Nursing HomeInspections

Gem Tcu

Nursing home in Pasadena, CA

Medicare & Medicaid certified1★ overall (CMS)

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Public-record details

Address
716 South Fair Oaks Ave, Pasadena, CA 91105
Phone
(626) 737-0560
Listed under
For-profit
Medicare CCN
055341
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
2 of 5
Quality measures rating
3 of 5
Certified beds
75
Average residents per day
66
Ownership
For-profit, limited Liability company
Legal business name
Pasadena Palace Tcu LLC
Chain
Abraham Bak & Menachem Gastwirth (19 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Apr 1, 1972
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident and family councils
Sprinklers in all required areas
Yes

CMS certification number 055341. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Nov 19, 2025. CMS lists 88 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 5, 2023 to Jul 18, 2026): 45 from complaint inspections, 2 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Jul 18, 2026Honor each resident's preferences, choices, values and beliefs.
Quality of Life and Care · complaint inspection
E
Potential for more than minimal harm, pattern
Jul 15, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
May 6, 2026Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental · complaint inspection
E
Potential for more than minimal harm, pattern
May 5, 2026Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated
May 5, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Dec 17, 2025Ensure 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.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Nov 19, 2025Post nurse staffing information every day.
Nursing and Physician Services
B
Potential for minimal harm, pattern
Nov 19, 2025Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental
B
Potential for minimal harm, pattern
Nov 19, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights
D
Potential for more than minimal harm, isolated
Nov 19, 2025Reasonably accommodate the needs and preferences of each resident.
Resident Rights
D
Potential for more than minimal harm, isolated
Nov 19, 2025Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Nov 19, 2025Honor 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.
Resident Rights
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 88. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $27,808 in the last three years.

May 16, 2025Fine: $27,808

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.50 hours
Registered nurse (RN) time per resident per day
0.59 hours
Nurse aide time per resident per day
2.61 hours
Total nurse staffing on weekends
3.97 hours
Nursing staff turnover (yearly)
65%
RN turnover (yearly)
50%
Administrators who left in the past year
3

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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