Nursing Home Alerts

Golden Rose Care Center

1899 N Raymond Ave, Pasadena, CA 91103

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Golden Rose Care Center is a nursing home in Pasadena, California. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

CMS star ratings

Facts from CMS

Phone
(626) 797-2120
Last standard health inspection
July 10, 2026 (4 months ago)
Certified beds
99
Residents per day, on average
80.5
Ownership type
For profit - Limited Liability company
Legal business name
Rg Legacy I, LLC
Chain
Not listed by CMS
Takes part in
Medicare and Medicaid

More health citations than the California average (149 vs 50).

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

  1. CMS update of October 28, 2026

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 3 of 5.

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 4 of 5.

  2. CMS update of October 8, 2026

    • Special Focus Facility

      CMS now lists this home as a Special Focus Facility candidate.

  3. 3 citations

    Health inspection on August 14, 2026

    CMS lists this as a complaint inspection.

    • Citation F0558. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Reasonably accommodate the needs and preferences of each resident.

      CMS lists it as corrected on September 6, 2026.

      CMS has cited this home for F0558 5 times since 2024.

    • Citation F0684. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on September 6, 2026.

      CMS has cited this home for F0684 7 times since 2024.

    • Citation F0686. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      CMS lists it as corrected on September 6, 2026.

      CMS has cited this home for F0686 7 times since 2024.

    See this home on CMS Care Compare

  4. 1 citation

    Health inspection on July 30, 2026

    CMS lists this as a complaint inspection.

    • Citation F0689. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on August 13, 2026.

      CMS has cited this home for F0689 8 times since 2024.

    See this home on CMS Care Compare

  5. 26 citations

    Health inspection on July 10, 2026

    CMS lists this as a standard inspection.

    • Citation F0686. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      CMS lists it as corrected on August 3, 2026.

    • Citation F0698. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide safe, appropriate dialysis care/services for a resident who requires such services.

      CMS lists it as corrected on August 3, 2026.

      CMS has cited this home for F0698 2 times since 2025.

    • Citation F0759. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure medication error rates are not 5 percent or greater.

      CMS lists it as corrected on August 3, 2026.

      CMS has cited this home for F0759 3 times since 2024.

    • Citation F0761. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS lists it as corrected on August 3, 2026.

      CMS has cited this home for F0761 3 times since 2024.

    • Citation F0803. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS lists it as corrected on August 3, 2026.

    • Citation F0804. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

      CMS lists it as corrected on August 3, 2026.

    • Citation F0812. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      CMS lists it as corrected on August 3, 2026.

      CMS has cited this home for F0812 4 times since 2024.

    • Citation F0813. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have a policy regarding use and storage of foods brought to residents by family and other visitors.

      CMS lists it as corrected on August 3, 2026.

      CMS has cited this home for F0813 2 times since 2024.

    • Citation F0880. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on August 3, 2026.

      CMS has cited this home for F0880 6 times since 2024.

    • Citation F0550. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

      CMS lists it as corrected on August 3, 2026.

      CMS has cited this home for F0550 5 times since 2024.

    • Citation F0558. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Reasonably accommodate the needs and preferences of each resident.

      CMS lists it as corrected on August 3, 2026.

    • Citation F0582. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

      CMS lists it as corrected on August 3, 2026.

    • Citation F0583. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Keep residents' personal and medical records private and confidential.

      CMS lists it as corrected on August 3, 2026.

      CMS has cited this home for F0583 2 times since 2025.

    • Citation F0584. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on August 3, 2026.

      CMS has cited this home for F0584 2 times since 2025.

    • Citation F0604. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

      CMS lists it as corrected on August 3, 2026.

      CMS has cited this home for F0604 2 times since 2024.

    • Citation F0641. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident receives an accurate assessment.

      CMS lists it as corrected on August 3, 2026.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on August 3, 2026.

      CMS has cited this home for F0656 7 times since 2024.

    • Citation F0657. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

      CMS lists it as corrected on August 3, 2026.

      CMS has cited this home for F0657 3 times since 2024.

