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Nursing Facility

The Medical Resort at Bay Area

Owned by: For profit - Partnership

Safety Pulse

AI-GENERATED FAMILY INSIGHTS

  • **Red Flag: Failure to provide adequate medical care:** Documented instances of not following physician orders, resident preferences, and allowing pressure ulcers to develop/worsen raise serious concerns about the quality of medical attention provided.

  • **Red Flag: Compromised Resident Dignity and Autonomy:** Violations related to respecting resident rights, communication, and self-determination suggest a systemic issue with honoring individual needs and preferences.

  • **Red Flag: Medication Errors and Dietary Neglect:** Evidence of significant medication errors coupled with failures to accommodate dietary needs (allergies, preferences) indicates a potentially dangerous environment for residents with complex health requirements.

Note: This summary is generated from recently documented safety inspections and citations.

Regional Context

This Facility40
Pasadena AVERAGE10.4

285% more violations than city average

Source: 3-year federal inspection history (CMS.gov)

Quick Stats

40Total Violations
101Certified Beds
Safety Grade
F
75/100 Score
F RATED
Safety Audit Result
Legal Consultation Available

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Violation History

CITATION DATEJanuary 1, 2026
F-TAG: 0583

Keep residents' personal and medical records private and confidential.

Keep residents' personal and medical records private and confidential.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0684

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

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

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0686

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

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

Scope & Severity (CMS Alpha)
Harm Level Detected
CITATION DATEJanuary 1, 2026
F-TAG: 0550

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

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

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0806

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0760

Ensure that residents are free from significant medication errors.

Ensure that residents are free from significant medication errors.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0761

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.

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.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0812

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

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

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0552

Ensure that residents are fully informed and understand their health status, care and treatments.

Ensure that residents are fully informed and understand their health status, care and treatments.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0644

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0605

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0684

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

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

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0880

Provide and implement an infection prevention and control program.

Provide and implement an infection prevention and control program.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Scope & Severity (CMS Alpha)
Harm Level Detected
CITATION DATEJanuary 1, 2026
F-TAG: 0689

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

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

Scope & Severity (CMS Alpha)
Harm Level Detected
CITATION DATEJanuary 1, 2026
F-TAG: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Ensure services provided by the nursing facility meet professional standards of quality.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0684

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

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

Scope & Severity (CMS Alpha)
Harm Level Detected
CITATION DATEJanuary 1, 2026
F-TAG: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0568

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0690

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

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

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0801

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0552

Ensure that residents are fully informed and understand their health status, care and treatments.

Ensure that residents are fully informed and understand their health status, care and treatments.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0567

Honor the resident's right to manage his or her financial affairs.

Honor the resident's right to manage his or her financial affairs.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0569

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0570

Assure the security of all personal funds of residents deposited with the facility.

Assure the security of all personal funds of residents deposited with the facility.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0641

Ensure each resident receives an accurate assessment.

Ensure each resident receives an accurate assessment.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0645

PASARR screening for Mental disorders or Intellectual Disabilities

PASARR screening for Mental disorders or Intellectual Disabilities

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0686

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

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

Scope & Severity (CMS Alpha)
Harm Level Detected
CITATION DATEJanuary 1, 2026
F-TAG: 0692

Provide enough food/fluids to maintain a resident's health.

Provide enough food/fluids to maintain a resident's health.

Scope & Severity (CMS Alpha)
Harm Level Detected
CITATION DATEJanuary 1, 2026
F-TAG: 0693

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.

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.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0758

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0759

Ensure medication error rates are not 5 percent or greater.

Ensure medication error rates are not 5 percent or greater.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0814

Dispose of garbage and refuse properly.

Dispose of garbage and refuse properly.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0835

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0880

Provide and implement an infection prevention and control program.

Provide and implement an infection prevention and control program.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0881

Implement a program that monitors antibiotic use.

Implement a program that monitors antibiotic use.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0727

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Scope & Severity (CMS Alpha)
Potential for Harm
CITATION DATEJanuary 1, 2026
F-TAG: 0908

Keep all essential equipment working safely.

Keep all essential equipment working safely.

Scope & Severity (CMS Alpha)
Potential for Harm

Regional Safety Benchmarking

City Performance (Pasadena)AVG: 10.4

285% more citations than local average

"Comparative analysis is essential for identifying systemic neglect. Our benchmarks are updated monthly using raw CMS files."

Critical Evidence

Full Evidence Dossier

Documented history of neglect citations, staffing failures, and ownership risk profiles. Perfect for families, legal preparation, or professional due diligence.

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Open Guide
Source: CMS.gov / Medicare.gov
Dataset Sync: Feb 2026
Audit ID: NH-AUDIT-B5E18E07