Camellia Gardens Care Center

Name: Camellia Gardens Care Center
Address: 1920 N. FAIR OAKS AVENUE, Pasadena, CA, 91103, US
Telephone: 6267986777

1920 N. Fair Oaks Avenue, Pasadena, CA 91103 · Los Angeles County · 80 certified beds · avg 73 residents/day · certified since Jul 1, 1974

3/5

Health inspection rating (on-site)

Serious findings on record

$1,747

Fines, last 3 years

3.37

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (59)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Apr 23, 2026	E · Potential for harm, repeated	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Apr 23, 2026	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Apr 23, 2026	D · Potential for harm, one-off	The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function.
Apr 23, 2026	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Apr 23, 2026	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Apr 23, 2026	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Apr 23, 2026	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Apr 23, 2026	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Mar 4, 2026	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint
Mar 4, 2026	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Feb 27, 2026	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Feb 4, 2026	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Dec 26, 2025	D · Potential for harm, one-off	The facility did not make sure a transfer or discharge met the resident's needs and preferences, or did not properly prepare the resident to leave safely. · from a complaint
Dec 2, 2025	D · Potential for harm, one-off	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint
May 13, 2025	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint
Apr 11, 2025	D · Potential for harm, one-off	The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. · from a complaint
Mar 26, 2025	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Mar 7, 2025	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Mar 7, 2025	E · Potential for harm, repeated	The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment.
Mar 7, 2025	E · Potential for harm, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Mar 7, 2025	E · Potential for harm, repeated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Mar 7, 2025	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Mar 7, 2025	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Mar 7, 2025	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Mar 7, 2025	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential.
Mar 7, 2025	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Mar 7, 2025	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Mar 7, 2025	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Mar 7, 2025	D · Potential for harm, one-off	The facility did not properly inform residents or their representatives about arbitration agreements — contracts that give up the right to sue in court — including their right to refuse to sign.
Mar 7, 2025	D · Potential for harm, one-off	The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective.
Jan 24, 2025	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Jan 24, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint
Jan 24, 2025	D · Potential for harm, one-off	The facility did not provide routine dental care and 24-hour emergency dental care for residents. · from a complaint
Jan 24, 2025	D · Potential for harm, one-off	The facility did not provide or arrange specialized rehabilitation services — such as physical, occupational, or speech therapy — for residents who needed them. · from a complaint
Oct 2, 2024	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint
Aug 9, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Apr 4, 2024	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Apr 4, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Mar 1, 2024	F · Potential for harm, facility-wide	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Mar 1, 2024	E · Potential for harm, repeated	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Mar 1, 2024	E · Potential for harm, repeated	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Mar 1, 2024	E · Potential for harm, repeated	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Mar 1, 2024	E · Potential for harm, repeated	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Mar 1, 2024	E · Potential for harm, repeated	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
Mar 1, 2024	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Mar 1, 2024	E · Potential for harm, repeated	The facility did not dispose of garbage and refuse properly.
Mar 1, 2024	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Mar 1, 2024	E · Potential for harm, repeated	The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status.
Mar 1, 2024	E · Potential for harm, repeated	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Mar 1, 2024	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Mar 1, 2024	D · Potential for harm, one-off	The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment.
Mar 1, 2024	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Mar 1, 2024	D · Potential for harm, one-off	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Mar 1, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Mar 1, 2024	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Mar 1, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Mar 1, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Oct 2, 2023	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint
Aug 23, 2023	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (13 → 8).

Year	Citations	Worst severity that year
2023	2	D
2024	23	F
2025	22	E
2026	12	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

1 fine totaling $1,747.

