California › Los Angeles County › Pasadena
Gem Tcu
716 South Fair Oaks Ave, Pasadena, CA 91105
Ownership changed in last 12 months
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Gem Tcu, in Pasadena, California, is certified for 75 beds under for-profit, limited liability company ownership.
CMS gives it 1 of 5 stars overall, below the California median of 3; the health inspection rating is 1, staffing 2 and quality measures 2.
Inspectors recorded 87 health deficiencies across the three most recent survey cycles (21, 42, 24 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 116.0 per 100 beds, more than the state median of 51.1.
CMS lists 1 penalty in the period covered: fines totalling $28K.
Reported nurse staffing is 4.5 hours per resident per day (0.5 RN), close to the California median of 4.2; nursing staff turnover is 59.7%.
CMS flags that the facility changed ownership in the last 12 months.
87health deficiencies, 3 survey cycles2 at actual harm or worse
$28Kfines listed by CMS1 penalty in period
4.5nurse hours per resident per daystate median 4.2
88%occupancy (residents ÷ beds)66 residents a day
Compared with county, state and nation
| Measure | This facility | Los Angeles Co. median | California median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 87 | 61 | 44 | 28.7 |
| Citations per 100 beds | 116.0 | 69.1 | 51.1 | 26.8 |
| Total nurse hours per resident day | 4.5 | 4.3 | 4.2 | 3.9 |
| RN hours per resident day | 0.5 | 0.4 | 0.5 | 0.7 |
| Nursing staff turnover | 59.7% | 34.4% | 36.4% | 45.8% |
| Fines listed | $27,808 | $12,831 | $0 | — |
County and state figures are medians across facilities (369 in the county, 1165 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 19 Nov 2025, 1 Nov 2024.
Severity mix: J ×1 G ×1 D ×55 E ×27 B ×3
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 6 May 2026 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Complaint investigation | 29 May 2026 |
| 5 May 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 29 May 2026 |
| 5 May 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 29 May 2026 |
| 17 Dec 2025 | F0693 | 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. | D | Complaint investigation | 15 Jan 2026 |
| 19 Nov 2025 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | E | Standard survey | 12 Dec 2025 |
| 19 Nov 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 12 Dec 2025 |
| 19 Nov 2025 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | E | Standard survey | 12 Dec 2025 |
| 19 Nov 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 12 Dec 2025 |
| 19 Nov 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 12 Dec 2025 |
| 19 Nov 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 12 Dec 2025 |
| 19 Nov 2025 | F0571 | Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid. | D | Complaint investigation | 12 Dec 2025 |
| 19 Nov 2025 | F0584 | 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. | D | Standard survey | 12 Dec 2025 |
| 19 Nov 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 12 Dec 2025 |
| 19 Nov 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 12 Dec 2025 |
| 19 Nov 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 12 Dec 2025 |
| 19 Nov 2025 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 12 Dec 2025 |
| 19 Nov 2025 | F0814 | Dispose of garbage and refuse properly. | D | Standard survey | 12 Dec 2025 |
| 19 Nov 2025 | F0908 | Keep all essential equipment working safely. | D | Standard survey | 12 Dec 2025 |
| 19 Nov 2025 | F0732 | Post nurse staffing information every day. | B | Standard survey | 12 Dec 2025 |
| 19 Nov 2025 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Standard survey | 12 Dec 2025 |
| 5 Aug 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 8 Aug 2025 |
| 17 May 2025 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Complaint investigation | 12 Jun 2025 |
| 16 May 2025 | F0742 | 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. | J | Complaint investigation | 11 Jun 2025 |
| 16 May 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 11 Jun 2025 |
| 8 May 2025 | F0881 | Implement a program that monitors antibiotic use. | E | Complaint investigation | 11 May 2025 |
| 8 May 2025 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | E | Complaint investigation | 11 May 2025 |
| 7 May 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 11 May 2025 |
| 3 May 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 11 May 2025 |
| 3 May 2025 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Complaint investigation | 11 May 2025 |
| 28 Apr 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 9 May 2025 |
| 28 Apr 2025 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Complaint investigation | 9 May 2025 |
| 1 Apr 2025 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | E | Complaint investigation | 25 Apr 2025 |
| 1 Apr 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 25 Apr 2025 |
| 1 Apr 2025 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Complaint investigation | 25 Apr 2025 |
| 20 Mar 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 8 Apr 2025 |
| 25 Feb 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 21 Mar 2025 |
| 25 Feb 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 21 Mar 2025 |
| 29 Jan 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 20 Feb 2025 |
| 13 Jan 2025 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Complaint investigation | 31 Jan 2025 |
| 13 Jan 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 31 Jan 2025 |
| 13 Jan 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 31 Jan 2025 |
| 7 Jan 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 1 Feb 2025 |
| 1 Nov 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Standard survey | 1 Dec 2024 |
| 1 Nov 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 1 Dec 2024 |
| 1 Nov 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 1 Dec 2024 |
| 1 Nov 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 1 Dec 2024 |
| 1 Nov 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 1 Dec 2024 |
| 1 Nov 2024 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 1 Dec 2024 |
| 1 Nov 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 1 Dec 2024 |
| 1 Nov 2024 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 1 Dec 2024 |
