Pasadena Highlands

COMPLAINT INVESTIGATION REPORT

The facility underwent an unannounced Annual Continuation - Case Management visit. The inspection noted several positive aspects, including clean common areas, operational safety equipment, and proper food storage. However, one critical deficiency was cited regarding the presence of rodent droppings in the kitchen area.

The facility underwent an unannounced required annual inspection. The LPA reviewed staff and resident files, inspected the medication room, and interviewed staff. No deficiencies were noted during this visit, although an annual continuation inspection will be conducted later.

This report details a complaint investigation conducted on 09/20/2025 regarding allegations that staff failed to provide resident records to an authorized representative. After reviewing records and interviewing staff, the Licensing Program Analyst determined that there was not a preponderance of evidence to prove the alleged violation occurred.

This report details a complaint investigation regarding missing personal belongings. The investigation found that the allegation was unsubstantiated, as interviews and documentation did not corroborate the claim. No deficiencies were cited in this report.

COMPLAINT INVESTIGATION REPORT

This report details a complaint investigation conducted regarding allegations of inadequate supervision, unsafe transfers, neglect leading to pressure injuries, and isolation. All allegations reviewed were ultimately deemed UNSUBSTANTIATED due to a lack of preponderance of evidence.

This report details a complaint investigation that was a subsequent visit to amend and supersede previous findings. The investigation found no observable health and safety concerns during the tour. All allegations cited were ultimately deemed unsubstantiated due to a lack of preponderance of evidence.