Hca Houston Healthcare Southeast
4801 East Sam Houston Parkway South, Pasadena, TX 77505
Hca Houston Healthcare Southeast is a nursing home in Pasadena, Texas. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating5 of 5
- Last standard health inspectionMay 15, 2025 (1 year ago)
- Health citations since May 15, 20255 (Texas average 28)
- Fines in the past three yearsNone listed by CMS
- CMS flagsNone listed by CMS
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One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
CMS update of October 8, 2026
Star rating
The CMS overall star rating changed from not rated by CMS to 5 of 5.
Star rating
The CMS health inspection star rating changed from not rated by CMS to 5 of 5.
Star rating
The CMS staffing star rating changed from not rated by CMS to 4 of 5.
Star rating
The CMS quality measures star rating changed from not rated by CMS to 4 of 5.
CMS update of February 25, 2026
Listing
This home now appears in CMS data.
Health inspection on May 15, 2025
5 citationsCMS lists this as a standard inspection.
Show the 5 citations
Citation F0607. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
CMS lists it as corrected on August 31, 2025.
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on August 31, 2025.
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on August 31, 2025.
Citation F0583. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Keep residents' personal and medical records private and confidential.
CMS lists it as corrected on August 31, 2025.
Citation F0690. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS lists it as corrected on August 31, 2025.
Fire safety inspection on May 15, 2025
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation K0345. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on June 27, 2025.
Fire safety inspection on April 12, 2024
9 citationsCMS lists this as a standard inspection.
Show the 9 citations
Citation K0293. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have properly located and lighted "Exit" signs.
CMS lists it as corrected on November 28, 2023.
Citation K0353. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on November 28, 2023.
Citation K0355. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Properly select, install, inspect, or maintain portable fire extinguishes.
CMS lists it as corrected on November 28, 2023.
Citation K0521. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS lists it as corrected on November 28, 2023.
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on November 28, 2023.
Citation K0923. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have proper medical gas storage and administration areas.
CMS lists it as corrected on November 28, 2023.
Citation E0039. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Conduct testing and exercise requirements.
CMS lists it as corrected on November 28, 2023.
Citation K0324. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on November 28, 2023.
Citation K0352. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Properly install and monitor supervisory attachments on automatic sprinkler systems.
CMS lists it as corrected on January 19, 2024.
CMS star ratings
- 5 of 5CMS overall star rating
- 5 of 5CMS health inspection star rating
- 4 of 5CMS staffing star rating
- 5 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (713) 359-2000
- Last standard health inspection
- May 15, 2025 (1 year ago)
- Certified beds
- 30
- Residents per day, on average
- 17.7
- Ownership type
- For profit - Corporation
- Legal business name
- Chca Bayshore LP
- Chain
- Hca Healthcare
- Takes part in
- Medicare
Fewer health citations than the Texas average (5 vs 28).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- BAYSHORE PARTNER, LLC5% or greater direct ownership interest · 99% · since 07/01/2011
- COLUMBIA HOSPITAL CORPORATION - DELAWARE5% or greater indirect ownership interest · no percentage provided · since 07/01/2011
- COLUMBIA HOSPITAL CORPORATION OF WEST HOUSTON5% or greater indirect ownership interest · no percentage provided · since 07/01/2011
- COLUMBIA/HCA OF HOUSTON, INC5% or greater indirect ownership interest · no percentage provided · since 07/01/2011
- FRISCO HOLDING II5% or greater indirect ownership interest · no percentage provided · since 11/17/2006
Show 18 more
- HCA HEALTH SERVICES OF TEXAS INC5% or greater indirect ownership interest · no percentage provided · since 07/01/2011
- HCA HEALTHCARE INC5% or greater indirect ownership interest · no percentage provided · since 07/01/2011
- HCA INC5% or greater indirect ownership interest · no percentage provided · since 07/01/2011
- HCA SQUARED LLC5% or greater indirect ownership interest · no percentage provided · since 10/24/2011
- HEALTHSERV ACQUISITION LLC5% or greater indirect ownership interest · no percentage provided · since 07/01/2011
- HEALTHTRUST INC - THE HOSPITAL COMPANY5% or greater indirect ownership interest · no percentage provided · since 07/01/2011
- HERCULES HOLDING II5% or greater indirect ownership interest · no percentage provided · since 07/01/2011
- HOSPITAL CORP LLC5% or greater indirect ownership interest · no percentage provided · since 07/01/2011
- HOUSTON HEALTHCARE HOLDINGS, INC5% or greater indirect ownership interest · no percentage provided · since 07/01/2011
- HTI HOSPITAL HOLDINGS INC5% or greater indirect ownership interest · no percentage provided · since 07/01/2011
- INDIANAPOLIS HOSPITAL PARTNER, LLC5% or greater indirect ownership interest · no percentage provided · since 07/01/2011
- PASADENA BAYSHORE HOSPITAL, INC5% or greater indirect ownership interest · no percentage provided · since 07/01/2011
- WOMEN'S HOSPITAL INDIANAPOLIS, L.P.5% or greater indirect ownership interest · no percentage provided · since 07/01/2011
- GIBBERMAN, JEFFREYOperational/managerial control · not applicable · since 08/02/2023
- MAGOULAS, DEMETRIOSOperational/managerial control · not applicable · since 12/05/2025
- MCDANIEL, YASMENEOperational/managerial control · not applicable · since 10/17/2022
- SMITH, ERICOperational/managerial control · not applicable · since 03/01/2021
- WAGNER, JACKSONOperational/managerial control · not applicable · since 05/01/2023
Questions
When was Hca Houston Healthcare Southeast last inspected?
CMS lists May 15, 2025 as the date of its most recent standard health inspection.
How many citations (violations) does Hca Houston Healthcare Southeast have?
CMS lists 5 health citations since May 15, 2025. CMS also calls these deficiencies.
Has Hca Houston Healthcare Southeast been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Hca Houston Healthcare Southeast?
Its CMS overall star rating is 5 of 5.
Is Hca Houston Healthcare Southeast a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.