Facility profile · CCN 055617
Pasadena Grove Health Center
71 federal citations on record , and 1 federal enforcement actions totaling $4,233.
Record summary
Federal record · Q1 202671
Total citations
61
Last 3 years
1
Actual harm+
1
Federal penalties
$4,233
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
71 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Dec 19, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Dec 19, 2025 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint |
| Dec 12, 2025 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | G | Complaint |
| Sep 3, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint |
| Aug 5, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| May 15, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| May 15, 2025 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| Feb 28, 2025 | F912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Standard |
| Feb 28, 2025 | F887 | 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. | E | Standard |
| Feb 28, 2025 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard |
| Feb 28, 2025 | F881 | Implement a program that monitors antibiotic use. | D | Standard |
| Feb 28, 2025 | F849 | 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. | D | Standard |
| Feb 28, 2025 | F814 | Dispose of garbage and refuse properly. | D | Standard |
| Feb 28, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Feb 28, 2025 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard |
| Feb 28, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Feb 28, 2025 | F732 | Post nurse staffing information every day. | B | Standard |
| Feb 28, 2025 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard |
| Feb 28, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Feb 28, 2025 | F688 | 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. | D | Standard |
| Feb 28, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard |
| Feb 28, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Feb 28, 2025 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard |
| Feb 28, 2025 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| Nov 14, 2024 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Complaint |
| Oct 29, 2024 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | E | Complaint |
| Oct 29, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| Oct 28, 2024 | F770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Complaint |
| Aug 22, 2024 | F676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Complaint |
| Aug 16, 2024 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Complaint |
| Aug 16, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Aug 16, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Aug 15, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint |
| Aug 15, 2024 | F558 | Reasonably accommodate the needs and preferences of each resident. | E | Complaint |
| Jul 12, 2024 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint |
| Jun 28, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| May 31, 2024 | F726 | 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. | D | Complaint |
| May 17, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint |
| May 2, 2024 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Mar 12, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint |
| Feb 23, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint |
| Feb 23, 2024 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Standard |
| Feb 23, 2024 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard |
| Feb 23, 2024 | F912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Standard |
| Feb 23, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Feb 23, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Feb 23, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard |
| Feb 23, 2024 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Feb 23, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Feb 23, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Standard |
| Feb 23, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Feb 23, 2024 | F578 | 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. | E | Standard |
| Feb 23, 2024 | F552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard |
| Dec 15, 2023 | F626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | Complaint |
| Nov 18, 2023 | F880 | Provide and implement an infection prevention and control program. | E | Complaint |
| Oct 26, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Oct 26, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Aug 4, 2023 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Jun 5, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| May 30, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| May 18, 2023 | F688 | 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. | E | Complaint |
| Mar 11, 2022 | F912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Standard |
| Mar 11, 2022 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard |
| Mar 11, 2022 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| Mar 11, 2022 | F732 | Post nurse staffing information every day. | D | Standard |
| Mar 11, 2022 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Mar 11, 2022 | F688 | 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. | D | Standard |
| Mar 11, 2022 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard |
| Mar 11, 2022 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Mar 11, 2022 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
| Mar 11, 2022 | F578 | 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. | D | Standard |
Federal enforcement history
Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $4,233 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Aug 7, 2023 | Fine | $4,233 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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