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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Pasadena Nursing Center, located in Pasadena, CA, is a skilled nursing and rehabilitation facility providing a range of services from rehabilitation, a variety of therapy services, adult care, psychiatric care, respite care, and skilled nursing services. Their convalescent home provides residents with 24/7 skilled nursing care, wound and pain management, medication management and administration assistance, as well as assistance with daily living activities and mobility.
This skilled nursing center boasts of their quality care as well as amenities and non-medical related services; from meal provisions to physical fitness programs, the residents are well taken care of until they feel better or good enough to start living independently again.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 132nd out of 271 homes in California.| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 20m per day | ▼ 49% State avg: 39m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 9m per day | ▼ 5% State avg: 1h 13m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 44m per day | ▲ 3% State avg: 2h 39m per day · National avg: 2h 21m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 41m per day | ▼ 10% State avg: 4h 5m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 9m per day | ▲ 80% State avg: 5m per day · National avg: 4m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 11m per day | ▼ 63% State avg: 30m per day · National avg: 29m per day |
Most residents stay for extended periods and receive ongoing daily care.
8% of new residents, usually for short-term rehab.
36% of new residents, often for short stays.
55% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #236 / 275Payroll — state benchmarkedThis home is ranked 236th out of 275 homes in California.Shows total annual staff payroll benchmarked to the California average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Higher than the California average: 72.8%Pasadena Nursing Center is legally operated by Gardena Retirement Center, Inc., and administrated by Susana Fuentes.
In California, the Department of Social Services (for assisted living facilities) and the Department of Public Health (for nursing homes) conduct inspections to ensure resident safety and regulatory compliance.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the California state average. Metrics worse than average are highlighted in red; those better than average are highlighted in green.
Citations are formal regulatory violations recorded during state inspections. California uses Type A (serious) and Type B (moderate) severity levels.
| Metric | This Facility | California Average | vs. California Avg |
|---|---|---|---|
|
Total citations
Formal regulatory violations recorded by California Community Care Licensing Division (CCLD) inspectors across all inspection types.
| 27 | 10 | This facility has 170% more total citations than a typical California facility (27 vs. California avg 10).↑ 170% worse |
|
Serious citations (Type A)
Violations that pose an immediate risk to resident health or safety. Type A citations are the most serious and typically require prompt corrective action.
| 4 | 3 | This facility has 33% more serious citations (type a) than a typical California facility (4 vs. California avg 3).↑ 33% worse |
|
Moderate citations (Type B)
Violations that do not pose an immediate risk but still represent a departure from required care or operational standards. Corrective action required within a specified timeframe.
| 23 | 4 | This facility has 475% more moderate citations (type b) than a typical California facility (23 vs. California avg 4).↑ 475% worse |
Regulatory visits include scheduled inspections, complaint investigations, and other on-site visits by state regulators.
| Metric | This Facility | California Average | vs. California Avg |
|---|---|---|---|
|
Total visits
Combined count of complaint visits, other regulatory visits, and official scheduled inspections.
| 96 | 16 | This facility has 500% more total visits than a typical California facility (96 vs. California avg 16).↑ 500% worse |
|
Complaint visits
On-site visits triggered by formal complaints filed by residents, families, or staff. Fewer complaint visits generally indicate fewer reported concerns.
| 84 | 13 | This facility has 546% more complaint visits than a typical California facility (84 vs. California avg 13).↑ 546% worse |
|
Other visits
Regulatory visits that are neither routine inspections nor complaint investigations — administrative check-ins, follow-up reviews, licensing-related visits.
| 8 | 7 | This facility has 14% more other visits than a typical California facility (8 vs. California avg 7).↑ 14% worse |
|
Official inspections
Routine, scheduled inspections conducted by state regulators to evaluate whether the facility meets federal and state standards.
| 4 | 4 | This facility has official inspections in line with the California average (4 vs. California avg 4).— At avg |
|
Complaint Investigations
Investigations triggered by formal complaints filed by residents, families, or staff. Complaint Investigations can result in multiple complaint visits. This home had 84 complaint visits.
| 67 | 10 | This facility has 570% more complaint investigations than a typical California facility (67 vs. California avg 10).↑ 570% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
This facility’s inspection record is mixed, with repeated deficiencies related to residents’ personal rights, including unlawful evictions and denial of mobility devices, alongside safety risks from inadequate supervision and medical care. The most recent inspection on September 4, 2025, cited one unresolved personal rights deficiency, continuing a pattern of substantiated complaints about eviction procedures and resident treatment. Earlier investigations also found neglect causing pressure injuries and failure to provide timely medical attention, though many other allegations were unsubstantiated.
Read the full state inspection reports, including specific deficiencies and facility responses.
Show Inspection ReportsCalifornia average 12.5
Last Health inspection on Aug 2025
California average 50.2
California average 4.65
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
57 of 85 citations resulted from standard inspections; 27 of 85 resulted from complaint investigations; and 1 of 85 came from combined inspections (standard and complaint).
650% worse than California averageCalifornia average: 0.4
1
In line with California averageCalifornia average: 1
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Aug 28, 2025
Corrected
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Aug 15, 2025
Corrected
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Jul 30, 2025
Corrected
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
May 23, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Pasadena Nursing Center is located in Pasadena, California.