    • Citation F0658. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure services provided by the nursing facility meet professional standards of quality.

      CMS lists it as corrected on August 3, 2026.

      CMS has cited this home for F0658 2 times since 2024.

    • Citation F0677. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.

      CMS lists it as corrected on August 3, 2026.

      CMS has cited this home for F0677 5 times since 2024.

    • Citation F0684. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on August 3, 2026.

    • Citation F0689. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on August 3, 2026.

    • Citation F0726. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

      CMS lists it as corrected on August 3, 2026.

    • Citation F0755. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on August 3, 2026.

      CMS has cited this home for F0755 10 times since 2023.

    • Citation F0842. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

      CMS lists it as corrected on August 3, 2026.

      CMS has cited this home for F0842 8 times since 2023.

    • Citation F0919. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Make sure that a working call system is available in each resident's bathroom and bathing area.

      CMS lists it as corrected on August 3, 2026.

      CMS has cited this home for F0919 4 times since 2025.

    See this home on CMS Care Compare

  6. 4 citations

    Fire safety inspection on July 10, 2026

    CMS lists this as a standard inspection.

    • Citation K0355. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Properly select, install, inspect, or maintain portable fire extinguishes.

      CMS lists it as corrected on July 20, 2026.

    • Citation K0712. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have simulated fire drills held at unexpected times.

      CMS lists it as corrected on July 24, 2026.

    • Citation K0353. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on July 24, 2026.

      CMS has cited this home for K0353 3 times since 2024.

    • Citation K0920. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure proper usage of power strips and extension cords.

      CMS lists it as corrected on July 24, 2026.

      CMS has cited this home for K0920 2 times since 2024.

    See this home on CMS Care Compare

  7. 2 citations

    Health inspection on June 24, 2026

    CMS lists this as a complaint inspection.

    • Citation F0686. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      CMS lists it as corrected on June 30, 2026.

    • Citation F0755. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on June 30, 2026.

    See this home on CMS Care Compare

  8. CMS update of May 27, 2026

    • Special Focus Facility

      CMS no longer lists this home as a Special Focus Facility candidate.

  9. 1 citation

    Health inspection on April 29, 2026

    CMS lists this as a complaint inspection.

    • Citation F0842. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

      CMS lists it as corrected on May 22, 2026.

    See this home on CMS Care Compare

  10. CMS update of April 29, 2026

    • Star rating

      The CMS quality measures star rating changed from 2 of 5 to 3 of 5.

  11. CMS update of March 25, 2026

    • Special Focus Facility

      CMS now lists this home as a Special Focus Facility candidate.

  12. 1 citation

    Health inspection on March 23, 2026

    CMS lists this as a complaint inspection.

    • Citation F0684. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on April 16, 2026.

    See this home on CMS Care Compare

  13. CMS update of February 25, 2026

    • Star rating

      The CMS staffing star rating changed from 1 of 5 to 2 of 5.

  14. 2 citations

    Health inspection on February 20, 2026

    CMS lists this as a complaint inspection.

    • Citation F0686. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      CMS lists it as corrected on March 16, 2026.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on March 16, 2026.

    See this home on CMS Care Compare

  15. CMS update of January 14, 2026

    • Special Focus Facility

      CMS no longer lists this home as a Special Focus Facility candidate.

    • CMS abuse icon

      CMS removed its abuse icon from this home.

  16. 1 citation

    Health inspection on November 25, 2025

    CMS lists this as a complaint inspection.

    • Citation F0790. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide routine and 24-hour emergency dental care for each resident.

      CMS lists it as corrected on December 10, 2025.

    See this home on CMS Care Compare

  17. CMS update of November 20, 2025

    • Star rating

      The CMS quality measures star rating changed from 1 of 5 to 2 of 5.

  18. 1 citation

    Health inspection on November 17, 2025

    CMS lists this as a complaint inspection.

    • Citation F0656. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on November 19, 2025.

    See this home on CMS Care Compare

  19. 1 citation

    Health inspection on September 11, 2025

    CMS lists this as a complaint inspection.

