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Legacy Care Of Pasadena

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About Legacy Care Of Pasadena

General Information

Legal Business NamePar Operations, Inc.
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareAugust 5, 2015 (16 months)
Capacity41
Residents41
Percent Occupied100%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Legacy Care Of Pasadena

* Too new to rateOverall Rating
* Too new to rateHealth Inspections Rating
* Too new to rateQuality Measures Rating
* Too new to rateStaff Rating
* Too new to rateRN Staff Rating

Overall Ratings of California Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 16 Months

Note that this facility has only accepted Medicare for 16 months.
The state and national averages include problems for the past 3 years.

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

June 22, 2015 - 18 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionFire resistant room wall surfaces.
ESomePotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
ESomePotential for HarmHealth InspectionDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
ESomePotential for HarmHealth InspectionTrain all employees on what to do in an emergency, and carry out unannounced staff drills.
ESomePotential for HarmHealth InspectionHave enough outside ventilation via a window or mechanical ventilation, or both.
ESomePotential for HarmHealth InspectionOperate and provide services according to Federal, State, and local laws and professional standards.
ESomePotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.
CManyPotential for Minimal HarmHealth InspectionGive residents a notice of rights, rules, services and charges.
DFewPotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
DFewPotential for HarmFire Safety InspectionProperly installed hallway dispensers for alcohol-based hand rub.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Legacy Care Of Pasadena require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

3hr 25min

ReportedExpected
CNA
1hr 15min

ReportedExpected
LPN
20min

ReportedExpected
RN
4hr 60min

ReportedExpected
Total Nursing

Quality Measures for Long Stay Residents

-
-
-
94.9%
Q1 2015Q2 2015Q3 2015CA
* The data for this facility for some quarters is unavailable.
Assessed and Appropriately Given the Seasonal Influenza Vaccine
-
-
100.0%
94.6%
Q1 2015Q2 2015Q3 2015CA
* The data for this facility for some quarters is unavailable.
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
45.0%
Q1 2015Q2 2015Q3 2015CA
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
-
-
-
13.5%
Q1 2015Q2 2015Q3 2015CA
* The data for this facility for some quarters is unavailable.
Received an Antipsychotic Medication
-
-
0.0%
11.3%
Q1 2015Q2 2015Q3 2015CA
* The data for this facility for some quarters is unavailable.
Need for Help with ADLs has Increased
-
-
-
5.2%
Q1 2015Q2 2015Q3 2015CA
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
-
-
5.9%
6.2%
Q1 2015Q2 2015Q3 2015CA
* The data for this facility for some quarters is unavailable.
Lose Too Much Weight
-
-
-
6.1%
Q1 2015Q2 2015Q3 2015CA
* The data for this facility for some quarters is unavailable.
High Risk Residents With Pressure Ulcers
-
-
-
1.2%
Q1 2015Q2 2015Q3 2015CA
* The data for this facility for some quarters is unavailable.
Have Depressive Symptoms
-
-
0.0%
3.8%
Q1 2015Q2 2015Q3 2015CA
* The data for this facility for some quarters is unavailable.
With a Urinary Tract Infection
-
-
2.9%
1.7%
Q1 2015Q2 2015Q3 2015CA
* The data for this facility for some quarters is unavailable.
Experiencing One or More Falls with Major Injury
-
-
0.0%
3.2%
Q1 2015Q2 2015Q3 2015CA
* The data for this facility for some quarters is unavailable.
With a Catheter Inserted and Left in Their Bladder
-
-
0.0%
1.2%
Q1 2015Q2 2015Q3 2015CA
* The data for this facility for some quarters is unavailable.
Were Physically Restrained

Quality Measures for Short Stay Residents

-
-
-
81.7%
Q1 2015Q2 2015Q3 2015CA
* The data for this facility for some quarters is unavailable.
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
81.8%
Q1 2015Q2 2015Q3 2015CA
* The data for this facility for some quarters is unavailable.
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
-
-
-
12.7%
Q1 2015Q2 2015Q3 2015CA
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
-
-
-
1.6%
Q1 2015Q2 2015Q3 2015CA
* The data for this facility for some quarters is unavailable.
Newly Received an Antipsychotic Medication
-
-
-
0.8%
Q1 2015Q2 2015Q3 2015CA
* The data for this facility for some quarters is unavailable.
With Pressure Ulcers That Are New or Worsened