| Gem Tcu | |
| 716 South Fair Oaks Ave, Pasadena, California 91105 | |
| (626) 737-0560 | |
| Name | Gem Tcu |
|---|---|
| Location | 716 South Fair Oaks Ave, Pasadena, California |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 75 |
| Occupancy Rate | 87.87% |
| Medicare ID (CCN) | 055341 |
| Legal Business Name | Pasadena Palace Tcu LLC |
| Ownership Type | For Profit - Limited Liability Company |
| Chain | Abraham Bak & Menachem Gastwirth (18 nursing homes) |
| Chain Average Overall Rating | 2.5 out of 5 |
| NPI Number | 1336959311 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Pasadena Palace Tcu LLC |
| Address | 716 S Fair Oaks Ave, Pasadena, CA 91105 |
| Phone Number | 626-737-0560 |
| NPI Number | 1760592190 |
| Match | Possible same name, address or phone number |
| Organization Name | Gem Healthcare, LLC |
| Doing Business As | Gem Transitional Care Center |
| Address | 716 S Fair Oaks Ave, Pasadena, CA 91105 |
| Phone Number | 626-737-0560 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 4.47 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.51 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.28 | 0.86 |
| Nurse aide hours per resident per day | 2.68 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.95 | 3.42 |
| RN hours per resident per day on the weekend | 0.36 | 0.48 |
| Physical therapist hours per resident per day | 0.12 | 0.07 |
| Total nursing staff turnover | 59.7% | 45.8% |
| Registered nurse turnover | 50% | 42.9% |
| Number of administrators who have left the nursing home | 2 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $27,808 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 1 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| May 6, 2026 | Make sure that a working call system is available in each resident's bathroom and bathing area. F0919, Environmental, Complaint inspection | Potential for harm, pattern | Corrected by May 29, 2026 |
| May 5, 2026 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by May 29, 2026 |
| May 5, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by May 29, 2026 |
| Dec 17, 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. F0693, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Jan 15, 2026 |
| Nov 19, 2025 | PASARR screening for Mental disorders or Intellectual Disabilities F0645, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Dec 12, 2025 |
| Nov 19, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Dec 12, 2025 |
| Nov 19, 2025 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. F0813, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Dec 12, 2025 |
| Nov 19, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Dec 12, 2025 |
| Nov 19, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Dec 12, 2025 |
| Nov 19, 2025 | Reasonably accommodate the needs and preferences of each resident. F0558, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Dec 12, 2025 |
| Nov 19, 2025 | Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid. F0571, Resident Rights, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Dec 12, 2025 |
| Nov 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. F0584, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Dec 12, 2025 |
| Nov 19, 2025 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Dec 12, 2025 |
| Nov 19, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Dec 12, 2025 |
| Nov 19, 2025 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Dec 12, 2025 |
| Nov 19, 2025 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. F0806, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Dec 12, 2025 |
| Nov 19, 2025 | Dispose of garbage and refuse properly. F0814, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Dec 12, 2025 |
| Nov 19, 2025 | Keep all essential equipment working safely. F0908, Environmental, Standard inspection | Potential for harm, isolated | Corrected by Dec 12, 2025 |
| Nov 19, 2025 | Post nurse staffing information every day. F0732, Nursing and Physician Services, Standard inspection | Minimal harm potential, pattern | Corrected by Dec 12, 2025 |
| Nov 19, 2025 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. F0912, Environmental, Standard inspection | Minimal harm potential, pattern | Corrected by Dec 12, 2025 |
| Aug 5, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Complaint inspection | Potential for harm, pattern | Corrected by Aug 8, 2025 |
| May 17, 2025 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. F0627, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Jun 12, 2025 |
| May 16, 2025 | 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. F0742, Quality of Life and Care, Complaint inspection | Immediate jeopardy, isolated | Corrected by Jun 11, 2025 |
| May 16, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Actual harm, isolated | Corrected by Jun 11, 2025 |
| May 8, 2025 | Implement a program that monitors antibiotic use. F0881, Infection Control, Complaint inspection | Potential for harm, pattern | Corrected by May 11, 2025 |
| May 8, 2025 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. F0882, Infection Control, Complaint inspection | Potential for harm, pattern | Corrected by May 11, 2025 |
| May 7, 2025 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by May 11, 2025 |
| May 3, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by May 11, 2025 |
| May 3, 2025 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. F0806, Nutrition and Dietary, Complaint inspection | Potential for harm, isolated | Corrected by May 11, 2025 |
| Apr 28, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by May 9, 2025 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 19.14 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 11.35 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.1 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 1.46 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 3.59 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.37 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.54 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 93.31 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.77 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 9.83 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.56 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.65 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 6.01 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 8.31 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 21.09 | 15.38 |
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