Nursing home · SNF / NF

Camellia Gardens Care Center

Federal · CMS State licenseActive CMS certificationCCN 056316CA lic. 970000078For profit CMS overall

1920 N. Fair Oaks Avenue, Pasadena, CA 91103 · Operated by Highland Healthcare Camellia Gardens, LLC

Source: CMS Provider Data Catalog, release Oct 16, 2026 + state license · provenance

$25 Full Intelligence Report

Certified beds

Avg residents / day

Inspections

Citations

Harm-level

Fines

State actions

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 80 CMS-certified beds (not state-licensed beds)
Licensed beds: 80 state-licensed beds · California Department of Public Health
State license: 970000078 active · licensee HIGHLAND HEALTHCARE CAMELLIA GARDENS, LLC
Average residents per day: 73.1 CMS, MDS-derived
CMS Certification Number: 056316
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jul 1, 1974
Ownership type: For profit - Limited Liability company
Operator (legal business name): Highland Healthcare Camellia Gardens, LLC
CMS chain: Not part of a CMS-reported chain
Phone: (626) 798-6777
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

State enforcement · CA (historical)

Historical

State actions

2000–2022

Class AA / A

no class AA

Since 2019

$24k final penalties

California CDPH state citations and administrative penalties, 1997 to early 2024 (archived dataset). Separate from federal CMS deficiencies.

Inspection record · CMS window

Verified

Inspections

latest Aug 27, 2026

Citations

60 health · 13 fire

Harm or worse

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D47	E23	F3
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

Payment denials

Latest

—

Date	Domain	Survey types	Citations	Most severe	Open
Aug 27, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Aug 7, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Apr 23, 2026	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Apr 23, 2026	Health	Health Standard	8	Potential harm	—	Open →
Mar 4, 2026	Health	Health Complaint	2	Potential harm	—	Open →
Feb 27, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Feb 4, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Dec 26, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Dec 2, 2025	Health	Health Complaint	1	Potential harm	—	Open →
May 13, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Apr 11, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Mar 26, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Mar 7, 2025	Fire safety	Fire Safety Standard	5	Potential harm	—	Open →
Mar 7, 2025	Health	Health Standard	13	Potential harm	—	Open →
Jan 24, 2025	Health	Health Complaint	4	Potential harm	—	Open →
Oct 2, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Aug 9, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Apr 4, 2024	Health	Health Complaint	2	Potential harm	—	Open →
Mar 1, 2024	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Mar 1, 2024	Health	Health Standard	19	Potential harm	—	Open →
Oct 2, 2023	Health	Health Complaint	1	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

State citations & penalties · historical

State enforcement · California

California CDPH state citations and administrative penalties, 1997 to early 2024 (archived dataset). Separate from federal CMS deficiencies.

Issued	Class	Type	Category	Final amount	Flags	Record
Jun 7, 2022 violation Oct 1, 2019	AP NHPPD	Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	$0	Closed	810017841
Jun 7, 2022 violation Oct 1, 2019	AP NHPPD	Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	$0	Closed	810017840
Aug 13, 2021 violation Jun 23, 2021	Class B	Citation Citation B (HSC 1424)	Patient Care · Accidents	$2,000	Closed	950016814
Aug 13, 2021 violation Jun 15, 2021	Class B	Citation Citation B (HSC 1424)	Physical Environment	$2,000	Closed	950016807
Nov 29, 2018 violation Aug 10, 2018	Class B	Citation Citation B (HSC 1424)	Patient Care	$2,000	Closed	950014612
Jan 26, 2017 violation Oct 26, 2016	Class B	Citation Citation B (HSC 1424)	Patient Care	$2,000	Closed	950012911
Sep 12, 2012 violation Dec 6, 2011	AP NHPPD	Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	$15,000	Closed	950009487
Aug 17, 2000 violation Jun 15, 2000	Class B	Citation Citation B (HSC 1424)	Patient Care	$500	Closed	970001093