Date	Type	Amount / length
Sep 25, 2023	Fine	$1,747

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	California avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.37	4.31	3.95	bottom 6% in California; bottom 30% in the U.S.
Registered Nurse hours	0.50	0.61	0.69	top 47% in California; bottom 38% in the U.S.
Weekend total nurse staffing	3.12	3.90	3.50	bottom 8% in California; bottom 38% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.61	0.51	0.48	top 21% in California; top 22% in the U.S.
Total nursing staff turnover (%)	0.0	36.7	45.8	—
RN turnover (%)	0.0	38.1	42.9	—

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 5.14, RN 0.76, weekend 4.77. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 1/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Bellavid Healthcare LLC	Organization	5% or Greater Direct Ownership Interest	34%	09/18/2019
Chazanow, Samuel	Individual	5% or Greater Indirect Ownership Interest	—	09/18/2019
Friedman, Bernard	Individual	5% or Greater Indirect Ownership Interest	—	09/18/2019
Highland Healthcare Management LLC	Organization	5% or Greater Direct Ownership Interest	67%	09/18/2019
Optimist Healthcare LLC	Organization	5% or Greater Indirect Ownership Interest	—	09/18/2019
R'bibo, Sarah	Individual	5% or Greater Indirect Ownership Interest	—	09/18/2019
Wellspring Healthcare Solutions LLC	Organization	5% or Greater Indirect Ownership Interest	—	09/18/2019
Balacuit, Donald	Individual	Operational/Managerial Control	NOT APPLICABLE	01/10/2000
Balacuit, Donald	Individual	ADP of the SNF	NOT APPLICABLE	01/10/2000
Chazanow, Samuel	Individual	Operational/Managerial Control	NOT APPLICABLE	09/18/2019
Chazanow, Samuel	Individual	ADP of the SNF	NOT APPLICABLE	09/18/2019
Friedman, Bernard	Individual	Operational/Managerial Control	NOT APPLICABLE	09/18/2019
Friedman, Bernard	Individual	ADP of the SNF	NOT APPLICABLE	09/18/2019
Hechanova, Rico	Individual	Operational/Managerial Control	NOT APPLICABLE	06/01/2022
Hechanova, Rico	Individual	ADP of the SNF	NOT APPLICABLE	06/01/2022
Henry Ross, LLC	Organization	ADP of the SNF	NOT APPLICABLE	03/01/1999
Rosales, Arlene	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	05/01/2026
Tanya Administrative Services, LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	02/12/2020
Tanya Administrative Services, LLC	Organization	ADP of the SNF	NOT APPLICABLE	02/12/2020

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
"How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Golden Rose Care Center	0.0 mi	Pasadena, CA	★☆☆☆☆	1/5	SFF
Brighton Care Center	0.1 mi	Pasadena, CA	★★☆☆☆	2/5
Saint Vincent Healthcare	0.1 mi	Pasadena, CA	★★★☆☆	4/5
Cedar Pine Post Acute	0.3 mi	Pasadena, CA	★★☆☆☆	1/5	abuse
Pasadena Nursing Center	0.4 mi	Pasadena, CA	★★☆☆☆	2/5	abuse
Foothill Heights Care Center	0.5 mi	Pasadena, CA	★★★☆☆	3/5
Pasadena Grove Health Center	0.5 mi	Pasadena, CA	★★☆☆☆	2/5
Villa Gardens Health Care Unit	2.0 mi	Pasadena, CA	★★★★★	3/5
Pasadena Park Healthcare and Wellness Center	2.9 mi	Pasadena, CA	★★☆☆☆	3/5
Gem Tcu	3.1 mi	Pasadena, CA	★☆☆☆☆	1/5
The Californian Pasadena Healthcare	3.3 mi	Pasadena, CA	★★★☆☆	3/5
The Bellefontaine Healthcare Center	3.3 mi	Pasadena, CA	★★★☆☆	2/5

Compare this facility with the 3 closest →

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Facility data as of CMS processing date 2026-08-01. CCN 056316.

The Care File

Visit checklist — Camellia Gardens Care Center

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

Health inspection rating 3/5 · CMS overall 2/5· Fines (3y): $1,747

Questions for the administrator:

☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
☐ "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 056316 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)