Starfile / California

GOLDEN ROSE CARE CENTER

1899 N RAYMOND AVE, PASADENA, CA 91103 · CCN 055862

SFF Candidate

Inspection history vs California & national averages

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

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$175,941

Number of fines

22

Number of penalties

23

Payment denials

1

Inspection citations (130)3 immediate jeopardy1 actual harm

1. DF0790Provide routine and 24-hour emergency dental care for each resident.2025-11-25 · Health · corrected 2025-12-10

   Potential for more than minimal harm

2. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-11-17 · Health · corrected 2025-11-19

   Potential for more than minimal harm

3. DF0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.2025-09-11 · Health · corrected 2025-09-29

   Potential for more than minimal harm

4. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-08-19 · Health · corrected 2025-08-21

   Potential for more than minimal harm

5. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-08-19 · Health · corrected 2025-08-21

   Potential for more than minimal harm

6. EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2025-07-18 · Health · corrected 2025-07-23

   Potential for more than minimal harm

7. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-06-05 · Health · corrected 2025-06-26

   Potential for more than minimal harm

8. EF0558Reasonably accommodate the needs and preferences of each resident.2025-06-05 · Health · corrected 2025-06-26

   Potential for more than minimal harm

9. 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.2025-06-05 · Health · corrected 2025-06-26

   Potential for more than minimal harm

10. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-06-05 · Health · corrected 2025-06-26

    Potential for more than minimal harm

11. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-06-05 · Health · corrected 2025-06-26

    Potential for more than minimal harm

12. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-06-05 · Health · corrected 2025-06-26

    Potential for more than minimal harm

13. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-06-05 · Health · corrected 2025-06-26

    Potential for more than minimal harm

14. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-06-05 · Health · corrected 2025-06-26

    Potential for more than minimal harm

15. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-06-05 · Health · corrected 2025-06-26

    Potential for more than minimal harm

16. 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.2025-06-05 · Health · corrected 2025-06-26

    Potential for more than minimal harm

17. EF0692Provide enough food/fluids to maintain a resident's health.2025-06-05 · Health · corrected 2025-06-26

    Potential for more than minimal harm

18. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-06-05 · Health · corrected 2025-06-26

    Potential for more than minimal harm

19. DF0699Provide care or services that was trauma informed and/or culturally competent.2025-06-05 · Health · corrected 2025-06-26

    Potential for more than minimal harm

20. BF0732Post nurse staffing information every day.2025-06-05 · Health · corrected 2025-06-26

    Potential for minimal harm

21. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-06-05 · Health · corrected 2025-06-26

    Potential for more than minimal harm

22. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-06-05 · Health · corrected 2025-06-26

    Potential for more than minimal harm

23. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-06-05 · Health · corrected 2025-06-26

    Potential for more than minimal harm

24. DF0759Ensure medication error rates are not 5 percent or greater.2025-06-05 · Health · corrected 2025-06-26

    Potential for more than minimal harm

25. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2025-06-05 · Health · corrected 2025-06-26

    Potential for more than minimal harm

26. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-06-05 · Health · corrected 2025-06-26

    Potential for more than minimal harm

27. EF0814Dispose of garbage and refuse properly.2025-06-05 · Health · corrected 2025-06-26

    Potential for more than minimal harm

28. EF0880Provide and implement an infection prevention and control program.2025-06-05 · Health · corrected 2025-06-26

    Potential for more than minimal harm

29. DF0881Implement a program that monitors antibiotic use.2025-06-05 · Health · corrected 2025-06-26

    Potential for more than minimal harm

30. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2025-06-05 · Health · corrected 2025-06-26

    Potential for more than minimal harm

31. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-05-27 · Health · corrected 2025-06-02

    Potential for more than minimal harm

32. 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.2025-05-16 · Health · corrected 2025-06-11

    Potential for more than minimal harm

33. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-05-05 · Health · corrected 2025-05-16

    Potential for more than minimal harm

34. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2025-05-02 · Health · corrected 2025-05-15

    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.2025-04-16 · Health · corrected 2025-05-05

    Potential for more than minimal harm

36. EF0583Keep residents' personal and medical records private and confidential.2025-04-16 · Health · corrected 2025-05-05

    Potential for more than minimal harm

37. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-04-16 · Health · corrected 2025-05-05

    Potential for more than minimal harm

38. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2025-04-16 · Health · corrected 2025-05-05

    Potential for more than minimal harm

39. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-04-16 · Health · corrected 2025-05-05

    Potential for more than minimal harm

40. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-03-13 · Health · corrected 2025-04-04

    Potential for more than minimal harm

41. 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.2025-03-11 · Health · corrected 2025-04-01

