Inspection citations
15’20
15’23
23’24
53 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Dec 27, 2024 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Complaint |
| Oct 15, 2024 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Oct 15, 2024 | D · potential | Provide safe and appropriate respiratory care for a resident when needed. | Complaint |
| Aug 26, 2024 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Aug 26, 2024 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Jun 26, 2024 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Complaint |
| May 2, 2024 | E · potential | 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. | Routine |
| May 2, 2024 | D · potential | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Routine |
| May 2, 2024 | D · potential | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Routine |
| May 2, 2024 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| May 2, 2024 | E · potential | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Routine |
| May 2, 2024 | D · potential | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| May 2, 2024 | B · minimal | Post nurse staffing information every day. | Routine |
| May 2, 2024 | D · potential | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Routine |
| May 2, 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 2, 2024 | E · potential | Dispose of garbage and refuse properly. | Routine |
| May 2, 2024 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| May 2, 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 2, 2024 | D · potential | Make sure that a working call system is available in each resident's bathroom and bathing area. | Routine |
| May 2, 2024 | E · potential | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Routine |
| Mar 11, 2024 | E · potential | Provide and implement an infection prevention and control program. | Complaint |
| Mar 11, 2024 | D · potential | Develop and implement policies and procedures for flu and pneumonia vaccinations. | Complaint |
| Feb 21, 2024 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Complaint |
| Dec 22, 2023 | D · potential | Make sure that a working call system is available in each resident's bathroom and bathing area. | Complaint |
| Nov 22, 2023 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Complaint |
| Apr 13, 2023 | D · potential | Ensure that residents are fully informed and understand their health status, care and treatments. | Routine |
| Apr 13, 2023 | 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 |
| Apr 13, 2023 | E · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Apr 13, 2023 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| Apr 13, 2023 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Routine |
| Apr 13, 2023 | D · potential | Assist a resident in gaining access to vision and hearing services. | Routine |
| Apr 13, 2023 | D · potential | Provide enough food/fluids to maintain a resident's health. | Routine |
| Apr 13, 2023 | E · 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 13, 2023 | E · potential | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| Apr 13, 2023 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Apr 13, 2023 | 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 |
| Apr 13, 2023 | D · potential | Provide or obtain dental services for each resident. | Routine |
| Apr 13, 2023 | D · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Jan 24, 2020 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| Jan 24, 2020 | 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 |
| Jan 24, 2020 | D · potential | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Routine |
| Jan 24, 2020 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Jan 24, 2020 | D · potential | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Routine |
| Jan 24, 2020 | D · potential | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Routine |
| Jan 24, 2020 | D · potential | Provide appropriate foot care. | Routine |
| Jan 24, 2020 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| Jan 24, 2020 | 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 |
| Jan 24, 2020 | D · potential | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| Jan 24, 2020 | E · potential | Provide safe, appropriate pain management for a resident who requires such services. | Routine |
| Jan 24, 2020 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Jan 24, 2020 | 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 |
| Jan 24, 2020 | D · potential | Ensure 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. | Routine |
| Jan 24, 2020 | E · potential | Provide and implement an infection prevention and control program. | Routine |
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
Pasadena Park Healthcare and Wellness Center
2585 E. Washington Blvd., Pasadena, CA 91107 · (626) 463-4105
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 055548
- Certified beds
- 99
- Legal owner
- San Marino Gardens Wellness Center LP
- Part of
- Corporate Interface Services
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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