GEM TCU

CCN 055341 · PASADENA PALACE TCU LLC · For profit - Limited Liability company · ABRAHAM BAK & MENACHEM GASTWIRTH chain · 75 certified beds · Los Angeles · CA


GEM TCU is a 75-bed nursing home in PASADENA, California. CMS has certified it for Medicare and Medicaid since 1972-04-01. It averages 65.9 residents a day.

What harm was found in the violations cited at GEM TCU?

CMS lists 87 health-inspection deficiencies for GEM TCU, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-05-06.

Survey dateTagDeficiencySeverity
2026-05-06F0919Make sure that a working call system is available in each resident's bathroom and bathing area.E
2026-05-05F0657, F0689Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2025-12-17F0693Ensure 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.D
2025-11-19F0645, F0812, F0813, F0880PASARR screening for Mental disorders or Intellectual Disabilities / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Have a policy regarding use and storage of foods brought to residents by family and other visitors. / Provide and implement an infection prevention and control program.E
2025-11-19F0550, F0558, F0571, F0584, F0686, F0689, F0698, F0806, F0814, F0908Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Reasonably accommodate the needs and preferences of each resident. / Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid. / 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. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Dispose of garbage and refuse properly. / Keep all essential equipment working safely.D
2025-11-19F0732, F0912Post nurse staffing information every day. / Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.B
2025-08-05F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2025-05-17F0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.D
2025-05-16F0742Provide 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.J
2025-05-16F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2025-05-08F0881, F0882Implement a program that monitors antibiotic use. / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.E
2025-05-07F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D
2025-05-03F0609, F0806Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D
2025-04-28F0689, F0806Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D
2025-04-01F0758Implement 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.E
2025-04-01F0689, F0756Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D
2025-03-20F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D
2025-02-25F0609, F0657Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D
2025-01-29F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2025-01-13F0803, F0804, F0812Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2025-01-07F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E
2024-11-01F0558, F0689, F0812, F0880Reasonably accommodate the needs and preferences of each resident. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program.E
2024-11-01F0550, F0578, F0600, F0676, F0695, F0698, F0925Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / 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. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.D
2024-11-01F0732Post nurse staffing information every day.B
2024-09-25F0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.E
2024-09-25F0688, F0880Provide 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. / Provide and implement an infection prevention and control program.D
2024-09-23F0656, F0684Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2024-09-18F0658Ensure services provided by the nursing facility meet professional standards of quality.D
2024-08-28F0558Reasonably accommodate the needs and preferences of each resident.E
2024-08-28F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D
2024-08-21F0880Provide and implement an infection prevention and control program.D
2024-07-24F0803, F0812Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D
2024-05-07F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D
2024-01-05F0580, F0755Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2023-10-26F0645, F0656, F0686, F0695, F0761, F0812, F0814, F0880PASARR screening for Mental disorders or Intellectual Disabilities / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Dispose of garbage and refuse properly. / Provide and implement an infection prevention and control program.E
2023-10-26F0552, F0580, F0584, F0689, F0692, F0711, F0755, F0758, F0919Ensure that residents are fully informed and understand their health status, care and treatments. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / 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. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough food/fluids to maintain a resident's health. / Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Implement 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. / Make sure that a working call system is available in each resident's bathroom and bathing area.D
2023-10-05F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2023-08-08F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D

Why was GEM TCU fined?

DateTypeAmount
2025-05-16Fine$27,808

How is GEM TCU staffed relative to the CA average?

MeasureThis facilityCA average
Total nurse staffing hours per resident per day4.473024.51570
Total nursing staff turnover (%)59.736.7
Average number of residents per day65.987.9

Who owns GEM TCU, and what chain is it in?

GEM TCU is registered with CMS as For profit - Limited Liability company, operates under the legal business name PASADENA PALACE TCU LLC and belongs to the ABRAHAM BAK & MENACHEM GASTWIRTH chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTLEHMANN, KENNETHsince 08/01/2025
DIRECT OWNERSHIP INTERESTAHM FAMILY HOLDINGS LLC, AMC FAMILY HOLDING LLC, AMM FAMILY HOLDINGS LLC, ASM FAMILY HOLDINGS LLC, ATR FAMILY HOLDINGS LLC, ZM FAMILY HOLDINGS LLC, LEVINE, YCHAILsince 08/01/2025
INDIRECT OWNERSHIP INTERESTMAYER, AKIVAsince 08/01/2025
OPERATIONAL/MANAGERIAL CONTROLBAK, ABRAHAM, LEHMANN, KENNETH, MONTAG, MEMPHIS, WYNSTOCK, LORIsince 08/01/2025
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFMAYER, HELENE, MAYER, RONALDsince 06/03/2026
ADP OF THE SNFABAK CONSULTING LLC, ABE AND RACHEL BAK FAMILY TRUST, AM HOLDCO, LLC, FAIR OAKS PROPCO LLC, LIGHTHOUSE UNITED PARTNERS LLC, MAYER 2012 TRUST, MAYER FAMILY 2016 IRREVOCABLE TRUST, MCP 1 LLC, MFT 2020 TRUST DATED NOVEMBER 12, 2020, MGAZ CONSULTING LLC, BAK, ABRAHAM, BAK, RACHEL, GASTWIRTH, MENACHEM, LEHMANN, KENNETH, MAYER, AKIVA, MONTAG, MEMPHIS, WYNSTOCK, LORI, YUZ, ALEXANDERsince 05/20/2025

Were you or a family member harmed at GEM TCU?