    • Citation F0627. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

      CMS lists it as corrected on September 29, 2025.

    See this home on CMS Care Compare

  20. 2 citations

    Health inspection on August 19, 2025

    CMS lists this as a complaint inspection.

    • Citation F0677. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.

      CMS lists it as corrected on August 21, 2025.

    • Citation F0684. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on August 21, 2025.

    See this home on CMS Care Compare

  21. CMS update of July 30, 2025

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 1 of 5.

    • Star rating

      The CMS quality measures star rating changed from 2 of 5 to 1 of 5.

  22. 1 citation

    Health inspection on July 18, 2025

    CMS lists this as a complaint inspection.

    • Citation F0919. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Make sure that a working call system is available in each resident's bathroom and bathing area.

      CMS lists it as corrected on July 23, 2025.

    See this home on CMS Care Compare

  23. 24 citations

    Health inspection on June 5, 2025

    CMS lists this as a standard inspection and a complaint inspection.

    • Citation F0550. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

      CMS lists it as corrected on June 26, 2025.

    • Citation F0558. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Reasonably accommodate the needs and preferences of each resident.

      CMS lists it as corrected on June 26, 2025.

    • Citation F0584. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS lists it as corrected on June 26, 2025.

    • Citation F0692. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide enough food/fluids to maintain a resident's health.

      CMS lists it as corrected on June 26, 2025.

    • Citation F0755. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on June 26, 2025.

    • Citation F0812. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      CMS lists it as corrected on June 26, 2025.

    • Citation F0814. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Dispose of garbage and refuse properly.

      CMS lists it as corrected on June 26, 2025.

    • Citation F0880. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on June 26, 2025.

    • Citation F0645. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: PASARR screening for Mental disorders or Intellectual Disabilities

      CMS lists it as corrected on June 26, 2025.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on June 26, 2025.

    • Citation F0657. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

      CMS lists it as corrected on June 26, 2025.

    • Citation F0677. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.

      CMS lists it as corrected on June 26, 2025.

    • Citation F0684. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on June 26, 2025.

    • Citation F0686. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      CMS lists it as corrected on June 26, 2025.

    • Citation F0688. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on June 26, 2025.

      CMS has cited this home for F0688 2 times since 2024.

    • Citation F0698. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe, appropriate dialysis care/services for a resident who requires such services.

      CMS lists it as corrected on June 26, 2025.

    • Citation F0699. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide care or services that was trauma informed and/or culturally competent.

      CMS lists it as corrected on June 26, 2025.

      CMS has cited this home for F0699 2 times since 2024.

    • Citation F0756. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

      CMS lists it as corrected on June 26, 2025.

      CMS has cited this home for F0756 4 times since 2024.

    • Citation F0757. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident’s drug regimen must be free from unnecessary drugs.

      CMS lists it as corrected on June 26, 2025.

    • Citation F0759. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure medication error rates are not 5 percent or greater.

      CMS lists it as corrected on June 26, 2025.

    • Citation F0806. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

      CMS lists it as corrected on June 26, 2025.

      CMS has cited this home for F0806 2 times since 2025.

    • Citation F0881. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Implement a program that monitors antibiotic use.

      CMS lists it as corrected on June 26, 2025.

    • Citation F0919. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Make sure that a working call system is available in each resident's bathroom and bathing area.

      CMS lists it as corrected on June 26, 2025.

    • Citation F0732. Severity B: potential for minimal harm, pattern.

      The rule CMS cited: Post nurse staffing information every day.

      CMS lists it as corrected on June 26, 2025.

    See this home on CMS Care Compare

  24. 3 citations

    Fire safety inspection on June 5, 2025

    CMS lists this as a standard inspection.

    • Citation K0351. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Install an approved automatic sprinkler system.

      CMS lists it as corrected on June 30, 2025.

    • Citation K0353. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on June 30, 2025.

    • Citation K0511. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Have properly installed electrical wiring and gas equipment.

