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GOLDEN ROSE CARE CENTER

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GOLDEN ROSE CARE CENTER is a for profit - corporation facility in PASADENA, CA with 99 certified beds and a 1-star overall CMS rating. The facility has 50 deficiency records on file. Total penalties: $176K.

1899 N RAYMOND AVE, PASADENA, CA 91103

Phone: 6267972120

Overall Rating

1/5

Health Inspection

1/5

Staffing

2/5

Quality Measures

2/5

Long-Stay Quality

3/5

Facility Information

Provider Number
055862
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
99
Residents
86
In Hospital
No
County
Los Angeles
Last Inspection
Jun 5, 2025
Special Focus
SFF Candidate

Staffing Data

RN Hours
0.73 (nat'l avg: 0.68)
LPN Hours
1.26
CNA Hours
2.62
Total Nursing Hours
4.61 (nat'l avg: 3.89)
PT Hours
0.08
Nursing Turnover
61.8%
RN Turnover
68.2%

What the CMS Record Reveals About GOLDEN ROSE CARE CENTER

GOLDEN ROSE CARE CENTER operates 99 certified beds in PASADENA, CA with approximately 86 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (1★), staffing levels (2★), and quality measures (2★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 50 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 22 penalties totaling $176K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 4.61 total nursing hours per resident day (national average 3.89), with RN coverage at 0.73 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature. This facility is currently designated "SFF Candidate" under the CMS Special Focus Facility program, reserved for providers with a persistent pattern of serious quality problems.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, GOLDEN ROSE CARE CENTER falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 61.8%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (50 most recent)

D — Isolated - Minimal harm Nov 25, 2025 Tag: 0790

Provide routine and 24-hour emergency dental care for each resident.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 10, 2025

E — Pattern - Minimal harm Nov 17, 2025 Tag: 0656

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 19, 2025

D — Isolated - Minimal harm Sep 11, 2025 Tag: 0627

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

Category: Resident Rights Deficiencies

Corrected: Sep 29, 2025

D — Isolated - Minimal harm Aug 19, 2025 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Aug 21, 2025

D — Isolated - Minimal harm Aug 19, 2025 Tag: 0677

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

Category: Quality of Life and Care Deficiencies

Corrected: Aug 21, 2025

E — Pattern - Minimal harm Jul 18, 2025 Tag: 0919

Make sure that a working call system is available in each resident's bathroom and bathing area.

Category: Environmental Deficiencies

Corrected: Jul 23, 2025

E — Pattern - Minimal harm Jun 5, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jun 26, 2025

D — Isolated - Minimal harm Jun 5, 2025 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Jun 26, 2025

E — Pattern - Minimal harm Jun 5, 2025 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Jun 26, 2025

D — Isolated - Minimal harm Jun 5, 2025 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Jun 26, 2025

D — Isolated - Minimal harm Jun 5, 2025 Tag: 0677

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

Category: Quality of Life and Care Deficiencies

Corrected: Jun 26, 2025

E — Pattern - Minimal harm Jun 5, 2025 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Jun 26, 2025

E — Pattern - Minimal harm Jun 5, 2025 Tag: 0550

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

Category: Resident Rights Deficiencies

Corrected: Jun 26, 2025

D — Isolated - Minimal harm Jun 5, 2025 Tag: 0919

Make sure that a working call system is available in each resident's bathroom and bathing area.

Category: Environmental Deficiencies

Corrected: Jun 26, 2025

D — Isolated - Minimal harm Jun 5, 2025 Tag: 0881

Implement a program that monitors antibiotic use.

Category: Infection Control Deficiencies

Corrected: Jun 26, 2025

E — Pattern - Minimal harm Jun 5, 2025 Tag: 0814

Dispose of garbage and refuse properly.

Category: Nutrition and Dietary Deficiencies

Corrected: Jun 26, 2025

E — Pattern - Minimal harm Jun 5, 2025 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Jun 26, 2025

D — Isolated - Minimal harm Jun 5, 2025 Tag: 0806

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

Category: Nutrition and Dietary Deficiencies

Corrected: Jun 26, 2025

D — Isolated - Minimal harm Jun 5, 2025 Tag: 0757

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

Category: Pharmacy Service Deficiencies

Corrected: Jun 26, 2025

D — Isolated - Minimal harm Jun 5, 2025 Tag: 0756

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

Category: Pharmacy Service Deficiencies

Corrected: Jun 26, 2025

B — Pattern - No harm Jun 5, 2025 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Jun 26, 2025

D — Isolated - Minimal harm Jun 5, 2025 Tag: 0699

Provide care or services that was trauma informed and/or culturally competent.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 26, 2025

D — Isolated - Minimal harm Jun 5, 2025 Tag: 0698

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 26, 2025

E — Pattern - Minimal harm Jun 5, 2025 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 26, 2025

D — Isolated - Minimal harm Jun 5, 2025 Tag: 0688

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.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 26, 2025

D — Isolated - Minimal harm Jun 5, 2025 Tag: 0686

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

Category: Quality of Life and Care Deficiencies

Corrected: Jun 26, 2025

D — Isolated - Minimal harm Jun 5, 2025 Tag: 0657

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 26, 2025

D — Isolated - Minimal harm Jun 5, 2025 Tag: 0656

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 26, 2025

D — Isolated - Minimal harm Jun 5, 2025 Tag: 0645

PASARR screening for Mental disorders or Intellectual Disabilities

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 26, 2025

E — Pattern - Minimal harm Jun 5, 2025 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Jun 26, 2025

D — Isolated - Minimal harm May 27, 2025 Tag: 0842

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 2, 2025

D — Isolated - Minimal harm May 16, 2025 Tag: 0578

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.