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2.1 miles from city center
Estimated distance in miles from Pasadena's city center to Pasadena Nursing Center's address, calculated via Google Maps.
— 4.82 miles to nearest hospital (Adventist Health Glendale)
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
1266567% better than California averageCalifornia average ratio: 0.00:1
0% compared with California averageCalifornia average: 7.7 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hoursNo contractors work on this role.
Total hours from contractors
2,278 contractor hours this quarter
| Certified Nursing Assistant | 38 | 0 | 38 | 14,055 | 91 | 100% | 7.2 |
| Licensed Practical Nurse | 12 | 0 | 12 | 4,143 | 91 | 100% | 7.4 |
| Registered Nurse | 5 | 1 | 6 | 2,335 | 91 | 100% | 8 |
| RN Director of Nursing | 2 | 0 | 2 | 985 | 66 | 73% | 7.9 |
| Clinical Nurse Specialist | 1 | 2 | 3 | 584 | 59 | 65% | 8 |
| Administrator | 0 | 1 | 1 | 520 | 65 | 71% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 515 | 66 | 73% | 7.8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 509 | 63 | 69% | 8.1 |
| Physical Therapy Assistant | 0 | 2 | 2 | 498 | 67 | 74% | 7.4 |
| Dental Services Staff | 1 | 0 | 1 | 496 | 62 | 68% | 8 |
| Dietitian | 1 | 0 | 1 | 432 | 54 | 59% | 8 |
| Occupational Therapy Aide | 0 | 2 | 2 | 83 | 12 | 13% | 6.9 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 28 | 6 | 7% | 4.7 |
| Medical Director | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
| Other Social Services Staff | 0 | 1 | 1 | 4 | 1 | 1% | 4 |
| Qualified Social Worker | 0 | 1 | 1 | 4 | 3 | 3% | 1.2 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
60Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
4.9
26% better than California averageCalifornia average: 6.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
4.2
63% better than California averageCalifornia average: 11.3
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
6.1%
45% better than California averageCalifornia average: 11.1%
Percent of long-stay residents whose ability to move independently worsened
4.0%
66% better than California averageCalifornia average: 12.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
2.5%
78% better than California averageCalifornia average: 11.3%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than California averageCalifornia average: 1.7%
Percent of long-stay high risk residents with pressure ulcers
4.4%
11% better than California averageCalifornia average: 5.0%
Percent of long-stay residents with a urinary tract infection
2.3%
81% worse than California averageCalifornia average: 1.2%
Percent of long-stay residents who lose too much weight
9.9%
136% worse than California averageCalifornia average: 4.2%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than California averageCalifornia average: 6.7%
Percent of long-stay residents who received an antipsychotic medication
2.5%
75% better than California averageCalifornia average: 10.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with California averageCalifornia average: 98.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with California averageCalifornia average: 98.2%
Number of hospitalizations per 1,000 long-stay resident days.
1.53
32% better than California averageCalifornia average: 2.25
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.76
52% better than California averageCalifornia average: 1.59
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
6% better than California averageCalifornia average: 94.0%
Percent of short-stay residents who newly received an antipsychotic medication
3.6%
151% worse than California averageCalifornia average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
7% better than California averageCalifornia average: 93.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
24.3%
5% worse than California averageCalifornia average: 23.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
6.8%
39% better than California averageCalifornia average: 11.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.8%
In line with California averageCalifornia average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
57.8%
8% better than California averageCalifornia average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
39.5%
22% worse than California averageCalifornia average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
30% lower than California averageCalifornia average: $55K
15% fewer fines than California averageCalifornia average: 2.4
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than California averageCalifornia average: 0.5
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Apr 19, 2025 · $9K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 19, 2025Last updated: Jan 2026
| Villa Gardens Health Center |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Pasadena (East Villa Street) | 340 | 5.6% | -93% | 5.18 | -22% | +23% | 0 | 38 | 7.6 | 0 | 44 | A+ | 79 | Rushforth, Shaun | $32.0M | $11.0M | 34.4% | 555429 | ||||
| Foothill Heights Care Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Pasadena (North Central) | 49 | 86.1% | +2% | 3.97 | -12% | -6% | 2 | 49 | 3.1 | 0 | 44 | A+ | 69 | Foothill Heights Care Center Llc | $10.1M | $3.1M | 31.1% | 555894 | ||||
| Two Palms Care Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Pasadena (Pasadena Council District 4) | 112 | 0.0% | -100% | - | - | - | 0 | 38 | 5.4 | 0 | 21 | A+ | 49 | Choy, Estrella | $5.7M | $2.8M | 49.9% | 55464 | ||||
| Brighton Care Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Pasadena (North Central) | 99 | 82.9% | -2% | 4.17 | -37% | -1% | 0 | 63 | 3.5 | 1 | 89 | - | 62 | Rodriquez, Rachel | $14.8M | $5.0M | 33.7% | 555338 | ||||
| Pasadena Nursing Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Pasadena (North Central) | 108 | 77.8% | -8% | 4.14 | -8% | -2% | 2 | 85 | 4.3 | 4 | 59 | - | 64 | Gardena Retirement Center, Inc. | $8.9M | $3.8M | 42.6% | 555213 |
Historical financial and operational data for Pasadena Nursing Center based on CMS SNF Cost Reports.
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