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Deficiency Records for The Californian Pasadena Healthcare
View the most recent health deficiencies and inspection results for The Californian Pasadena Healthcare. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for The Californian Pasadena Healthcare. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2026-02-20 | 2026-03-16 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2026-02-20 | 2026-03-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-02-20 | 2026-03-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-02-20 | 2026-03-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-02-20 | 2026-03-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-02-20 | 2026-03-16 | N |
| Post nurse staffing information every day. | Health | 2026-02-20 | 2026-03-16 | N |
| 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. | Health | 2026-02-20 | 2026-03-16 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2026-02-20 | 2026-03-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-02-20 | 2026-03-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-02-20 | 2026-03-16 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2026-02-20 | 2026-03-16 | 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 | 2026-02-20 | 2026-03-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2026-02-20 | 2026-03-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-02-20 | 2026-03-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2026-02-20 | 2026-03-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2026-02-24 | 2026-03-15 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2025-09-04 | 2025-09-08 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-09-04 | 2025-09-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-08-28 | 2025-09-02 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-12-19 | 2025-01-18 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-12-19 | 2025-01-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-12-19 | 2025-01-18 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-12-19 | 2025-01-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-12-19 | 2025-01-18 | N |
| Dispose of garbage and refuse properly. | Health | 2024-12-19 | 2025-01-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-12-19 | 2025-01-18 | 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 | 2024-12-19 | 2025-01-18 | 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 | 2024-12-19 | 2025-01-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-12-19 | 2025-01-18 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-12-19 | 2025-01-18 | N |
| 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 | 2024-12-19 | 2025-01-18 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2024-12-19 | 2025-01-16 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-12-19 | 2025-01-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-12-19 | 2025-01-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-10-30 | 2024-11-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-14 | 2024-08-17 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-07-25 | 2024-07-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-07-11 | 2024-07-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-05-20 | 2024-05-24 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-20 | 2024-05-23 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-05-08 | 2024-05-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-08 | 2024-05-10 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2024-02-02 | 2024-03-02 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-02-02 | 2024-03-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-02 | 2024-03-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-02-02 | 2024-03-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-02-02 | 2024-03-02 | 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| Post nurse staffing information every day. | 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 |
| Provide safe and appropriate respiratory care for a resident when needed. | 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 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 appropriate pressure ulcer care and prevent new ulcers from developing. | 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 |
| 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 |
| 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 |
| 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 |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | 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 |
| 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 |