Gem Tcu

Nursing Home · Pasadena, CA

CMS overall rating 1/5 For profit - Limited Liability company

CMS certification number055341

Contact & location

716 South Fair Oaks Ave
Pasadena, CA 91105
Los Angeles County
Phone
(626) 737-0560
ZIP code
91105 – all care providers

Open in Google Maps

Facility details

Certified beds
75
Residents per day
65.9 (88% occupied)
Ownership
For profit - Limited Liability company
Legal name
Pasadena Palace Tcu LLC
Chain
Abraham Bak & Menachem Gastwirth (18 facilities, avg 2.5★)
Medicare certified since
April 1, 1972
Participates in
Medicare and Medicaid
Council
Both council

CMS star ratings

Overall★★★★★ 1/5
State avg 3.2
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 2/5
State avg 3.3
Quality measures★★★★★ 2/5
State avg 4.1
Long-stay quality★★★★★ 2/5
Short-stay quality★★★★★ 1/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
4.47 (state 4.52 · U.S. 3.86)
Registered nurses (RN)
0.51 (state 0.67 · U.S. 0.69)
Licensed practical nurses
1.28 (state 1.20 · U.S. 0.86)
Nurse aides
2.68 (state 2.65 · U.S. 2.32)
Weekend total
3.95 (state 4.09 · U.S. 3.42)
Nursing staff turnover
59.7 (state 36.7 · U.S. 45.8)%
RN turnover
50.0 (state 38.1 · U.S. 42.9)%
Administrators who left
2 in the last year

Inspections

Last standard inspection
November 19, 2025
Health deficiencies (last cycle)
21.0 (state 15.7 · U.S. 9.3)
From complaints
6
Citations on record (3 years)
66 health · 14 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-05-06 Make sure that a working call system is available in each resident's bathroom and bathing area.
F0919 · Environmental Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-05-29
2026-05-05 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-05-29
2026-05-05 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-05-29
2025-12-17 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.
F0693 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-01-15
2025-11-19 PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-12-12
2025-11-19 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-12-12
2025-11-19 Have a policy regarding use and storage of foods brought to residents by family and other visitors.
F0813 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-12-12
2025-11-19 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-12-12
2025-11-19 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-12
2025-11-19 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-12
2025-11-19 Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid.
F0571 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-12
2025-11-19 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.
F0584 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-12
2025-11-19 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-12
2025-11-19 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-12
2025-11-19 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-12
2025-11-19 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
F0806 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-12
2025-11-19 Dispose of garbage and refuse properly.
F0814 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-12
2025-11-19 Keep all essential equipment working safely.
F0908 · Environmental Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-12
2025-11-19 Post nurse staffing information every day.
F0732 · Nursing and Physician Services Deficiencies		 B
No actual harm, potential for minimal harm		 Corrected 2025-12-12
2025-11-19 Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
F0912 · Environmental Deficiencies		 B
No actual harm, potential for minimal harm		 Corrected 2025-12-12
2025-08-05 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-08-08
2025-05-17 Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
F0627 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-12
2025-05-16 Provide 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.
F0742 · Quality of Life and Care Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2025-06-11
2025-05-16 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2025-06-11
2025-05-08 Implement a program that monitors antibiotic use.
F0881 · Infection Control Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-05-11
2025-05-08 Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
F0882 · Infection Control Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-05-11
2025-05-07 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-11
2025-05-03 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-11
2025-05-03 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
F0806 · Nutrition and Dietary Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-11
2025-04-28 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-09
2025-04-28 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
F0806 · Nutrition and Dietary Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-09
2025-04-01 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.
F0758 · Pharmacy Service Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-04-25
2025-04-01 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-25
2025-04-01 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-25
2025-03-20 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-08
2025-02-25 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-21
2025-02-25 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-21
2025-01-29 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-20
2025-01-13 Ensure 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.
F0803 · Nutrition and Dietary Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-01-31
2025-01-13 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-01-31
2025-01-13 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-01-31
2025-01-07 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-02-01
2024-11-01 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-12-01
2024-11-01 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-12-01
2024-11-01 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-12-01
2024-11-01 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-12-01
2024-11-01 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-01
2024-11-01 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.
F0578 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-01
2024-11-01 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-01
2024-11-01 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
F0676 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-01

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years, including $27,808 in fines.

DateTypeAmount
2025-05-16Fine$27,808

Ownership & management

NameRoleSince
Lehmann, Kenneth (individual)5%+ Direct Ownership Interest · 25%
Abak Consulting LLC (organization)Administrator · NOT APPLICABLE
Abe and Rachel Bak Family Trust (organization)Administrator · NOT APPLICABLE
Am Holdco, LLC (organization)Administrator · NOT APPLICABLE
Bak, Abraham (individual)Administrator · NOT APPLICABLE
Bak, Rachel (individual)Administrator · NOT APPLICABLE
Fair Oaks Propco LLC (organization)Administrator · NOT APPLICABLE
Gastwirth, Menachem (individual)Administrator · NOT APPLICABLE
Lehmann, Kenneth (individual)Administrator · NOT APPLICABLE
Lighthouse United Partners LLC (organization)Administrator · NOT APPLICABLE
Mayer 2012 Trust (organization)Administrator · NOT APPLICABLE
Mayer Family 2016 Irrevocable Trust (organization)Administrator · NOT APPLICABLE
Mayer, Akiva (individual)Administrator · NOT APPLICABLE
MCP 1 LLC (organization)Administrator · NOT APPLICABLE
MFT 2020 Trust Dated November 12, 2020 (organization)Administrator · NOT APPLICABLE
Mgaz Consulting LLC (organization)Administrator · NOT APPLICABLE
Montag, Memphis (individual)Administrator · NOT APPLICABLE
Wynstock, Lori (individual)Administrator · NOT APPLICABLE
Yuz, Alexander (individual)Administrator · NOT APPLICABLE
Ahm Family Holdings LLC (organization)Direct Ownership Interest · NOT APPLICABLE
Amc Family Holding LLC (organization)Direct Ownership Interest · NOT APPLICABLE
Amm Family Holdings LLC (organization)Direct Ownership Interest · NOT APPLICABLE
Asm Family Holdings LLC (organization)Direct Ownership Interest · NOT APPLICABLE
Atr Family Holdings LLC (organization)Direct Ownership Interest · NOT APPLICABLE
Levine, Ychail (individual)Direct Ownership Interest · NOT APPLICABLE
ZM Family Holdings LLC (organization)Direct Ownership Interest · NOT APPLICABLE
Mayer, Akiva (individual)Indirect Ownership Interest · NOT APPLICABLE
Mayer, Helene (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Mayer, Ronald (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Bak, Abraham (individual)Operational/managerial Control · NOT APPLICABLE
Lehmann, Kenneth (individual)Operational/managerial Control · NOT APPLICABLE
Montag, Memphis (individual)Operational/managerial Control · NOT APPLICABLE
Wynstock, Lori (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Gem Tcu?

Gem Tcu has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in California.

How many beds does Gem Tcu have?

It has 75 certified beds and cares for about 66 residents per day.

Has Gem Tcu been fined?

Yes. CMS lists 1 penalty totaling $27,808 in the last three years.

Who owns Gem Tcu?

It is part of Abraham Bak & Menachem Gastwirth and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Gem Tcu?

(626) 737-0560. The facility is located at 716 South Fair Oaks Ave, Pasadena, CA 91105.

Other nursing homes in Pasadena

Compare all nursing homes in Pasadena, CA →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.