Deficiency Index

Kaiser Foundation Hospitals

Pasadena, California · CCN 051525

74 N Pasadena Ave

3 federal deficiencies across 1 survey, July 19, 2024.

Deficiencies3

Excludes the inspector’s preamble, which is not a finding

Surveys1

Federal surveys with at least one deficiency

Condition-level0

Findings against a Condition of Participation — a compliance grade, not a measure of harm

What level the findings sit at

Standard-level3100.0%
A requirement within a Condition of Participation. The Condition itself was not cited.

These are compliance grades, not harm grades: how deep in the regulation a finding sits, not whether anyone was harmed.

Who conducted the surveys

TJC.

Federal surveys are carried out by the state agency or a CMS-approved accrediting organisation.

Most-cited requirements

Survey record

Federal surveys of Kaiser Foundation Hospitals
SurveyTypeDeficienciesCondition-level
Jul 19, 2024Initial3—

In the inspector’s words

The complete written findings for this hospice, in the inspector’s own words.

Read all 9 findings in full →

Hospice findings published by CMS on QCOR, covering surveys from July 19, 2024 to July 19, 2024. The inspectors’ written findings come from a single CMS survey-report extract.

Federal survey findings only. State licensure findings for hospices are not shown.

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