Pasadena Palace Tcu
716 South Fair Oaks Ave · Pasadena, CA · 91105 · 6267370560
75 certified beds For profit - Limited Liability company
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- 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
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 4.38 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.58 | 0.55–0.75 |
| Weekend hours / resident-day | 3.90 | ≈ weekday level |
| Nursing turnover / year | 54% | median 45% |
| Fines (3-yr window) | 1 · $27,808 |
Inspection citations (86 in the current record)
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Potential for harm · D December 17, 2025 · found via complaint
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.
Corrected January 15, 2026 · Quality of Life and Care
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Potential for harm · D November 19, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 12, 2025 · Resident Rights
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Potential for harm · D November 19, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected December 12, 2025 · Resident Rights
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Potential for harm · D November 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.
Corrected December 12, 2025 · Resident Rights
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Potential for harm · E November 19, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected December 12, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 19, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected December 12, 2025 · Quality of Life and Care
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Potential for harm · D November 19, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 12, 2025 · Quality of Life and Care
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Potential for harm · D November 19, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected December 12, 2025 · Quality of Life and Care
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Potential for harm · D November 19, 2025
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected December 12, 2025 · Nutrition and Dietary
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Potential for harm · E November 19, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 12, 2025 · Nutrition and Dietary
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Potential for harm · E November 19, 2025
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected December 12, 2025 · Nutrition and Dietary
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Potential for harm · D November 19, 2025
Dispose of garbage and refuse properly.
Corrected December 12, 2025 · Nutrition and Dietary
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Potential for harm · E November 19, 2025
Provide and implement an infection prevention and control program.
Corrected December 12, 2025 · Infection Control
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Potential for harm · D November 19, 2025
Keep all essential equipment working safely.
Corrected December 12, 2025 · Environmental
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Potential for harm · D November 19, 2025 · found via complaint
Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid.
Corrected December 12, 2025 · Resident Rights
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No harm found · B November 19, 2025
Post nurse staffing information every day.
Corrected December 12, 2025 · Nursing and Physician Services
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No harm found · B November 19, 2025
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected December 12, 2025 · Environmental
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Potential for harm · E August 5, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 8, 2025 · Nutrition and Dietary
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Potential for harm · D May 17, 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 June 12, 2025 · Resident Rights
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Immediate jeopardy · J May 16, 2025 · found via complaint
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 June 11, 2025 · Quality of Life and Care
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Actual harm · G May 16, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 11, 2025 · Quality of Life and Care
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Potential for harm · E May 8, 2025 · found via complaint
Implement a program that monitors antibiotic use.
Corrected May 11, 2025 · Infection Control
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Potential for harm · E May 8, 2025 · found via complaint
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected May 11, 2025 · Infection Control
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Potential for harm · D May 7, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected May 11, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 3, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 11, 2025 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 16, 2025 | Fine | $27,808 |
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 055341 · certified since April 1, 1972. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.