South Pasadena Care Center
904 Mission St · South Pasadena, CA · 91030 · 6263990358
156 certified beds For profit - Limited Liability company
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
Red flags
RN staffing in the bottom 10% nationally
0.27 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
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: 3 of 5
| Total nurse hours / resident-day | 4.27 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.27 | 0.55–0.75 |
| Weekend hours / resident-day | 3.93 | ≈ weekday level |
| Nursing turnover / year | 35% | median 45% |
| Fines (3-yr window) | 2 · $4,587 |
Inspection citations (73 in the current record)
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Potential for harm · D March 10, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 26, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 25, 2026 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected March 10, 2026 · Resident Rights
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Potential for harm · D February 25, 2026 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 10, 2026 · Quality of Life and Care
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Potential for harm · E January 14, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 4, 2026 · Quality of Life and Care
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Potential for harm · D November 25, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 4, 2025 · Quality of Life and Care
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Potential for harm · E September 2, 2025 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected September 26, 2025 · Resident Rights
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Potential for harm · D September 2, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 26, 2025 · Quality of Life and Care
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Potential for harm · D August 27, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected September 16, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 4, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected August 25, 2025 · Pharmacy Service
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Potential for harm · D August 4, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected August 25, 2025 · Pharmacy Service
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Potential for harm · D July 24, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected August 14, 2025 · Resident Rights
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Potential for harm · E July 24, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected August 13, 2025 · Resident Rights
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Potential for harm · D July 24, 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 August 13, 2025 · Resident Rights
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Potential for harm · D July 24, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected August 13, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 24, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 13, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 24, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 18, 2025 · Quality of Life and Care
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Potential for harm · D July 24, 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.
Corrected August 18, 2025 · Quality of Life and Care
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Potential for harm · E July 24, 2025
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected August 18, 2025 · Quality of Life and Care
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Potential for harm · D July 24, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected August 18, 2025 · Quality of Life and Care
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Potential for harm · D July 24, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected August 18, 2025 · Pharmacy Service
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Potential for harm · D July 24, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected August 18, 2025 · Pharmacy Service
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Potential for harm · D July 24, 2025
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.
Corrected August 18, 2025 · Pharmacy Service
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Potential for harm · E July 24, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 11, 2025 · Nutrition and Dietary
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Potential for harm · E July 24, 2025
Dispose of garbage and refuse properly.
Corrected August 11, 2025 · Nutrition and Dietary
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Potential for harm · D July 24, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected August 18, 2025 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 26, 2023 | Fine | $2,470 |
| June 20, 2023 | Fine | $2,117 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555908 · certified since March 13, 2018. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.