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The Colonnades at Reflection Bay

Nursing Home · Pearland, Texas · CMS Certification Number 676207

5 immediate jeopardy3 actual harm$135,102 in fines

CMS records 42 health citations for The Colonnades at Reflection Bay across the three inspection cycles published as of June 2026. 5 are at immediate jeopardy (scope/severity J, K or L) — CMS's finding that a failure caused, or was likely to cause, serious injury, harm, impairment or death to a resident. 3 are at actual harm (G, H or I), meaning a resident was harmed but the finding did not rise to immediate jeopardy. 33 of them came from a complaint investigation rather than a routine survey. In the most recent cycle alone there are 20 citations, 4 at immediate jeopardy.

CMS five-star ratings
Overall rating★★☆☆☆ 2 of 5
Health inspection★☆☆☆☆ 1 of 5
Staffing★★☆☆☆ 2 of 5
Quality measures★★★★★ 5 of 5

Staffing

Total nurse staffing3.57 hours per resident per day
RN staffing0.50 hours per resident per day
Weekend nurse staffing3.21 hours per resident per day
Total nursing staff turnover50.6%
RN turnover52.0%

Staffing hours are CMS payroll-based figures for the most recent quarter published. Turnover is the share of staff who left over twelve months.

Facility details

Address12001 Shadow Creek Parkway, Pearland, TX 77584
Phone(713) 434-3800
CountyBrazoria
Certified beds180
Average residents per day144.8
OwnershipFor profit - Limited Liability company
ChainCantex Continuing Care
Participates inMedicare and Medicaid
Sprinklers in all required areasYes
Resident / family councilResident

Most recent inspections

Fire Safety Standard2026-05-01
Health Complaint2025-11-20
Health Standard2026-05-01

Fines and penalties

CMS records $135,102 in fines across 6 penalties.

Inspection citations

Citations are published by the Centers for Medicare & Medicaid Services from state inspections. A citation reflects conditions found on the survey date shown and may since have been corrected. Facilities may dispute findings through informal dispute resolution. Always tour a facility and ask about anything you see here.

Scope/severity J — IMMEDIATE JEOPARDY

Survey 2025-10-24 · Tag F0689 · Complaint investigation · Past Non-Compliance · Correction reported 2025-10-19

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

What this scope/severity letter means: CMS found the facility's failure caused, or was likely to cause, serious injury, harm, impairment, or death to a resident. This is the most serious finding a surveyor can make. Affected one resident or instance. How the A–L grid works

Scope/severity J — IMMEDIATE JEOPARDY

Survey 2025-10-24 · Tag F0693 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-11-20

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.

What this scope/severity letter means: CMS found the facility's failure caused, or was likely to cause, serious injury, harm, impairment, or death to a resident. This is the most serious finding a surveyor can make. Affected one resident or instance. How the A–L grid works

Scope/severity J — IMMEDIATE JEOPARDY

Survey 2025-10-24 · Tag F0726 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-11-20

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

What this scope/severity letter means: CMS found the facility's failure caused, or was likely to cause, serious injury, harm, impairment, or death to a resident. This is the most serious finding a surveyor can make. Affected one resident or instance. How the A–L grid works

Scope/severity K — IMMEDIATE JEOPARDY

Survey 2025-06-06 · Tag F0686 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-06-30

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

What this scope/severity letter means: CMS found a pattern of failures that caused, or were likely to cause, serious injury, harm, impairment, or death. This is the most serious finding a surveyor can make. How the A–L grid works

Scope/severity K — IMMEDIATE JEOPARDY

Survey 2025-02-18 · Tag F0760 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-03-14

Ensure that residents are free from significant medication errors.

