Inspection citations
1’23
23’24
22’25
14’26
60 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Aug 27, 2026 | D · potential | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Complaint |
| Aug 7, 2026 | D · potential | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Complaint |
| Apr 23, 2026 | D · potential | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Routine |
| Apr 23, 2026 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Apr 23, 2026 | E · potential | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Routine |
| Apr 23, 2026 | D · potential | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Routine |
| Apr 23, 2026 | D · potential | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Routine |
| Apr 23, 2026 | D · potential | Ensure each resident’s drug regimen must be free from unnecessary drugs. | Routine |
| Apr 23, 2026 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Apr 23, 2026 | D · potential | Provide and implement an infection prevention and control program. | Routine |
| Mar 4, 2026 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Complaint |
| Mar 4, 2026 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Complaint |
| Feb 27, 2026 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Feb 4, 2026 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Dec 26, 2025 | D · potential | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | Complaint |
| Dec 2, 2025 | D · potential | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Complaint |
| May 13, 2025 | D · potential | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Complaint |
| Apr 11, 2025 | D · potential | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Complaint |
| Mar 26, 2025 | D · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Complaint |
| Mar 7, 2025 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| Mar 7, 2025 | D · potential | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Routine |
| Mar 7, 2025 | D · potential | Keep residents' personal and medical records private and confidential. | Routine |
| Mar 7, 2025 | E · potential | 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. | Routine |
| Mar 7, 2025 | E · potential | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Routine |
| Mar 7, 2025 | E · potential | Ensure each resident receives an accurate assessment. | Routine |
| Mar 7, 2025 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Mar 7, 2025 | E · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Routine |
| Mar 7, 2025 | D · potential | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Routine |
| Mar 7, 2025 | D · potential | 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. | Routine |
| Mar 7, 2025 | D · potential | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Routine |
| Mar 7, 2025 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Mar 7, 2025 | D · potential | Implement a program that monitors antibiotic use. | Routine |
| Jan 24, 2025 | D · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Complaint |
| Jan 24, 2025 | D · potential | Provide safe and appropriate respiratory care for a resident when needed. | Complaint |
| Jan 24, 2025 | D · potential | Provide routine and 24-hour emergency dental care for each resident. | Complaint |
| Jan 24, 2025 | D · potential | Provide or get specialized rehabilitative services as required for a resident. | Complaint |
| Oct 2, 2024 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Complaint |
| Aug 9, 2024 | D · potential | Provide and implement an infection prevention and control program. | Complaint |
| Apr 4, 2024 | D · potential | 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. | Complaint |
| Apr 4, 2024 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Mar 1, 2024 | E · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| Mar 1, 2024 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Routine |
| Mar 1, 2024 | E · potential | 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. | Routine |
| Mar 1, 2024 | D · potential | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Routine |
| Mar 1, 2024 | D · potential | Ensure each resident receives an accurate assessment. | Routine |
| Mar 1, 2024 | D · potential | PASARR screening for Mental disorders or Intellectual Disabilities | Routine |
| Mar 1, 2024 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Mar 1, 2024 | D · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Routine |
| Mar 1, 2024 | E · potential | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Routine |
| Mar 1, 2024 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| Mar 1, 2024 | E · potential | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Routine |
| Mar 1, 2024 | E · potential | 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. | Routine |
| Mar 1, 2024 | D · potential | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| Mar 1, 2024 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Mar 1, 2024 | E · potential | Dispose of garbage and refuse properly. | Routine |
| Mar 1, 2024 | F · potential | Provide and implement an infection prevention and control program. | Routine |
| Mar 1, 2024 | E · potential | Develop and implement policies and procedures for flu and pneumonia vaccinations. | Routine |
| Mar 1, 2024 | E · potential | 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. | Routine |
| Mar 1, 2024 | E · potential | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Routine |
| Oct 2, 2023 | D · potential | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Complaint |
Medicare's severity letters: A–C minimal harm, D–F potential for more than minimal harm, G–L actual harm or immediate danger. Source: CMS health deficiencies file, processed October 1, 2026.
Questions to ask on a visit
Camellia Gardens Care Center
1920 N. Fair Oaks Avenue, Pasadena, CA 91103 · (626) 798-6777
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 056316
- Certified beds
- 80
- Legal owner
- Highland Healthcare Camellia Gardens, LLC
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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