Starfile / California

PASADENA NURSING CENTER

1570 NORTH FAIR OAKS AVE, PASADENA, CA 91103 · CCN 555893

Inspection history vs California & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$23,160

Number of fines

3

Number of penalties

3

Payment denials

0

Inspection citations (88)1 actual harm

1. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-11-26 · Health · corrected 2025-12-19

   Potential for more than minimal harm

2. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-11-26 · Health · corrected 2025-12-19

   Potential for more than minimal harm

3. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-11-26 · Health · corrected 2025-12-19

   Potential for more than minimal harm

4. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-10-19 · Health · corrected 2025-10-20

   Potential for more than minimal harm

5. EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-03-28 · Health · corrected 2025-04-14

   Potential for more than minimal harm

6. DF0610Respond appropriately to all alleged violations.2025-03-28 · Health · corrected 2025-04-14

   Potential for more than minimal harm

7. DF0558Reasonably accommodate the needs and preferences of each resident.2025-03-20 · Health · corrected 2025-04-14

   Potential for more than minimal harm

8. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-03-20 · Health · corrected 2025-04-14

   Potential for more than minimal harm

9. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-03-20 · Health · corrected 2025-04-14

   Potential for more than minimal harm

10. EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-03-20 · Health · corrected 2025-04-14

    Potential for more than minimal harm

11. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-03-20 · Health · corrected 2025-04-11

    Potential for more than minimal harm

12. DF0693Ensure 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.2025-03-20 · Health · corrected 2025-04-14

    Potential for more than minimal harm

13. BF0732Post nurse staffing information every day.2025-03-20 · Health · corrected 2025-04-14

    Potential for minimal harm

14. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-03-20 · Health · corrected 2025-04-14

    Potential for more than minimal harm

15. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-03-20 · Health · corrected 2025-04-14

    Potential for more than minimal harm

16. DF0880Provide and implement an infection prevention and control program.2025-03-20 · Health · corrected 2025-04-14

    Potential for more than minimal harm

17. BF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2025-03-20 · Health · corrected 2025-04-14

    Potential for minimal harm

18. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-03-20 · Health · corrected 2025-04-14

    Potential for more than minimal harm

19. EF0926Have policies on smoking.2025-03-20 · Health · corrected 2025-04-14

    Potential for more than minimal harm

20. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-03-07 · Health · corrected 2025-03-31

    Potential for more than minimal harm

21. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-02-25 · Health · corrected 2025-03-21

    Potential for more than minimal harm

22. DF0758Implement 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.2025-02-25 · Health · corrected 2025-03-21

    Potential for more than minimal harm

23. EF0626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.2025-01-28 · Health · corrected 2025-03-10

    Potential for more than minimal harm

24. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-10-03 · Health · corrected 2024-10-25

    Actual harm

25. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-09-03 · Health · corrected 2024-09-21

    Potential for more than minimal harm

26. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-05-10 · Health · corrected 2024-06-10

    Potential for more than minimal harm

27. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-04-17 · Health · corrected 2024-05-17

    Potential for more than minimal harm

28. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-04-17 · Health · corrected 2024-05-17

    Potential for more than minimal harm

29. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-04-05 · Health · corrected 2024-05-07

    Potential for more than minimal harm

30. EF0578Honor 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.2024-04-05 · Health · corrected 2024-05-07

    Potential for more than minimal harm

31. EF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2024-04-05 · Health · corrected 2024-05-07

    Potential for more than minimal harm

32. DF0638Assure that each resident’s assessment is updated at least once every 3 months.2024-04-05 · Health · corrected 2024-05-07

    Potential for more than minimal harm

33. EF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-04-05 · Health · corrected 2024-05-07

    Potential for more than minimal harm

34. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-04-05 · Health · corrected 2024-05-07

    Potential for more than minimal harm

35. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-04-05 · Health · corrected 2024-05-07

    Potential for more than minimal harm

36. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2024-04-05 · Health · corrected 2024-05-07

    Potential for more than minimal harm

37. EF0679Provide activities to meet all resident's needs.2024-04-05 · Health · corrected 2024-05-07

    Potential for more than minimal harm

38. EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-04-05 · Health · corrected 2024-05-07

    Potential for more than minimal harm

39. DF0693Ensure 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.2024-04-05 · Health · corrected 2024-05-07

    Potential for more than minimal harm

40. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-04-05 · Health · corrected 2024-05-07

    Potential for more than minimal harm

41. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-04-05 · Health · corrected 2024-05-07

    Potential for more than minimal harm

42. DF0700Try 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.2024-04-05 · Health · corrected 2024-05-07

    Potential for more than minimal harm

43. BF0732Post nurse staffing information every day.2024-04-05 · Health · corrected 2024-05-07

    Potential for minimal harm

44. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-04-05 · Health · corrected 2024-05-07

