All citations for Pasadena Grove Health Center

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Pasadena Grove Health Center

Last standard health inspection on record

April 3, 2026

Showing 1 to 25 of 90 citations

  1. Harm to a resident

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0580, Resident Rights Deficiencies. Inspection of December 12, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 30, 2025).

  2. No harm, with potential for more than minimal harm

    Install an approved automatic sprinkler system.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of February 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 19, 2024).

  3. No harm, with potential for more than minimal harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of April 3, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 25, 2026).

  4. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of April 3, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 25, 2026).

  5. No harm, with potential for more than minimal harm

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0921, Environmental Deficiencies. Inspection of April 3, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 30, 2026).

  6. No harm, with potential for more than minimal harm

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of September 3, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 16, 2025).

  7. No harm, with potential for more than minimal harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of February 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 3, 2025).

  8. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of February 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 23, 2025).

  9. No harm, with potential for more than minimal harm

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0887, Infection Control Deficiencies. Inspection of February 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 23, 2025).

  10. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of February 28, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 28, 2025).

  11. No harm, with potential for more than minimal harm

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of November 14, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 4, 2024).

  12. No harm, with potential for more than minimal harm

    Provide safe, appropriate pain management for a resident who requires such services.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of October 29, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 1, 2024).

  13. No harm, with potential for more than minimal harm

    Reasonably accommodate the needs and preferences of each resident.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0558, Resident Rights Deficiencies. Inspection of August 15, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 5, 2024).

  14. No harm, with potential for more than minimal harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of August 15, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 5, 2024).

  15. No harm, with potential for more than minimal harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of May 17, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 14, 2024).

  16. No harm, with potential for more than minimal harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of March 12, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 16, 2024).

  17. No harm, with potential for more than minimal harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of February 23, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (March 18, 2024).

  18. No harm, with potential for more than minimal harm

    Honor 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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0578, Resident Rights Deficiencies. Inspection of February 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 19, 2024).

  19. No harm, with potential for more than minimal harm

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of February 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 19, 2024).

  20. No harm, with potential for more than minimal harm

    Provide safe and appropriate respiratory care for a resident when needed.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of February 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 19, 2024).

  21. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of February 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 19, 2024).

  22. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of February 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 19, 2024).

  23. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of November 18, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 7, 2023).

  24. No harm, with potential for more than minimal harm

    Honor 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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0578, Resident Rights Deficiencies. Inspection of July 9, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 27, 2026).

  25. No harm, with potential for more than minimal harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of June 23, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 2, 2026).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.