    Potential for more than minimal harm

42. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-03-11 · Health · corrected 2025-04-01

    Potential for more than minimal harm

43. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-12-30 · Health · corrected 2025-01-17

    Potential for more than minimal harm

44. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-12-24 · Health · corrected 2025-01-17

    Potential for more than minimal harm

45. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-12-24 · Health · corrected 2025-01-17

    Potential for more than minimal harm

46. 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.2024-12-24 · Health · corrected 2025-01-17

    Potential for more than minimal harm

47. EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-12-12 · Health · corrected 2024-12-23

    Potential for more than minimal harm

48. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-12-07 · Health · corrected 2024-12-23

    Potential for more than minimal harm

49. DF0761Ensure 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.2024-12-07 · Health · corrected 2024-12-23

    Potential for more than minimal harm

50. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-11-26 · Health · corrected 2024-07-20

    Actual harm

51. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-11-26 · Health · corrected 2024-12-20

    Potential for more than minimal harm

52. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-11-18 · Health · corrected 2024-11-22

    Potential for more than minimal harm

53. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-10-30 · Health · corrected 2024-11-17

    Potential for more than minimal harm

54. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-10-30 · Health · corrected 2024-11-17

    Potential for more than minimal harm

55. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-10-25 · Health · corrected 2024-10-28

    Potential for more than minimal harm

56. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-10-25 · Health · corrected 2024-10-28

    Potential for more than minimal harm

57. JF0695Provide safe and appropriate respiratory care for a resident when needed.2024-10-20 · Health · corrected 2024-10-27

    Immediate jeopardy

58. JF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-10-20 · Health · corrected 2024-10-27

    Immediate jeopardy

59. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-10-08 · Health · corrected 2024-10-09

    Potential for more than minimal harm

60. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-09-27 · Health · corrected 2024-10-18

    Potential for more than minimal harm

61. DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2024-09-27 · Health · corrected 2024-10-18

    Potential for more than minimal harm

62. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-09-13 · Health · corrected 2024-09-27

    Potential for more than minimal harm

63. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-08-29 · Health · corrected 2024-09-20

    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.2024-08-24 · Health · corrected 2024-09-16

    Potential for more than minimal harm

65. DF0697Provide safe, appropriate pain management for a resident who requires such services.2024-08-24 · Health · corrected 2024-09-16

    Potential for more than minimal harm

66. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-08-07 · Health · corrected 2024-08-21

    Potential for more than minimal harm

67. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-08-07 · Health · corrected 2024-08-21

    Potential for more than minimal harm

68. EF0688Provide 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.2024-08-07 · Health · corrected 2024-08-21

    Potential for more than minimal harm

69. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-08-02 · Health · corrected 2024-08-22

    Potential for more than minimal harm

70. EF0880Provide and implement an infection prevention and control program.2024-08-02 · Health · corrected 2024-08-22

    Potential for more than minimal harm

71. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-08-01 · Health · corrected 2024-08-20

    Potential for more than minimal harm

72. EF0558Reasonably accommodate the needs and preferences of each resident.2024-07-31 · Health · corrected 2024-08-19

    Potential for more than minimal harm

73. EF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2024-07-24 · Health · corrected 2024-08-13

    Potential for more than minimal harm

74. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-07-24 · Health · corrected 2024-08-13

    Potential for more than minimal harm

75. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-07-11 · Health · corrected 2024-08-02

    Potential for more than minimal harm

76. DF0558Reasonably accommodate the needs and preferences of each resident.2024-07-11 · Health · corrected 2024-08-02

    Potential for more than minimal harm

77. EF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-07-11 · Health · corrected 2024-08-02

    Potential for more than minimal harm

78. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2024-07-11 · Health · corrected 2024-08-02

    Potential for more than minimal harm

79. DF0610Respond appropriately to all alleged violations.2024-07-11 · Health · corrected 2024-08-02

    Potential for more than minimal harm

80. DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2024-07-11 · Health · corrected 2024-08-02

    Potential for more than minimal harm

81. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-07-11 · Health · corrected 2024-08-02

    Potential for more than minimal harm

82. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-07-11 · Health · corrected 2024-08-02

    Potential for more than minimal harm

83. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-07-11 · Health · corrected 2024-08-02

    Potential for more than minimal harm

84. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-07-11 · Health · corrected 2024-08-02

    Potential for more than minimal harm

85. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-07-11 · Health · corrected 2024-08-02

    Potential for more than minimal harm

86. EF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-07-11 · Health · corrected 2024-08-02

    Potential for more than minimal harm

87. 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.2024-07-11 · Health · corrected 2024-08-02

