The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited July 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: E
Nursing home report
SOUTH PASADENA CARE CENTER
SOUTH PASADENA, CA · Medicare-certified · 156 beds
Needs attention
For-profit
Data as of September 1, 2026
1 of 5 overall
South Pasadena Care Center has a 1 out of 5 overall rating, with a 1-star health inspection rating and an attention flag for the lowest overall rating. Staffing is 3 stars, reported nurse staffing is 4.28 hours per resident per day versus the 4.1 federal benchmark, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.2827 hrs/resident/day
Quality measures
Last inspection: July 9, 2026Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.2827.
Staffing detail
- Registered nurses
- 0.34
- Licensed practical nurses
- 1.09
- Nurse aides
- 2.86
- Weekend nursing
- 3.91
Hours per resident per day.
Total staff turnover: 38%
Registered nurse turnover: 42%
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).
Long-stay residents on antipsychotic medication
21.1%24.2%Worsening
Residents with a fall causing major injury
1.4%1.4%No change
Residents with pressure ulcers (bedsores)
8.4%7.2%Improving
Residents with a urinary tract infection
5%1.7%Improving
Residents who lost too much weight
2.5%5.2%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
25.2%29.9%Worsening
Residents whose ability to walk got worse
23.9%15.3%Improving
Long-stay residents on antianxiety or sleep medication
12.3%7.1%Improving
Short-stay residents newly given an antipsychotic
6.5%0%Improving
Residents with a long-term catheter
2.5%0%Improving
Residents with new or worsening incontinence
4.4%0.8%Improving
Residents with depressive symptoms
12.1%23.2%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
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—98.9%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: E
The home failed to keep residents’ personal and medical records private and confidential. Cited September 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 583 — 42 CFR §483.10 — S/S: E
The nursing home failed to reasonably accommodate each resident’s needs and preferences. Cited July 2025 — limited pattern, potential for harm.
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F-Tag 558 — 42 CFR §483.10 — S/S: E
The home failed to ensure IV fluids were given safely and appropriately when needed. Cited July 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 694 — 42 CFR §483.25 — 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 2 health deficiencies.
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 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Occupancy
- 148.5 residents on an average day (95% of 156 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 8 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.