The Suites Pasadena

Penalties

• Jan 16, 2026 — Fine ($31,961)
• Feb 20, 2024 — Fine ($4,938)
• Feb 12, 2024 — Fine ($4,938)
• Jan 22, 2024 — Fine ($14,814)
• Jan 17, 2024 — Payment Denial · payment denial 57 days
• Jan 17, 2024 — Fine ($65,101)
• Sep 19, 2023 — Fine ($164,381)

Inspection findings

1. Mar 12, 2026 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0760 Pharmacy Service Deficiencies

     Ensure that residents are free from significant medication errors.

     Corrected Apr 6, 2026 · CMS health inspection

2. Jan 16, 2026 Fire Safety · 20 findings
   • Not serious Scope/severity F

     E0004 Emergency Preparedness Deficiencies

     Develop and maintain an Emergency Preparedness Program (EP).

     Corrected Feb 17, 2026 · CMS fire safety

   • Not serious Scope/severity F

     E0020 Emergency Preparedness Deficiencies

     Establish policies and procedures including evacuation.

     Corrected Feb 23, 2026 · CMS fire safety

   • Not serious Scope/severity F

     E0030 Emergency Preparedness Deficiencies

     List the names and contact information of those in the facility.

     Corrected Feb 19, 2026 · CMS fire safety

   • Not serious Scope/severity D Complaint

     F0636 Resident Assessment and Care Planning Deficiencies

     Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

     Corrected Feb 20, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0638 Resident Assessment and Care Planning Deficiencies

     Assure that each resident’s assessment is updated at least once every 3 months.

     Corrected Feb 21, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0644 Resident Assessment and Care Planning Deficiencies

     Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

     Corrected Feb 21, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0657 Resident Assessment and Care Planning Deficiencies

     Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

     Corrected Feb 20, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0658 Resident Assessment and Care Planning Deficiencies

     Ensure services provided by the nursing facility meet professional standards of quality.

     Corrected Feb 20, 2026 · CMS health inspection

   • Not serious Scope/severity F

     F0689 Quality of Life and Care Deficiencies

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

     Corrected Feb 27, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0761 Pharmacy Service Deficiencies

     Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

     Corrected Feb 27, 2026 · CMS health inspection

   • Serious Scope/severity L

     K0161 Construction Deficiencies

     Use approved construction type or materials.

     Corrected Feb 19, 2026 · CMS fire safety

   • Not serious Scope/severity E

     K0293 Egress Deficiencies

     Have properly located and lighted "Exit" signs.

     Corrected Apr 16, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0342 Smoke Deficiencies

     Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

     Corrected Feb 19, 2026 · CMS fire safety

   • Not serious Scope/severity E

     K0351 Smoke Deficiencies

     Install an approved automatic sprinkler system.

     Corrected Feb 23, 2026 · CMS fire safety

   • Not serious Scope/severity E

     K0363 Smoke Deficiencies

     Install corridor and hallway doors that block smoke.

     Corrected Apr 16, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0372 Smoke Deficiencies

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

     Corrected Feb 24, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0511 Services Deficiencies

     Have properly installed electrical wiring and gas equipment.

     Corrected Apr 16, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0711 Miscellaneous Deficiencies

     Provide a written emergency evacuation plan.

     Corrected Feb 19, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected Jan 31, 2026 · CMS fire safety

   • Not serious Scope/severity E

     K0923 Gas, Vacuum, and Electrical Systems Deficiencies

     Have proper medical gas storage and administration areas.

     Corrected Feb 21, 2026 · CMS fire safety

3. Aug 25, 2025 Health · 3 findings
   • Not serious Scope/severity D Complaint

     F0583 Resident Rights Deficiencies

     Keep residents' personal and medical records private and confidential.

     Corrected Sep 22, 2025 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Sep 22, 2025 · CMS health inspection

   • Serious Scope/severity K Complaint

     F0686 Quality of Life and Care Deficiencies

     Provide appropriate pressure ulcer care and prevent new ulcers from developing.

