Cedar Pine Post Acute
1640 N. Fair Oaks Avenue · Pasadena, CA · 91103 · 6267737969
99 certified beds For profit - Corporation Chain: Eva Care Group
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- 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.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 3 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.22 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.46 | 0.55–0.75 |
| Weekend hours / resident-day | 3.79 | ≈ weekday level |
| Nursing turnover / year | 36% | median 45% |
| Fines (3-yr window) | 1 · $9,113 |
Inspection citations (88 in the current record)
-
Potential for harm · D April 23, 2026 · found via complaint
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected May 4, 2026 · Quality of Life and Care
-
Potential for harm · E April 23, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 4, 2026 · Pharmacy Service
-
Potential for harm · D April 14, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected April 17, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E April 14, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 17, 2026 · Resident Assessment and Care Planning
-
Potential for harm · E December 23, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 19, 2026 · Pharmacy Service
-
Potential for harm · D December 19, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected January 18, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D December 9, 2025 · found via complaint
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected December 29, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D November 26, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 16, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Actual harm · G August 28, 2025 · found via complaint
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 September 15, 2025 · Quality of Life and Care
-
Potential for harm · D August 15, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 21, 2025 · Quality of Life and Care
-
Potential for harm · D July 30, 2025 · 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 August 22, 2025 · Resident Assessment and Care Planning
-
Potential for harm · E May 23, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 19, 2025 · Resident Rights
-
Potential for harm · D May 23, 2025
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.
Corrected June 19, 2025 · Resident Rights
-
Potential for harm · D May 23, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected June 19, 2025 · Resident Rights
-
Potential for harm · D May 23, 2025
Ensure each resident receives an accurate assessment.
Corrected June 19, 2025 · Resident Assessment and Care Planning
-
Potential for harm · E May 23, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 19, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D May 23, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected June 19, 2025 · Quality of Life and Care
-
Potential for harm · D May 23, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected June 19, 2025 · Pharmacy Service
-
Potential for harm · E May 23, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected June 19, 2025 · Pharmacy Service
-
Potential for harm · E May 23, 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.
Corrected June 19, 2025 · Pharmacy Service
-
Potential for harm · D May 23, 2025
Provide routine and 24-hour emergency dental care for each resident.
Corrected June 19, 2025 · Quality of Life and Care
-
Potential for harm · D May 23, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected June 19, 2025 · Nutrition and Dietary
-
Potential for harm · D May 23, 2025
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected June 19, 2025 · Nutrition and Dietary
-
Potential for harm · E May 23, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 19, 2025 · Nutrition and Dietary
-
Potential for harm · D May 23, 2025
Provide and implement an infection prevention and control program.
Corrected June 19, 2025 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 19, 2025 | Fine | $9,113 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555213 · certified since November 3, 1985. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.