Category: Resident Rights Deficiencies

Corrected: Jun 11, 2025

E — Pattern - Minimal harm May 5, 2025 Tag: 0609

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 16, 2025

D — Isolated - Minimal harm May 2, 2025 Tag: 0919

Make sure that a working call system is available in each resident's bathroom and bathing area.

Category: Environmental Deficiencies

Corrected: May 15, 2025

D — Isolated - Minimal harm Apr 16, 2025 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: May 5, 2025

D — Isolated - Minimal harm Apr 16, 2025 Tag: 0806

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

Category: Nutrition and Dietary Deficiencies

Corrected: May 5, 2025

E — Pattern - Minimal harm Apr 16, 2025 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: May 5, 2025

E — Pattern - Minimal harm Apr 16, 2025 Tag: 0583

Keep residents' personal and medical records private and confidential.

Category: Resident Rights Deficiencies

Corrected: May 5, 2025

D — Isolated - Minimal harm Apr 16, 2025 Tag: 0550

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

Category: Resident Rights Deficiencies

Corrected: May 5, 2025

E — Pattern - Minimal harm Mar 13, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 4, 2025

D — Isolated - Minimal harm Mar 11, 2025 Tag: 0842

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 1, 2025

D — Isolated - Minimal harm Mar 11, 2025 Tag: 0578

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.

Category: Resident Rights Deficiencies

Corrected: Apr 1, 2025

D — Isolated - Minimal harm Dec 30, 2024 Tag: 0656

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 17, 2025

D — Isolated - Minimal harm Dec 24, 2024 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Jan 17, 2025

D — Isolated - Minimal harm Dec 24, 2024 Tag: 0756

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

Category: Pharmacy Service Deficiencies

Corrected: Jan 17, 2025

E — Pattern - Minimal harm Dec 24, 2024 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Jan 17, 2025

E — Pattern - Minimal harm Dec 12, 2024 Tag: 0686

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

Category: Quality of Life and Care Deficiencies

Corrected: Dec 23, 2024

D — Isolated - Minimal harm Dec 7, 2024 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Dec 23, 2024

D — Isolated - Minimal harm Dec 7, 2024 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Dec 23, 2024

E — Pattern - Minimal harm Nov 26, 2024 Tag: 0656

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 20, 2024

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 14.1% Yes
Percentage of long-stay residents who lose too much weight Long Stay 5.3% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.9% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.5% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 12.1% No
Percentage of long-stay residents who were physically restrained Long Stay 0.7% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 1.6% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 97.7% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 94.7% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 20.3% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 16.2% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 97.7% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 87.0% No
Percentage of long-stay residents with pressure ulcers Long Stay 5.8% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 10.2% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 24.6% Yes

Penalty History 22 penalties totaling $176K

Date Type Amount
Nov 26, 2024 Fine $13K
Oct 20, 2024 Fine $18K
Feb 20, 2024 Fine $5K
Feb 8, 2024 Fine $29K
Feb 8, 2024 Payment Denial -
Jan 22, 2024 Fine $15K
Jan 8, 2024 Fine $5K
Jan 2, 2024 Fine $5K
Dec 11, 2023 Fine $14K
Nov 20, 2023 Fine $5K
Nov 13, 2023 Fine $5K
Nov 6, 2023 Fine $5K
Oct 17, 2023 Fine $5K
Oct 10, 2023 Fine $5K
Oct 2, 2023 Fine $5K
Sep 25, 2023 Fine $5K
Sep 18, 2023 Fine $5K
Sep 11, 2023 Fine $5K
Sep 5, 2023 Fine $5K
Aug 28, 2023 Fine $5K
Aug 21, 2023 Fine $5K
Aug 14, 2023 Fine $5K
Jul 17, 2023 Fine $13K

Frequently Asked Questions

What is the overall CMS rating for GOLDEN ROSE CARE CENTER?
GOLDEN ROSE CARE CENTER has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (2★), and quality measures (2★).
What are the staffing levels at GOLDEN ROSE CARE CENTER?
GOLDEN ROSE CARE CENTER reports 4.61 total nursing hours per resident day (national average: 3.89). RN hours are 0.73 per resident day (national average: 0.68). Nursing staff turnover is 61.8%.
How many beds does GOLDEN ROSE CARE CENTER have?
GOLDEN ROSE CARE CENTER has 99 certified beds with approximately 86 residents. The facility is located at 1899 N RAYMOND AVE, PASADENA, CA 91103.
Does GOLDEN ROSE CARE CENTER have any deficiencies on record?
Yes, GOLDEN ROSE CARE CENTER has 50 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has GOLDEN ROSE CARE CENTER received any fines or penalties?
Yes, GOLDEN ROSE CARE CENTER has received 22 penalties totaling $176K.
Who owns GOLDEN ROSE CARE CENTER?
GOLDEN ROSE CARE CENTER is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was GOLDEN ROSE CARE CENTER last inspected?
The most recent health inspection for GOLDEN ROSE CARE CENTER was on Jun 5, 2025. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for GOLDEN ROSE CARE CENTER?
GOLDEN ROSE CARE CENTER is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial