Inspection
No deficiencies recorded in this report
GRANT SERENITY HOMES OF SIERRA MADRE, INC.
425 N. SIERRA MADRE BLVD, Pasadena CA 91107
6 bedsLatest official report Mar 3, 2026Licensed
Additional info
- Telephone
- (818) 425-6797
- Licensee
- GRANT SERENITY HOMES OF SIERRA MADRE, INC.
- Administrator
- ANI KARAPETYAN
- Contact
- ANI KARAPETYAN
- License first date
- Apr 12, 2021
- License effective date
- Apr 12, 2021
- District office
- MONTEREY PARK ASC · (323) 980-4934
- Regional office
- 28
- Clients served
- 935 - ELDERLY, 983 - RCFE / DEMENTIA, 985 - RCFE / HOSPICE
Summary
The available records show 3 Type A and 2 Type B deficiencies for this facility.
- Most recent inspection
- Mar 3, 2026
- Most recent deficiency
- Apr 1, 2025
1 later report, on Mar 3, 2026, recorded no deficiencies, though the records do not say whether they were follow-ups.
What Type A and Type B mean
- Type A
- Violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
- Type B
- Violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care.
Both classifications are published by California CDSS and are shown as published. SeniorLivingFacts does not rename them or add a severity level of its own.
At a glance
Counts cover the five-year public record. Typical figures are the median for the 1,564 Los Angeles County facilities licensed for 6 or fewer beds.
In the available public five-year record, CCLD published 5 reports for this facility: 5 inspections, 0 complaint investigations, and 0 licensing or administrative records.
Those records contain 3 Type A and 2 Type B deficiencies.
1 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 5
- Recorded deficiencies
- 5
- Type A deficiencies
- 3
- Type B deficiencies
- 2
- Substantiated complaints
- 0
- Repeated topics
- 0
More than the typical 4
1 in the last 12 months
More than the typical 1
0 in the last 12 months
Most this size have none
0 in the last 12 months
Most this size have none
0 in the last 12 months
Most this size also have none
0 in the last 12 months
Last 36 months
Repeated topics
Topics cited in more than one report during the last 36 months. A repeat may show a pattern worth asking about. Each date opens its report below.
No topic repeats in the last 36 months
No deficiency topic appears in more than one report during that window. This does not establish that nothing repeated earlier in the five-year record, and it is not a statement about current conditions.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Inspection
Health conditions and treatmentsType A
- Official classification
- Type A
- Official code
- 87608(a)(5)(B)
- Regulation authority
- CCR
What the official deficiency says
(B) Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above in R1 and R3 have full bed rails on their beds and are not receiving hospice care which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/02/2025 Plan of Correction Administrator will submit either an exception request with physician's order and family request to the department or will switch the full rail to a half bed rail and submit the pictures to the department by POC due date 4/1/25.
Plan of correction recorded
Correction not verified in available records
Inspection
No deficiencies recorded in this report
Inspection
Medication handling and storageType B
- Official classification
- Type B
- Official code
- 87465(c)(2)
- Regulation authority
- CCR
What the official deficiency says
(c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication, but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: (2) Once ordered by the physician the medication is given according to the physician's directions. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and review, the licensee did not comply with the section cited above in two medications for R4 were not listed on medication sheet and medication for R2 listed in medication sheet was unable to determined if medication was discontinued per tracking system which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/27/2023 Plan of Correction Administrator will provide in-service training for staff and will provide copies of corrected medication sheets for R4 and R2 and in-service agenda and sign-in log by POC due date 4/27/23.
Plan of correction recorded
Correction not verified in available records
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(h)(4)
- Regulation authority
- CCR
What the official deficiency says
87465 Incidental Medical and Dental Care (h) The following requirements shall apply to medications which are centrally stored: (4) All centrally stored medications shall be labeled and maintained in compliance with state and federal laws. No persons other than the dispensing pharmacist shall alter a prescription label. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and review, the licensee did not comply with the section cited above in medication for R4 was observed without a label and outside original box which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/14/2023 Plan of Correction Administrator will obtain original label and box and submit a picture of medication to the department by POC due date 4/14/23.
Plan of correction recorded
Correction not verified in available records
Health conditions and treatmentsType A
- Official classification
- Type A
- Official code
- 87608(a)
- Regulation authority
- CCR
What the official deficiency says
87608 Postural Supports: (a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself. Postural supports may be used under the following conditions. (5) Under no circumstances shall postural supports include tying, depriving, or limiting the use of a resident's hands or feet. (A) A bed rail that extends from the head half the length of the bed and used only for assistance with mobility shall be allowed. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in R4's bed in BR2 was observed with half bed rails and no physician's request/order was on file which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/14/2023 Plan of Correction Administrator removed the half bed rails from the R4's bed. Deficiency cleared during the visit.
Official record says corrected or clearedRecorded in report dated Apr 13, 2023
Plan of correction recorded
Inspection
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87411(f)
- Regulation authority
- CCR
What the official deficiency says
(f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after employment or licensure. A report shall be made of each screening, signed by the examining physician. The report shall indicate whether the person is physically qualified to perform the duties to be assigned, and whether he/she has any health condition that would create a hazard to him/herself, other staff members or residents. A signed statement shall be obtained from each volunteer affirming that he/she is in good health. Personnel with evidence of physical illness or emotional instability that poses a significant threat to the well-being of residents shall be relieved of their duties. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in 1 out of 3 staff, staff #2 does not have a TB test/Chest x ray on file which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 05/19/2022 Plan of Correction Administrator will ensure staff #2 obtains TB test clearance and will submit a copy to the department via fax by POC date 5/19/22.
Plan of correction recorded
Correction not verified in available records
Source and limits
California Department of Social Services, Community Care Licensing Division. Public facility history is described by the source as a five-year window. Older records and previous-licensee history may require a regional-office request. Type 741 RCFE-CCRCs, nursing homes, and other care settings are excluded from this page.
Read the data methodology