Pasadena Palace TCU
CMS
Actual Harm
Documentation Failure
Immediate Jeopardy
Inadequate Staffing
Infection Control
Medication Error
Nutrition Care
Resident Neglect
Wound Care
Penalty
$27,808
Outcome
Pasadena Palace TCU in PASADENA, CA was fined $27,808 by CMS following 90 deficiency citations identified during federal surveys.
Details
Pasadena Palace TCU (PASADENA, CA) — $27,808 in CMS Fines
Outcome: Pasadena Palace TCU in PASADENA, CA was fined $27,808 by CMS following 90 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
- Implement a program that monitors antibiotic use.
- Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- Develop and implement policies and procedures to prevent abuse, neglect, and theft.
How Crucible Prevents This
Crucible's continuous compliance monitoring would have flagged the regulatory gaps that led to these CMS fines — through automated survey-readiness checks, real-time deficiency tracking, staff compliance dashboards, and corrective action plan enforcement — preventing the violations before the next federal survey.
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