Facility Name: ROSE GARDEN HEALTHCARE CENTER Facility Type: Skilled Nursing Facility Address: 1899 N Raymond Ave, Pasadena, CA 91103 County: LOS ANGELES Phone: (626) 797-2120 Penalty Penalty Type Penalty Type Penalty Class Class Violation Issue Date Details Category Assessed Assessed From Date Initial Final Violation To Date Appealed Total Total Total Associated Disposition Survey Amount Amount Balance Intake ID(s) ID Due Due Due Initial Final Survey Findings 05/08/2020 Citation 483.10(g)(14) Patient (i)-(iv)(15) T22 Care DIV5 CH3 ART3-72311(a) (3)(B) T22 DIV5 CH3 ART5-72523(a) 483.25 A N/A 02/12/2020 02/12/2020 No 20000.00 20000 0.00 CA00676321 Closed 6CFJ11 State Enforcement Action Narrative 950015872 Plan of Correction 05/01/2020 Citation 483.25(d)(1) Patient (2) T22 DIV5 Care CH3 ART5-72523(a) B N/A 02/14/2020 02/14/2020 No 2000.00 0.00 CA00676304 Closed 903811 State Enforcement Action Narrative 950015866 2000 10/14/2019 Administrative 1276.5(a) Penalty DHPPD: 2 DHPPD: 2 - 11 Days - 11 Days N/A 04/09/2018 04/12/2018 No 15000.00 15000 0.00 No complaints found Closed NY2M11 State Enforcement Action Narrative 810015360 Plan of Correction 02/05/2018 Citation F-690 F-684 Patient Care A N/A 06/19/2017 06/19/2017 No 20000.00 20000 0.00 No complaints found Closed G8DE11 State Enforcement Action Narrative 950013783 Plan of Correction 05/04/2017 Citation F323 Patient Care A N/A 11/24/2016 11/24/2016 No 20000.00 20000 0.00 CA00512032 Closed FYED11 State Enforcement Action Narrative 950013183 03/07/2017 Citation F314 Patient A A 02/01/2017 02/01/2017 Yes 15000.00 9750 0.00 No QXKN11 State Closed Penalty Penalty Type Penalty Type Penalty Class Class Violation Issue Date Details Category Assessed Assessed From Date Initial Final Violation To Date Appealed Total Total Total Associated Disposition Survey Amount Amount Balance Intake ID(s) ID Due Due Due Initial Final Care 02/03/2017 Citation F223 F323 F225 Patient Care complaints found A N/A 07/30/2016 07/30/2016 Yes 10000.00 10100 10100.00 CA00498850 Open Survey Findings Enforcement Action Narrative 950013018 Plan of Correction 4T3O11 State Enforcement Action Narrative 950012941 Plan of Correction