See every facility — official ratings, family reviews, no referral fees.
Nursing HomeMedicaid Investigative

Pasadena Palace Tcu

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

716 South Fair Oaks Ave, Pasadena, CA 9110575 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.5/5

based on 30 Google reviews

5
4
3
2
1
Pasadena Palace Tcu Nursing Home in Pasadena, CA — Street View
Street View

Watch Pasadena Palace Tcu

Get an email when new inspections, ratings, or penalties are published for this facility.

We’ll only email you about this — no spam, unsubscribe anytime.

4/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Above-median deficiencies (32 vs median 13.0)
  • High staff turnover (52%)

Bottom 25% in CA · Below recommended RN staffing · Above recommended total nurse staffing · $27,808 in fines

Source: Medicare data

What this means for your family

The facility offers highly skilled physical and occupational therapy that can significantly aid in rehabilitation. However, you must be extremely vigilant regarding staffing levels and basic hygiene supplies, as multiple recent reviews highlight critical failures in nursing oversight and facility maintenance.

Google Reviews

Google Reviews

30 reviews on Google
Families seeking rehabilitation services may find excellent physical and occupational therapy, with several reviewers praising the dedication of the rehab team. However, there are serious, recurring allegations regarding severe understaffing, lack of essential supplies like soap and diapers, and significant lapses in medical monitoring and hygiene.

Quality Themes

Tap a score for details
Food3.0Staff4.0Clean2.0ActivitiesN/AMeds1.0MemoryN/AComms2.0ValueN/A

Strengths

  • Compassionate physical and occupational therapy teams
  • Friendly and caring nursing staff
  • Professionalism in rehabilitation services

Concerns

  • Severe understaffing and lack of responsiveness (mentioned by 3 reviewers)
  • Inadequate supply of essential hygiene items (soap, diapers, paper towels)
  • Poor facility cleanliness and maintenance of equipment (mentioned by 3 reviewers)
  • Medical mismanagement and lack of monitoring (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'12(2)'17(1)'19(1)'21(3)'23(4)'25(4)'26(8)

Distribution · 30 analyzed

5
15
4
3
3
1
2
3
1
8

How They Respond to Reviews

10%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1We've heard wonderful things about your physical and occupational therapy teams; how often will my loved one be able to work with them on their rehab goals?
  • 2With the recent focus on improving facility standards, what specific steps are being taken to ensure rooms and common areas are kept consistently clean and well-maintained?
  • 3How does the nursing team ensure that medication administration and vital sign monitoring are handled accurately during every shift?
  • 4What is your process for communicating important medical updates or changes in condition to family members to ensure we are always in the loop?
  • 5Could you tell us more about how the dining experience is managed, specifically regarding meal variety and the availability of essential hygiene supplies for residents?
  • 6What kind of daily social activities or group engagements are available to help residents stay active and connected with one another?

Personalized based on this facility's data


Key Review Excerpts

Angela and Chris in Physical Therapy pushed my mom with patience, strength, and encouragement when she needed it most. Roi and JP in Occupational Therapy helped her take back pieces of her independence, step by step, with so much dedication and compassion.

Rehab patient's family · 2026★★★★★

If I could give this place zero stars I would! This place is horrible! 3 Patients have passed in the last 2-3 months. Any complaints given to RN Or any other on top of RN Don’t do anything. They run out of diapers and restock till family member complains!

Family member · 2025☆☆☆☆

Less than 48 hours of admission I told them to call 911 and upon arrival at emergency room he had blood sugar over 800. He would not have survived the night.

Family member · 2023☆☆☆☆
Source: 30 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.58hrs
77%
Registered nurses for medical care
Total Nursing
4.38hrs
OK
All nurses + aides combined
Staff Turnover
54%
Lower is better (< 30% = good)
RN Turnover
57%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

8

measures

Worse Than Avg

6

measures

Mixed Results

3

measures

Long-Stay Residents
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility23.1%
Worse than Avg
Here
23.1%
US
14.4%
CA
10.4%
Los angeles
12.3%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility8.2%
Better than Avg
Here
8.2%
US
19.4%
CA
10.7%
Los angeles
9.6%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility13.7%
Worse than Avg
Here
13.7%
US
5.3%
CA
4.1%
Los angeles
4.7%
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.7%
Better than Avg
Here
2.7%
US
12.1%
CA
7.0%
Los angeles
9.0%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility19.3%
Worse than Avg
Here
19.3%
US
15.5%
CA
11.7%
Los angeles
11.1%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility8.9%
Better than Avg
Here
8.9%
US
15.3%
CA
10.5%
Los angeles
9.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility98.6%
Better than Avg
Here
98.6%
US
79.8%
CA
93.2%
Los angeles
92.5%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility94.2%
Mixed vs Avgs
Here
94.2%
US
81.8%
CA
94.2%
Los angeles
94.6%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.9%
Better than Avg
Here
0.9%
US
1.6%
CA
1.5%
Los angeles
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

18deficiencies
1penalties
Above state avg (15.4)
43 complaint-triggered
$27,808 in fines

This facility shows a concerning pattern with 114 deficiencies across 32 surveys, including 47 complaints filed by families. The most persistent problems involve safety hazards and accident prevention, food safety and dietary services, and infection control. Issues recur frequently across multiple surveys even after reported corrections, particularly around maintaining safe environments and proper food handling. While all deficiencies show correction dates, the high volume of repeated violations and substantial family complaints suggest ongoing care quality challenges that warrant careful consideration.

Dec 17, 2025Complaint
1
0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

Nov 19, 2025Routine
23
0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0645Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0813Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0511Potential for harm · PatternCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0712Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0806Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

0814Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0908Potential for harm · IsolatedCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0732Minimal · PatternCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

0912Minimal · PatternCorrected

Environmental Deficiencies

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Nov 19, 2025Complaint
1
0571Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid.

Aug 5, 2025Complaint
1
0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

May 17, 2025Complaint
1
0627Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

May 16, 2025Complaint
2
0742Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Federal Penalties

Fine

May 16, 2025

$27,808

Ownership & Operations

Who Operates This Facility

Owner / Operator

Pasadena Palace Tcu

Organization Type

for profit

Ownership & Management

Owners

Mercado, Grace

Owner

Ouano, Ruperto

Owner

Key personnel

Mercado, GraceOfficer / DirectorOuano, RupertoOfficer / DirectorSambile, YolandaOfficer / DirectorSaint Cabrini Healthcare Services LLCManagerMercado, GraceManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

Call