SAINT VINCENT HEALTHCARE
1810 N. FAIR OAKS AVE, PASADENA, CA 91103 · CCN 555119
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★★★☆ 4
- Quality measures
- ★☆☆☆☆ 1
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 78
- Avg residents/day
- 68.2
- Phone
- 6263988182
Inspection history vs California & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | California avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-11-21 | 11 | 15.6 | 9.5 | -4.6 better |
| 2 | 2024-10-18 | 16 | 17.4 | 9.8 | -1.4 better |
| 3 | 2023-11-02 | 23 | 17.1 | 9.3 | +5.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 3 |
| Resident assessment and care planning | 1 |
| Resident rights | 2 |
| Nutrition and dietary | 1 |
| Pharmacy service | 1 |
| Environmental | 2 |
| Administration | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.06 | 12.3% |
| RN staffing (reported) | 0.54 | 42.9% |
| Total nurse staffing (adjusted) | 4.11 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Inspection citations (50)
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-11-21 · Health · corrected 2025-11-25
Potential for more than minimal harm
- DF0583Keep residents' personal and medical records private and confidential.2025-11-21 · Health · corrected 2025-11-25
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-11-21 · Health · corrected 2025-11-25
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-11-21 · Health · corrected 2025-11-25
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-11-21 · Health · corrected 2025-12-01
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-11-21 · Health · corrected 2025-11-25
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-11-21 · Health · corrected 2025-11-25
Potential for more than minimal harm
- DF0814Dispose of garbage and refuse properly.2025-11-21 · Health · corrected 2025-12-01
Potential for more than minimal harm
- DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2025-11-21 · Health · corrected 2025-11-25
Potential for more than minimal harm
- BF0911Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.2025-11-21 · Health · corrected 2025-12-01
Potential for minimal harm
- BF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2025-11-21 · Health · corrected 2025-12-01
Potential for minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-10-18 · Health · corrected 2024-11-04
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2024-10-18 · Health · corrected 2024-11-04
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-10-18 · Health · corrected 2024-11-04
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-10-18 · Health · corrected 2024-11-04
Potential for more than minimal harm
- DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2024-10-18 · Health · corrected 2024-11-04
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-10-18 · Health · corrected 2024-11-05
Potential for more than minimal harm
- 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.2024-10-18 · Health · corrected 2024-11-04
Potential for more than minimal harm
- DF0699Provide care or services that was trauma informed and/or culturally competent.2024-10-18 · Health · corrected 2024-11-08
Potential for more than minimal harm
- DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-10-18 · Health · corrected 2024-10-24
Potential for more than minimal harm
- 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.2024-10-18 · Health · corrected 2024-11-04
Potential for more than minimal harm
- DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2024-10-18 · Health · corrected 2024-11-04
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-10-18 · Health · corrected 2024-10-30
Potential for more than minimal harm
- EF0814Dispose of garbage and refuse properly.2024-10-18 · Health · corrected 2024-11-04
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-10-18 · Health · corrected 2024-11-04
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-10-18 · Health · corrected 2024-11-04
Potential for more than minimal harm
- BF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2024-10-18 · Health · corrected 2024-11-11
Potential for minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-11-02 · Health · corrected 2023-11-27
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2023-11-02 · Health · corrected 2023-11-27
Potential for more than minimal harm
- DF0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.2023-11-02 · Health · corrected 2023-11-27
Potential for more than minimal harm
- BF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2023-11-02 · Health · corrected 2023-11-27
Potential for minimal harm
- DF0578Honor 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.2023-11-02 · Health · corrected 2023-11-27
Potential for more than minimal harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-11-02 · Health · corrected 2023-11-27
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-11-02 · Health · corrected 2023-11-27
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-11-02 · Health · corrected 2023-11-27
Potential for more than minimal harm
- EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-11-02 · Health · corrected 2023-11-27
Potential for more than minimal harm
- DF0679Provide activities to meet all resident's needs.2023-11-02 · Health · corrected 2023-11-27
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-11-02 · Health · corrected 2023-11-27
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-11-02 · Health · corrected 2023-11-27
Potential for more than minimal harm
- EF0692Provide enough food/fluids to maintain a resident's health.2023-11-02 · Health · corrected 2023-11-27
Potential for more than minimal harm
- 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.2023-11-02 · Health · corrected 2023-11-27
Potential for more than minimal harm
- EF0759Ensure medication error rates are not 5 percent or greater.2023-11-02 · Health · corrected 2023-11-27
Potential for more than minimal harm
- EF0760Ensure that residents are free from significant medication errors.2023-11-02 · Health · corrected 2023-11-27
Potential for more than minimal harm
- 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.2023-11-02 · Health · corrected 2023-11-27
Potential for more than minimal harm
- EF0803Ensure 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.2023-11-02 · Health · corrected 2023-11-27
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-11-02 · Health · corrected 2023-11-27
Potential for more than minimal harm
- DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2023-11-02 · Health · corrected 2023-11-27
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-11-02 · Health · corrected 2023-11-27
Potential for more than minimal harm
- BF0911Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.2023-11-02 · Health · corrected 2023-11-27
Potential for minimal harm
- BF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2023-11-02 · Health · corrected 2023-11-27
Potential for minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| BARRETT, ROBERT | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 2010-05-01 |
| BAUTISTA, CIPRIANO | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 2010-05-01 |
| BAUTISTA, CIPRIANO | Individual | W-2 MANAGING EMPLOYEE | — | 2010-05-01 |
Other facilities in PASADENA
| Name | Overall | Beds |
|---|---|---|
| VILLA GARDENS HEALTH CARE UNIT | ★★★★☆ | 54 |
| PASADENA PARK HEALTHCARE AND WELLNESS CENTER | ★★★☆☆ | 99 |
| THE BELLEFONTAINE HEALTHCARE CENTER | ★★★☆☆ | 130 |
| FOOTHILL HEIGHTS CARE CENTER | ★★★☆☆ | 49 |
| THE CALIFORNIAN PASADENA HEALTHCARE | ★★☆☆☆ | 82 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.