      CMS lists it as corrected on June 30, 2025.

      CMS has cited this home for K0511 2 times since 2024.

    See this home on CMS Care Compare

  25. 1 citation

    Health inspection on May 27, 2025

    CMS lists this as a complaint inspection.

    • Citation F0842. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

      CMS lists it as corrected on June 2, 2025.

    See this home on CMS Care Compare

  26. 1 citation

    Health inspection on May 16, 2025

    CMS lists this as a complaint inspection.

    • Citation F0578. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on June 11, 2025.

      CMS has cited this home for F0578 2 times since 2025.

    See this home on CMS Care Compare

  27. 1 citation

    Health inspection on May 5, 2025

    CMS lists this as a complaint inspection.

    • Citation F0609. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      CMS lists it as corrected on May 16, 2025.

      CMS has cited this home for F0609 2 times since 2024.

    See this home on CMS Care Compare

  28. 1 citation

    Health inspection on May 2, 2025

    CMS lists this as a complaint inspection.

    • Citation F0919. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Make sure that a working call system is available in each resident's bathroom and bathing area.

      CMS lists it as corrected on May 15, 2025.

    See this home on CMS Care Compare

  29. CMS update of April 30, 2025

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 2 of 5.

    • Special Focus Facility

      CMS now lists this home as a Special Focus Facility candidate.

  30. 5 citations

    Health inspection on April 16, 2025

    CMS lists this as a complaint inspection.

    • Citation F0583. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Keep residents' personal and medical records private and confidential.

      CMS lists it as corrected on May 5, 2025.

    • Citation F0755. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on May 5, 2025.

    • Citation F0550. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

      CMS lists it as corrected on May 5, 2025.

    • Citation F0806. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

      CMS lists it as corrected on May 5, 2025.

    • Citation F0812. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      CMS lists it as corrected on May 5, 2025.

    See this home on CMS Care Compare

  31. CMS update of March 26, 2025

    • Special Focus Facility

      CMS no longer lists this home as a Special Focus Facility candidate.

  32. 1 citation

    Health inspection on March 13, 2025

    CMS lists this as a complaint inspection.

    • Citation F0689. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on April 4, 2025.

    See this home on CMS Care Compare

  33. 2 citations

    Health inspection on March 11, 2025

    CMS lists this as a complaint inspection.

    • Citation F0578. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on April 1, 2025.

    • Citation F0842. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

      CMS lists it as corrected on April 1, 2025.

    See this home on CMS Care Compare

  34. CMS update of February 26, 2025

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 1 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS staffing star rating changed from 3 of 5 to 2 of 5.

    • Star rating

      The CMS quality measures star rating changed from 5 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.

    • Special Focus Facility

      CMS now lists this home as a Special Focus Facility candidate.

  35. 1 citation

    Health inspection on December 30, 2024

    CMS lists this as a complaint inspection.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on January 17, 2025.

    See this home on CMS Care Compare

  36. 3 citations

    Health inspection on December 24, 2024

    CMS lists this as a complaint inspection.

    • Citation F0684. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on January 17, 2025.

    • Citation F0756. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

      CMS lists it as corrected on January 17, 2025.

    • Citation F0758. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on January 17, 2025.

      CMS has cited this home for F0758 2 times since 2024.

    See this home on CMS Care Compare

  37. 1 citation

    Health inspection on December 12, 2024

    CMS lists this as a complaint inspection.

    • Citation F0686. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      CMS lists it as corrected on December 23, 2024.

    See this home on CMS Care Compare

  38. 2 citations

    Health inspection on December 7, 2024

    CMS lists this as a complaint inspection.

    • Citation F0755. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on December 23, 2024.

    • Citation F0761. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on December 23, 2024.

    See this home on CMS Care Compare

  39. 2 citations

    Health inspection on November 26, 2024

    CMS lists this as a complaint inspection.

    Severity G is the second-highest of CMS's four levels. It means a resident was harmed.

    256 of 1,165 California homes (22%) got a citation at the actual harm level in 2024.

