01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-04-23 | 14 | 2026-04-23 | 4 |
| Cycle 2 | 2025-03-07 | 22 | 2025-03-07 | 5 |
| Cycle 3 | 2024-03-01 | 23 | 2024-03-01 | 4 |
CMS CCN 0563162026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Camellia Gardens Care Center
1920 N. Fair Oaks Avenue · Pasadena, CA 91103 · Los Angeles County
Certified beds80CMS provider file
Recent citation rows72current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
72 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 16 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-04-23 · HEALTHF0605Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Correction field: Deficient, Provider has date of correction · 2026-04-272026-04-23 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2026-04-272026-04-23 · HEALTHF0686Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2026-05-152026-04-23 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2026-04-272026-04-23 · HEALTHF0756Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Correction field: Deficient, Provider has date of correction · 2026-04-292026-04-23 · HEALTHF0757Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Correction field: Deficient, Provider has date of correction · 2026-04-272026-04-23 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2026-04-222026-04-23 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2026-04-232026-04-23 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2026-05-142026-04-23 · FIREK0353Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2026-05-142026-04-23 · FIREK0355Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Correction field: Deficient, Provider has date of correction · 2026-05-142026-04-23 · FIREK0521Severity F · widespread; potential for more than minimal harm
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: Deficient, Provider has date of correction · 2026-05-142026-03-04 · HEALTHF0558Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Correction field: Deficient, Provider has date of correction · 2026-03-27 · complaint2026-03-04 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2026-03-27 · complaint2026-02-27 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2026-03-19 · complaint2026-02-04 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2026-02-23 · complaint2025-12-26 · HEALTHF0627Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Correction field: Deficient, Provider has date of correction · 2026-01-19 · complaint2025-12-02 · HEALTHF0921Severity D · isolated; potential for more than minimal harm
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Correction field: Deficient, Provider has date of correction · 2025-12-23 · complaint2025-05-13 · HEALTHF0686Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2025-05-29 · complaint2025-04-11 · HEALTHF0694Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2025-04-14 · complaint2025-03-26 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2025-03-29 · complaint2025-03-07 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2025-03-292025-03-07 · HEALTHF0582Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Correction field: Deficient, Provider has date of correction · 2025-03-282025-03-07 · HEALTHF0583Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Correction field: Deficient, Provider has date of correction · 2025-03-2803 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2023-09-25 | Fine | $1,747 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- BELLAVID HEALTHCARE LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST34% · since 09/18/2019
- HIGHLAND HEALTHCARE MANAGEMENT LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST67% · since 09/18/2019
- OPTIMIST HEALTHCARE LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 09/18/2019
- WELLSPRING HEALTHCARE SOLUTIONS LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 09/18/2019
- CHAZANOW, SAMUELIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 09/18/2019
- FRIEDMAN, BERNARDIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 09/18/2019
- R'BIBO, SARAHIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 09/18/2019
- TANYA ADMINISTRATIVE SERVICES, LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/12/2020
- BALACUIT, DONALDIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/10/2000
- CHAZANOW, SAMUELIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/18/2019
- FRIEDMAN, BERNARDIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/18/2019
- HECHANOVA, RICOIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/01/2022
- ROSALES, ARLENEIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE · since 05/01/2026
- HENRY ROSS, LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 03/01/1999
- TANYA ADMINISTRATIVE SERVICES, LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 02/12/2020
- BALACUIT, DONALDIndividual · ADP OF THE SNFNOT APPLICABLE · since 01/10/2000
- CHAZANOW, SAMUELIndividual · ADP OF THE SNFNOT APPLICABLE · since 09/18/2019
- FRIEDMAN, BERNARDIndividual · ADP OF THE SNFNOT APPLICABLE · since 09/18/2019
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours5.14per resident day
RN hours0.76per resident day
Weekend nurse hours4.77per resident day
Staff turnover—%CMS reported field
06 / LOCAL RECORDS
Open the Pasadena ledger →Other published facilities nearby
Brighton Care Center99 beds · CMS overall 2/590 citation rowsCedar Pine Post Acute99 beds · CMS overall 2/5106 citation rowsFoothill Heights Care Center49 beds · CMS overall 3/581 citation rowsGem Tcu75 beds · CMS overall 1/5111 citation rowsGolden Rose Care Center99 beds · CMS overall 1/5149 citation rowsPasadena Grove Health Center71 beds · CMS overall 2/590 citation rowsPasadena Nursing Center52 beds · CMS overall 2/5101 citation rowsPasadena Park Healthcare And Wellness Center99 beds · CMS overall 2/569 citation rows