SNF

CAMELLIA GARDENS CARE CENTER

CCN: 056316 · PASADENA, CA 91103 · Los Angeles County

Overview

Address
1920 N. FAIR OAKS AVENUE, PASADENA, CA 91103
Phone
6267986777
Certified beds
80
Avg daily residents
72 (90% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1974-07-01
Setting
Urban
2 /5
★★★★★
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 2/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 2/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 2/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 4/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 4/5
Short-Stay Quality Measures ★★★★★ 4/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
 5.12 6.04 3.27 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.78 1.06 0.50 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 1.78 1.34 1.13 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 2.56 3.65 1.64 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 2.55 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.01 — — —

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
4.76
hrs / resident / day
RN (weekend)
0.63
hrs / resident / day
Total nurse (adjusted, weekend)
3.04
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
43.3%
annual
RN turnover
46.7%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
2.14
higher acuity than avg
Case-Mix Index Ratio
1.55
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-03-07 18 13 5 92 1 92
Cycle 2/3 (prior) 2024-03-01 29 19 10 172 1 172
Total weighted health score
112.0
lower is better

Deficiencies (61)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

61 D/E/F Actual harm — potential for minor
Tag Description Scope/Severity Survey date Corrected
0627 Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. D 2025-12-26 2026-01-19
0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. D 2025-12-02 2025-12-23
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2025-05-13 2025-05-29
0694 Provide for the safe, appropriate administration of IV fluids for a resident when needed. D 2025-04-11 2025-04-14
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2025-03-26 2025-03-29
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2025-03-07 2025-03-29
0582 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. D 2025-03-07 2025-03-28
0583 Keep residents' personal and medical records private and confidential. D 2025-03-07 2025-03-28
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. E 2025-03-07 2025-03-28
0604 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. E 2025-03-07 2025-03-28
0641 Ensure each resident receives an accurate assessment. E 2025-03-07 2025-03-28
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2025-03-07 2025-03-28
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. E 2025-03-07 2025-03-28
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2025-03-07 2025-03-28
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. D 2025-03-07 2025-03-28
0847 Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. D 2025-03-07 2025-03-28
0880 Provide and implement an infection prevention and control program. E 2025-03-07 2025-03-28
0881 Implement a program that monitors antibiotic use. D 2025-03-07 2025-03-28
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2025-01-24 2025-02-14
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2025-01-24 2025-02-14
0790 Provide routine and 24-hour emergency dental care for each resident. D 2025-01-24 2025-02-14
0825 Provide or get specialized rehabilitative services as required for a resident. D 2025-01-24 2025-02-14
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2024-10-02 2024-10-16
0880 Provide and implement an infection prevention and control program. D 2024-08-09 2024-08-21
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. D 2024-04-04 2024-04-30
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2024-04-04 2024-04-30
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. E 2024-03-01 2024-03-18
0558 Reasonably accommodate the needs and preferences of each resident. D 2024-03-01 2024-03-18
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. E 2024-03-01 2024-03-22
0604 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. D 2024-03-01 2024-03-22
0641 Ensure each resident receives an accurate assessment. D 2024-03-01 2024-03-22
0645 PASARR screening for Mental disorders or Intellectual Disabilities D 2024-03-01 2024-03-22
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2024-03-01 2024-03-18
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2024-03-01 2024-03-18
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. E 2024-03-01 2024-03-22
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2024-03-01 2024-03-18
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. E 2024-03-01 2024-03-18
0693 Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. E 2024-03-01 2024-03-18
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2024-03-01 2024-03-18
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2024-03-01 2024-03-18
0814 Dispose of garbage and refuse properly. E 2024-03-01 2024-03-18
0880 Provide and implement an infection prevention and control program. F 2024-03-01 2024-03-18
0883 Develop and implement policies and procedures for flu and pneumonia vaccinations. E 2024-03-01 2024-03-18
0887 Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. E 2024-03-01 2024-03-18
0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. E 2024-03-01 2024-03-18
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D 2023-10-02 2023-10-27
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2023-08-23 2023-09-21
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2021-06-29 2021-08-12
0558 Reasonably accommodate the needs and preferences of each resident. D 2021-06-29 2021-08-12
0582 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. E 2021-06-29 2021-08-12

Showing 50 most recent of 61. See the All Data CSV for the full list.