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D47	E23	F3
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Aug 27, 2026	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 17, 2026	Complaint
Aug 7, 2026	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 28, 2026	Complaint
Apr 23, 2026	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected May 14, 2026
Apr 23, 2026	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected May 14, 2026
Apr 23, 2026	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 14, 2026
Apr 23, 2026	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected May 14, 2026
Apr 23, 2026	F-0605	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Apr 27, 2026
Apr 23, 2026	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 27, 2026
Apr 23, 2026	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected May 15, 2026
Apr 23, 2026	F-0690	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 27, 2026
Apr 23, 2026	F-0756	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Apr 29, 2026
Apr 23, 2026	F-0757	Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Apr 27, 2026
Apr 23, 2026	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Apr 22, 2026
Apr 23, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Apr 23, 2026
Mar 4, 2026	F-0558	Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 27, 2026	Complaint
Mar 4, 2026	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 27, 2026	Complaint
Feb 27, 2026	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 19, 2026	Complaint
Feb 4, 2026	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Feb 23, 2026	Complaint
Dec 26, 2025	F-0627	Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jan 19, 2026	Complaint
Dec 2, 2025	F-0921	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 23, 2025	Complaint
May 13, 2025	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 29, 2025	Complaint
Apr 11, 2025	F-0694	Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 14, 2025	Complaint
Mar 26, 2025	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 29, 2025	Complaint
Mar 7, 2025	K-0271	Have exits that are accessible at all times. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 27, 2025
Mar 7, 2025	K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 27, 2025
Mar 7, 2025	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 27, 2025
Mar 7, 2025	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 27, 2025
Mar 7, 2025	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 27, 2025
Mar 7, 2025	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 29, 2025
Mar 7, 2025	F-0582	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 28, 2025
Mar 7, 2025	F-0583	Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 28, 2025
Mar 7, 2025	F-0584	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Mar 28, 2025
Mar 7, 2025	F-0604	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Mar 28, 2025
Mar 7, 2025	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Mar 28, 2025
Mar 7, 2025	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 28, 2025
Mar 7, 2025	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Mar 28, 2025
Mar 7, 2025	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 28, 2025
Mar 7, 2025	F-0688	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. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 28, 2025
Mar 7, 2025	F-0847	Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Administration Deficiencies · Administration & records	D · Potential harm Isolated	Corrected Mar 28, 2025
Mar 7, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Mar 28, 2025
Mar 7, 2025	F-0881	Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Mar 28, 2025
Jan 24, 2025	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 14, 2025	Complaint
Jan 24, 2025	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 14, 2025	Complaint
Jan 24, 2025	F-0790	Provide routine and 24-hour emergency dental care for each resident. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 14, 2025	Complaint
Jan 24, 2025	F-0825	Provide or get specialized rehabilitative services as required for a resident. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 14, 2025	Complaint
Oct 2, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Oct 16, 2024	Complaint
Aug 9, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Aug 21, 2024	Complaint
Apr 4, 2024	F-0584	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Apr 30, 2024	Complaint
Apr 4, 2024	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 30, 2024	Complaint
Mar 1, 2024	K-0223	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Mar 4, 2024
Mar 1, 2024	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Mar 20, 2024
Mar 1, 2024	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Mar 20, 2024
Mar 1, 2024	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Mar 20, 2024
Mar 1, 2024	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Mar 18, 2024
Mar 1, 2024	F-0558	Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 18, 2024
Mar 1, 2024	F-0578	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Mar 22, 2024
Mar 1, 2024	F-0604	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 22, 2024
Mar 1, 2024	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 22, 2024
Mar 1, 2024	F-0645	PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 22, 2024
Mar 1, 2024	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 18, 2024
Mar 1, 2024	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 18, 2024
Mar 1, 2024	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Mar 22, 2024
Mar 1, 2024	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 18, 2024
Mar 1, 2024	F-0690	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Mar 18, 2024
Mar 1, 2024	F-0693	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. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Mar 18, 2024
Mar 1, 2024	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 18, 2024
Mar 1, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Mar 18, 2024
Mar 1, 2024	F-0814	Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Mar 18, 2024
Mar 1, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	F · Potential harm Widespread	Corrected Mar 18, 2024
Mar 1, 2024	F-0883	Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Mar 18, 2024
Mar 1, 2024	F-0887	Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Mar 18, 2024
Mar 1, 2024	F-0921	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Mar 18, 2024
Oct 2, 2023	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 27, 2023	Complaint

