The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Legacy Care Of Pasadena
Registered name: PASADENA NURSING CENTER
PASADENA, CA · Medicare-certified · 52 beds
Needs attention
Abuse citationFor-profit
Data as of July 1, 2026
2 of 5 overall
Legacy Care Of Pasadena has a 2 out of 5 overall rating, with 2-star health inspection and staffing scores but 4-star quality measures. It has a recent abuse citation, no fines in the last 24 months, and reported nurse staffing is 4.73 hours per resident day versus the 4.1-hour federal benchmark.
Facility ratings
Health inspections
Staffing
4.7252 hrs/resident/day
Quality measures
Last inspection: May 12, 2026Penalties, last 24 months: $0recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.7252.
Staffing detail
- Registered nurses
- 0.28
- Licensed practical nurses
- 1.51
- Nurse aides
- 2.93
- Weekend nursing
- 4.26
Hours per resident per day.
Total staff turnover: 61%
Registered nurse turnover: 83%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Residents with a fall causing major injury
5.1%2%Improving
Residents with pressure ulcers (bedsores)
6.5%0%Improving
Residents with a urinary tract infection
0%8.8%Worsening
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
20%31.9%Worsening
Residents whose ability to walk got worse
11.6%10.2%Improving
Long-stay residents on antianxiety or sleep medication
30.6%56.2%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
2.5%2.4%No change
Residents with depressive symptoms
8.7%27.9%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—98%—
Long-stay residents given the pneumonia vaccine
100%94%Worsening
Short-stay residents given the seasonal flu vaccine
—98.1%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited April 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 578 — 42 CFR §483.10 — S/S: E
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited April 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited April 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 803 — 42 CFR §483.60 — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited April 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 13 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 3 fines · $23,160 in total fines.
- $4,938
Federal fine
Jan 8, 2024
- $4,587
Federal fine
Jan 2, 2024
- $13,635
Federal fine
Dec 11, 2023
Operator & ownership
Recent ownership change · Oct 1, 2020
Now operated by Pasadena Nursing Center, previously Legacy Healthcare Center.
- Ownership
- For profit - Limited Liability company
- Occupancy
- 49.3 residents on an average day (95% of 52 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 11 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.