    Potential for more than minimal harm

88. EF0695Provide safe and appropriate respiratory care for a resident when needed.2024-07-11 · Health · corrected 2024-08-02

    Potential for more than minimal harm

89. DF0699Provide care or services that was trauma informed and/or culturally competent.2024-07-11 · Health · corrected 2024-08-02

    Potential for more than minimal harm

90. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-07-11 · Health · corrected 2024-08-02

    Potential for more than minimal harm

91. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-07-11 · Health · corrected 2024-08-02

    Potential for more than minimal harm

92. EF0759Ensure medication error rates are not 5 percent or greater.2024-07-11 · Health · corrected 2024-08-02

    Potential for more than minimal harm

93. DF0760Ensure that residents are free from significant medication errors.2024-07-11 · Health · corrected 2024-08-02

    Potential for more than minimal harm

94. 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.2024-07-11 · Health · corrected 2024-08-02

    Potential for more than minimal harm

95. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-07-11 · Health · corrected 2024-08-02

    Potential for more than minimal harm

96. EF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2024-07-11 · Health · corrected 2024-08-02

    Potential for more than minimal harm

97. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-07-11 · Health · corrected 2024-08-02

    Potential for more than minimal harm

98. DF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2024-07-11 · Health · corrected 2024-08-02

    Potential for more than minimal harm

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

    Potential for more than minimal harm

100. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-05-30 · Health · corrected 2024-06-30

     Potential for more than minimal harm

101. EF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-05-14 · Health · corrected 2024-06-12

     Potential for more than minimal harm

102. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-05-13 · Health · corrected 2024-06-11

     Potential for more than minimal harm

103. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-02-24 · Health · corrected 2024-03-20

     Potential for more than minimal harm

104. EF0758Implement 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.2024-02-24 · Health · corrected 2024-03-20

     Potential for more than minimal harm

105. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-23 · Health · corrected 2024-03-20

     Potential for more than minimal harm

106. KF0880Provide and implement an infection prevention and control program.2024-02-08 · Health · corrected 2024-03-05

     Immediate jeopardy

107. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-12-29 · Health · corrected 2024-01-29

     Potential for more than minimal harm

108. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2023-12-28 · Health · corrected 2024-01-28

     Potential for more than minimal harm

109. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-12-28 · Health · corrected 2024-01-28

     Potential for more than minimal harm

110. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-12-28 · Health · corrected 2024-01-28

     Potential for more than minimal harm

111. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-11-03 · Health · corrected 2023-12-03

     Potential for more than minimal harm

112. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-11-03 · Health · corrected 2023-12-03

     Potential for more than minimal harm

113. EF0826Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor.2023-10-19 · Health · corrected 2023-11-17

     Potential for more than minimal harm

114. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-09-28 · Health · corrected 2023-10-28

     Potential for more than minimal harm

115. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-09-09 · Health · corrected 2023-10-07

     Potential for more than minimal harm

116. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-08-17 · Health · corrected 2023-09-13

     Potential for more than minimal harm

117. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-08-16 · Health · corrected 2023-09-08

     Potential for more than minimal harm

118. DF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2023-07-21 · Health · corrected 2023-08-17

     Potential for more than minimal harm

119. DF0602Protect each resident from the wrongful use of the resident's belongings or money.2023-06-23 · Health · corrected 2023-07-24

     Potential for more than minimal harm

120. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-06-14 · Health · corrected 2023-06-30

     Potential for more than minimal harm

121. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-06-14 · Health · corrected 2023-06-30

     Potential for more than minimal harm

122. EF0697Provide safe, appropriate pain management for a resident who requires such services.2023-05-24 · Health · corrected 2023-06-23

     Potential for more than minimal harm

123. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-05-24 · Health · corrected 2023-06-23

     Potential for more than minimal harm

124. EF0578Honor 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.2021-10-29 · Health · corrected 2021-12-01

     Potential for more than minimal harm

125. EF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2021-10-29 · Health · corrected 2021-12-01

     Potential for more than minimal harm

126. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2021-10-29 · Health · corrected 2021-12-01

     Potential for more than minimal harm

127. DF0695Provide safe and appropriate respiratory care for a resident when needed.2021-10-29 · Health · corrected 2021-12-01

     Potential for more than minimal harm

128. DF0761Ensure 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.2021-10-29 · Health · corrected 2021-12-01

     Potential for more than minimal harm

129. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2021-10-29 · Health · corrected 2021-12-01

     Potential for more than minimal harm

130. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2021-10-29 · Health · corrected 2021-12-01

     Potential for more than minimal harm

Ownership

Other facilities in PASADENA

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