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Nursing HomeMedicaid Investigative

South Pasadena Care Center

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

904 Mission St, South Pasadena, CA 91030156 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.6/5

based on 19 Google reviews

5
4
3
2
1
South Pasadena Care Center Nursing Home in South Pasadena, CA — Street View
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5/ 10
high Risk

Quality Concerns Identified

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

  • Low overall rating (2/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (28 vs median 13.0)
  • High RN turnover (60%)

Below average in CA · Critically understaffed (RN) · $11,190 in fines

Source: Medicare data

What this means for your family

This facility offers a clean environment and highly capable rehab and nursing staff. However, families should be extremely vigilant regarding the management of legal documents and power of attorney, and should closely monitor the facility's handling of personal belongings and medication stock during transitions.

Google Reviews

Google Reviews

19 reviews on Google
Families considering South Pasadena Care Center will find a facility praised for its clean environment and professional nursing and rehab staff. However, there are serious allegations regarding administrative integrity, such as unauthorized changes to power of attorney, and concerns regarding the loss of personal belongings and slow response times to call buttons.

Quality Themes

Tap a score for details
Food5.0Staff7.0Clean9.0Activities5.0Meds3.0MemoryN/AComms2.0ValueN/A

Strengths

  • Professional and attentive nursing staff
  • Clean and well-maintained facility
  • Effective rehabilitation services
  • Supportive administrative liaisons

Concerns

  • Staffing levels and response times (mentioned by 2 reviewers)
  • Loss of resident personal belongings
  • Integrity of legal/power of attorney processes

Rating Trends

Tap a year to see what changed

2342.0'18(2)3.01.5'20(2)5.02.5'22(2)4.24.5'25(4)4.5'26(2)

Distribution · 20 analyzed

5
10
4
2
3
1
2
3
1
4

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1We've heard great things about how clean and well-maintained the facility is; could you show us around the common areas and the dining room?
  • 2With the nursing staff being noted for their professionalism, how do you ensure that medication management is handled accurately and consistently for every resident?
  • 3How do you manage staffing levels during the night or weekend shifts to ensure that residents receive timely responses when they press their call buttons?
  • 4What specific protocols are in place to ensure that residents' personal belongings and valuables are kept safe and accounted for?
  • 5Can you tell us about the rehabilitation services available here and how you help residents work toward their physical therapy goals?
  • 6What kind of daily activities or social events are planned to keep the residents engaged and connected with one another?

Personalized based on this facility's data


Key Review Excerpts

Wonderful skilled nursing facility in the heart of South Pasadena! The staff are incredible, facility is very clean, and activities and social services are wonderful. Food is good too.

Rehab patient's family · 2023★★★★★

Very good care, clean and professional environment. Sela the liaison was such big help, very supportive through the process of accommodating my patients and their families.

Healthcare professional/Liaison · 2021★★★★★

Staff have allowed an indirect family member to exert power of attorney over my grandmother after having my grandmother sign for herself during her admission. Are now not allowing us to call or even visit our grandmother while she is there.

Long-term resident's family · 2019☆☆☆☆
Source: 19 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.27hrs
36%
Registered nurses for medical care
Total Nursing
4.27hrs
OK
All nurses + aides combined
Staff Turnover
35%
Lower is better (< 30% = good)
RN Turnover
43%
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
3/ 5
Better Than Avg

8

measures

Worse Than Avg

8

measures

Mixed Results

1

measures

Long-Stay Residents
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility27.6%
Worse than Avg
Here
27.6%
US
14.4%
CA
10.4%
Los angeles
12.5%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility4.1%
Better than Avg
Here
4.1%
US
19.4%
CA
10.7%
Los angeles
9.7%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility20.2%
Worse than Avg
Here
20.2%
US
15.3%
CA
10.5%
Los angeles
9.5%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility21.6%
Worse than Avg
Here
21.6%
US
15.5%
CA
11.7%
Los angeles
11.4%
😔

Residents with depression symptoms

↓ Lower is better
This Facility16.1%
Worse than Avg
Here
16.1%
US
12.1%
CA
7.0%
Los angeles
8.7%

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

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility10.9%
Better than Avg
Here
10.9%
US
19.5%
CA
13.7%
Los angeles
10.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility98.9%
Better than Avg
Here
98.9%
US
79.8%
CA
93.2%
Los angeles
92.5%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
CA
94.2%
Los angeles
94.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility4.8%
Worse than Avg
Here
4.8%
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

28deficiencies
2penalties
Well above state avg (15.4)
21 complaint-triggered
$11,190 in fines

This facility shows concerning patterns with 95 deficiencies and family-triggered complaints spanning multiple areas. Most problematic are recurring issues with medication management (including significant medication errors), fire safety violations, and resident rights violations that persist across recent surveys. While most deficiencies show correction plans, one recent heating/ventilation violation from January 2026 remains uncorrected, and families have filed numerous reports about care quality, abuse prevention, and living conditions.

Mar 10, 2026Complaint
1
0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Feb 25, 2026Complaint
2
0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Jan 15, 2026Complaint
1
0521Potential for harm · WidespreadCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Jan 14, 2026Complaint
1
0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

Nov 25, 2025Complaint
1
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Sep 2, 2025Complaint
2
0583Potential for harm · PatternCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Federal Penalties

Fine

Jun 26, 2023

$2,470

Fine

Jun 20, 2023

$2,117

Ownership & Operations

Who Operates This Facility

Owner / Operator

South Pasadena Care Center

Organization Type

for profit

Ownership & Management

Owners

South Pasadena Care Center, LLC

Owner · Organization

100%

Key personnel

Schmukler, YehudaManaging Control - Governing BodyZemel, ElliotManaging Control - Governing BodyAbonza, CarlosManagerSchmukler, YehudaManagerShtorch, EyalManager
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.

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