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Deficiency Records for Aspire at The Sea - Pasadena

A list of the most recent deficiencies for Aspire at The Sea - Pasadena. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Aspire at The Sea - Pasadena. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Respond appropriately to all alleged violations. Health 2023-05-15 2023-06-14 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-05-15 2023-06-14 Y
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2023-05-15 2023-06-12 Y
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Health 2023-05-15 2023-06-12 Y
Address subsistence needs for staff and patients. Fire Safety 2023-01-31 2023-03-06 N
Establish roles under a Waiver declared by secretary. Fire Safety 2023-01-31 2023-03-06 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-01-31 2023-03-06 N
Provide properly protected cooking facilities. Fire Safety 2023-01-31 2023-03-06 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-01-31 2023-03-06 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-01-31 2023-03-06 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-01-31 2023-03-06 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-01-31 2023-03-06 N
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2023-02-02 2023-03-04 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-02-02 2023-03-04 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-02-02 2023-03-04 N
Plan the resident's discharge to meet the resident's goals and needs. Health 2023-02-02 2023-03-04 N
Provide 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. Health 2023-02-02 2023-03-04 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-02-02 2023-03-04 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2023-02-02 2023-03-04 N
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. Health 2023-02-02 2023-03-04 N
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. Health 2023-02-02 2023-03-04 Y
Respond appropriately to all alleged violations. Health 2023-02-02 2023-03-04 Y
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2023-02-02 2023-03-04 Y
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2022-02-03 2022-03-03 Y
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. Health 2022-02-03 2022-03-03 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2021-06-23 2021-07-23 N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2021-06-23 2021-07-23 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-06-23 2021-07-23 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-06-23 2021-07-23 N
Provide activities to meet all resident's needs. Health 2021-06-23 2021-07-23 N
Provide 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. Health 2021-06-23 2021-07-23 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-06-23 2021-07-23 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-06-23 2021-07-23 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2021-06-22 2021-07-23 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2021-06-22 2021-07-23 N
Provide properly protected cooking facilities. Fire Safety 2021-06-22 2021-07-23 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-06-22 2021-07-23 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2021-06-22 2021-07-23 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2021-06-22 2021-07-23 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-06-22 2021-07-23 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2019-09-24 2019-10-11 N
Develop Emergency Preparedness policies and procedures. Fire Safety 2019-09-24 2019-10-11 N
Address subsistence needs for staff and patients. Fire Safety 2019-09-24 2019-10-11 N
Develop a communication plan. Fire Safety 2019-09-24 2019-10-11 N
Establish emergency prep training and testing. Fire Safety 2019-09-24 2019-10-11 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2019-09-24 2019-10-11 N
Provide properly protected cooking facilities. Fire Safety 2019-09-24 2019-10-11 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-09-24 2019-10-11 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2019-09-24 2019-10-11 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2019-09-24 2019-10-11 N
Have proper medical gas storage and administration areas. Fire Safety 2019-09-24 2019-10-11 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2019-09-27 2019-10-10 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2019-09-27 2019-10-10 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2019-09-27 2019-10-10 N
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. Health 2019-09-27 2019-10-10 N

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