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Serenity Care Of Pasadena

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About Serenity Care Of Pasadena

General Information

Legal Business NameHarp Operations, Inc.
Ownership TypeFor Profit - Individual
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJuly 29, 2015 (2 years)
Capacity49
Residents46
Percent Occupied94%
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 Serenity Care Of Pasadena

Serenity Care Of Pasadena
was reviewed by Medicare to have a rating of 3 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
* Data not availableStaff Rating
* Data not availableRN Staff Rating

Overall Ratings of California Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 2 Years

Note that this facility has only accepted Medicare for 2 years.
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

October 3, 2016 - 6 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaint+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.

September 24, 2016 - 6 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential for HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
ESomePotential for HarmHealth InspectionKeep clinical record information safe.
ESomePotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
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 InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionReasonably accommodate the needs and preferences of each resident.
DFewPotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmHealth InspectionProvide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.
BSomePotential for Minimal HarmHealth InspectionProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

September 23, 2016 - 6 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaint1) Hire only people with 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.

April 26, 2016 - 11 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaintProvide medically-related social services to help each resident achieve the highest possible quality of life.

June 22, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionHave enough outside ventilation via a window or mechanical ventilation, or both.
ESomePotential for HarmHealth InspectionMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
ESomePotential for HarmHealth InspectionTrain all employees on what to do in an emergency, and carry out unannounced staff drills.
ESomePotential for HarmHealth InspectionMaintain comfortable and safe temperature levels.
ESomePotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
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.
CManyPotential for Minimal HarmHealth InspectionGive residents a notice of rights, rules, services and charges.
DFewPotential for HarmHealth InspectionKeep each resident free from physical restraints, unless needed for medical treatment.
DFewPotential for HarmHealth InspectionOperate and provide services according to Federal, State, and local laws and professional standards.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionReasonably accommodate the needs and preferences of each resident.
DFewPotential for HarmHealth InspectionEnsure that residents are fully informed and understand their health status, care and treatments.
DFewPotential 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.
DFewPotential for HarmHealth InspectionProvide medically-related social services to help each resident achieve the highest possible quality of life.
DFewPotential for HarmHealth InspectionGive 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.
BSomePotential for Minimal HarmHealth InspectionProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Staffing Levels Per Resident per Day

Data Not Available

Quality Measures for Long Stay Residents

-
84.6%
84.6%
84.6%
94.7%
Q4 2015Q1 2016Q2 2016Q3 2016CA
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
-
86.8%
94.6%
97.8%
95.1%
Q4 2015Q1 2016Q2 2016Q3 2016CA
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
-
14.3%
30.0%
29.0%
44.6%
Q4 2015Q1 2016Q2 2016Q3 2016CA
* The data for this facility for some quarters is unavailable.
Percentage of low risk long-stay residents who lose control of their bowels or bladder
-
17.6%
37.0%
31.8%
19.9%
Q4 2015Q1 2016Q2 2016Q3 2016CA
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents who received an antianxiety or hypnotic medication
-
-
0.0%
7.4%
15.0%
Q4 2015Q1 2016Q2 2016Q3 2016CA
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents whose ability to move independently worsened
-
-
-
-
12.5%
Q4 2015Q1 2016Q2 2016Q3 2016CA
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents who received an antipsychotic medication
-
-
2.9%
14.3%
10.8%
Q4 2015Q1 2016Q2 2016Q3 2016CA
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents whose need for help with daily activities has increased
-
0.0%
6.0%
8.8%
4.2%
Q4 2015Q1 2016Q2 2016Q3 2016CA
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents who self-report moderate to severe pain
-
10.5%
2.8%
0.0%
5.7%
Q4 2015Q1 2016Q2 2016Q3 2016CA
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents who lose too much weight
-
-
-
0.0%
5.7%
Q4 2015Q1 2016Q2 2016Q3 2016CA
* The data for this facility for some quarters is unavailable.
Percentage of high risk long-stay residents with pressure ulcers
-
0.0%
0.0%
0.0%
1.0%
Q4 2015Q1 2016Q2 2016Q3 2016CA
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents who have depressive symptoms
-
2.6%
0.0%
0.0%
3.1%
Q4 2015Q1 2016Q2 2016Q3 2016CA
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents with a urinary tract infection
-
0.0%
0.0%
0.0%
1.7%
Q4 2015Q1 2016Q2 2016Q3 2016CA
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents experiencing one or more falls with major injury
-
0.0%
0.0%
0.0%
2.7%
Q4 2015Q1 2016Q2 2016Q3 2016CA
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents with a catheter inserted and left in their bladder
-
0.0%
0.0%
0.0%
0.9%
Q4 2015Q1 2016Q2 2016Q3 2016CA
* The data for this facility for some quarters is unavailable.
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

-
-
66.7%
-
83.8%
Q4 2015Q1 2016Q2 2016Q3 2016CA
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
-
-
-
-
81.9%
Q4 2015Q1 2016Q2 2016Q3 2016CA
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
-
-
-
-
61.3%
Q4 2015Q1 2016Q2 2016Q3 2016CA
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who made improvements in function
-
-
-
-
10.5%
Q4 2015Q1 2016Q2 2016Q3 2016CA
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who self-report moderate to severe pain
-
-
-
-
1.5%
Q4 2015Q1 2016Q2 2016Q3 2016CA
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who newly received an antipsychotic medication
-
-
0.0%
-
0.8%
Q4 2015Q1 2016Q2 2016Q3 2016CA
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents with pressure ulcers that are new or worsened