A list of the most recent deficiencies for The Californian-Pasadena. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide properly protected cooking facilities. | Fire Safety | 2024-02-07 | 2024-03-02 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-02-07 | 2024-03-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-07 | 2024-03-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-02-07 | 2024-03-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-02-07 | 2024-03-02 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-02 | 2024-02-21 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-02-02 | 2024-02-21 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-02-02 | 2024-02-21 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-02-02 | 2024-02-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-02 | 2024-02-21 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-02-02 | 2024-02-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-02-02 | 2024-02-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-02 | 2024-02-21 | N |
| 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 | 2024-02-02 | 2024-02-21 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-02-02 | 2024-02-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-02 | 2024-02-21 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-02-02 | 2024-02-21 | N |
| Post nurse staffing information every day. | Health | 2024-02-02 | 2024-02-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-02 | 2024-02-21 | 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 | 2024-02-02 | 2024-02-21 | 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 | 2024-02-02 | 2024-02-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-02 | 2024-02-21 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-02-02 | 2024-02-21 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-02-02 | 2024-02-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-05-02 | 2023-05-24 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-02-03 | 2023-03-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-03 | 2023-03-07 | 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 | 2023-02-03 | 2023-03-07 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-02-03 | 2023-03-07 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-02-03 | 2023-03-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-02-03 | 2023-03-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-03 | 2023-03-07 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-02-03 | 2023-03-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-03 | 2023-03-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-02-01 | 2023-03-02 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-02-01 | 2023-03-02 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-02-01 | 2023-03-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-01 | 2023-03-02 | N |
| Enure that solid fuel-burning fireplaces are not in patient sleeping areas. | Fire Safety | 2023-02-01 | 2023-03-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-01 | 2023-03-02 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-02-01 | 2023-03-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-01 | 2023-03-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-01 | 2023-03-02 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-04-20 | 2022-04-20 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2022-04-20 | 2022-04-20 | Y |
| 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 | 2019-04-05 | 2019-05-03 | 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 | 2019-04-05 | 2019-05-03 | N |
| Construct fire resistant interior walls. | Fire Safety | 2019-04-05 | 2019-05-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-04-05 | 2019-05-03 | N |
| Enure that solid fuel-burning fireplaces are not in patient sleeping areas. | Fire Safety | 2019-04-05 | 2019-05-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-04-05 | 2019-05-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-04 | 2019-05-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-04 | 2019-05-01 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-04-04 | 2019-05-01 | 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 | 2019-04-04 | 2019-05-01 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2019-04-04 | 2019-05-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-04 | 2019-05-01 | N |