    Potential for more than minimal harm

45. EF0759Ensure medication error rates are not 5 percent or greater.2024-04-05 · Health · corrected 2024-05-07

    Potential for more than minimal harm

46. DF0761Ensure 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.2024-04-05 · Health · corrected 2024-05-07

    Potential for more than minimal harm

47. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-04-05 · Health · corrected 2024-05-07

    Potential for more than minimal harm

48. DF0880Provide and implement an infection prevention and control program.2024-04-05 · Health · corrected 2024-05-07

    Potential for more than minimal harm

49. BF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2024-04-05 · Health · corrected 2024-05-07

    Potential for minimal harm

50. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-04-05 · Health · corrected 2024-05-07

    Potential for more than minimal harm

51. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-01 · Health · corrected 2024-03-01

    Potential for more than minimal harm

52. DF0558Reasonably accommodate the needs and preferences of each resident.2023-12-26 · Health · corrected 2024-01-25

    Potential for more than minimal harm

53. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-12-26 · Health · corrected 2024-01-25

    Potential for more than minimal harm

54. DF0626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.2023-12-26 · Health · corrected 2024-01-25

    Potential for more than minimal harm

55. DF0641Ensure each resident receives an accurate assessment.2023-12-26 · Health · corrected 2024-01-25

    Potential for more than minimal harm

56. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-12-26 · Health · corrected 2024-01-25

    Potential for more than minimal harm

57. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-12-26 · Health · corrected 2024-01-25

    Potential for more than minimal harm

58. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-12-02 · Health · corrected 2024-01-01

    Potential for more than minimal harm

59. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-11-15 · Health · corrected 2023-12-15

    Potential for more than minimal harm

60. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-10-25 · Health · corrected 2023-11-14

    Potential for more than minimal harm

61. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-10-25 · Health · corrected 2023-11-14

    Potential for more than minimal harm

62. EF0680Ensure the activities program is directed by a qualified professional.2023-09-19 · Health · corrected 2023-10-05

    Potential for more than minimal harm

63. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-07-04 · Health · corrected 2023-08-04

    Potential for more than minimal harm

64. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-06-18 · Health · corrected 2023-06-18

    Potential for more than minimal harm

65. DF0626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.2023-06-14 · Health · corrected 2023-07-24

    Potential for more than minimal harm

66. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-05-18 · Health · corrected 2023-06-18

    Potential for more than minimal harm

67. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-03-23 · Health · corrected 2023-03-23

    Potential for more than minimal harm

68. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-03-04 · Health · corrected 2023-03-21

    Potential for more than minimal harm

69. DF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2023-03-04 · Health · corrected 2023-03-21

    Potential for more than minimal harm

70. DF0558Reasonably accommodate the needs and preferences of each resident.2021-07-09 · Health · corrected 2021-08-05

    Potential for more than minimal harm

71. DF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2021-07-09 · Health · corrected 2021-08-05

    Potential for more than minimal harm

72. DF0574The resident has the right to receive notices in a format and a language he or she understands.2021-07-09 · Health · corrected 2021-08-05

    Potential for more than minimal harm

73. DF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2021-07-09 · Health · corrected 2021-08-05

    Potential for more than minimal harm

74. EF0584Honor 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.2021-07-09 · Health · corrected 2021-08-05

    Potential for more than minimal harm

75. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2021-07-09 · Health · corrected 2021-08-05

    Potential for more than minimal harm

76. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2021-07-09 · Health · corrected 2021-08-05

    Potential for more than minimal harm

77. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2021-07-09 · Health · corrected 2021-08-05

    Potential for more than minimal harm

78. DF0688Provide 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.2021-07-09 · Health · corrected 2021-08-05

    Potential for more than minimal harm

79. DF0693Ensure 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.2021-07-09 · Health · corrected 2021-08-05

    Potential for more than minimal harm

80. EF0697Provide safe, appropriate pain management for a resident who requires such services.2021-07-09 · Health · corrected 2021-08-05

    Potential for more than minimal harm

81. DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2021-07-09 · Health · corrected 2021-08-05

    Potential for more than minimal harm

82. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2021-07-09 · Health · corrected 2021-08-05

    Potential for more than minimal harm

83. EF0758Implement 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.2021-07-09 · Health · corrected 2021-08-05

    Potential for more than minimal harm

84. EF0761Ensure 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.2021-07-09 · Health · corrected 2021-08-05

    Potential for more than minimal harm

85. DF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.2021-07-09 · Health · corrected 2021-08-05

    Potential for more than minimal harm

86. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2021-07-09 · Health · corrected 2021-08-05

    Potential for more than minimal harm

87. EF0880Provide and implement an infection prevention and control program.2021-07-09 · Health · corrected 2021-08-05

    Potential for more than minimal harm

88. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2021-07-09 · Health · corrected 2021-08-05

    Potential for more than minimal harm

Ownership

Other facilities in PASADENA

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.