Golden Rose Care Center
1899 N Raymond Ave · Pasadena, CA · 91103 · 6267972120
99 certified beds For profit - Corporation
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $30,765 in fines in the last 24 months.
- Staffing hours comfortably above national benchmarks.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
3 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 4.58 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.76 | 0.55–0.75 |
| Weekend hours / resident-day | 4.30 | ≈ weekday level |
| Nursing turnover / year | 50% | median 45% |
| Fines (3-yr window) | 22 · $175,941 |
Inspection citations (132 in the current record)
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Potential for harm · D April 29, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Deficient, Provider has no plan of correction · Resident Assessment and Care Planning
-
Potential for harm · D March 23, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 16, 2026 · Quality of Life and Care
-
Potential for harm · D February 20, 2026 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 16, 2026 · Quality of Life and Care
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Potential for harm · D February 20, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected March 16, 2026 · Infection Control
-
Potential for harm · D November 25, 2025 · found via complaint
Provide routine and 24-hour emergency dental care for each resident.
Corrected December 10, 2025 · Quality of Life and Care
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Potential for harm · E November 17, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 19, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D September 11, 2025 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected September 29, 2025 · Resident Rights
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Potential for harm · D August 19, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 21, 2025 · Quality of Life and Care
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Potential for harm · D August 19, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 21, 2025 · Quality of Life and Care
-
Potential for harm · E July 18, 2025 · found via complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected July 23, 2025 · Environmental
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Potential for harm · E June 5, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected June 26, 2025 · Resident Rights
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Potential for harm · D June 5, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected June 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 5, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 5, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected June 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 5, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected June 26, 2025 · Quality of Life and Care
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Potential for harm · D June 5, 2025
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.
Corrected June 26, 2025 · Quality of Life and Care
-
Potential for harm · E June 5, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected June 26, 2025 · Quality of Life and Care
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Potential for harm · D June 5, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected June 26, 2025 · Quality of Life and Care
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Potential for harm · D June 5, 2025
Provide care or services that was trauma informed and/or culturally competent.
Corrected June 26, 2025 · Quality of Life and Care
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Potential for harm · D June 5, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected June 26, 2025 · Pharmacy Service
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Potential for harm · D June 5, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected June 26, 2025 · Pharmacy Service
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Potential for harm · D June 5, 2025
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected June 26, 2025 · Nutrition and Dietary
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Potential for harm · E June 5, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 26, 2025 · Nutrition and Dietary
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Potential for harm · E June 5, 2025
Dispose of garbage and refuse properly.
Corrected June 26, 2025 · Nutrition and Dietary
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Potential for harm · D June 5, 2025
Implement a program that monitors antibiotic use.
Corrected June 26, 2025 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 26, 2024 | Fine | $12,529 |
| October 20, 2024 | Fine | $18,236 |
| February 20, 2024 | Fine | $4,938 |
| February 8, 2024 | Fine | $29,097 |
| February 8, 2024 | Payment Denial | 11 days |
| January 22, 2024 | Fine | $14,814 |
| January 8, 2024 | Fine | $4,938 |
| January 2, 2024 | Fine | $4,587 |
| December 11, 2023 | Fine | $13,762 |
| November 20, 2023 | Fine | $4,587 |
| November 13, 2023 | Fine | $4,587 |
| November 6, 2023 | Fine | $4,587 |
| October 17, 2023 | Fine | $4,587 |
| October 10, 2023 | Fine | $4,587 |
| October 2, 2023 | Fine | $4,587 |
| September 25, 2023 | Fine | $4,587 |
| September 18, 2023 | Fine | $4,587 |
| September 11, 2023 | Fine | $4,587 |
| September 5, 2023 | Fine | $4,587 |
| August 28, 2023 | Fine | $4,587 |
| August 21, 2023 | Fine | $4,587 |
| August 14, 2023 | Fine | $4,587 |
| July 17, 2023 | Fine | $13,409 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 055862 · certified since December 15, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.