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Gem TCU

Nursing Home Facility

716 South Fair Oaks Ave, Pasadena, CA 91105

Nursing Home Care Senior Living

Gem TCU is a senior care community located in Pasadena, CA. It provides nursing home care and senior living for older adults in the Pasadena area. To learn more or schedule a tour, call (626) 737-0560.

Operated by Abraham Bak & Menachem Gastwirth, which runs 16 communities in our directory.

With 75 beds, Gem TCU is one of the larger communities in the area, senior care communities in Pasadena average about 47 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.

Federal reporting puts occupancy at about 88% of its licensed beds.

Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Pasadena average about 2.3 stars. Its most recent standard health inspection was in November 2025 and recorded 21 deficiencies.

Residents receive about 4.5 hours of nursing care per day on average, including 0.5 hours from a registered nurse. Nursing staff turnover over the past year was about 60%.

The community is located in Los Angeles County, CA.

Medicare five-star ratings

  • Overall ★★★★★ 1/5
  • Health inspections ★★★★★ 1/5
  • Staffing ★★★★★ 2/5
  • Quality measures ★★★★★ 2/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 87 problems at Gem TCU. 2 findings involved harm to a resident, including 1 that put residents in immediate danger. 44 came from investigating complaints by residents or families.

In the last three years Medicare fined this home once, a total of $27,808.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, a pattern Environmental

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Inspected May 2026, after a complaint. Corrected by May 29, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Inspected May 2026, after a complaint. Corrected by May 29, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Inspected May 2026, after a complaint. Corrected by May 29, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    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.

    Inspected December 2025, after a complaint. Corrected by January 15, 2026.

  • Could cause more than minimal harm, a pattern Resident Assessment and Care Planning

    PASARR screening for Mental disorders or Intellectual Disabilities

    Inspected November 2025. Corrected by December 12, 2025.

  • Could cause more than minimal harm, a pattern Nutrition and Dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Inspected November 2025. Corrected by December 12, 2025.

  • Could cause more than minimal harm, a pattern Nutrition and Dietary

    Have a policy regarding use and storage of foods brought to residents by family and other visitors.

    Inspected November 2025. Corrected by December 12, 2025.

  • Could cause more than minimal harm, a pattern Infection Control

    Provide and implement an infection prevention and control program.

    Inspected November 2025. Corrected by December 12, 2025.

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  • Could cause more than minimal harm, one or a few residents Resident Rights

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Inspected November 2025. Corrected by December 12, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Reasonably accommodate the needs and preferences of each resident.

    Inspected November 2025. Corrected by December 12, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid.

    Inspected November 2025, after a complaint. Corrected by December 12, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    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.

    Inspected November 2025. Corrected by December 12, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Inspected November 2025. Corrected by December 12, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Inspected November 2025. Corrected by December 12, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Inspected November 2025. Corrected by December 12, 2025.

  • Could cause more than minimal harm, one or a few residents Nutrition and Dietary

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Inspected November 2025. Corrected by December 12, 2025.

  • Could cause more than minimal harm, one or a few residents Nutrition and Dietary

    Dispose of garbage and refuse properly.

    Inspected November 2025. Corrected by December 12, 2025.

  • Could cause more than minimal harm, one or a few residents Environmental

    Keep all essential equipment working safely.

    Inspected November 2025. Corrected by December 12, 2025.

  • Could cause more than minimal harm, a pattern Nutrition and Dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Inspected August 2025, after a complaint. Corrected by August 8, 2025.

  • Minimal harm or the potential for it, a pattern Nursing and Physician Services

    Post nurse staffing information every day.

    Inspected November 2025. Corrected by December 12, 2025.

  • Minimal harm or the potential for it, a pattern Environmental

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    Inspected November 2025. Corrected by December 12, 2025.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Gem TCU offers nursing home care and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 75
  • Occupancy 88%
  • Nursing hours per resident/day 4.5
  • Annual staff turnover 60%
  • Last health inspection November 2025

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