Pasadena Park Healthcare and Wellness Center Complaints, Violations and Inspection Records

December 27, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for reasonably accommodate the needs and preferences of each resident.

• F0558Reasonably accommodate the needs and preferences of each resident. (scope and severity D)

October 15, 2024, complaint inspection

2 deficiencies cited. Surveyors cited the facility for ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents and provide safe and appropriate respiratory care for a resident when needed.

• F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity D)
• F0695Provide safe and appropriate respiratory care for a resident when needed. (scope and severity D)

August 26, 2024, complaint inspection

2 deficiencies cited. Surveyors cited the facility for protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody and timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

• F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (scope and severity D)
• F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (scope and severity D)

June 26, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

• F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (scope and severity E)

May 2, 2024, standard and complaint inspections

14 deficiencies cited. Surveyors cited the facility for 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, provide appropriate pressure ulcer care and prevent new ulcers from developing, and procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

• F0584Honor 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. (scope and severity E)
• F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing. (scope and severity E)
• F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity E)
• F0814Dispose of garbage and refuse properly. (scope and severity E)
• F0880Provide and implement an infection prevention and control program. (scope and severity E)
• F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (scope and severity E)
• F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (scope and severity D)
• F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (scope and severity D)
• F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity D)
• F0695Provide safe and appropriate respiratory care for a resident when needed. (scope and severity D)
• F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. (scope and severity D)
• F0919Make sure that a working call system is available in each resident's bathroom and bathing area. (scope and severity D)
• F0732Post nurse staffing information every day. (scope and severity B)
• F0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (scope and severity B)

March 11, 2024, complaint inspection

2 deficiencies cited. Surveyors cited the facility for provide and implement an infection prevention and control program and develop and implement policies and procedures for flu and pneumonia vaccinations.

• F0880Provide and implement an infection prevention and control program. (scope and severity E)
• F0883Develop and implement policies and procedures for flu and pneumonia vaccinations. (scope and severity D)

February 21, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

• F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (scope and severity D)

December 22, 2023, complaint inspection

1 deficiency cited. Surveyors cited the facility for make sure that a working call system is available in each resident's bathroom and bathing area.

• F0919Make sure that a working call system is available in each resident's bathroom and bathing area. (scope and severity D)

November 22, 2023, complaint inspection

1 deficiency cited. Surveyors cited the facility for honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

• F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (scope and severity D)

April 13, 2023, standard inspection

13 deficiencies cited. Surveyors cited the facility for develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured, 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, and provide safe and appropriate respiratory care for a resident when needed.

• F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity E)
• F0693Ensure 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. (scope and severity E)
• F0695Provide safe and appropriate respiratory care for a resident when needed. (scope and severity E)
• F0552Ensure that residents are fully informed and understand their health status, care and treatments. (scope and severity D)
• F0578Honor 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. (scope and severity D)
• F0658Ensure services provided by the nursing facility meet professional standards of quality. (scope and severity D)
• F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity D)
• F0685Assist a resident in gaining access to vision and hearing services. (scope and severity D)
• F0692Provide enough food/fluids to maintain a resident's health. (scope and severity D)
• F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (scope and severity D)
• F0761Ensure 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. (scope and severity D)
• F0791Provide or obtain dental services for each resident. (scope and severity D)
• F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity D)

January 24, 2020, standard inspection

15 deficiencies cited. Surveyors cited the facility for provide safe, appropriate pain management for a resident who requires such services, provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist, and provide and implement an infection prevention and control program.

• F0697Provide safe, appropriate pain management for a resident who requires such services. (scope and severity E)
• F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (scope and severity E)

• F0880Provide and implement an infection prevention and control program. (scope and severity E)
• F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (scope and severity D)
• F0578Honor 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. (scope and severity D)
• F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (scope and severity D)
• F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity D)
• F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (scope and severity D)
• F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing. (scope and severity D)
• F0687Provide appropriate foot care. (scope and severity D)
• F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity D)
• F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (scope and severity D)
• F0695Provide safe and appropriate respiratory care for a resident when needed. (scope and severity D)
• F0758Implement 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. (scope and severity D)
• F0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. (scope and severity D)