Pasadena Park Healthcare and Wellness Center

In the surveyor’s words

From the most serious findings on record at Pasadena Park Healthcare and Wellness Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF921May 24, 2023

  Based on observation, interview, and record review, the facility failed to ensure a safe and functional environment by failing to obtain permits to install/replace four HVAC (heating, ventilation, and air conditioning) units on the roof, sprinklers throughout the inside of the facility, and two sets of automatic sliding doors. This deficient practice does not ensure that the HVAC units, sprinklers, and sliding doors are properly installed which may have a negative effect on the health, safety, and welfare of the residents, staff, and visitors. Findings: During a concurrent observation and interview on May 24, 2023, at 11:35 AM, with the Maintenance Supervisor (MS), in the lobby, two automatic sliding glass doors were observed in the front and back of the lobby. […]

• No harm, potential for more than minimal, patternF755Jun 26, 2024

  Based on observation, interview and record review, the facility nursing staff failed to provide pharmaceutical services for two (2) out of 3 (three) sampled residents (Resident 2 and 3) in accordance with their policies and procedure by: 1. Failing to administer Resident 2 ' s routine 9 AM medications (total of 6 medication) as ordered. 2. Failing to administer Resident 3 ' s potassium (a mineral that is found in many foods and is needed for several functions of your body, especially the beating of your heart) and Paxlovid (Nirmatrelvir Ritonavir [medicine for the treatment of mild-to-moderate COVID-19 that is administered as three tablets {two tablets of nirmatrelvir and one tablet of ritonavir} taken together orally twice daily for five days]) as ordered. […]

• No harm, potential for more than minimal, patternF584May 2, 2024

  Based on observation, interview and record review, the facility failed to provide a safe, clean, and homelike environment for four (4) of seven (7) sampled residents (Residents 3, 51, 15, and 62) by failing to ensure: 1. Resident 3's personal property was protected from loss as indicated on the facility's personal property policy. This deficient practice resulted to multiple personal items unaccounted for during an inventory of Resident 3's belongings list. 2. Resident 51's shared restroom for Room A and B was clean and free from dried brown smear on the wall. 3. Resident 62's wallpaper around the resident's call light panel was not stripping off. 4. […]

• No harm, potential for more than minimal, patternF686May 2, 2024

  Based on observation, interview, and record review, the facility failed to implement intervention to prevent pressure ulcer (wound that occurs as a result of prolonged pressure on a specific area of the body) for two (2) of three (3) sampled Residents (Residents 17 and 54) by failing to ensure the residents' low air loss (LAL, operates using a blower based pump that is designed to circulate a constant flow of air through the mattress and distribute the resident's body weight over a broad surface area and help prevent skin breakdown) mattress was set according to the residents' weight. This deficient practice had the potential for Residents 17 and 54 to develop pressure ulcers. Findings: 1. […]

• No harm, potential for more than minimal, patternF812May 2, 2024

  Based on observation, interview and record review, the facility failed to follow their policies and procedures on safe food storage by not: 1. Labeling four (4) gallons of milk in the kitchen refrigerator with an open and/or use by date. 2. Labeling food items in the resident's fridge with a date and/or resident's name. 3. Ensuring Kitchen Staff 1 (KS 1) performed hand hygiene and changed gloves after washing dishes in the sink and went from the dirty area to the clean area. This failure had the potential for residents to be at risk of a food-borne illness (illness caused by food contaminated with bacteria). […]