All citations for Pasadena Post Acute

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 Post Acute

Last standard health inspection on record

May 15, 2026

Showing 1 to 13 of 13 citations

  1. Immediate jeopardy to resident health or safety

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

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

    Health citation F-0580, Resident Rights Deficiencies. Inspection of February 2, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 22, 2024).

  2. Immediate jeopardy to resident health or safety

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of February 2, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 22, 2024).

  3. Immediate jeopardy to resident health or safety

    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 K.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of February 2, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 22, 2024).

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

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of February 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 29, 2024).

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

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of February 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 29, 2024).

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

    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.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of February 2, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 22, 2024).

  7. 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 February 2, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 22, 2024).

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

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

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

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of February 2, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 22, 2024).

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

    Keep all essential equipment working safely.

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

    Health citation F-0908, Environmental Deficiencies. Inspection of February 2, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 22, 2024).

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

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

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

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of February 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 29, 2024).

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

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

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

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of February 2, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 29, 2024).

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

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of February 2, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 22, 2024).

  13. 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.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of February 2, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 22, 2024).

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.