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Deficiency Records for The Suites Pasadena
View the most recent health deficiencies and inspection results for The Suites Pasadena. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for The Suites Pasadena. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2026-01-16 | 2026-02-20 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-08-25 | 2025-09-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-08-25 | 2025-09-22 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2025-08-25 | 2025-09-22 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2025-02-21 | 2025-03-12 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-02-21 | 2025-02-25 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-10-31 | 2024-11-22 | 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 | 2024-10-31 | 2024-11-22 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-10-31 | 2024-11-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-10-31 | 2024-11-22 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-10-31 | 2024-11-22 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-10-31 | 2024-11-22 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2024-10-31 | 2024-11-22 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2024-03-29 | 2024-04-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-29 | 2024-04-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-03-29 | 2024-04-25 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-12 | 2024-04-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-19 | 2024-04-01 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-01-29 | 2024-02-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-29 | 2024-02-05 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-01-29 | 2024-02-05 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2024-01-17 | 2024-01-24 | 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 | 2024-01-17 | 2024-01-24 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-09-19 | 2023-09-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-09-19 | 2023-09-20 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-09-19 | 2023-09-20 | Y |
| Dispose of garbage and refuse properly. | Health | 2023-09-19 | 2023-09-20 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-09-19 | 2023-09-20 | 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 | 2023-09-19 | 2023-09-20 | Y |
| 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 | 2023-09-19 | 2023-09-20 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-09-19 | 2023-09-20 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-19 | 2023-09-20 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-09-19 | 2023-09-20 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-09-19 | 2023-09-20 | Y |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2023-09-19 | 2023-09-20 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2023-09-19 | 2023-09-20 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-09-19 | 2023-09-20 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-09-19 | 2023-09-20 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-09-19 | 2023-09-20 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-09-19 | 2023-09-20 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-09-19 | 2023-09-20 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-19 | 2023-08-25 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-09-19 | 2023-08-25 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-09-19 | 2023-08-25 | N |
| 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 | 2023-09-19 | 2023-08-25 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-09-19 | 2023-08-25 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-09-19 | 2023-08-25 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-09-19 | 2023-08-25 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-09-19 | 2023-08-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-19 | 2023-08-25 | N |
| Ensure medical gas and vacuum systems have documented maintenance programs. | Fire Safety | 2023-09-19 | 2023-08-25 | N |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2023-09-19 | 2023-08-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-20 | 2022-07-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-05-20 | 2022-05-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-05-20 | 2022-05-20 | N |
| Ensure that residents are free from significant medication errors. | Health | 2026-03-12 | Not Fixed | Y |