Gem Tcu — Pasadena, CA
This page sets out what the federal inspection record says about Gem Tcu, a 75-bed nursing home at 716 South Fair Oaks Ave, Pasadena, California. Every figure below is copied from data the Centers for Medicare & Medicaid Services (CMS) publishes about nursing homes that take Medicare or Medicaid. We have not added our own judgment to it.
The record at a glance
| Federal ID (CCN) | 055341 |
| Legal business name | Pasadena Palace Tcu LLC |
| Listed chain or group | Abraham Bak & Menachem Gastwirth |
| Address | 716 South Fair Oaks Ave, Pasadena, CA 91105 |
| Phone listed with CMS | (626) 737-0560 |
| Ownership type | For profit – Limited Liability company |
| Certified beds | 75 |
| Average residents per day | 65.9 |
| Certified since | April 1, 1972 |
| Overall CMS rating | 1 out of 5 |
| Health inspection rating | 1 out of 5 |
| Staffing rating | 2 out of 5 |
| Quality measures rating | 2 out of 5 |
| Total nursing staff turnover | 59.7% |
| Most recent standard inspection | November 19, 2025 |
CMS scores nursing homes from one to five stars. The health inspection rating is set relative to other nursing homes in the same state, so a one-star home is in the bottom fifth in California, not the bottom fifth nationally. Staffing and quality measure ratings are scored against national thresholds.
Federal penalties
CMS’s penalty file lists 1 federal penalty against this facility: 1 fine totalling $27,808. A denial of payment means CMS stopped paying the home for residents admitted after a set date until the problem was fixed.
Inspectors have cited this home 68 times since January 2024
2 of those were at severity level G or above — what CMS calls actual harm. 1 reached immediate jeopardy, CMS’s most serious category. 42 came from complaints rather than routine inspections. Every one of them is listed below, with its date and what the rule required.
Was somebody in your family at Gem Tcu? Tell us what you saw. We will read the whole record for this home — including the parts not shown on this page — and tell you plainly what it says and what your options are. You can write to us here without anyone hearing you.
Tell us what happened at Gem Tcu
Someone will text you back within 15 minutes. There is no charge for asking.
Inspection citations since January 2024
CMS records 68 health citations at this facility from inspections between January 5, 2024 and May 6, 2026.
| Inspected | Tag | What the rule requires | Scope and severity | Status |
|---|---|---|---|---|
| May 6, 2026 | F0919 | Make sure that a working call system is available in each resident’s bathroom and bathing area. (complaint) | E — Pattern, Potential for more than minimal harm | Correction date May 29, 2026 |
| May 5, 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (complaint) | D — Isolated, Potential for more than minimal harm | Correction date May 29, 2026 |
| May 5, 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (complaint) | D — Isolated, Potential for more than minimal harm | Correction date May 29, 2026 |
| Dec 17, 2025 | F0693 | 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. (complaint) | D — Isolated, Potential for more than minimal harm | Correction date Jan 15, 2026 |
| Nov 19, 2025 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | E — Pattern, Potential for more than minimal harm | Correction date Dec 12, 2025 |
| Nov 19, 2025 | F0732 | Post nurse staffing information every day. | B — Pattern, Potential for minimal harm | Correction date Dec 12, 2025 |
| May 16, 2025 | F0742 | 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. (complaint) | J — Isolated, Immediate jeopardy | Correction date Jun 11, 2025 |
| May 16, 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (complaint) | G — Isolated, Actual harm | Correction date Jun 11, 2025 |
The wording in the third column is CMS’s own plain-language summary of the federal rule that was cited, not a description of what happened. This table shows every one of the 2 citations at actual-harm level or above, plus the 6 most recent of the rest. The other 60 are in the CMS file linked below.
How to read scope and severity
Every citation gets a letter from A to L. The letter carries two things at once: how serious the problem was, and how many residents it reached.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J | K | L |
| Actual harm | G | H | I |
| No actual harm, potential for more than minimal harm | D | E | F |
| No actual harm, potential for minimal harm | A | B | C |
“Immediate jeopardy” is CMS’s term for a situation that has caused, or is likely to cause, serious injury, harm, impairment or death. It requires the home to act at once.
What this page does not tell you
- A citation is an inspector’s finding against a federal rule. It is not a court judgment, and the facility may be disputing it. Citations marked “under dispute” above are in CMS’s formal review process.
- Citation counts partly reflect how often a home was inspected and how many complaints were filed about it. A home with more citations has not automatically given worse care than one with fewer.
- Bigger homes have more residents, more staff and more inspections, so they tend to accumulate more citations.
- None of this says anything about the care any one resident received. A home with a clean record can still fail somebody, and a home with a bad record can be caring for your mother well.
- This is a snapshot. CMS updates these files monthly, and the figures here are from the file dated August 1, 2026.
Where this comes from
- Ratings, ownership, beds and penalties: CMS Provider Information dataset (4pq5-n9py), file dated August 1, 2026.
- Citations: CMS Health Deficiencies dataset (r5ix-sfxw), file dated August 1, 2026, filtered to inspections on or after January 1, 2024.
- This facility on the government’s own site: Medicare Care Compare.
- Retrieved August 29, 2026. Our method is set out in Editorial policy and How we count.
For the facility
If anything on this page is wrong, out of date or missing context, we will correct it. Gem Tcu and anyone acting for it can reach the watchdog team through our corrections and right of reply page. We publish the response alongside the record.
Tell us what's going on. We'll tell you straight.
A lawyer reads every message that comes in — not a call centre, not a form robot. You'll find out whether there's a case here, how long you've got, and what to do next, whether or not any of that involves us.
Someone will text you back within 15 minutes.