CONTACT INFORMATION REVIEWS & MORE DATA
The Colonnades at Reflection Bay
- Date Updated: March 01, 2025
- CMS Overall 5-Star Rating:
-
Address: 12001 SHADOW CREEK PARKWAY
PEARLAND TX 77584 Map - Phone: 713-434-3800
- Website: Click Here
- Medicare Provider Number: 676207
- Participating in Medicare Since: January 23, 1984
- No. of Certified Beds: 180
- No. of Residents: N/A
- Occupancy: N/A
- Amount Fined: $17,735.05
- Complaints Filed: 27
- Accepts: Medicare and Medicaid
About The Colonnades at Reflection Bay
The Colonnades At Reflection Bay, located in PEARLAND, TX, is a for-profit organization that accepts Medicare and Medicaid. It is not part of a continuing care retirement community. It is not located in a hospital. The Colonnades At Reflection Bay offers a range of services including skilled nursing, long-term care, short-term rehabilitation, and specialized memory care. The center is equipped with modern amenities and a supportive environment designed to enhance the quality of life for its residents. With a focus on personalized care plans and community engagement.
- The Colonnades at Reflection Bay is ranked #15 out of 27 facilities within a 10 mile radius and #52 out of 101 facilities within a 25 mile radius. See Ranking Report
- Review Specific City Measures
- CMS 5-Star Overall Rating is (4 out of 5):
- Current Trend: Worsening
-
Total Nursing Hours Spent Per Resident Per Day: 3.44
(The national average is 3.85 ) - The percentage of short-stay residents who were re-hospitalized after a nursing home admission is 26.09% .
- There is no indication of abuse occuring at The Colonnades at Reflection Bay. (CMS flags facilities where abuse has either happened or is very likely.)
The Colonnades at Reflection Bay Owner & Operator Information
Managers and Directors:
- LAVONNE CLARK (MANAGING EMPLOYEE)
- COLONNADES HEALTH CARE CENTER LTD CO (OPERATIONAL/MANAGERIAL CONTROL)
- DAVID ERIKSEN (OPERATIONAL/MANAGERIAL CONTROL)
- DAVID ERIKSEN (MANAGING EMPLOYEE)
- KELLY PARK (CORPORATE OFFICER)
- TRACY SIMMS (OPERATIONAL/MANAGERIAL CONTROL)
- TRACY SIMMS (MANAGING EMPLOYEE)
- ROBIN UNDERHILL (OPERATIONAL/MANAGERIAL CONTROL)
- ROBIN UNDERHILL (MANAGING EMPLOYEE)
The Colonnades at Reflection Bay Ratings and Inspection Scores
Centers for Medicare and Medicaid (CMS) regularly inspects every skilled nursing facility. The results of the multi-day inspection is a series of star ratings. The health inspection scores are an absolute value, so you can compare one facility's score directly to another.
Ratings
| Overall Rating | 4: |
| Health Inspection Rating | 3: |
| Quality Rating | 5: |
| Staffing Rating | 2: |
Inspection Scores
| Cycle 1 Score (as of December 08, 2023) | 80 |
| Cycle 2 Score (as of September 30, 2022) | 60 |
| Cycle 3 Score (as of July 21, 2021) | 68 |
| Weighted All Cycles Score | 71 |
Complaints by Residents
This table shows complaints filed by residents in The Colonnades at Reflection Bay:
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | 01/24/2025 |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | 10/25/2024 |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | 10/25/2024 |
| Provide and implement an infection prevention and control program. | 10/25/2024 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | 08/31/2024 |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | 08/31/2024 |
| Provide and implement an infection prevention and control program. | 08/31/2024 |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | 06/20/2024 |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | 10/24/2023 |
| 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. | 10/24/2023 |
| Provide and implement an infection prevention and control program. | 10/24/2023 |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | 05/16/2023 |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | 05/16/2023 |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | 11/11/2022 |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | 11/11/2022 |
| Provide safe and appropriate respiratory care for a resident when needed. | 11/11/2022 |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | 11/11/2022 |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | 11/11/2022 |
| Dispose of garbage and refuse properly. | 11/11/2022 |
| Provide safe and appropriate respiratory care for a resident when needed. | 11/11/2022 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | 09/30/2022 |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | 08/26/2022 |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | 08/17/2022 |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | 08/17/2022 |
| Reasonably accommodate the needs and preferences of each resident. | 03/28/2025 |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | 03/28/2025 |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | 03/28/2025 |
Nursing Hours Spent Per Patient
CMS provides detailed information about how long nursing staff spends with residents. This data includes nursing subcategories of Registered Nurse, Licensed Practical Nurse, and non-nursing Certified Nursing Assistants. More hours spend per patient should can indicate a better facility or it could indicate more complicated situations.
