CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Pasadena Grove Health Center
View the most recent health deficiencies and inspection results for Pasadena Grove Health Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Pasadena Grove Health Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-04-23 | 2026-05-06 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2026-04-23 | 2026-05-06 | Y |
| Post nurse staffing information every day. | Health | 2026-04-03 | 2026-04-30 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2026-04-03 | 2026-04-30 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2026-04-03 | 2026-04-30 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2026-04-03 | 2026-04-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2026-04-03 | 2026-04-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2026-04-03 | 2026-04-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-04-03 | 2026-04-30 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2026-04-03 | 2026-04-30 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2026-04-03 | 2026-04-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-04-03 | 2026-04-25 | N |
| Dispose of garbage and refuse properly. | Health | 2026-04-03 | 2026-04-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-04-03 | 2026-04-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2026-04-03 | 2026-04-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2026-04-03 | 2026-04-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2026-04-03 | 2026-04-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2026-04-03 | 2026-04-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-02-18 | 2026-03-02 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-12-19 | 2026-01-12 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-12-19 | 2026-01-12 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-12-12 | 2025-12-30 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-09-03 | 2025-09-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-08-05 | 2025-08-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-05-15 | 2025-06-08 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-05-15 | 2025-06-08 | Y |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2025-02-28 | 2025-03-24 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-02-28 | 2025-03-24 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-02-28 | 2025-03-24 | N |
| Dispose of garbage and refuse properly. | Health | 2025-02-28 | 2025-03-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-02-28 | 2025-03-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-02-28 | 2025-03-23 | 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 | 2025-02-28 | 2025-03-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-02-28 | 2025-03-23 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-02-28 | 2025-03-23 | N |
| Post nurse staffing information every day. | Health | 2025-02-28 | 2025-03-23 | 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 | 2025-02-28 | 2025-03-23 | N |
| Implement a program that monitors antibiotic use. | Health | 2025-02-28 | 2025-03-23 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-02-28 | 2025-03-23 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2025-02-28 | 2025-03-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-02-28 | 2025-03-20 | 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 | 2025-02-28 | 2025-03-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-02-28 | 2025-03-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-02-28 | 2025-03-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-02-28 | 2025-02-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-02-28 | 2025-02-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-02-28 | 2025-02-28 | 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 | 2024-11-14 | 2024-12-04 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2024-10-28 | 2024-11-19 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-10-29 | 2024-11-01 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-10-29 | 2024-11-01 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-08-22 | 2024-09-16 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-08-16 | 2024-09-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-16 | 2024-09-06 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-16 | 2024-09-06 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-08-15 | 2024-09-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-15 | 2024-09-05 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-06-28 | 2024-07-28 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-07-12 | 2024-07-23 | Y |
| 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 | 2024-05-31 | 2024-06-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-17 | 2024-06-14 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-05-02 | 2024-05-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-12 | 2024-04-16 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-02-23 | 2024-03-22 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-02-23 | 2024-03-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-23 | 2024-03-19 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-02-23 | 2024-03-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-23 | 2024-03-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-23 | 2024-03-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-23 | 2024-03-19 | 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 | 2024-02-23 | 2024-03-19 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-02-23 | 2024-03-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-23 | 2024-03-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-23 | 2024-03-19 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-02-23 | 2024-03-19 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-02-23 | 2024-03-19 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-02-23 | 2024-03-19 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-02-23 | 2024-03-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-02-23 | 2024-03-19 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-02-23 | 2024-03-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-23 | 2024-03-18 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-12-15 | 2023-12-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-18 | 2023-12-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-26 | 2023-11-17 | Y |
| 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 | 2023-11-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-04 | 2023-09-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-05 | 2023-06-27 | Y |