Starfile

Starfile / California

Cedar Pine Post Acute

1640 N. FAIR OAKS AVENUE, PASADENA, CA 91103 · CCN 555213

Ratings

Overall
★★☆☆☆ 2
Health inspection
★☆☆☆☆ 1
Quality measures
★★★★★ 5
Staffing
★★★★☆ 4

Facility

Ownership type
For profit - Corporation
Certified beds
99
Avg residents/day
60.5
Phone
6267737969

Inspection history vs California & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityCalifornia avgNational avgvs state
12025-05-232615.69.5+10.4 worse
22024-06-143517.49.8+17.6 worse
32023-06-292817.19.3+10.9 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation4
Quality of life and care6
Resident assessment and care planning3
Resident rights3
Nutrition and dietary3
Pharmacy service4
Environmental1
Infection control2

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)4.1438.6%
RN staffing (reported)0.5928.6%
Total nurse staffing (adjusted)4.15—

Fines & penalties

Total fines
$38,213
Number of fines
2
Number of penalties
2
Payment denials
0

Chain

Chain
EVA CARE GROUP
Facilities in chain
9
Chain avg overall
3.30 / 5

Inspection citations (89)3 immediate jeopardy1 actual harm

  1. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-12-23 · Health · corrected 2026-01-19

    Potential for more than minimal harm

  2. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-12-19 · Health · corrected 2026-01-18

    Potential for more than minimal harm

  3. DF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2025-12-09 · Health · corrected 2025-12-29

    Potential for more than minimal harm

  4. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-11-26 · Health · corrected 2025-12-16

    Potential for more than minimal harm

  5. GF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-08-28 · Health · corrected 2025-09-15

    Actual harm

  6. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-08-15 · Health · corrected 2025-08-21

    Potential for more than minimal harm

  7. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-07-30 · Health · corrected 2025-08-22

    Potential for more than minimal harm

  8. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-05-23 · Health · corrected 2025-06-19

    Potential for more than minimal harm

  9. DF0578Honor 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.2025-05-23 · Health · corrected 2025-06-19

    Potential for more than minimal harm

  10. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-05-23 · Health · corrected 2025-06-19

    Potential for more than minimal harm

  11. DF0641Ensure each resident receives an accurate assessment.2025-05-23 · Health · corrected 2025-06-19

    Potential for more than minimal harm

  12. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-05-23 · Health · corrected 2025-06-19

    Potential for more than minimal harm

  13. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-05-23 · Health · corrected 2025-06-19

    Potential for more than minimal harm

  14. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-05-23 · Health · corrected 2025-06-19

    Potential for more than minimal harm

  15. EF0759Ensure medication error rates are not 5 percent or greater.2025-05-23 · Health · corrected 2025-06-19

    Potential for more than minimal harm

  16. EF0761Ensure 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.2025-05-23 · Health · corrected 2025-06-19

    Potential for more than minimal harm

  17. DF0790Provide routine and 24-hour emergency dental care for each resident.2025-05-23 · Health · corrected 2025-06-19

    Potential for more than minimal harm

  18. DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-05-23 · Health · corrected 2025-06-19

    Potential for more than minimal harm

  19. DF0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.2025-05-23 · Health · corrected 2025-06-19

    Potential for more than minimal harm

  20. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-05-23 · Health · corrected 2025-06-19

    Potential for more than minimal harm

  21. DF0880Provide and implement an infection prevention and control program.2025-05-23 · Health · corrected 2025-06-19

    Potential for more than minimal harm

  22. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2025-05-23 · Health · corrected 2025-06-19

    Potential for more than minimal harm

  23. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-19 · Health · corrected 2025-04-19

    Immediate jeopardy

  24. DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2025-04-19 · Health · corrected 2025-05-08

    Potential for more than minimal harm

  25. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-04-01 · Health · corrected 2025-04-06

    Potential for more than minimal harm

  26. DF0880Provide and implement an infection prevention and control program.2025-03-25 · Health · corrected 2025-04-10

    Potential for more than minimal harm

  27. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-02-13 · Health · corrected 2025-03-07

    Potential for more than minimal harm

  28. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-02-05 · Health · corrected 2025-02-28

    Potential for more than minimal harm

  29. EF0641Ensure each resident receives an accurate assessment.2025-01-03 · Health · corrected 2025-01-24

    Potential for more than minimal harm

  30. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-03 · Health · corrected 2025-01-24

    Potential for more than minimal harm

  31. EF0695Provide safe and appropriate respiratory care for a resident when needed.2025-01-03 · Health · corrected 2025-01-24

    Potential for more than minimal harm

  32. DF0825Provide or get specialized rehabilitative services as required for a resident.2025-01-03 · Health · corrected 2025-01-24

    Potential for more than minimal harm

  33. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-01-03 · Health · corrected 2025-01-24

