Share
Pasadena Manor
1430 PASADENA AVE S
South Pasadena, FL 33707
(727) 347-1257
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 126 |
| Number of Residents: | 113 |
| Percent of Occupied Beds: | 90% |
| Sprinkler Status: | Fully Sprinklered |
| Program Participation: | Medicare and Medicaid |
| Type of Ownership: | Non profit - Other |
| Located Within a Hospital? | No |
| Multi Nursing Home Ownership? | No |
| Resident and Family Councils? | Both |
| Continuing Care Retirement Community? | No |
| Quality Indicator Survey? | Yes |
| Special Focus Facility? | No |
| Overall: |  |
| Health Inspection: | |
| Nurse Staffing: |  |
| Quality Measures: |  |
| RN Only: | |
| Date | Type | Category | Deficiency | Scope | Level of Harm | Date of Correction |
| 20071211 | Health | Resident Assessment Deficiencies | Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | Isolated | Minimal harm or potential for actual harm | 20080114 |
| 20071211 | Health | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | Isolated | Minimal harm or potential for actual harm | 20080114 |
| 20071211 | Health | Quality Care Deficiencies | Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. | Isolated | Minimal harm or potential for actual harm | 20080114 |
| 20071211 | Health | Quality Care Deficiencies | Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Isolated | Minimal harm or potential for actual harm | 20080114 |
| 20080507 | Health | Quality Care Deficiencies | Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. | Isolated | Minimal harm or potential for actual harm | 20080606 |
| 20080619 | Health | Quality Care Deficiencies | Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Isolated | Minimal harm or potential for actual harm | 20080728 |
| 20080619 | Health | Resident Rights Deficiencies | Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | Isolated | Minimal harm or potential for actual harm | 20080728 |
| 20080714 | Health | Nutrition and Dietary Deficiencies | Make sure that residents are well nourished. | Pattern | Minimal harm or potential for actual harm | 20080728 |
| 20080820 | Health | Resident Assessment Deficiencies | Screen residents when they are first admitted to send them to an area with special care for people with developmental disabilities or mental illness, if needed. | Isolated | Minimal harm or potential for actual harm | 20080922 |
| 20080821 | Health | Resident Rights Deficiencies | Provide enough notice before discharging or transferring a resident. | Isolated | Minimal harm or potential for actual harm | 20080922 |
| 20080821 | Health | Resident Rights Deficiencies | Help and prepare each resident for a safe and easy discharge and transfer from the nursing home. | Isolated | Minimal harm or potential for actual harm | 20080922 |
| 20080925 | Health | Resident Assessment Deficiencies | Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | Isolated | Minimal harm or potential for actual harm | 20081117 |
| 20080925 | Health | Resident Rights Deficiencies | Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | Isolated | Minimal harm or potential for actual harm | 20081117 |
| 20080925 | Health | Resident Rights Deficiencies | Try to resolve each resident's complaints quickly. | Isolated | Minimal harm or potential for actual harm | 20081117 |
| 20080925 | Health | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | Isolated | Minimal harm or potential for actual harm | 20081117 |
| 20080925 | Health | Environmental Deficiencies | Have a program to keep infection from spreading. | Isolated | Minimal harm or potential for actual harm | 20081117 |
| 20081229 | Health | Environmental Deficiencies | Have a program to keep infection from spreading. | Isolated | Minimal harm or potential for actual harm | 20090129 |
| 20081229 | Health | Resident Assessment Deficiencies | Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | Isolated | Minimal harm or potential for actual harm | 20090129 |
| 20090724 | Health | Resident Assessment Deficiencies | 1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. | Isolated | Minimal harm or potential for actual harm | 20090812 |
| 20090724 | Health | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | Isolated | Minimal harm or potential for actual harm | 20090812 |
| 20090724 | Health | Quality Care Deficiencies | Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Isolated | Minimal harm or potential for actual harm | 20090812 |
| 20090724 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Actual harm | 20090812 |
| 20100310 | Health | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | Isolated | Minimal harm or potential for actual harm | 20100410 |
| 20100310 | Health | Resident Rights Deficiencies | Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | Isolated | Minimal harm or potential for actual harm | 20100410 |
| 20100429 | Health | Resident Rights Deficiencies | Keep each resident's personal and medical records private and confidential. | Isolated | Minimal harm or potential for actual harm | 20100529 |
| 20100429 | Health | Resident Rights Deficiencies | Let the resident refuse treatment or refuse to take part in an experiment. | Isolated | Minimal harm or potential for actual harm | 20100529 |
| 20100429 | Health | Mistreatment Deficiencies | 1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Isolated | Minimal harm or potential for actual harm | 20100529 |
| 20100615 | Health | Resident Rights Deficiencies | Provide services to meet the needs and preferences of each resident. | Isolated | Minimal harm or potential for actual harm | 20100709 |
| 20100615 | Health | Resident Rights Deficiencies | Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | Isolated | Minimal harm or potential for actual harm | 20100709 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 88 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 73 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 4 | |
| Percent of long-stay residents who have moderate to severe pain: | 1 | |
| Percent of high-risk long-stay residents who have pressure sores: | 12 | |
| Percent of low-risk long-stay residents who have pressure sores: | 0 | |
| Percent of long-stay residents who were physically restrained: | 6 | |
| Percent of long-stay residents who are more depressed or anxious: | 7 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 41 | |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder: | 8 | |
| Percent of long-stay residents who spend most of their time in bed or in a chair: | 9 | |
| Percent of long-stay residents whose ability to move about in and around their room got worse: | 5 | |
| Percent of long-stay residents who had a urinary tract infection: | 8 | |
| Percent of long-stay residents who lose too much weight: | 11 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 73 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 61 | |
| Percent of short-stay residents who have delirium: | 0 | |
| Percent of short-stay residents who had moderate to severe pain: | 9 | |
| Percent of short-stay residents who have pressure sores: | 15 | |
| # of Residents: | 113 |
| # RN Hours per Resident: | 0.23 |
| # LPN Hours per Resident: | 0.94 |
| # CNA Hours per Resident: | 2.65 |
| Total Staff Hours per Resident: | 1.17 |