    • Citation F0600. Severity G: actual harm, isolated.

      The rule CMS cited: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

      CMS lists it as corrected on July 20, 2024.

      CMS has cited this home for F0600 5 times since 2024.

    • Citation F0656. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on December 20, 2024.

    See this home on CMS Care Compare

  40. Fine

    November 26, 2024 (1 year ago)

    CMS fine of $12,529 on November 26, 2024.

    See this home on CMS Care Compare

  41. 1 citation

    Health inspection on November 18, 2024

    CMS lists this as a complaint inspection.

    • Citation F0883. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement policies and procedures for flu and pneumonia vaccinations.

      CMS lists it as corrected on November 22, 2024.

      CMS has cited this home for F0883 2 times since 2024.

    See this home on CMS Care Compare

  42. 2 citations

    Health inspection on October 30, 2024

    CMS lists this as a complaint inspection.

    • Citation F0600. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

      CMS lists it as corrected on November 17, 2024.

    • Citation F0689. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on November 17, 2024.

    See this home on CMS Care Compare

  43. CMS update of October 30, 2024

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 3 of 5.

    • Fine

      CMS changed the fine from August 12, 2022 from $71,458 to $72,877.

  44. 2 citations

    Health inspection on October 25, 2024

    CMS lists this as a complaint inspection.

    • Citation F0550. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

      CMS lists it as corrected on October 28, 2024.

    • Citation F0842. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

      CMS lists it as corrected on October 28, 2024.

    See this home on CMS Care Compare

  45. 2 citations

    Health inspection on October 20, 2024

    CMS lists this as a complaint inspection.

    Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.

    105 of 1,165 California homes (9%) got a citation at the immediate jeopardy level in 2024.

    • Citation F0695. Severity J: immediate jeopardy, isolated.

      The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.

      CMS lists it as corrected on October 27, 2024.

      CMS has cited this home for F0695 2 times since 2024.

    • Citation F0755. Severity J: immediate jeopardy, isolated.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on October 27, 2024.

    See this home on CMS Care Compare

  46. Fine

    October 20, 2024 (2 years ago)

    CMS fine of $18,236 on October 20, 2024.

    See this home on CMS Care Compare

  47. 1 citation

    Health inspection on October 8, 2024

    CMS lists this as a complaint inspection.

    • Citation F0689. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on October 9, 2024.

    See this home on CMS Care Compare

  48. 2 citations

    Health inspection on September 27, 2024

    CMS lists this as a complaint inspection.

    • Citation F0600. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

      CMS lists it as corrected on October 18, 2024.

    • Citation F0740. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

      CMS lists it as corrected on October 18, 2024.

      CMS has cited this home for F0740 2 times since 2024.

    See this home on CMS Care Compare

  49. CMS update of September 26, 2024

    • Fine

      CMS changed the fine from January 22, 2024 from $14,678 to $14,813.

    • Fine

      CMS changed the fine from February 8, 2024 from $28,607 to $29,096.

    • Fine

      CMS changed the fine from February 12, 2024 from $4,893 to $4,938.

    • Fine

      CMS changed the fine from February 20, 2024 from $4,893 to $4,938.

  50. 1 citation

    Health inspection on September 13, 2024

    CMS lists this as a complaint inspection.

    • Citation F0755. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on September 27, 2024.

    See this home on CMS Care Compare

  51. 1 citation

    Health inspection on August 29, 2024

    CMS lists this as a complaint inspection.

    • Citation F0689. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on September 20, 2024.

    See this home on CMS Care Compare

  52. CMS update of August 29, 2024

    • Fine

      CMS changed the fine from January 8, 2024 from $4,893 to $4,938.

  53. 2 citations

    Health inspection on August 24, 2024

    CMS lists this as a complaint inspection.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on September 16, 2024.

    • Citation F0697. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe, appropriate pain management for a resident who requires such services.

      CMS lists it as corrected on September 16, 2024.

    See this home on CMS Care Compare

  54. 3 citations

    Health inspection on August 7, 2024

    CMS lists this as a complaint inspection.

