| South Pasadena Care Center | |
| 904 Mission St, South Pasadena, California 91030 | |
| (626) 399-0358 | |
| Name | South Pasadena Care Center |
|---|---|
| Location | 904 Mission St, South Pasadena, California |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 156 |
| Occupancy Rate | 95.19% |
| Medicare ID (CCN) | 555908 |
| Legal Business Name | South Pasadena Care Center, LLC |
| Ownership Type | For Profit - Limited Liability Company |
| NPI Number | 1134505720 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | South Pasadena Care Center, LLC |
| Doing Business As | South Pasadena Care Center |
| Address | 904 Mission St, South Pasadena, CA 91030 |
| Phone Number | 626-399-0358 |
| NPI Number | 1598656373 |
| Match | Possible same name, address or phone number |
| Organization Name | Pine Oak Post Acute LLC |
| Address | 904 Mission St, S Pasadena, CA 91030 |
| Phone Number | 213-840-5585 |
| NPI Number | 1740489459 |
| Match | Possible same name, address or phone number |
| Organization Name | South Pasadena Convalescent Inc. |
| Address | 904 Mission St, S Pasadena, CA 91030 |
| Phone Number | 626-799-9571 |
| NPI Number | 1699780064 |
| Match | Possible same name, address or phone number |
| Organization Name | South Pasadena Rehabilitation Center, LLC |
| Doing Business As | Mission Grove Healthcare & Wellness Centre |
| Address | 904 Mission St, South Pasadena, CA 91030 |
| Phone Number | 626-799-9571 |
| 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 | 4.28 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.34 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.09 | 0.86 |
| Nurse aide hours per resident per day | 2.86 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.91 | 3.42 |
| RN hours per resident per day on the weekend | 0.29 | 0.48 |
| Physical therapist hours per resident per day | 0.08 | 0.07 |
| Total nursing staff turnover | 38.4% | 45.8% |
| Registered nurse turnover | 41.7% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Jun 18, 2026 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Jul 9, 2026 |
| Jun 18, 2026 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Jul 9, 2026 |
| Mar 10, 2026 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Mar 26, 2026 |
| Feb 25, 2026 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Mar 10, 2026 |
| Feb 25, 2026 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Mar 10, 2026 |
| Jan 14, 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, pattern | Corrected by Feb 4, 2026 |
| Nov 25, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Dec 4, 2025 |
| Sep 2, 2025 | Keep residents' personal and medical records private and confidential. F0583, Resident Rights, Complaint inspection | Potential for harm, pattern | Corrected by Sep 26, 2025 |
| Sep 2, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Sep 26, 2025 |
| Aug 27, 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 Sep 16, 2025 |
| Aug 4, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Complaint inspection | Potential for harm, isolated | Corrected by Aug 25, 2025 |
| Aug 4, 2025 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Complaint inspection | Potential for harm, isolated | Corrected by Aug 25, 2025 |
| Jul 24, 2025 | Reasonably accommodate the needs and preferences of each resident. F0558, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Aug 13, 2025 |
| Jul 24, 2025 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. F0694, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Aug 18, 2025 |
| Jul 24, 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 Aug 11, 2025 |
| Jul 24, 2025 | Dispose of garbage and refuse properly. F0814, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Aug 11, 2025 |
| Jul 24, 2025 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. F0849, Administration, Standard inspection | Potential for harm, pattern | Corrected by Aug 11, 2025 |
| Jul 24, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Aug 18, 2025 |
| Jul 24, 2025 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921, Environmental, Standard inspection | Potential for harm, pattern | Corrected by Aug 11, 2025 |
| Jul 24, 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 Aug 14, 2025 |
| Jul 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. F0584, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Aug 13, 2025 |
| Jul 24, 2025 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. F0605, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Aug 13, 2025 |
| Jul 24, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Aug 13, 2025 |
| Jul 24, 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 Aug 18, 2025 |
| Jul 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. F0693, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Aug 18, 2025 |
| Jul 24, 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 Aug 18, 2025 |
| Jul 24, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Aug 18, 2025 |
| Jul 24, 2025 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Aug 18, 2025 |
| Jul 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Aug 18, 2025 |
| Jul 24, 2025 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Aug 18, 2025 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 28.6 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 4.08 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.34 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 5.47 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 18.79 | 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 | 1.2 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 4.24 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 18.17 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.58 | 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 | 98.92 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 5.66 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 3.33 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 21.62 | 15.38 |