Penalties (1)

Fines issued
1
last 3 years
Total fines
$1,747
Date Type Fine amount
2023-09-25 Fine $1,747

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 9.5% Medicaid 9.0% Other 81.5%

Operating performance

Operating Margin
-4.3%
Total Margin
-3.5%
Occupancy Rate
85.3%
Cost per Resident Day
$72

Revenue & costs

Net Patient Revenue
$11.9M
Total Costs
$1.8M
Net Income
-$416K

Balance sheet

Total Assets
$3.6M
Total Liabilities
$2.1M
Fund Balance
$1.4M
Current Ratio
1.42

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Owner / manager organizations (2)

Organization Role Association
OPTIMIST HEALTHCARE LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 09/18/2019
WELLSPRING HEALTHCARE SOLUTIONS LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 09/18/2019

Owner / manager individuals (7)

Name Role Association
CHAZANOW, SAMUEL 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 09/18/2019
FRIEDMAN, BERNARD 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 09/18/2019
R'BIBO, SARAH 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 09/18/2019
CHAZANOW, SAMUEL OPERATIONAL/MANAGERIAL CONTROL since 09/18/2019
FRIEDMAN, BERNARD OPERATIONAL/MANAGERIAL CONTROL since 09/18/2019
CHAZANOW, SAMUEL CORPORATE OFFICER since 09/18/2019
FRIEDMAN, BERNARD CORPORATE OFFICER since 09/18/2019

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $72 metrics.cost_per_resident_day
Cost Report Current Ratio 1.42 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 9.0% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 9.5% metrics.medicare_day_share
Cost Report Net Income ($) $-415,788 metrics.net_income
Cost Report Net Patient Revenue ($) $11,852,756 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 85.3% metrics.occupancy_rate
Cost Report Operating Margin (%) -4.3% metrics.operating_margin
Cost Report Total Assets ($) $3,568,832 metrics.total_assets
Cost Report Total Costs ($) $1,780,322 metrics.total_costs
Cost Report Total Fund Balances ($) $1,443,310 metrics.fund_balance
Cost Report Total Liabilities ($) $2,125,522 metrics.total_liabilities
Cost Report Total Margin (%) -3.5% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.13465 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 1.63819 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.49538 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.26823 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.04170 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote — Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 72.1 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote — Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 1.34118 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 3.64503 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 1.05714 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 6.04335 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 5.32658 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating — Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating — Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating — Chain Average QM Rating
Provider Information Chain Average Staffing Rating — Chain Average Staffing Rating
Provider Information Chain ID — Chain ID
Provider Information Chain Name — Chain Name
Provider Information City/Town PASADENA City/Town
Provider Information CMS Certification Number (CCN) 056316 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Los Angeles County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1974-07-01 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 2 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 34.1787 Latitude
Provider Information Legal Business Name HIGHLAND HEALTHCARE CAMELLIA GARDENS, LLC Legal Business Name
Provider Information Location 1920 N. FAIR OAKS AVENUE,PASADENA,CA,91103 Location
Provider Information Long-Stay QM Rating 4 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -118.15 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 0 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 80 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections — Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain — Number of Facilities in Chain
Provider Information Number of Fines 1 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 2.14089 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.55402 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 2 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type For profit - Limited Liability company Ownership Type
Provider Information Physical Therapist Staffing Footnote — Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 1920 N. FAIR OAKS AVENUE Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name CAMELLIA GARDENS CARE CENTER Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 200 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 4 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 92 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 5 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 13 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-03-07 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 92 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 18 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 19 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-03-01 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 172 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 10 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 172 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 29 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.63194 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 46.7 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 2.55143 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 1.77602 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.56420 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.01368 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.77540 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote — Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 5.11562 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 4 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote — Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 2 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State CA State
Provider Information Telephone Number 6267986777 Telephone Number
Provider Information Total Amount of Fines in Dollars 1747.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 4.76105 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 1 Total Number of Penalties
Provider Information Total nursing staff turnover 43.3 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 112.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 91103 ZIP Code