    • Citation F0688. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS lists it as corrected on August 21, 2024.

    • Citation F0607. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement policies and procedures to prevent abuse, neglect, and theft.

      CMS lists it as corrected on August 21, 2024.

    • Citation F0609. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      CMS lists it as corrected on August 21, 2024.

    See this home on CMS Care Compare

  55. 2 citations

    Health inspection on August 2, 2024

    CMS lists this as a complaint inspection.

    • Citation F0658. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure services provided by the nursing facility meet professional standards of quality.

      CMS lists it as corrected on August 22, 2024.

    • Citation F0880. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on August 22, 2024.

    See this home on CMS Care Compare

  56. 1 citation

    Health inspection on August 1, 2024

    CMS lists this as a complaint inspection.

    • Citation F0686. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      CMS lists it as corrected on August 20, 2024.

    See this home on CMS Care Compare

  57. 1 citation

    Health inspection on July 31, 2024

    CMS lists this as a complaint inspection.

    • Citation F0558. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Reasonably accommodate the needs and preferences of each resident.

      CMS lists it as corrected on August 19, 2024.

    See this home on CMS Care Compare

  58. CMS update of July 31, 2024

    • Star rating

      The CMS staffing star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.

    • CMS abuse icon

      CMS added its abuse icon to this home.

    • Fine

      CMS changed the fine from August 12, 2022 from $109,935 to $71,458.

    • Fine

      CMS changed the fine from December 11, 2023 from $13,636 to $13,762.

    • Fine

      CMS changed the fine from January 2, 2024 from $4,545 to $4,587.

  59. 2 citations

    Health inspection on July 24, 2024

    CMS lists this as a complaint inspection.

    • Citation F0740. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

      CMS lists it as corrected on August 13, 2024.

    • Citation F0842. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

      CMS lists it as corrected on August 13, 2024.

    See this home on CMS Care Compare

  60. 24 citations

    Health inspection on July 11, 2024

    CMS lists this as a standard inspection and a complaint inspection.

    • Citation F0600. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

      CMS lists it as corrected on August 2, 2024.

    • Citation F0690. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

      CMS lists it as corrected on August 2, 2024.

    • Citation F0695. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.

      CMS lists it as corrected on August 2, 2024.

    • Citation F0755. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on August 2, 2024.

    • Citation F0759. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure medication error rates are not 5 percent or greater.

      CMS lists it as corrected on August 2, 2024.

    • Citation F0761. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS lists it as corrected on August 2, 2024.

    • Citation F0812. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      CMS lists it as corrected on August 2, 2024.

    • Citation F0813. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have a policy regarding use and storage of foods brought to residents by family and other visitors.

      CMS lists it as corrected on August 2, 2024.

    • Citation F0550. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

      CMS lists it as corrected on August 2, 2024.

    • Citation F0558. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Reasonably accommodate the needs and preferences of each resident.

      CMS lists it as corrected on August 2, 2024.

    • Citation F0604. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

      CMS lists it as corrected on August 2, 2024.

    • Citation F0610. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Respond appropriately to all alleged violations.

      CMS lists it as corrected on August 2, 2024.

    • Citation F0640. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

      CMS lists it as corrected on August 2, 2024.

    • Citation F0655. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

      CMS lists it as corrected on August 2, 2024.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on August 2, 2024.

    • Citation F0657. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

      CMS lists it as corrected on August 2, 2024.

    • Citation F0677. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.

      CMS lists it as corrected on August 2, 2024.

    • Citation F0684. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on August 2, 2024.

    • Citation F0693. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on August 2, 2024.

    • Citation F0699. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide care or services that was trauma informed and/or culturally competent.

      CMS lists it as corrected on August 2, 2024.

    • Citation F0756. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

      CMS lists it as corrected on August 2, 2024.

    • Citation F0760. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that residents are free from significant medication errors.

      CMS lists it as corrected on August 2, 2024.

    • Citation F0883. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement policies and procedures for flu and pneumonia vaccinations.