     Corrected Sep 22, 2025 · CMS health inspection

4. Feb 21, 2025 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0550 Resident Rights Deficiencies

     Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

     Corrected Feb 25, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0806 Nutrition and Dietary Deficiencies

     Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

     Corrected Mar 12, 2025 · CMS health inspection

5. Oct 31, 2024 Health · 7 findings
   • Not serious Scope/severity D Complaint

     F0552 Resident Rights Deficiencies

     Ensure that residents are fully informed and understand their health status, care and treatments.

     Corrected Nov 22, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0644 Resident Assessment and Care Planning Deficiencies

     Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

     Corrected Nov 22, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0760 Pharmacy Service Deficiencies

     Ensure that residents are free from significant medication errors.

     Corrected Nov 22, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0761 Pharmacy Service Deficiencies

     Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

     Corrected Nov 22, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

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

     Corrected Nov 22, 2024 · CMS health inspection

   • Not serious Scope/severity E

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Nov 22, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

     Have generator or other power source capable of supplying service within 10 seconds.

     Corrected Nov 22, 2024 · CMS fire safety

6. Mar 29, 2024 Health · 3 findings
   • Not serious Scope/severity D Complaint

     F0605 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

     Corrected Apr 25, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Apr 25, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Apr 25, 2024 · CMS health inspection

7. Mar 12, 2024 Health · 1 finding
   • Serious Scope/severity G Complaint

     F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

     Corrected Apr 5, 2024 · CMS health inspection

8. Feb 19, 2024 Health · 1 finding
   • Serious Scope/severity J Complaint

     F0689 Quality of Life and Care Deficiencies

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

     Corrected Apr 1, 2024 · CMS health inspection

9. Jan 29, 2024 Health · 3 findings
   • Not serious Scope/severity E Complaint

     F0658 Resident Assessment and Care Planning Deficiencies

     Ensure services provided by the nursing facility meet professional standards of quality.

     Corrected Feb 5, 2024 · CMS health inspection

   • Serious Scope/severity J Complaint

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Feb 5, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0842 Resident Assessment and Care Planning Deficiencies

     Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

     Corrected Feb 5, 2024 · CMS health inspection

10. Jan 17, 2024 Health · 2 findings
    • Not serious Scope/severity E Complaint

      F0568 Resident Rights Deficiencies

      Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

      Corrected Jan 24, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0690 Quality of Life and Care Deficiencies

      Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

      Corrected Jan 24, 2024 · CMS health inspection

11. Sep 19, 2023 Fire Safety · 29 findings
    • Not serious Scope/severity F

      E0004 Emergency Preparedness Deficiencies

      Develop and maintain an Emergency Preparedness Program (EP).

      Corrected Aug 25, 2023 · CMS fire safety

    • Not serious Scope/severity F

      E0006 Emergency Preparedness Deficiencies

      Conduct risk assessment and an All-Hazards approach.

      Corrected Aug 25, 2023 · CMS fire safety

    • Not serious Scope/severity F

      E0030 Emergency Preparedness Deficiencies

      List the names and contact information of those in the facility.

      Corrected Aug 25, 2023 · CMS fire safety

    • Not serious Scope/severity F

      E0036 Emergency Preparedness Deficiencies

      Establish emergency prep training and testing.

      Corrected Aug 25, 2023 · CMS fire safety

    • Not serious Scope/severity E Complaint

      F0552 Resident Rights Deficiencies

      Ensure that residents are fully informed and understand their health status, care and treatments.

      Corrected Sep 20, 2023 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0567 Resident Rights Deficiencies

      Honor the resident's right to manage his or her financial affairs.

      Corrected Sep 20, 2023 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0569 Resident Rights Deficiencies

      Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

      Corrected Sep 20, 2023 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0570 Resident Rights Deficiencies

      Assure the security of all personal funds of residents deposited with the facility.

      Corrected Sep 20, 2023 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0641 Resident Assessment and Care Planning Deficiencies

      Ensure each resident receives an accurate assessment.

