The Colonnades at Reflection Bay

12001 Shadow Creek Parkway · Pearland, TX · 77584 · 7134343800

180 certified beds For profit - Limited Liability company Chain: Cantex Continuing Care

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (4 citations).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $117,367 in fines in the last 24 months.
  • 3 citations involved actual harm to residents.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

4 immediate-jeopardy citations in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

2 abuse-related citations at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

$117,367 in federal fines in the last 24 months

4 fines — CMS fines are reserved for verified, serious non-compliance.

Score breakdown

Inspection record 30% of score 14
Serious harm & abuse 20% 0
Staffing 20% 65
Federal penalties 15% 5
Trend 10% 48
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.573.48 min · 4.1 strong
RN hours / resident-day0.500.55–0.75
Weekend hours / resident-day3.21≈ weekday level
Nursing turnover / year51%median 45%
Fines (3-yr window)6 · $135,102

Inspection citations (42 in the current record)

  • Potential for harm · D May 1, 2026

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

    Corrected May 28, 2026 · Resident Rights

  • Potential for harm · D May 1, 2026

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

    Corrected May 28, 2026 · Resident Rights

  • Potential for harm · D May 1, 2026

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected May 28, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D May 1, 2026

    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 May 28, 2026 · Quality of Life and Care

  • Potential for harm · D May 1, 2026

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

    Corrected May 28, 2026 · Quality of Life and Care

  • Potential for harm · E May 1, 2026

    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 May 28, 2026 · Pharmacy Service

  • Potential for harm · D November 20, 2025 · found via complaint

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

    Corrected November 21, 2025 · Quality of Life and Care

  • Potential for harm · D November 20, 2025 · found via complaint

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

    Corrected November 21, 2025 · Pharmacy Service

  • Potential for harm · E November 20, 2025 · found via complaint

    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 November 21, 2025 · Pharmacy Service

  • Immediate jeopardy · J October 24, 2025 · found via complaint

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

    Corrected October 19, 2025 · Quality of Life and Care

  • Immediate jeopardy · J October 24, 2025 · found via complaint

    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 November 20, 2025 · Quality of Life and Care

  • Immediate jeopardy · J October 24, 2025 · found via complaint

    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.

    Corrected November 20, 2025 · Nursing and Physician Services

  • Potential for harm · E October 24, 2025 · found via complaint

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

    Corrected November 20, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E October 24, 2025 · found via complaint

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

    Corrected November 20, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D October 24, 2025 · found via complaint

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

    Corrected November 20, 2025 · Quality of Life and Care

  • Potential for harm · E October 24, 2025 · found via complaint

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

    Corrected November 20, 2025 · Pharmacy Service

  • Potential for harm · E October 24, 2025 · found via complaint

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

    Corrected November 20, 2025 · Resident Assessment and Care Planning

  • Immediate jeopardy · K June 6, 2025 · found via complaint

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

    Corrected June 30, 2025 · Quality of Life and Care

  • Potential for harm · E June 6, 2025 · found via complaint

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

    Corrected June 30, 2025 · Quality of Life and Care

  • Potential for harm · D June 6, 2025 · found via complaint

    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 June 30, 2025 · Quality of Life and Care

  • Potential for harm · D April 21, 2025 · found via complaint

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

    Corrected May 20, 2025 · Resident Assessment and Care Planning

  • Immediate jeopardy · K February 18, 2025 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected March 14, 2025 · Pharmacy Service

  • Potential for harm · E February 18, 2025

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

    Corrected March 14, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E February 18, 2025

    Provide and implement an infection prevention and control program.

    Corrected March 14, 2025 · Infection Control

  • Potential for harm · D February 18, 2025 · found via complaint

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

    Corrected March 14, 2025 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
October 24, 2025Fine$15,940
October 24, 2025Fine$26,685
June 6, 2025Fine$44,960
February 18, 2025Fine$29,782
December 8, 2023Fine$9,525
October 6, 2023Fine$8,210

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676207 · certified since January 23, 1984. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.