Camellia Gardens Care Center

1920 N. Fair Oaks Avenue · Pasadena, CA · 91103 · 6267986777

80 certified beds For profit - Limited Liability company

Why this verdict

  • Staffing levels are well below research benchmarks for safe care.
  • Inspection results have improved across recent cycles.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 47
Serious harm & abuse 20% 100
Staffing 20% 20
Federal penalties 15% 82
Trend 10% 78
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.48 min · 4.1 strong
RN hours / resident-day0.55–0.75
Weekend hours / resident-day≈ weekday level
Nursing turnover / yearmedian 45%
Fines (3-yr window)1 · $1,747

Inspection citations (59 in the current record)

  • Potential for harm · D April 23, 2026

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Corrected April 27, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 23, 2026

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

    Corrected April 27, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E April 23, 2026

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected May 15, 2026 · Quality of Life and Care

  • Potential for harm · D April 23, 2026

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

    Corrected April 27, 2026 · Quality of Life and Care

  • Potential for harm · D April 23, 2026

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

    Corrected April 29, 2026 · Pharmacy Service

  • Potential for harm · D April 23, 2026

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected April 27, 2026 · Pharmacy Service

  • Potential for harm · E April 23, 2026

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

    Corrected April 22, 2026 · Nutrition and Dietary

  • Potential for harm · D April 23, 2026

    Provide and implement an infection prevention and control program.

    Corrected April 23, 2026 · Infection Control

  • Potential for harm · D March 4, 2026 · found via complaint

    Reasonably accommodate the needs and preferences of each resident.

    Corrected March 27, 2026 · Resident Rights

  • Potential for harm · D March 4, 2026 · found via complaint

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

    Corrected March 27, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D February 27, 2026 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected March 19, 2026 · Quality of Life and Care

  • Potential for harm · D February 4, 2026 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected February 23, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D December 26, 2025 · found via complaint

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    Corrected January 19, 2026 · Resident Rights

  • Potential for harm · D December 2, 2025 · found via complaint

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected December 23, 2025 · Environmental

  • Potential for harm · D May 13, 2025 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected May 29, 2025 · Quality of Life and Care

  • Potential for harm · D April 11, 2025 · found via complaint

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    Corrected April 14, 2025 · Quality of Life and Care

  • Potential for harm · D March 26, 2025 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected March 29, 2025 · Quality of Life and Care

  • Potential for harm · D March 7, 2025

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

    Corrected March 29, 2025 · Resident Rights

  • Potential for harm · D March 7, 2025

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected March 28, 2025 · Resident Rights

  • Potential for harm · D March 7, 2025

    Keep residents' personal and medical records private and confidential.

    Corrected March 28, 2025 · Resident Rights

  • Potential for harm · E March 7, 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.

    Corrected March 28, 2025 · Resident Rights

  • Potential for harm · E March 7, 2025

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Corrected March 28, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E March 7, 2025

    Ensure each resident receives an accurate assessment.

    Corrected March 28, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D March 7, 2025

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

    Corrected March 28, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E March 7, 2025

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected March 28, 2025 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
September 25, 2023Fine$1,747

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 056316 · certified since July 1, 1974. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.