      CMS lists it as corrected on August 2, 2024.

    • Citation F0925. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

      CMS lists it as corrected on August 2, 2024.

    See this home on CMS Care Compare

  61. 5 citations

    Fire safety inspection on July 11, 2024

    CMS lists this as a standard inspection.

    • Citation K0321. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

      CMS lists it as corrected on August 1, 2024.

    • Citation K0325. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Have properly installed hallway dispensers for alcohol-based hand rub.

      CMS lists it as corrected on August 1, 2024.

    • Citation K0353. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on August 1, 2024.

    • Citation K0511. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Have properly installed electrical wiring and gas equipment.

      CMS lists it as corrected on August 1, 2024.

    • Citation K0920. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure proper usage of power strips and extension cords.

      CMS lists it as corrected on August 1, 2024.

    See this home on CMS Care Compare

  62. CMS update of June 26, 2024

    • Fine

      CMS changed the fine from November 6, 2023 from $4,545 to $4,587.

    • Fine

      CMS changed the fine from November 13, 2023 from $4,545 to $4,587.

    • Fine

      CMS changed the fine from November 20, 2023 from $4,545 to $4,587.

  63. 1 citation

    Health inspection on June 7, 2024

    CMS lists this as a complaint inspection.

    • Citation F0880. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on July 7, 2024.

    See this home on CMS Care Compare

  64. 1 citation

    Health inspection on May 30, 2024

    CMS lists this as a complaint inspection.

    • Citation F0689. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on June 30, 2024.

    See this home on CMS Care Compare

  65. CMS update of May 29, 2024

    • Fine

      CMS changed the fine from October 10, 2023 from $4,545 to $4,587.

    • Fine

      CMS changed the fine from October 17, 2023 from $4,545 to $4,587.

    • Fine

      CMS changed the fine from October 23, 2023 from $4,545 to $4,587.

    • Fine

      CMS changed the fine from October 30, 2023 from $4,545 to $4,587.

  66. 1 citation

    Health inspection on May 14, 2024

    CMS lists this as a complaint inspection.

    • Citation F0600. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

      CMS lists it as corrected on June 12, 2024.

    See this home on CMS Care Compare

  67. 1 citation

    Health inspection on May 13, 2024

    CMS lists this as a complaint inspection.

    • Citation F0677. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.

      CMS lists it as corrected on June 11, 2024.

    See this home on CMS Care Compare

  68. CMS update of April 25, 2024

    • Star rating

      The CMS overall star rating changed from 1 of 5 to 2 of 5.

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to 5 of 5.

    • Fine

      CMS changed the fine from August 14, 2023 from $4,545 to $4,587.

    • Fine

      CMS changed the fine from August 21, 2023 from $4,545 to $4,587.

    • Fine

      CMS changed the fine from September 25, 2023 from $4,545 to $4,587.

    • Fine

      CMS changed the fine from October 2, 2023 from $4,545 to $4,587.

  69. CMS update of March 28, 2024

    • Fine

      CMS changed the fine from July 17, 2023 from $13,287 to $13,410.

    • Fine

      CMS changed the fine from August 7, 2023 from $4,545 to $4,587.

    • Fine

      CMS changed the fine from August 28, 2023 from $4,545 to $4,587.

    • Fine

      CMS changed the fine from September 5, 2023 from $4,545 to $4,587.

    • Fine

      CMS changed the fine from September 11, 2023 from $4,545 to $4,587.

    • Fine

      CMS changed the fine from September 18, 2023 from $4,545 to $4,587.

  70. Payment stopped

    March 9, 2024 (2 years ago)

    CMS stopped payment for new admissions from March 9, 2024, for 11 days.

    See this home on CMS Care Compare

  71. 2 citations

    Health inspection on February 24, 2024

    CMS lists this as a complaint inspection.

    • Citation F0756. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

      CMS lists it as corrected on March 20, 2024.

    • Citation F0758. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS lists it as corrected on March 20, 2024.

    See this home on CMS Care Compare

  72. 1 citation

    Health inspection on February 23, 2024

    CMS lists this as a complaint inspection.

