Pasadena Grove Health Center
PASADENA GROVE HEALTH CENTER in PASADENA, CA — inspection on September 3, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During a review of the facility's Policy and Procedure (P&P) titled, Refusal of Treatment, revised 5/1/2023, the policy indicated the Charge Nurse or DON would document information relating to the refusal in the resident's medication record.
Documentation would include at least the following: a.
The date and time a medication or treatment was attempted. b.
The medication or treatment refused.c.
The resident's reason(s) for refusal.d.
The name of the person attempting to administer the treatment.e.
That the resident was informed (to the extent of their ability to understand) of the purpose of the treatment and the consequences of not receiving the medication. f.
The residents' condition and any adverse effects due to such refusal.g.
The date and time the Attending Physician was notified and his or her response.
The P&P indicated the IDT would assess the resident's needs and offer the resident alternative treatments while continuing to provide other services in the care plan.
During a review of the facility's P&P titled, Medication - Administration, revised 11/1/2017, the policy indicated when administration of the drug was dependent upon vital signs or testing, the vital signs/testing would be completed prior to administration of the medication and recorded in the medical record (i.e., blood pressure, pulse, finger stick blood glucose monitoring etc.).
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