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Deficiency Records for The Courtyards at Pasadena
View the most recent health deficiencies and inspection results for The Courtyards at Pasadena. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for The Courtyards at Pasadena. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2025-03-19 | 2025-03-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-03-19 | 2025-03-31 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2025-03-19 | 2025-03-31 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2025-03-19 | 2025-03-31 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2025-03-19 | 2025-03-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-03-19 | 2025-03-31 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-03-19 | 2025-03-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-03-19 | 2025-03-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-03-19 | 2025-03-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-03-19 | 2025-03-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-10 | 2024-04-11 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-02-01 | 2024-02-09 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2024-02-01 | 2024-02-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-01 | 2024-02-02 | N |
| Dispose of garbage and refuse properly. | Health | 2024-02-01 | 2024-02-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-01 | 2024-02-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-27 | 2024-01-28 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-11 | 2023-06-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-10-21 | 2022-11-30 | 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 | 2022-10-21 | 2022-11-30 | 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 | 2022-10-21 | 2022-11-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-21 | 2022-11-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-21 | 2022-11-11 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-10-21 | 2022-11-11 | N |