Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

PASADENA PARK HEALTHCARE AND WELLNESS CENTER

PASADENA, CA · 99 certified beds · Last Life Safety survey May 2, 2024

CMS Certification Number 055548 · first certified October 1968

Ownership

Operated by CORPORATE INTERFACE SERVICES · For profit - Limited Liability company

No change of ownership on CMS record since January 1, 2016, when the records begin.

16
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
4
Tags cited more than once
Across separate surveys
6
Inspection & testing records
Of the citations on file

Position within CA

16 citations — more than 34% of the 1,165 certified nursing homes in CA. Compared within CA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 4 citations; the earlier surveys in the window averaged 6. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Past the typical window (May 2025 to October 2025). Most CA facilities have been surveyed by October 2026. This facility’s last Life Safety survey was May 2024. Facilities in CA are typically surveyed 12–18 months after the last one (median 14), measured over 1,766 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

Get an email about PASADENA PARK HEALTHCARE AND WELLNESS CENTER

One email when it happens. No account; stop it any time with one click.

Which alerts

2 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

1 of the 16 citations on file is Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

9 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 16 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0584 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.
  • F-0880 Provide and implement an infection prevention and control program.
  • F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.
  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

How that compares

Citations on file over three years

Compared with the median facility in CA, and nationally. Surveyors differ markedly between states, so the CA figure is the meaningful one.

This facility16CA median19National median11
Citations on file over three years, compared
MeasureCitations
This facility16
Median facility in CA19
Median facility nationally11

Survey history

Citations at each Life Safety survey
52020-0172023-0442024-05
Citations at each Life Safety survey
Survey dateCitations
January 24, 20205
April 13, 20237
May 2, 20244

Most-cited tags

Most-cited tags at this facility
K-03513K-09182K-03532K-09202K-09161K-02231K-03631K-09231
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0351Install an approved automatic sprinkler system.32024-05-02
K-0918Have generator or other power source capable of supplying service within 10 seconds.22023-04-13
K-0353Inspect, test, and maintain automatic sprinkler systems.22024-05-02
K-0920Ensure proper usage of power strips and extension cords.22024-05-02
K-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.12020-01-24
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.12024-05-02
K-0363Install corridor and hallway doors that block smoke.12023-04-13
K-0923Have proper medical gas storage and administration areas.12020-01-24

What the citations cover

Citations by CMS category
  • Gas, Vacuum, and Electrical Systems Deficiencies 7
  • Smoke Deficiencies 7
  • Emergency Preparedness Deficiencies 1
  • Egress Deficiencies 1
Citations by CMS category
CategoryCitations
Gas, Vacuum, and Electrical Systems Deficiencies7
Smoke Deficiencies7
Emergency Preparedness Deficiencies1
Egress Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

May 2, 2024 — 4 citations

Citations issued on May 2, 2024
TagWhat the surveyor checksStatus
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Deficient, Provider has date of correction (May 24, 2024)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (May 24, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (May 24, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (May 24, 2024)

April 13, 2023 — 7 citations

Citations issued on April 13, 2023
TagWhat the surveyor checksStatus
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (May 7, 2023)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (May 7, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (May 7, 2023)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (May 7, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (May 7, 2023)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (May 7, 2023)
K-0925Ensure that sources of ignition are removed from patients receiving respiratory therapy.Deficient, Provider has date of correction (May 7, 2023)

January 24, 2020 — 5 citations

Citations issued on January 24, 2020
TagWhat the surveyor checksStatus
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (February 13, 2020)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (February 13, 2020)
K-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.Deficient, Provider has date of correction (February 13, 2020)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (February 13, 2020)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (February 13, 2020)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.