Skilled Nursing

Pasadena Palace TCU

716 SOUTH FAIR OAKS AVE, PASADENA, CA 91105

75beds
Skilled Nursingcare types
1/5CMS rating
Updated2026

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Inspection & Compliance

Data from CMS (Centers for Medicare & Medicaid Services), updated weekly. Medicare.gov Care Compare

3.9h

Hrs/resident · weekday

Expected: 4.3h

3.8h

Hrs/resident · weekend

vs 3.9h on weekdays

Not reported

30-day hospital readmission rate

Annual Staff Turnover Rates

High turnover is one of the strongest predictors of care quality. National average CNA turnover is ~75%.

RNs
57%
LPNs
CNAs
54%

Administrator turnover: 2 in the past year — above average

Health Inspection Deficiencies · Last 3 Years

SeriousImmediate Jeopardy0742Severity JMay 16, 2025

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

Corrected: Jun 11, 2025

83 standard deficiencies in the last 3 years

View all
0693Severity DDec 17, 2025

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

0912Severity BNov 19, 2025

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

0908Severity DNov 19, 2025

Keep all essential equipment working safely.

0880Severity ENov 19, 2025

Provide and implement an infection prevention and control program.

0814Severity DNov 19, 2025

Dispose of garbage and refuse properly.

0813Severity ENov 19, 2025

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

0812Severity ENov 19, 2025

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0806Severity DNov 19, 2025

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

0732Severity BNov 19, 2025

Post nurse staffing information every day.

0698Severity DNov 19, 2025

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0689Severity DNov 19, 2025

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0686Severity DNov 19, 2025

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0645Severity ENov 19, 2025

PASARR screening for Mental disorders or Intellectual Disabilities

0584Severity DNov 19, 2025

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0571Severity DNov 19, 2025

Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid.

0558Severity DNov 19, 2025

Reasonably accommodate the needs and preferences of each resident.

0550Severity DNov 19, 2025

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0812Severity EAug 5, 2025

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0627Severity DMay 17, 2025

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

0689Severity GMay 16, 2025

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0882Severity EMay 8, 2025

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

0881Severity EMay 8, 2025

Implement a program that monitors antibiotic use.

0607Severity DMay 7, 2025

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0806Severity DMay 3, 2025

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

0609Severity DMay 3, 2025

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0806Severity DApr 28, 2025

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

0689Severity DApr 28, 2025

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0758Severity EApr 1, 2025

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

0756Severity DApr 1, 2025

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0689Severity DApr 1, 2025

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0686Severity DMar 20, 2025

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0657Severity DFeb 25, 2025

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0609Severity DFeb 25, 2025

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0684Severity DJan 29, 2025

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0812Severity EJan 13, 2025

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0804Severity EJan 13, 2025

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0803Severity EJan 13, 2025

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

0689Severity EJan 7, 2025

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0925Severity DNov 1, 2024

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

0880Severity ENov 1, 2024

Provide and implement an infection prevention and control program.

0812Severity ENov 1, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0732Severity BNov 1, 2024

Post nurse staffing information every day.

0698Severity DNov 1, 2024

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0695Severity DNov 1, 2024

Provide safe and appropriate respiratory care for a resident when needed.

0689Severity ENov 1, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0676Severity DNov 1, 2024

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

0600Severity DNov 1, 2024

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0578Severity DNov 1, 2024

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

0558Severity ENov 1, 2024

Reasonably accommodate the needs and preferences of each resident.

0550Severity DNov 1, 2024

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0880Severity DSep 25, 2024

Provide and implement an infection prevention and control program.

0712Severity ESep 25, 2024

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

0688Severity DSep 25, 2024

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

0684Severity DSep 23, 2024

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0656Severity DSep 23, 2024

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0658Severity DSep 18, 2024

Ensure services provided by the nursing facility meet professional standards of quality.

0558Severity EAug 28, 2024

Reasonably accommodate the needs and preferences of each resident.

0550Severity DAug 28, 2024

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0880Severity DAug 21, 2024

Provide and implement an infection prevention and control program.

0812Severity DJul 24, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0803Severity DJul 24, 2024

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

0690Severity DMay 7, 2024

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0755Severity DJan 5, 2024

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0580Severity DJan 5, 2024

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0919Severity DOct 26, 2023

Make sure that a working call system is available in each resident's bathroom and bathing area.

0880Severity EOct 26, 2023

Provide and implement an infection prevention and control program.

0814Severity EOct 26, 2023

Dispose of garbage and refuse properly.

0812Severity EOct 26, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0761Severity EOct 26, 2023

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0758Severity DOct 26, 2023

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

0755Severity DOct 26, 2023

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0711Severity DOct 26, 2023

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

0695Severity EOct 26, 2023

Provide safe and appropriate respiratory care for a resident when needed.

0692Severity DOct 26, 2023

Provide enough food/fluids to maintain a resident's health.

0689Severity DOct 26, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0686Severity EOct 26, 2023

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0656Severity EOct 26, 2023

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0645Severity EOct 26, 2023

PASARR screening for Mental disorders or Intellectual Disabilities

0584Severity DOct 26, 2023

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0580Severity DOct 26, 2023

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0552Severity DOct 26, 2023

Ensure that residents are fully informed and understand their health status, care and treatments.

0689Severity DOct 5, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0550Severity DAug 8, 2023

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

View full inspection history on Medicare.gov

Civil Monetary Penalties

No civil monetary penalties on record.

Nearby Hospitals

No hospitals found within 10 miles.

Proximity to emergency care is especially important for medically complex residents.

Ownership

GEM HEALTHCARE, LLC· For profit - Limited Liability company

Data updated weekly from CMS. Last sync: Jun 26, 2026. Medicare.gov Care Compare →

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Data sourced from the Centers for Medicare & Medicaid Services and state licensing agencies. ← Back to search

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