| 1 Nov 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 1 Dec 2024 |
| 1 Nov 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 1 Dec 2024 |
| 1 Nov 2024 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Standard survey | 1 Dec 2024 |
| 1 Nov 2024 | F0732 | Post nurse staffing information every day. | B | Standard survey | 1 Dec 2024 |
| 25 Sep 2024 | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | E | Complaint investigation | 18 Oct 2024 |
| 25 Sep 2024 | F0688 | 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. | D | Complaint investigation | 18 Oct 2024 |
| 25 Sep 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 18 Oct 2024 |
| 23 Sep 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 4 Oct 2024 |
| 23 Sep 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 4 Oct 2024 |
| 18 Sep 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 2 Oct 2024 |
| 28 Aug 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Complaint investigation | 19 Sep 2024 |
| 28 Aug 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 19 Sep 2024 |
| 21 Aug 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 30 Aug 2024 |
| 24 Jul 2024 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | Complaint investigation | 6 Aug 2024 |
| 24 Jul 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Complaint investigation | 6 Aug 2024 |
| 7 May 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 29 May 2024 |
| 5 Jan 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 15 Jan 2024 |
| 5 Jan 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 15 Jan 2024 |
| 26 Oct 2023 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | E | Standard survey | 10 Nov 2023 |
| 26 Oct 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 10 Nov 2023 |
| 26 Oct 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Standard survey | 10 Nov 2023 |
| 26 Oct 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 10 Nov 2023 |
| 26 Oct 2023 | F0761 | 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. | E | Standard survey | 10 Nov 2023 |
| 26 Oct 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 10 Nov 2023 |
| 26 Oct 2023 | F0814 | Dispose of garbage and refuse properly. | E | Standard survey | 10 Nov 2023 |
| 26 Oct 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 10 Nov 2023 |
| 26 Oct 2023 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 10 Nov 2023 |
| 26 Oct 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 10 Nov 2023 |
| 26 Oct 2023 | F0584 | 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. | D | Standard survey | 10 Nov 2023 |
| 26 Oct 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 10 Nov 2023 |
| 26 Oct 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 10 Nov 2023 |
| 26 Oct 2023 | F0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | D | Standard survey | 10 Nov 2023 |
| 26 Oct 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 10 Nov 2023 |
| 26 Oct 2023 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 10 Nov 2023 |
| 26 Oct 2023 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | 10 Nov 2023 |
| 5 Oct 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 31 Oct 2023 |
| 8 Aug 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 1 Sep 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 16 May 2025 | Fine | $27,808 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 59.7%, RNs 50.0%; 2 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | California median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 19.1% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.1% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.5% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.4% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.8% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 9.8% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.0% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 21.1% | 9.1% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. CMS groups this facility with 18 facilities under an individual owner's name; this site does not publish people's names, so no chain page is linked. Legal business name: Pasadena Palace Tcu Llc.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Abak Consulting LLC | Adp of the snf | NOT APPLICABLE | 08/01/2025 |
| Am Holdco, LLC | Adp of the snf | NOT APPLICABLE | 05/20/2025 |
| Fair Oaks Propco LLC | Adp of the snf | NOT APPLICABLE | 05/20/2025 |
| Lighthouse United Partners LLC | Adp of the snf | NOT APPLICABLE | 05/20/2025 |
| Mcp 1 LLC | Adp of the snf | NOT APPLICABLE | 05/20/2025 |
| Mgaz Consulting LLC | Adp of the snf | NOT APPLICABLE | 08/01/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Los Angeles County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Alcott Rehabilitation Hospital | Los Angeles | 121 | 5 | 4 | 4 | 42 | 34.7 | $9K | 23 Dec 2025 |
| Alden Terrace Convalescent Hospital | Los Angeles | 210 | 5 | 4 | 4 | 35 | 16.7 | — | 20 Nov 2025 |
| Angels Nursing Health Center | Los Angeles | 49 | 5 | 4 | 4 | 37 | 75.5 | $72K | 11 Jun 2026 |
| Ararat Post Acute | Glendale | 28 | 5 | 4 | 5 | 30 | 107.1 | $42K | 23 Jan 2026 |
| Atherton Baptist Home | Alhambra | 113 | 5 | 4 | 4 | 28 | 24.8 | — | 16 Jan 2026 |
| Atlantic Memorial Healthcare Center | Long Beach | 104 | 5 | 5 | 4 | 25 | 24.0 | — | 16 Jun 2026 |
| Beachside Post Acute | Torrance | 110 | 5 | 4 | 4 | 31 | 28.2 | — | 19 Dec 2025 |
| Beacon Healthcare Center | West Covina | 54 | 5 | 4 | 3 | 32 | 59.3 | — | 14 May 2026 |
All 369 facilities in Los Angeles County
Questions and answers
How many deficiencies has Gem Tcu been cited for?
87 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.
Has Gem Tcu been fined?
Yes. CMS lists fines totalling $28K in the period covered.
How does staffing at Gem Tcu compare?
Reported total nurse staffing is 4.5 hours per resident per day against a California median of 4.2 and a national average of 3.9.
Who operates Gem Tcu?
CMS groups it with other facilities under an individual owner, whose name this site does not publish. Ownership type is for-profit, limited liability company. Individual owners and managers are not listed on this site.
When was Gem Tcu last inspected?
The most recent survey or investigation in the CMS record is dated 6 May 2026; the most recent standard health survey was 19 Nov 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.