PASADENA NURSING CENTER
PASADENA NURSING CENTER is a 52-bed nursing home in PASADENA, California. CMS has certified it for Medicare and Medicaid since 2015-08-05. It averages 49.3 residents a day.
What harm was found in the violations cited at PASADENA NURSING CENTER?
CMS lists 83 health-inspection deficiencies for PASADENA NURSING CENTER, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-06-09.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-06-09 | F0755, F0761 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. | D |
| 2026-05-12 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| 2026-04-17 | F0578, F0584, F0803, F0812 | 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. / 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. / Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2026-04-17 | F0644, F0689, F0692, F0761, F0849, F0880, F0883, F0887, F0919 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough food/fluids to maintain a resident's health. / 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. / 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. / Develop and implement policies and procedures for flu and pneumonia vaccinations. / 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. / Make sure that a working call system is available in each resident's bathroom and bathing area. | D |
| 2026-04-03 | F0641 | Ensure each resident receives an accurate assessment. | D |
| 2026-03-18 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| 2026-02-26 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D |
| 2026-02-05 | F0552, F0842 | Ensure that residents are fully informed and understand their health status, care and treatments. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2025-11-26 | F0609, F0755, F0842 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E |
| 2025-10-19 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D |
| 2025-03-28 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E |
| 2025-03-28 | F0610 | Respond appropriately to all alleged violations. | D |
| 2025-03-20 | F0686, F0926 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Have policies on smoking. | E |
| 2025-03-20 | F0558, F0580, F0684, F0689, F0693, F0756, F0842, F0880, F0921 | Reasonably accommodate the needs and preferences of each resident. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D |
| 2025-03-20 | F0732, F0912 | Post nurse staffing information every day. / Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B |
| 2025-03-07 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2025-02-25 | F0600, F0758 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / 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. | D |
| 2025-01-28 | F0626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | E |
| 2024-10-03 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2024-09-03 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D |
| 2024-05-10 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D |
| 2024-04-17 | F0600, F0609 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2024-04-05 | F0578, F0604, F0645, F0679, F0686, F0755, F0759, F0812 | 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. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / PASARR screening for Mental disorders or Intellectual Disabilities / Provide activities to meet all resident's needs. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure medication error rates are not 5 percent or greater. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2024-04-05 | F0550, F0638, F0656, F0657, F0676, F0693, F0695, F0698, F0700, F0761, F0880, F0921 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Assure that each resident’s assessment is updated at least once every 3 months. / 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. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / 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. / Provide safe and appropriate respiratory care for a resident when needed. / 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. / 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. / 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. | D |
| 2024-04-05 | F0732, F0912 | Post nurse staffing information every day. / Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B |
| 2024-02-01 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2023-12-26 | F0842, F0921 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E |
| 2023-12-26 | F0558, F0609, F0626, F0641 | Reasonably accommodate the needs and preferences of each resident. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. / Ensure each resident receives an accurate assessment. | D |
| 2023-12-02 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E |
| 2023-11-15 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2023-10-25 | F0580, F0656 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2023-09-19 | F0680 | Ensure the activities program is directed by a qualified professional. | E |
Why was PASADENA NURSING CENTER fined 3 times?
| Date | Type | Amount |
|---|---|---|
| 2024-01-08 | Fine | $4,938 |
| 2024-01-02 | Fine | $4,587 |
| 2023-12-11 | Fine | $13,635 |
How is PASADENA NURSING CENTER staffed?
| Measure | This facility | CA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 4.72515 | 4.51570 |
| Total nursing staff turnover (%) | 60.7 | 36.7 |
| Average number of residents per day | 49.3 | 87.9 |
Who owns PASADENA NURSING CENTER?
PASADENA NURSING CENTER is registered with CMS as For profit - Limited Liability company, operates under the legal business name RG LEGACY II, LLC.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | MAYER FAMILY 2016 IRREVOCABLE TRUST, ORI MANAGEMENT LLC, BERCOVICH, EZEQUIEL, BERCOVICH, MOISES, ZENOU, ADAM | since 10/01/2020 |
| INDIRECT OWNERSHIP INTEREST | UNGER, JACOB | since 08/20/2020 |
| OPERATIONAL/MANAGERIAL CONTROL | JANNAT, SHAHRZAD | since 03/13/2024 |
| ADP OF THE SNF | JANNAT, SHAHRZAD, ROSALES, ARLENE | since 03/13/2024 |
Were you or a family member harmed at PASADENA NURSING CENTER?