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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 158th out of 346 homes in California. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | 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 |
|
Weekend Total Nursing
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 |
|
Weekend RN
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 |
Similar to 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 rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | CA Average | vs. CA Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 27 | 10 | This facility has 170% more total citations than a typical California nursing home (27 vs. CA 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 nursing home (4 vs. CA 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.
| 23 | 4 | This facility has 475% more moderate citations (type b) than a typical California nursing home (23 vs. CA avg 4).↑ 475% worse |
|
Citations per year
Average citations per year since 2021.
| 5.4 | 2 | This facility has 170% more citations per year than a typical California nursing home (5.4 vs. CA avg 2).↑ 170% worse |
|
Citations per inspection
Average citations per inspection.
| 0.3 | 3.3 | This facility has 91% fewer citations per inspection than a typical California nursing home (0.3 vs. CA avg 3.3).↓ 91% better |
Inspections & Visits
| This Facility | CA Average | vs. CA 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 nursing home (96 vs. CA avg 16).↑ 500% worse |
|
Complaint visits
On-site visits triggered by formal complaints filed by residents, families, or staff.
| 84 | 13 | This facility has 546% more complaint visits than a typical California nursing home (84 vs. CA 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 nursing home (8 vs. CA 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. CA avg 4).— At avg |
|
Complaint investigations
On-site investigations triggered by complaints filed with California regulators.
| 67 | 10 | This facility has 570% more complaint investigations than a typical California nursing home (67 vs. CA 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 inspection reports for this facility, including detailed findings and corrective actions.
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
In line with California averageCalifornia average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
26% worse than California average
6% worse than California average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 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.
7.3 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.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,143 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 38 | 0 | 38 | 14,003 | 92 | 100% | 7.2 |
| Licensed Practical Nurse | 14 | 0 | 14 | 4,930 | 92 | 100% | 7.3 |
| Registered Nurse | 6 | 1 | 7 | 1,547 | 92 | 100% | 8.2 |
| RN Director of Nursing | 2 | 0 | 2 | 911 | 68 | 74% | 8 |
| Administrator | 1 | 1 | 2 | 552 | 66 | 72% | 8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 517 | 65 | 71% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Dietitian | 1 | 0 | 1 | 470 | 60 | 65% | 7.8 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 422 | 63 | 68% | 6.7 |
| Clinical Nurse Specialist | 1 | 2 | 3 | 388 | 45 | 49% | 8.5 |
| Physical Therapy Assistant | 0 | 2 | 2 | 385 | 68 | 74% | 5.7 |
| Dental Services Staff | 1 | 0 | 1 | 360 | 45 | 49% | 8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 91 | 13 | 14% | 7 |
| Speech Language Pathologist | 0 | 2 | 2 | 42 | 11 | 12% | 3.8 |
| Medical Director | 0 | 1 | 1 | 25 | 3 | 3% | 8.3 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 24 | 4 | 4% | 6 |
| Qualified Social Worker | 0 | 1 | 1 | 14 | 17 | 18% | 0.8 |
| Other Social Services Staff | 0 | 1 | 1 | 4 | 1 | 1% | 4 |
Includes penalties issued in 2025
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
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.
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.
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.
Historical financial and operational data for Pasadena Nursing Center based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #291 / 347Payroll — State benchmarkedThis home is ranked 291st out of 347 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents stay for extended periods and receive ongoing daily care.
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)
Add your location
Pasadena Nursing Center is located in Pasadena, California.
Here are the financial assistance programs available to residents in California.
The information below is reported by the California Department of Social Services and Department of Public Health.
| 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 | -53% | -6% | $9.4k | 49 | 3.1 | - | 44 | A+ | 69 | Foothill Heights Care Center LLC | $10.1M | $3.8M | 37.3% | 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 | - | 21 | A+ | 49 | Estrella Choy | $5.7M | $4.2M | 73.6% | 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 | -30% | -1% | $0 | 63 | 3.5 | 1 | 89 | - | 62 | Rachel Rodriquez | $14.8M | $7.9M | 53.5% | 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 | -3% | -2% | $38.2k | 85 | 4.3 | 4 | 59 | - | 64 | Gardena Retirement Center, Inc. | $8.9M | $5.0M | 56.3% | 555213 |
Pasadena Nursing Center is in the North Central neighborhood of Pasadena.
The legal owner and operator of Pasadena Nursing Center is Gardena Retirement Center, Inc..
Pasadena Nursing Center has a walk score of 64. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Pasadena Nursing Center's occupancy is 75%.
Susana Fuentes is the administrator of Pasadena Nursing Center.
Pasadena Nursing Center has 108 beds.
Pasadena Nursing Center has had 27 recently reported deficiencies.
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