    Potential for more than minimal harm

  34. EF0880Provide and implement an infection prevention and control program.2025-01-03 · Health · corrected 2025-01-24

    Potential for more than minimal harm

  35. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-06-14 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  36. DF0558Reasonably accommodate the needs and preferences of each resident.2024-06-14 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  37. EF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2024-06-14 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  38. DF0578Honor 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.2024-06-14 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  39. EF0584Honor 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.2024-06-14 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  40. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-06-14 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  41. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-06-14 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  42. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-06-14 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  43. DF0679Provide activities to meet all resident's needs.2024-06-14 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  44. DF0685Assist a resident in gaining access to vision and hearing services.2024-06-14 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  45. EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-06-14 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  46. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-06-14 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  47. EF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-06-14 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  48. EF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2024-06-14 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  49. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-06-14 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  50. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-06-14 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  51. DF0758Implement 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.2024-06-14 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  52. EF0759Ensure medication error rates are not 5 percent or greater.2024-06-14 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  53. EF0761Ensure 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.2024-06-14 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  54. DF0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.2024-06-14 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  55. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-06-14 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  56. EF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2024-06-14 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  57. EF0848Provide a neutral and fair arbitration process and agree to arbitrator and venue.2024-06-14 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  58. EF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2024-06-14 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  59. DF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2024-06-14 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  60. EF0880Provide and implement an infection prevention and control program.2024-06-14 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  61. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-06-14 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  62. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-01-05 · Health · corrected 2024-02-05

    Potential for more than minimal harm

  63. DF0641Ensure each resident receives an accurate assessment.2023-12-08 · Health · corrected 2024-01-06

    Potential for more than minimal harm

  64. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-12-08 · Health · corrected 2024-01-06

    Potential for more than minimal harm

  65. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-12-07 · Health · corrected 2023-12-08

    Potential for more than minimal harm

  66. DF0685Assist a resident in gaining access to vision and hearing services.2023-11-07 · Health · corrected 2023-12-07

    Potential for more than minimal harm

  67. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-10-25 · Health · corrected 2023-11-18

    Potential for more than minimal harm

  68. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-08-10 · Health · corrected 2023-09-08

    Potential for more than minimal harm

  69. DF0578Honor 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.2023-06-29 · Health · corrected 2023-07-24

    Potential for more than minimal harm

  70. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-06-29 · Health · corrected 2023-07-24

    Potential for more than minimal harm

  71. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-06-29 · Health · corrected 2023-07-24

    Potential for more than minimal harm

  72. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-06-29 · Health · corrected 2023-07-24

    Potential for more than minimal harm

  73. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2023-06-29 · Health · corrected 2023-07-24

    Potential for more than minimal harm

  74. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-06-29 · Health · corrected 2023-07-24

    Potential for more than minimal harm

  75. DF0688Provide 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.2023-06-29 · Health · corrected 2023-07-24

    Potential for more than minimal harm

  76. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-06-29 · Health · corrected 2023-07-24

    Potential for more than minimal harm

  77. DF0693Ensure 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.2023-06-29 · Health · corrected 2023-07-24

    Potential for more than minimal harm

  78. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-06-29 · Health · corrected 2023-07-24

    Potential for more than minimal harm

  79. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-06-29 · Health · corrected 2023-07-24

    Potential for more than minimal harm

  80. DF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2023-06-29 · Health · corrected 2023-07-24

    Potential for more than minimal harm

  81. EF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2023-06-29 · Health · corrected 2023-07-24

    Potential for more than minimal harm

  82. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-06-29 · Health · corrected 2023-07-24

    Potential for more than minimal harm

  83. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2023-06-29 · Health · corrected 2023-07-24

    Potential for more than minimal harm

  84. DF0926Have policies on smoking.2023-06-29 · Health · corrected 2023-07-24

    Potential for more than minimal harm

  85. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-05-31 · Health · corrected 2023-06-24

    Potential for more than minimal harm

  86. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-05-31 · Health · corrected 2023-06-24

    Potential for more than minimal harm

  87. KF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-04-16 · Health · corrected 2023-05-10

    Immediate jeopardy

  88. KF0880Provide and implement an infection prevention and control program.2023-04-16 · Health · corrected 2023-05-10

    Immediate jeopardy

  89. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2023-04-16 · Health · corrected 2023-05-10

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
CHEN, JENQIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST—2015-04-01
CHEN, TZE-YUNIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST—2015-04-01
AGULTO, ISIDRAIndividualOPERATIONAL/MANAGERIAL CONTROL—2024-04-01
SONG, JAMESIndividualOPERATIONAL/MANAGERIAL CONTROL—2023-12-01
PADAMA, JOHNIndividualCORPORATE DIRECTOR—2017-08-02

Other facilities in PASADENA

NameOverallBeds
VILLA GARDENS HEALTH CARE UNIT★★★★☆54
PASADENA PARK HEALTHCARE AND WELLNESS CENTER★★★☆☆99
THE BELLEFONTAINE HEALTHCARE CENTER★★★☆☆130
SAINT VINCENT HEALTHCARE★★★☆☆78
FOOTHILL HEIGHTS CARE CENTER★★★☆☆49

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.