The nursing staff of The Colonnades at Reflection Bay spends LESS time on average with its residents than the state average and LESS time than the national average for total nursing hours spent per resident.
| Type | Facility | State / National Avg |
|---|---|---|
| Registered Nurse (RN) | ||
| Hours | 0.59 | 0.41 / 0.67 |
| Case Mix | 0.68 | 0.63 / 0.66 |
| Adjusted | 0.58 | NA / NA |
| Licensed Practical Nurse (LPN) | ||
| Hours | 0.77 | 0.97 / 0.87 |
| Case Mix | 0.88 | NA / NA |
| Adjusted | 0.75 | NA / NA |
| Certified Nursing Assistants (CNA) | ||
| Hours | 2.09 | 1.97 / 2.32 |
| Case Mix | 2.35 | NA / NA |
| Adjusted | 2.04 | NA / NA |
| Total Licensed Staff | ||
| Hours | 1.36 | 1.39 / 1.53 |
| Physical Therapist (PT) | ||
| Hours | 0.07 | 0.07 / 0.07 |
| Total Nursing Hours Spent per Resident on Average | ||
| Hours | 3.44 | 3.36 / 3.85 |
| Case Mix | 3.91 | 3.67 / 3.83 |
| Adjusted | 3.37 | NA / NA |
Quality Measures
Quality measures are based both on patient survey information and on the results of actual claims that are filed with CMS. It is not clear what period is covered in the measures.
| Desc. | Perc./ State Avg. / Comparison |
|---|---|
|
Percentage of short-stay residents who were rehospitalized after a nursing home admission (qm521)
This measure is considered when computing the 5-Star Overall Rating |
26.1%
/
26.2% Better |
|
Percentage of short-stay residents who had an outpatient emergency department visit (qm522)
This measure is considered when computing the 5-Star Overall Rating |
9.5%
/
12.8% Better |
|
Number of hospitalizations per 1000 long-stay resident days (qm551)
This measure is considered when computing the 5-Star Overall Rating |
1.2%
/
2.1% Better |
|
Number of outpatient emergency department visits per 1000 long-stay resident days (qm552)
This measure is considered when computing the 5-Star Overall Rating |
1.3%
/
2.0% Better |
| Percentage of long-stay residents whose need for help with daily activities has increased (qm401) |
11.0%
/
20.3% Better |
| Percentage of long-stay residents who lose too much weight (qm404) |
7.3%
/
4.4% Worse |
| Percentage of long-stay residents with a catheter inserted and left in their bladder (qm406) |
0.8%
/
1.0% Better |
| Percentage of long-stay residents with a urinary tract infection (qm407) |
0.0%
/
0.9% Better |
| Percentage of long-stay residents who have depressive symptoms (qm408) |
0.0%
/
4.3% Better |
| Percentage of long-stay residents who were physically restrained (qm409) |
0.0%
/
0.0% Better |
| Percentage of long-stay residents experiencing one or more falls with major injury (qm410) |
3.9%
/
3.3% Worse |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (qm415) |
100.0%
/
97.4% Better |
| Percentage of long-stay residents who received an antipsychotic medication (qm419) |
3.7%
/
8.3% Better |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (qm430) |
100.0%
/
90.1% Better |
| Percentage of short-stay residents who newly received an antipsychotic medication (qm434) |
0.0%
/
1.4% Better |
| Percentage of long-stay residents whose ability to walk independently worsened (qm451) | 18.6% / NA |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication (qm452) |
11.1%
/
22.8% Better |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (qm454) |
100.0%
/
97.7% Better |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (qm472) |
96.4%
/
85.8% Better |
| Percentage of long-stay residents with pressure ulcers (qm479) | 5.0% / NA |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence (qm480) | 8.6% / NA |
Hospitals Near The Colonnades at Reflection Bay
Quite often skilled nursing facilities and hospitals work closely together to help patients recover or manage a terminal illness. Hospitals deals with acute care while nursing homes treat patients for a longer period of time. New residents at skilled nursing homes typically come from a hospital and nursing home residents may be readmitted to a hospital if their recovery does not proceed well. (Hospital readmission rates are closely monitored by CMS.) Consequently it is important that you consider which hospitals are near a nursing home which choosing one. Below is a list of hospitals near The Colonnades at Reflection Bay.