      Corrected Sep 20, 2023 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0645 Resident Assessment and Care Planning Deficiencies

      PASARR screening for Mental disorders or Intellectual Disabilities

      Corrected Sep 20, 2023 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0655 Resident Assessment and Care Planning Deficiencies

      Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

      Corrected Sep 20, 2023 · CMS health inspection

    • Serious Scope/severity K Complaint

      F0686 Quality of Life and Care Deficiencies

      Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      Corrected Sep 20, 2023 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0692 Quality of Life and Care Deficiencies

      Provide enough food/fluids to maintain a resident's health.

      Corrected Sep 20, 2023 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0693 Quality of Life and Care Deficiencies

      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.

      Corrected Sep 20, 2023 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0758 Pharmacy Service Deficiencies

      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.

      Corrected Sep 20, 2023 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0759 Pharmacy Service Deficiencies

      Ensure medication error rates are not 5 percent or greater.

      Corrected Sep 20, 2023 · CMS health inspection

    • Not serious Scope/severity F

      F0801 Nutrition and Dietary Deficiencies

      Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

      Corrected Sep 20, 2023 · CMS health inspection

    • Not serious Scope/severity C Complaint

      F0814 Nutrition and Dietary Deficiencies

      Dispose of garbage and refuse properly.

      Corrected Sep 20, 2023 · CMS health inspection

    • Not serious Scope/severity F Complaint

      F0835 Administration Deficiencies

      Administer the facility in a manner that enables it to use its resources effectively and efficiently.

      Corrected Sep 20, 2023 · CMS health inspection

    • Not serious Scope/severity F Complaint

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Sep 20, 2023 · CMS health inspection

    • Not serious Scope/severity F Complaint

      F0881 Infection Control Deficiencies

      Implement a program that monitors antibiotic use.

      Corrected Sep 20, 2023 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0883 Infection Control Deficiencies

      Develop and implement policies and procedures for flu and pneumonia vaccinations.

      Corrected Sep 20, 2023 · CMS health inspection

    • Not serious Scope/severity D

      K0222 Egress Deficiencies

      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.

      Corrected Aug 25, 2023 · CMS fire safety

    • Not serious Scope/severity E

      K0281 Egress Deficiencies

      Install proper backup exit lighting.

      Corrected Aug 25, 2023 · CMS fire safety

    • Not serious Scope/severity F

      K0353 Smoke Deficiencies

      Inspect, test, and maintain automatic sprinkler systems.

      Corrected Aug 25, 2023 · CMS fire safety

    • Not serious Scope/severity F

      K0711 Miscellaneous Deficiencies

      Provide a written emergency evacuation plan.

      Corrected Aug 25, 2023 · CMS fire safety

    • Not serious Scope/severity F

      K0712 Miscellaneous Deficiencies

      Have simulated fire drills held at unexpected times.

      Corrected Aug 25, 2023 · CMS fire safety

    • Not serious Scope/severity E

      K0907 Gas, Vacuum, and Electrical Systems Deficiencies

      Ensure medical gas and vacuum systems have documented maintenance programs.

      Corrected Aug 25, 2023 · CMS fire safety

    • Not serious Scope/severity E

      K0908 Gas, Vacuum, and Electrical Systems Deficiencies

      Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.

      Corrected Aug 25, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• BEWSEY, MICHAEL — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 11/03/2025
• BONILLA, NESTOR — corporate officer, NOT APPLICABLE, since 11/05/2025
• FULLER, TONYA — operational/managerial control, NOT APPLICABLE, since 11/16/2025
• FULLER, TONYA — adp of the snf, NOT APPLICABLE, since 11/19/2025
• JIAN, PETER — adp of the snf, NOT APPLICABLE, since 11/05/2025
• MAVERICK COUNTY HOSPITAL DISTRICT — 5% or greater direct ownership interest, 100%, since 11/05/2025
• PASADENA NURSING AND REHAB CENTER LLC — operational/managerial control, NOT APPLICABLE, since 11/05/2025