursing home

The Courtyards at Pasadena

Pasadena, Texas · Harris County

  • 4048 Red Bluff Road, Pasadena, TX 77503 · Directions
  • (713) 477‑7877
  • Medicare overall rating: 2 of 5 starsMedicare overall rating
  • Ownership: For profit – limited liability company
  • 17 health citations in its last 3 inspection cycles (most serious: level J), $8,827 in fines. See the inspection record

Summary

The Courtyards at Pasadena is a Medicare-certified nursing home in Pasadena, Texas, with 196 certified beds. Medicare overall rating: 2 of 5 stars. Most recent standard health inspection: 2026-05-14, with 6 health deficiencies. Medicare lists 1 fine. Ownership: for profit – limited liability company. Source: Medicare (CMS) Provider Information, data updated 2026-10-01.

What is a nursing home?

A nursing home (skilled nursing facility) gives 24-hour nursing care and help with daily activities. Some people stay for a short time to recover after a hospital stay (rehabilitation); others live there long term. The homes listed here are certified by Medicare and/or Medicaid and inspected by the state.

Official Medicare data

Everything on this page comes from Medicare (CMS) data updated 2026-10-01. It is information, not a recommendation. Call the nursing home and visit before you decide, and talk with your doctor.

In a medical emergency, call 911.

At a glance

Medicare overall rating: 2 of 5 starsMedicare overall rating
196Certified beds
Health inspections: 3 of 5 starsHealth inspections

Quick answers

Where is The Courtyards at Pasadena?
4048 Red Bluff Road, Pasadena, TX 77503, in Harris County, Texas.
What is the phone number of The Courtyards at Pasadena?
(713) 477-7877, as listed by Medicare (CMS).
What is the Medicare star rating of The Courtyards at Pasadena?
Medicare overall rating: 2 out of 5 stars (CMS data updated 2026-10-01).
Has The Courtyards at Pasadena been fined?
Medicare lists 1 fine totaling $8,827.
What did inspectors find at The Courtyards at Pasadena?
In its last three inspection cycles (January 27, 2024 to May 14, 2026), Medicare lists 17 health citations; the most serious was level J. 1 was level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).

Medicare ratings, explained

Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.

Overall rating
Overall rating: 2 of 5 stars
Medicare’s summary of the three ratings below, from 1 star (much below average) to 5 stars (much above average).
Health inspections
Health inspections: 3 of 5 stars
Based on state health inspections and complaint investigations of about the last three years, compared with other nursing homes in the same state.
Staffing
Staffing: 1 of 5 stars
Based on how many hours nurses and aides spend with each resident per day (from payroll records) and how often staff leave.
Quality of resident care
Quality of resident care: 3 of 5 stars
Based on how residents do on measures such as falls with injury, pressure sores, getting better at moving around and going back to the hospital.
Short-stay residents (rehab)
Short-stay residents (rehab): 1 of 5 stars
Quality rating for people who stay a short time, usually to recover after a hospital stay.
Long-stay residents
Long-stay residents: 5 of 5 stars
Quality rating for people who live in the nursing home.

Inspections, fines and staffing

In its last three inspection cycles (January 27, 2024 to May 14, 2026), The Courtyards at Pasadena had 17 health citations; the most serious was level J (immediate jeopardy to resident health or safety). 1 of them was level G or higher (actual harm or immediate jeopardy). It was fined $8,827 in total (1 fine, the latest on January 27, 2024). Nurse staffing is 3.28 hours per resident per day; the Texas average is 3.42 and the national average is 3.90.

Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.

Inspection history: last three cycles

State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.

What the letters A to L mean
Scope and severity letters
SeriousnessIsolated (a few residents)Pattern (some)Widespread (many)
No actual harm, potential for minimal harmABC
No actual harm, potential for more than minimal harmDEF
Actual harm to residentsGHI
Immediate jeopardy to resident health or safetyJKL

Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.

Most recent cycle: May 14, 2026 — 6 health citations

Inspections in this cycle: May 14, 2026 (standard health inspection).

Show 6 citations (levels A to F, no actual harm)
  • F0755 Level E May 14, 2026 · corrected June 1, 2026

    “Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”

  • F0812 Level E May 14, 2026 · corrected June 1, 2026

    “Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”

  • F0880 Level E May 14, 2026 · corrected June 1, 2026

    “Provide and implement an infection prevention and control program.”

  • F0656 Level D May 14, 2026 · corrected June 1, 2026

    “Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”

  • F0677 Level D May 14, 2026 · corrected June 1, 2026

    “Provide care and assistance to perform activities of daily living for any resident who is unable.”

  • F0695 Level D May 14, 2026 · corrected June 1, 2026

    “Provide safe and appropriate respiratory care for a resident when needed.”

Previous cycle: March 19, 2025 — 6 health citations

Inspections in this cycle: March 19, 2025 (standard health inspection).

Show 6 citations (levels A to F, no actual harm)
  • F0812 Level F March 19, 2025 · corrected March 31, 2025

    “Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”

  • F0641 Level E March 19, 2025 · corrected March 31, 2025

    “Ensure each resident receives an accurate assessment.”

