Nursing homes › California › Pasadena › Gem Tcu
716 South Fair Oaks Ave, Pasadena, CA 91105 · (626) 737-0560 · 75 certified beds
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Open your comparisonCMS overall star rating: this provider 1/5; median among 1,154 providers with a published value in the same state and provider category: 3/5.
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Per CMS filings, this facility is affiliated with Abraham Bak & Menachem Gastwirth, a group operating 18 facilities in 1 state. Group record: average rating 2.5/5, 1 abuse citation icon, 0 facilities on the Special Focus list, $321,353 in federal fines. This facility rates below its group average (2.5/5).
Total nurse staffing: 4.47 (California median: 4.24). RN hours: 0.51. Weekend total: 3.95. Nursing staff turnover: 60%.
In the downloaded CMS dataset: 87 deficiency citations, including 1 at immediate-jeopardy level. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-06 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | complaint | 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. | D | complaint | 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. | D | complaint | 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. | D | complaint | corrected 2026-01-15 |
| 2025-11-19 | PASARR screening for Mental disorders or Intellectual Disabilities | E | Health | 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. | E | Health | corrected 2025-12-12 |
| 2025-11-19 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | E | Health | corrected 2025-12-12 |
| 2025-11-19 | Provide and implement an infection prevention and control program. | E | Health | 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. | D | Health | corrected 2025-12-12 |
| 2025-11-19 | Reasonably accommodate the needs and preferences of each resident. | D | Health | 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. | D | complaint | 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. | D | Health | corrected 2025-12-12 |
| 2025-11-19 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | 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. | D | Health | corrected 2025-12-12 |
| 2025-11-19 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Health | 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. | D | Health | corrected 2025-12-12 |
| 2025-11-19 | Dispose of garbage and refuse properly. | D | Health | corrected 2025-12-12 |
| 2025-11-19 | Keep all essential equipment working safely. | D | Health | corrected 2025-12-12 |
| 2025-11-19 | Post nurse staffing information every day. | B | Health | 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. | B | Health | 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. | E | complaint | 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. | D | complaint | 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. | J | complaint | 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. | G | complaint | corrected 2025-06-11 |
| 2025-05-08 | Implement a program that monitors antibiotic use. | E | complaint | 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. | E | complaint | corrected 2025-05-11 |
| 2025-05-07 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | complaint | corrected 2025-05-11 |
| 2025-05-03 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | 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. | D | complaint | 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. | D | complaint | 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. | D | complaint | 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. | E | complaint | 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. | D | complaint | 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. | D | complaint | corrected 2025-04-25 |
| 2025-03-20 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | complaint | corrected 2025-04-08 |
| 2025-02-25 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | 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. | D | complaint | corrected 2025-03-21 |
| 2025-01-29 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | 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. | E | complaint | corrected 2025-01-31 |
| 2025-01-13 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | complaint | corrected 2025-01-31 |
| Date | Type | Amount |
|---|---|---|
| 2025-05-16 | Fine | $27,808 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| LEHMANN, KENNETH | 5% Or Greater Direct Ownership Interest | Individual | 25% | since 08/01/2025 |
| AHM FAMILY HOLDINGS LLC | Direct Ownership Interest | Organization | NOT APPLICABLE | since 08/01/2025 |
| AMC FAMILY HOLDING LLC | Direct Ownership Interest | Organization | NOT APPLICABLE | since 08/01/2025 |
| AMM FAMILY HOLDINGS LLC | Direct Ownership Interest | Organization | NOT APPLICABLE | since 08/01/2025 |
| ASM FAMILY HOLDINGS LLC | Direct Ownership Interest | Organization | NOT APPLICABLE | since 08/01/2025 |
| ATR FAMILY HOLDINGS LLC | Direct Ownership Interest | Organization | NOT APPLICABLE | since 08/01/2025 |
| ZM FAMILY HOLDINGS LLC | Direct Ownership Interest | Organization | NOT APPLICABLE | since 08/01/2025 |
| LEVINE, YCHAIL | Direct Ownership Interest | Individual | NOT APPLICABLE | since 08/01/2025 |
| MAYER, AKIVA | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 08/01/2025 |
| BAK, ABRAHAM | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/01/2025 |
| LEHMANN, KENNETH | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/01/2025 |
| MONTAG, MEMPHIS | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/01/2025 |
| WYNSTOCK, LORI | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/01/2025 |
How to cite this page: CareRecords, “Gem Tcu — compliance, penalty and ownership record” (CCN 055341), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/gem-tcu-pasadena-ca/
Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 055341. Corrections: data@carerecords.org.