Cedar Pine Post Acute
Cedar Pine Post Acute is a 99-bed nursing home in PASADENA, California. CMS has certified it for Medicare and Medicaid since 1985-11-03. It averages 60.7 residents a day.
What harm was found in the violations cited at Cedar Pine Post Acute?
CMS lists 90 health-inspection deficiencies for Cedar Pine Post Acute, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-06-26.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-06-26 | F0656, F0676, F0686, F0690, F0698 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe, appropriate dialysis care/services for a resident who requires such services. | E |
| 2026-06-26 | F0550, F0558, F0584, F0684, F0695, F0755, F0756, F0757, F0759, F0760, F0842, F0880 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Reasonably accommodate the needs and preferences of each resident. / 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 treatment and care according to orders, resident’s preferences and goals. / Provide safe and appropriate respiratory care for a resident when needed. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Ensure medication error rates are not 5 percent or greater. / Ensure that residents are free from significant medication errors. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program. | D |
| 2026-05-06 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2026-04-23 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E |
| 2026-04-23 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D |
| 2026-04-14 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E |
| 2026-04-14 | F0610 | Respond appropriately to all alleged violations. | D |
| 2025-12-23 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E |
| 2025-12-19 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| 2025-12-09 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D |
| 2025-11-26 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| 2025-08-28 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | G |
| 2025-08-15 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2025-07-30 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2025-05-23 | F0550, F0656, F0759, F0761, F0812 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure medication error rates are not 5 percent or greater. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2025-05-23 | F0578, F0580, F0641, F0677, F0755, F0790, F0804, F0810, F0880, F0919 | 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. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Ensure each resident receives an accurate assessment. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Provide routine and 24-hour emergency dental care for each resident. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Provide special eating equipment and utensils for residents who need them and appropriate assistance. / Provide and implement an infection prevention and control program. / Make sure that a working call system is available in each resident's bathroom and bathing area. | D |
| 2025-04-19 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2025-04-19 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D |
| 2025-04-01 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| 2025-03-25 | F0880 | Provide and implement an infection prevention and control program. | D |
| 2025-02-13 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2025-02-05 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2025-01-03 | F0641, F0695, F0842, F0880 | Ensure each resident receives an accurate assessment. / Provide safe and appropriate respiratory care for a resident when needed. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program. | E |
| 2025-01-03 | F0689, F0825 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide or get specialized rehabilitative services as required for a resident. | D |
| 2024-06-14 | F0561, F0584, F0656, F0657, F0686, F0698, F0700, F0755, F0756, F0759, F0761, F0812, F0813, F0848, F0849, F0880, F0921 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / 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. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure medication error rates are not 5 percent or greater. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Have a policy regarding use and storage of foods brought to residents by family and other visitors. / Provide a neutral and fair arbitration process and agree to arbitrator and venue. / 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. / Provide and implement an infection prevention and control program. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E |
| 2024-06-14 | F0550, F0558, F0578, F0645, F0679, F0685, F0695, F0758, F0810, F0868 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Reasonably accommodate the needs and preferences of each resident. / 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. / PASARR screening for Mental disorders or Intellectual Disabilities / Provide activities to meet all resident's needs. / Assist a resident in gaining access to vision and hearing services. / Provide safe and appropriate respiratory care for a resident when needed. / 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. / Provide special eating equipment and utensils for residents who need them and appropriate assistance. / Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D |
| 2024-01-05 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E |
| 2023-12-08 | F0641, F0656 | Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2023-12-07 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D |
| 2023-11-07 | F0685 | Assist a resident in gaining access to vision and hearing services. | D |
| 2023-10-25 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E |
| 2023-08-10 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D |
Why was Cedar Pine Post Acute fined?
| Date | Type | Amount |
|---|---|---|
| 2025-04-19 | Fine | $9,113 |
How is Cedar Pine Post Acute staffed relative to the CA average?
| Measure | This facility | CA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 4.09987 | 4.51570 |
| Total nursing staff turnover (%) | 35.4 | 36.7 |
| Average number of residents per day | 60.7 | 87.9 |
Who owns Cedar Pine Post Acute, and what chain is it in?
Cedar Pine Post Acute is registered with CMS as For profit - Limited Liability company, operates under the legal business name PASADENA CARE CENTER LLC and belongs to the EVA CARE GROUP chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | CHEN, JENQ, CHEN, TZE-YUN | since 04/01/2015 |
| CORPORATE DIRECTOR | PADAMA, JOHN | since 08/02/2017 |
| OPERATIONAL/MANAGERIAL CONTROL | AGULTO, ISIDRA, SONG, JAMES | since 04/01/2024 |
| ADP OF THE SNF | AGULTO, ISIDRA, CHEN, JENQ, CHEN, TZE-YUN, SONG, JAMES | since 04/01/2015 |
Were you or a family member harmed at Cedar Pine Post Acute?