GOLDEN ROSE CARE CENTER

Special Focus Facility candidate · Los Angeles · CA · For profit - Corporation · 99 certified beds · CCN 055862 · RG LEGACY I, LLC


GOLDEN ROSE CARE CENTER operates 99 certified beds in PASADENA, California. Its Medicare and Medicaid certification dates to 1967-12-15. It averages 85.8 residents a day.

What harm was found in the violations cited at GOLDEN ROSE CARE CENTER?

CMS lists 130 health-inspection deficiencies for GOLDEN ROSE CARE CENTER since 2021-10-29, 123 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2026-06-24.

Survey dateTagDeficiencySeverity
2026-06-24F0686, F0755Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2026-04-29F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2026-03-23F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2026-02-20F0686, F0880Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide and implement an infection prevention and control program.D
2025-11-25F0790Provide routine and 24-hour emergency dental care for each resident.D
2025-11-17F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E
2025-09-11F0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.D
2025-08-19F0677, F0684Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2025-07-18F0919Make sure that a working call system is available in each resident's bathroom and bathing area.E
2025-06-05F0550, F0558, F0584, F0692, F0755, F0812, F0814, F0880Honor 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. / 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 enough food/fluids to maintain a resident's health. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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
2025-06-05F0645, F0656, F0657, F0677, F0684, F0686, F0688, F0698, F0699, F0756, F0757, F0759, F0806, F0881, F0919PASARR 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. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / 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. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Provide care or services that was trauma informed and/or culturally competent. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Ensure medication error rates are not 5 percent or greater. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Implement a program that monitors antibiotic use. / Make sure that a working call system is available in each resident's bathroom and bathing area.D
2025-06-05F0732Post nurse staffing information every day.B
2025-05-27F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2025-05-16F0578Honor 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.D
2025-05-05F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E
2025-05-02F0919Make sure that a working call system is available in each resident's bathroom and bathing area.D
2025-04-16F0583, F0755Keep residents' personal and medical records private and confidential. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E
2025-04-16F0550, F0806, F0812Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D
2025-03-13F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E
2025-03-11F0578, F0842Honor 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2024-12-30F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D
2024-12-24F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E
2024-12-24F0756, F0758Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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.D
2024-12-12F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.E
2024-12-07F0755, F0761Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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.D
2024-11-26F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G
2024-11-26F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E
2024-11-18F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.D
2024-10-30F0600, F0689Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2024-10-25F0550, F0842Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2024-10-20F0695, F0755Provide safe and appropriate respiratory care for a resident when needed. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.J
2024-10-08F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2024-09-27F0600, F0740Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services.D
2024-09-13F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E
2024-08-29F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2024-08-24F0656, F0697Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide safe, appropriate pain management for a resident who requires such services.D
2024-08-07F0688Provide 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.E
2024-08-07F0607, F0609Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2024-08-02F0658, F0880Ensure services provided by the nursing facility meet professional standards of quality. / Provide and implement an infection prevention and control program.E
2024-08-01F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D
2024-07-31F0558Reasonably accommodate the needs and preferences of each resident.E
2024-07-24F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.E
2024-07-24F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2024-07-11F0600, F0690, F0695, F0755, F0759, F0761, F0812, F0813Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe and appropriate respiratory care for a resident when needed. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure medication error rates are not 5 percent or greater. / 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. / Have a policy regarding use and storage of foods brought to residents by family and other visitors.E
2024-07-11F0550, F0558, F0604, F0610, F0640, F0655, F0656, F0657, F0677, F0684, F0693, F0699, F0756, F0760, F0883, F0925Honor 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. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Respond appropriately to all alleged violations. / Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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. / Provide care or services that was trauma informed and/or culturally competent. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure that residents are free from significant medication errors. / Develop and implement policies and procedures for flu and pneumonia vaccinations. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.D
2024-06-07F0880Provide and implement an infection prevention and control program.E
2024-05-30F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2024-05-14F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.E
2024-05-13F0677Provide care and assistance to perform activities of daily living for any resident who is unable.D
2024-02-24F0756, F0758Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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.E
2024-02-23F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2024-02-08F0880Provide and implement an infection prevention and control program.K
2023-12-29F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2023-12-28F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E
2023-12-28F0552, F0580Ensure 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.D
2023-11-03F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E
2023-11-03F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2023-10-19F0826Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor.E
2023-09-28F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D
2023-09-09F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E
2023-08-17F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2023-08-16F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D
2021-10-29F0578, F0582, F0812Honor 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. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2021-10-29F0689, F0695, F0761, F0919Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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. / Make sure that a working call system is available in each resident's bathroom and bathing area.D

Why was GOLDEN ROSE CARE CENTER fined 20 times?

DateTypeAmount
2024-11-26Fine$12,529
2024-10-20Fine$18,236
2024-02-20Fine$4,938
2024-02-08Fine$29,097
2024-01-22Fine$14,814
2024-01-08Fine$4,938
2024-01-02Fine$4,587
2023-12-11Fine$13,762
2023-11-20Fine$4,587
2023-11-13Fine$4,587
2023-11-06Fine$4,587
2023-10-17Fine$4,587
2023-10-10Fine$4,587
2023-10-02Fine$4,587
2023-09-25Fine$4,587
2023-09-18Fine$4,587
2023-09-11Fine$4,587
2023-09-05Fine$4,587
2023-08-28Fine$4,587
2023-08-21Fine$4,587

Has GOLDEN ROSE CARE CENTER had payment denied by Medicare?

Payment denial startLength in days
2024-03-0911

How is GOLDEN ROSE CARE CENTER staffed relative to the CA average?

MeasureThis facilityCA average
Total nurse staffing hours per resident per day4.414244.51570
Total nursing staff turnover (%)43.136.7
Average number of residents per day85.887.9

Who owns GOLDEN ROSE CARE CENTER?

GOLDEN ROSE CARE CENTER is registered with CMS as For profit - Corporation, operates under the legal business name RG LEGACY I, LLC.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTMAYER 2012 TRUST, THE CHANI LEVITIN GST NON-EXEMPT TRUSTsince 12/01/2020
DIRECT OWNERSHIP INTERESTLEVITIN, ALTER, WEISS, HOWARD, WEISS, MARTIN, WEISS, MENACHEMsince 12/01/2020
INDIRECT OWNERSHIP INTERESTYUZ, ALEXANDERsince 12/01/2020
MANAGING CONTROL - GOVERNING BODYKAUR, RAGINI, RAMOS, JHOANNA, WILHELM, MORDECHAIsince 01/01/2025
CORPORATE DIRECTORWEISS, MENACHEMsince 12/01/2020
OPERATIONAL/MANAGERIAL CONTROLWEISS, MENACHEMsince 12/01/2025
ADP OF THE SNFCHADHA, ARINDER, KAUR, RAGINIsince 04/15/2026

Were you or a family member harmed at GOLDEN ROSE CARE CENTER?