Inspection citations
2’23
23’24
16’25
19’26
60 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Aug 21, 2026 | E · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Jun 4, 2026 | D · potential | Provide and implement an infection prevention and control program. | Complaint |
| May 7, 2026 | D · potential | 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. | Routine |
| May 7, 2026 | D · potential | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Routine |
| May 7, 2026 | D · potential | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Routine |
| May 7, 2026 | D · potential | 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. | Routine |
| May 7, 2026 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| May 7, 2026 | D · potential | Provide enough food/fluids to maintain a resident's health. | Routine |
| May 7, 2026 | D · potential | 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. | Routine |
| May 7, 2026 | D · potential | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| May 7, 2026 | D · potential | Provide care or services that was trauma informed and/or culturally competent. | Routine |
| May 7, 2026 | B · minimal | Post nurse staffing information every day. | Routine |
| May 7, 2026 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| May 7, 2026 | E · potential | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Routine |
| May 7, 2026 | D · potential | 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. | Routine |
| May 7, 2026 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| May 7, 2026 | E · potential | Dispose of garbage and refuse properly. | Routine |
| May 7, 2026 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Mar 26, 2026 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Dec 10, 2025 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Complaint |
| Jul 23, 2025 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Complaint |
| Jul 23, 2025 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| May 31, 2025 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| May 31, 2025 | D · potential | Make sure that a working call system is available in each resident's bathroom and bathing area. | Complaint |
| Apr 17, 2025 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| Apr 17, 2025 | D · potential | 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. | Routine |
| Apr 17, 2025 | D · potential | 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. | Routine |
| Apr 17, 2025 | D · potential | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| Apr 17, 2025 | D · potential | 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. | Routine |
| Apr 17, 2025 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Apr 17, 2025 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Routine |
| Apr 17, 2025 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Apr 17, 2025 | B · minimal | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Routine |
| Apr 17, 2025 | D · potential | Make sure that a working call system is available in each resident's bathroom and bathing area. | Routine |
| Mar 7, 2025 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Sep 17, 2024 | B · minimal | Post nurse staffing information every day. | Complaint |
| Aug 20, 2024 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Complaint |
| Jun 11, 2024 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| May 31, 2024 | D · potential | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Complaint |
| May 30, 2024 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| May 30, 2024 | D · potential | Respond appropriately to all alleged violations. | Complaint |
| May 5, 2024 | D · potential | Ensure that residents are fully informed and understand their health status, care and treatments. | Routine |
| May 5, 2024 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Routine |
| May 5, 2024 | D · potential | 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. | Routine |
| May 5, 2024 | D · potential | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Complaint |
| May 5, 2024 | E · potential | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | Routine |
| May 5, 2024 | D · potential | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Routine |
| May 5, 2024 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Complaint |
| May 5, 2024 | D · potential | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Routine |
| May 5, 2024 | D · potential | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Routine |
| May 5, 2024 | D · potential | 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. | Routine |
| May 5, 2024 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| May 5, 2024 | E · potential | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Routine |
| May 5, 2024 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| May 5, 2024 | D · potential | Develop and implement policies and procedures for flu and pneumonia vaccinations. | Routine |
| May 5, 2024 | B · minimal | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Routine |
| May 5, 2024 | B · minimal | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Routine |
| Feb 8, 2024 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Complaint |
| Dec 27, 2023 | D · potential | 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. | Complaint |
| Nov 7, 2023 | D · potential | Provide safe and appropriate respiratory care for a resident when needed. | Complaint |
Medicare's severity letters: A–C minimal harm, D–F potential for more than minimal harm, G–L actual harm or immediate danger. Source: CMS health deficiencies file, processed October 1, 2026.
Questions to ask on a visit
Foothill Heights Care Center
1515 North Fair Oaks Ave, Pasadena, CA 91103 · (626) 798-1111
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 555894
- Certified beds
- 49
- Legal owner
- Foothill Heights Care Center LLC
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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