What this scope/severity letter means: CMS found a pattern of failures that caused, or were likely to cause, serious injury, harm, impairment, or death. This is the most serious finding a surveyor can make. How the A–L grid works

Scope/severity G — ACTUAL HARM

Survey 2023-12-08 · Tag F0684 · Routine survey · Deficient, Provider has date of correction · Correction reported 2023-12-15

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

What this scope/severity letter means: A resident was actually harmed. CMS found real harm occurred, affecting one resident. How the A–L grid works

Scope/severity G — ACTUAL HARM

Survey 2023-10-06 · Tag F0600 · Complaint investigation · Past Non-Compliance · Correction reported 2023-05-16

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

What this scope/severity letter means: A resident was actually harmed. CMS found real harm occurred, affecting one resident. How the A–L grid works

Scope/severity G — ACTUAL HARM

Survey 2023-10-06 · Tag F0607 · Complaint investigation · Past Non-Compliance · Correction reported 2023-05-16

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

What this scope/severity letter means: A resident was actually harmed. CMS found real harm occurred, affecting one resident. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2026-05-01 · Tag F0550 · Routine survey · Deficient, Provider has date of correction · Correction reported 2026-05-28

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

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2026-05-01 · Tag F0627 · Routine survey · Deficient, Provider has date of correction · Correction reported 2026-05-28

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2026-05-01 · Tag F0645 · Routine survey · Deficient, Provider has date of correction · Correction reported 2026-05-28

PASARR screening for Mental disorders or Intellectual Disabilities

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2026-05-01 · Tag F0690 · Routine survey · Deficient, Provider has date of correction · Correction reported 2026-05-28

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

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2026-05-01 · Tag F0695 · Routine survey · Deficient, Provider has date of correction · Correction reported 2026-05-28

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

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity E — Potential for harm

Survey 2026-05-01 · Tag F0761 · Routine survey · Deficient, Provider has date of correction · Correction reported 2026-05-28

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.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm, and it happened repeatedly. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2025-11-20 · Tag F0689 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-11-21

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

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2025-11-20 · Tag F0755 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-11-21

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

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity E — Potential for harm

Survey 2025-11-20 · Tag F0761 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-11-21

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.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm, and it happened repeatedly. How the A–L grid works

Scope/severity E — Potential for harm

Survey 2025-10-24 · Tag F0609 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-11-20

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm, and it happened repeatedly. How the A–L grid works

Scope/severity E — Potential for harm

Survey 2025-10-24 · Tag F0656 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-11-20

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

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm, and it happened repeatedly. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2025-10-24 · Tag F0695 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-11-20

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

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity E — Potential for harm

Survey 2025-10-24 · Tag F0755 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-11-20

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

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm, and it happened repeatedly. How the A–L grid works

Scope/severity E — Potential for harm

Survey 2025-10-24 · Tag F0842 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-11-20

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

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm, and it happened repeatedly. How the A–L grid works

Scope/severity E — Potential for harm

Survey 2025-06-06 · Tag F0677 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-06-30

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

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm, and it happened repeatedly. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2025-06-06 · Tag F0690 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-06-30

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

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2025-04-21 · Tag F0656 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-05-20

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

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Showing the 25 most severe of 42 health citations. The counts above reflect all of them.

Common questions

Has The Colonnades at Reflection Bay been cited for immediate jeopardy?

Yes. CMS records 5 immediate-jeopardy citations (scope/severity J, K or L) for The Colonnades at Reflection Bay in data as of June 2026. Immediate jeopardy is CMS's finding that a failure caused, or was likely to cause, serious injury, harm, impairment or death to a resident.

What is the CMS star rating for The Colonnades at Reflection Bay?

CMS gives The Colonnades at Reflection Bay an overall rating of 2 out of 5 as of June 2026, with 1 for health inspection and 2 for staffing.

How big is The Colonnades at Reflection Bay?

The Colonnades at Reflection Bay is certified for 180 beds, with an average of 144.8 residents per day in the most recent CMS reporting period.


Ratings and inspection data from the Centers for Medicare & Medicaid Services, June 2026.