  • F0880 Level E March 19, 2025 · corrected March 31, 2025

    “Provide and implement an infection prevention and control program.”

  • F0661 Level D March 19, 2025 · corrected March 31, 2025

    “Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.”

  • F0740 Level D March 19, 2025 · corrected March 31, 2025

    “Ensure each resident must receive and the facility must provide necessary behavioral health care and services.”

  • F0770 Level D March 19, 2025 · corrected March 31, 2025

    “Provide timely, quality laboratory services/tests to meet the needs of residents.”

Earlier cycle: February 1, 2024 — 5 health citations

Inspections in this cycle: January 27, 2024 (complaint investigation); February 1, 2024 (complaint investigation); February 1, 2024 (standard health inspection); April 10, 2024 (complaint investigation).

  • F0689 Level J January 27, 2024 · from a complaint · corrected January 28, 2024

    “Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”

    immediate jeopardy to resident health or safety; isolated (a few residents) · Quality of Life and Care Deficiencies

Show 4 less serious citations (levels A to F)
  • F0656 Level E February 1, 2024 · from a complaint · corrected February 2, 2024

    “Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”

  • F0812 Level E February 1, 2024 · corrected February 2, 2024

    “Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”

  • F0880 Level D April 10, 2024 · from a complaint · corrected April 11, 2024

    “Provide and implement an infection prevention and control program.”

  • F0814 Level C February 1, 2024 · corrected February 2, 2024

    “Dispose of garbage and refuse properly.”

Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.

Full inspection reports on Medicare Care Compare →

Fire safety citations (8)
  • K0293 Level E May 14, 2026 · corrected June 13, 2026

    “Have properly located and lighted "Exit" signs.”

  • K0222 Level D May 14, 2026 · corrected June 13, 2026

    “Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.”

  • K0353 Level F March 19, 2025 · corrected March 26, 2025

    “Inspect, test, and maintain automatic sprinkler systems.”

  • K0372 Level F March 19, 2025 · corrected March 26, 2025

    “Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”

  • K0363 Level E March 19, 2025 · corrected March 26, 2025

    “Install corridor and hallway doors that block smoke.”

  • K0355 Level D March 19, 2025 · corrected March 26, 2025

    “Properly select, install, inspect, or maintain portable fire extinguishes.”

  • E0020 Level F February 1, 2024 · corrected February 9, 2024

    “Establish policies and procedures including evacuation.”

  • K0222 Level E February 1, 2024 · corrected February 9, 2024

    “Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.”

Fines and payment denials

Total fines over about the last three years: $8,827 (1 fine). A payment denial means Medicare stopped paying for new admissions for a time.

DatePenaltyAmount or length
January 27, 2024Fine$8,827

Source: Medicare (CMS) Penalties file, data updated October 1, 2026.

Staffing

Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.

MeasureThis homeTexasNational
Registered nurse (RN) hours per resident per day0.320.440.69
Licensed practical nurse (LPN) hours per resident per day0.880.940.86
Nurse aide hours per resident per day2.082.032.35
Total nurse staff hours per resident per day3.283.423.90
Total nurse staff hours per resident per day on the weekend3.052.993.43
RN hours per resident per day on the weekend0.330.350.48
Nursing staff turnover (per year)50.0%50.8%45.3%
RN turnover (per year)52.6%49.8%42.5%
Administrators who left in the last year0.00.60.5

Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.

Owners and operator

Part of a group of 66 nursing homes: Fundamental Healthcare.

Legal business name: Liberty County Hospital District No 1.

Owners and managers Medicare lists (2)
NameRoleShareSince
Liberty County Hospital District No 1Direct owner100%April 1, 2017
Red Bluff LLCManagement company (operational or managerial control)NOT APPLICABLEApril 1, 2017

Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.

Compare with other nursing homes

Key facts

TypeNursing home
Certified beds196
Average residents per day129.6
Takes part inMedicare and Medicaid
OwnershipFor profit – limited liability company
Group or chain (affiliated entity)Fundamental Healthcare
Legal business nameLiberty County Hospital District No 1
First approved by Medicare/Medicaid2007-10-05
Resident and family councilsResident council
Sprinklers in all required areasYes
Changed ownership in the last 12 monthsNo
Address4048 Red Bluff Road, Pasadena, TX 77503
CountyHarris County
StateTexas
Phone(713) 477‑7877
CMS Certification Number676155
Name in Medicare recordsTHE COURTYARDS AT PASADENA
CorrectionsReport an error or suggest an update →

What to ask when you call or visit

A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.

  • Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
  • Can you see the latest state inspection report? Ask how any problems found were fixed.
  • How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
  • Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
  • What therapy (physical, occupational, speech) is offered, and how many days a week?
  • Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
  • What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
  • Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
  • Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
  • Visit more than once, including at a mealtime or in the evening, without an appointment.

Other nursing homes nearby

By straight-line distance (not driving distance).

Nearest hospital emergency rooms

Sources

  1. Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this provider
  3. Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  4. Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  5. Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
  6. Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
  7. State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
  8. Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
  9. Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
  10. Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13