    • Citation F0689. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on March 20, 2024.

    See this home on CMS Care Compare

  73. Fine

    February 20, 2024 (2 years ago)

    CMS fine of $4,938 on February 20, 2024.

    See this home on CMS Care Compare

  74. 1 citation

    Health inspection on February 8, 2024

    CMS lists this as a complaint inspection.

    Severity K is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.

    105 of 1,165 California homes (9%) got a citation at the immediate jeopardy level in 2024.

    • Citation F0880. Severity K: immediate jeopardy, pattern.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on March 5, 2024.

    See this home on CMS Care Compare

  75. Fine

    February 8, 2024 (2 years ago)

    CMS fine of $29,097 on February 8, 2024.

    See this home on CMS Care Compare

  76. CMS update of January 31, 2024

    • Star rating

      The CMS health inspection star rating changed from 2 of 5 to 1 of 5.

    • Name

      CMS lists a new legal business name for this home.

    • Staffing

      Total nurse staffing reported to CMS went from 3.7 to 3.3 hours per resident per day.

  77. Fine

    January 22, 2024 (2 years ago)

    CMS fine of $14,814 on January 22, 2024.

    See this home on CMS Care Compare

  78. Fine

    January 8, 2024 (2 years ago)

    CMS fine of $4,938 on January 8, 2024.

    See this home on CMS Care Compare

  79. Fine

    January 2, 2024 (2 years ago)

    CMS fine of $4,587 on January 2, 2024.

    See this home on CMS Care Compare

  80. 1 citation

    Health inspection on December 29, 2023

    CMS lists this as a complaint inspection.

    • Citation F0842. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

      CMS lists it as corrected on January 29, 2024.

    See this home on CMS Care Compare

  81. 3 citations

    Health inspection on December 28, 2023

    CMS lists this as a complaint inspection.

    • Citation F0755. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on January 28, 2024.

    • Citation F0552. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that residents are fully informed and understand their health status, care and treatments.

      CMS lists it as corrected on January 28, 2024.

    • Citation F0580. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

      CMS lists it as corrected on January 28, 2024.

    See this home on CMS Care Compare

  82. Fine

    December 11, 2023 (2 years ago)

    CMS fine of $13,762 on December 11, 2023.

    See this home on CMS Care Compare

  83. Fine

    November 20, 2023 (2 years ago)

    CMS fine of $4,587 on November 20, 2023.

    See this home on CMS Care Compare

  84. Fine

    November 13, 2023 (2 years ago)

    CMS fine of $4,587 on November 13, 2023.

    See this home on CMS Care Compare

  85. Fine

    November 6, 2023 (3 years ago)

    CMS fine of $4,587 on November 6, 2023.

    See this home on CMS Care Compare

  86. 2 citations

    Health inspection on November 3, 2023

    CMS lists this as a complaint inspection.

    • Citation F0755. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on December 3, 2023.

    • Citation F0842. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

      CMS lists it as corrected on December 3, 2023.

    See this home on CMS Care Compare

  87. 1 citation

    Health inspection on October 19, 2023

    CMS lists this as a complaint inspection.

    • Citation F0826. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor.

      CMS lists it as corrected on November 17, 2023.

    See this home on CMS Care Compare

  88. Fine

    October 17, 2023 (3 years ago)

    CMS fine of $4,587 on October 17, 2023.

    See this home on CMS Care Compare

Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

Questions

When was Golden Rose Care Center last inspected?

CMS lists July 10, 2026 as the date of its most recent standard health inspection.

How many citations (violations) does Golden Rose Care Center have?

CMS lists 149 health citations since October 19, 2023. CMS also calls these deficiencies.

Has Golden Rose Care Center been fined?

CMS lists 12 fines in the past three years, $121,249 in total.

What is the CMS star rating of Golden Rose Care Center?

Its CMS overall star rating is 1 of 5.

Is Golden Rose Care Center a Special Focus Facility?

Yes. CMS lists it as a Special Focus Facility candidate.

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