CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Pasadena Palace Tcu
View the most recent health deficiencies and inspection results for Pasadena Palace Tcu. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Pasadena Palace Tcu. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a 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. | Health | 2025-12-17 | 2026-01-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-11-19 | 2025-12-12 | N |
| Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid. | Health | 2025-11-19 | 2025-12-12 | Y |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2025-11-19 | 2025-12-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-11-19 | 2025-12-12 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-11-19 | 2025-12-12 | N |
| 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. | Health | 2025-11-19 | 2025-12-12 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-11-19 | 2025-12-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-11-19 | 2025-12-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-11-19 | 2025-12-12 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-11-19 | 2025-12-12 | N |
| Post nurse staffing information every day. | Health | 2025-11-19 | 2025-12-12 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2025-11-19 | 2025-12-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-11-19 | 2025-12-12 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2025-11-19 | 2025-12-12 | N |
| Dispose of garbage and refuse properly. | Health | 2025-11-19 | 2025-12-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-11-19 | 2025-12-12 | N |
| Keep all essential equipment working safely. | Health | 2025-11-19 | 2025-12-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-11-19 | 2025-12-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-11-19 | 2025-12-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-11-19 | 2025-12-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-11-19 | 2025-12-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-11-19 | 2025-12-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-11-19 | 2025-12-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-11-19 | 2025-12-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-08-05 | 2025-08-08 | Y |
| Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | Health | 2025-05-17 | 2025-06-12 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2025-05-16 | 2025-06-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-05-16 | 2025-06-11 | Y |
| Implement a program that monitors antibiotic use. | Health | 2025-05-08 | 2025-05-11 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2025-05-03 | 2025-05-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-05-03 | 2025-05-11 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-05-07 | 2025-05-11 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2025-05-08 | 2025-05-11 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2025-04-28 | 2025-05-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-04-28 | 2025-05-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-04-01 | 2025-04-25 | Y |
| 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. | Health | 2025-04-01 | 2025-04-25 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2025-04-01 | 2025-04-25 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-03-20 | 2025-04-08 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-02-25 | 2025-03-21 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-02-25 | 2025-03-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-01-29 | 2025-02-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-07 | 2025-02-01 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-01-13 | 2025-01-31 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-01-13 | 2025-01-31 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2025-01-13 | 2025-01-31 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-11-01 | 2024-12-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-11-01 | 2024-12-01 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-11-01 | 2024-12-01 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-11-01 | 2024-12-01 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-11-01 | 2024-12-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-11-01 | 2024-12-01 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-11-01 | 2024-12-01 | N |
| Post nurse staffing information every day. | Health | 2024-11-01 | 2024-12-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-11-01 | 2024-12-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-11-01 | 2024-12-01 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-11-01 | 2024-12-01 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-11-01 | 2024-12-01 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2024-11-01 | 2024-11-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-11-01 | 2024-11-25 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2024-11-01 | 2024-11-20 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2024-11-01 | 2024-11-20 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-11-01 | 2024-11-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-11-01 | 2024-11-01 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-09-25 | 2024-10-18 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2024-09-25 | 2024-10-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-09-25 | 2024-10-18 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-09-23 | 2024-10-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-09-23 | 2024-10-04 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-09-18 | 2024-10-02 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-08-28 | 2024-09-19 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-08-28 | 2024-09-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-08-21 | 2024-08-30 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-07-24 | 2024-08-06 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-24 | 2024-08-06 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-05-07 | 2024-05-29 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-05 | 2024-01-15 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-05 | 2024-01-15 | Y |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-10-26 | 2023-11-15 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2023-10-26 | 2023-11-15 | N |
| Establish methods for sharing information. | Fire Safety | 2023-10-26 | 2023-11-15 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-10-26 | 2023-11-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-10-26 | 2023-11-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-26 | 2023-11-15 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-10-26 | 2023-11-15 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-10-26 | 2023-11-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-10-26 | 2023-11-15 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-10-26 | 2023-11-15 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-10-26 | 2023-11-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-26 | 2023-11-10 | N |
| Dispose of garbage and refuse properly. | Health | 2023-10-26 | 2023-11-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-26 | 2023-11-10 | N |
| 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. | Health | 2023-10-26 | 2023-11-10 | N |
| 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. | Health | 2023-10-26 | 2023-11-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-26 | 2023-11-10 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2023-10-26 | 2023-11-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-26 | 2023-11-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-10-26 | 2023-11-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-26 | 2023-11-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-26 | 2023-11-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-26 | 2023-11-10 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-10-26 | 2023-11-10 | N |
| 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. | Health | 2023-10-26 | 2023-11-10 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-26 | 2023-11-10 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-10-26 | 2023-11-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-05 | 2023-10-31 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-08 | 2023-09-01 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-06 | 2023-07-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-22 | 2023-07-01 | Y |