The Colonnades at Reflection Bay is near several hospitals, each with its own rating based on overall performance:
| Hospital | 5-Star Overall Rating |
|---|---|
|
HOUSTON VA MEDICAL CENTER 2002 HOLCOMBE BLVD. HOUSTON, TX 77030 |
2 |
|
ST JOSEPH MEDICAL CENTER 1401 ST. JOSEPH PARKWAY HOUSTON, TX 77002 |
2 |
|
HCA HOUSTON HEALTHCARE WEST 12141 RICHMOND AVE HOUSTON, TX 77082 |
2 |
|
OAKBEND MEDICAL CENTER 1705 JACKSON ST RICHMOND, TX 77469 |
2 |
|
MEMORIAL HERMANN - TEXAS MEDICAL CENTER 6411 FANNIN HOUSTON, TX 77030 |
3 |
|
MEMORIAL HERMANN HOSPITAL SYSTEM 1635 NORTH LOOP WEST HOUSTON, TX 77008 |
3 |
|
MEMORIAL HERMANN MEMORIAL CITY HOSPITAL 921 GESSNER HOUSTON, TX 77024 |
3 |
|
ST LUKE'S SUGAR LAND HOSPITAL 1317 LAKE POINTE PARKWAY SUGAR LAND, TX 77478 |
3 |
|
HCA HOUSTON HEALTHCARE PEARLAND 11100 SHADOW CREEK PARKWAY PEARLAND, TX 77584 |
3 |
|
HARRIS HEALTH SYSTEM 2525 HOLLY HALL HOUSTON, TX 77054 |
3 |
|
WOMANS HOSPITAL OF TEXAS,THE 7600 FANNIN HOUSTON, TX 77054 |
3 |
|
HCA HOUSTON HEALTHCARE CLEAR LAKE 500 MEDICAL CENTER BLVD WEBSTER, TX 77598 |
3 |
|
MEMORIAL HERMANN SUGAR LAND HOSPITAL 17500 W GRAND PARKWAY SOUTH SUGAR LAND, TX 77479 |
3 |
|
HOUSTON METHODIST SUGARLAND HOSPITAL 16655 SOUTHWEST FREEWAY SUGAR LAND, TX 77479 |
4 |
|
MEMORIAL HERMANN KATY HOSPITAL 23900 KATY FREEWAY KATY, TX 77494 |
4 |
|
ST LUKE'S PATIENTS MEDICAL CENTER 4600 EAST SAM HOUSTON PARKWAY SOUTH PASADENA, TX 77505 |
4 |
|
CHI ST LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE ME 6720 BERTNER AVE, STE MC1-266 HOUSTON, TX 77030 |
4 |
|
HCA HOUSTON HEALTHCARE MEDICAL CENTER 1313 HERMANN DR HOUSTON, TX 77004 |
4 |
|
HCA HOUSTON HEALTHCARE SOUTHEAST 4000 SPENCER HWY PASADENA, TX 77504 |
4 |
|
HOUSTON METHODIST HOSPITAL 6565 FANNIN HOUSTON, TX 77030 |
5 |
Ratings History for The Colonnades at Reflection Bay
Medical Professionals Associated with The Colonnades at Reflection Bay
These are the doctors who are affiliated with The Colonnades at Reflection Bay. The data is from the most recent period. Historical data is not available.
- KAVITHA RAJAN ( INTERNAL MEDICINE - TRUMEN PHYSICIANS AND ASSOCIATES PLLC )
- VARUN KUMAR ( HOSPITALIST )
- CHARLES MILLER ( FAMILY PRACTICE - COLLABORATIVE GERIATRICS INC )
- SYED ABBAS ( INTERNAL MEDICINE - TRUMEN PHYSICIANS AND ASSOCIATES PLLC )
Local Nursing Homes
When evaluating nursing homes, it's important to consider other nearby facilities to understand the available options and make comparisons. Below is a list of nursing homes near Brookline Healthcare and Rehabilitation, including Brookline itself. This list is ranked based on each home's health inspection scores, also known as the "weighted all cycles score." Additionally, we provide the facility's 5-star overall rating for a more complete view of its performance. If a nursing home has been flagged by CMS for abuse, you'll see a special icon () next to its name.
The data is based on the dataset as of March 01, 2025.
Our Analysis
Best and Worst Nursing Homes in PEARLAND, TX
Here is our analysis of the Best Nursing Homes in PEARLAND and Worst Nursing Homes in PEARLAND so that you can make better decisions when choosing a nursing home. You should also use these lists after choosing a home to stay abreast of changes.
Ownership Details for The Colonnades at Reflection Bay
A list of all of the registered owners for The Colonnades at Reflection Bay. This includes direct and indirect owners and managers.
Noted Deficiencies for The Colonnades at Reflection Bay
A list of all of the deficiencies for the facility. This includes a description, type of deficiency, incident date and when the facility reports that the incident was corrected.
Nursing Hours Analysis for The Colonnades at Reflection Bay
How long a nurse spends with a resident can be an important factor in their recovery. This page shows the average nursing hours spent per resident for RNs, LPNs, CNAs, PTs and all licensed staff.
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