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Operating entity

Highland Healthcare Camellia Gardens, LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

Organizations

Individuals

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Highland Healthcare Management LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	67%	Sep 18, 2019
Bellavid Healthcare LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	34%	Sep 18, 2019
Optimist Healthcare LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Sep 18, 2019
Wellspring Healthcare Solutions LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Sep 18, 2019
Samuel Chazanow	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Sep 18, 2019
Bernard Friedman	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Sep 18, 2019
Sarah R'bibo	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Sep 18, 2019

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Highland Healthcare Management LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	67%	Sep 18, 2019
Bellavid Healthcare LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	34%	Sep 18, 2019
Optimist Healthcare LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Sep 18, 2019
Wellspring Healthcare Solutions LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Sep 18, 2019
Samuel Chazanow	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Sep 18, 2019
Bernard Friedman	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Sep 18, 2019
Sarah R'bibo	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Sep 18, 2019
Arlene Rosales	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	May 1, 2026
Tanya Administrative Services, LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 12, 2020
Donald Balacuit	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 10, 2000
Samuel Chazanow	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 18, 2019
Bernard Friedman	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 18, 2019
Rico Hechanova	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jun 1, 2022
Henry Ross, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Mar 1, 1999
Tanya Administrative Services, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Feb 12, 2020
Donald Balacuit	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 10, 2000
Samuel Chazanow	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Sep 18, 2019
Bernard Friedman	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Sep 18, 2019
Rico Hechanova	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jun 1, 2022

Coordinates as published by CMS.

Address: 1920 N. Fair Oaks Avenue, Pasadena, CA 91103
ZIP: 91103
County: Los Angeles County FIPS 06037
State: California
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Golden Rose Care Center 1899 N Raymond Ave, Pasadena, CA 91103 CCN 0558629 state class AA/ASFF Candidate	0 km	99	Aug 14, 2026	1613 IJ1 harm	$121k
Brighton Care Center 1836 N. Fair Oaks Ave, Pasadena, CA 91103 CCN 555338	0.1 km	99	Aug 18, 2026	921 harm	—
Saint Vincent Healthcare 1810 N. Fair Oaks Ave, Pasadena, CA 91103 CCN 555119	0.2 km	78	Nov 21, 2025	65	—
Cedar Pine Post Acute 1640 N. Fair Oaks Avenue, Pasadena, CA 91103 CCN 5552133 state class AA/AAbuse icon	0.5 km	99	Jun 26, 2026	1051 IJ1 harm	$9,113
Pasadena Nursing Center 1570 North Fair Oaks Ave, Pasadena, CA 91103 CCN 5558931 state class AA/AAbuse icon	0.7 km	52	Jul 16, 2026	1021 harm	$23k
Foothill Heights Care Center 1515 North Fair Oaks Ave, Pasadena, CA 91103 CCN 555894	0.8 km	49	Aug 21, 2026	80	$9,390
Pasadena Grove Health Center 1470 N Fair Oaks Ave, Pasadena, CA 91103 CCN 055617	0.9 km	71	Aug 5, 2026	921 harm	—
Villa Gardens Health Care Unit 842 East Villa Street, Pasadena, CA 91101 CCN 555429	3.3 km	54	Dec 5, 2025	53	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	056316	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	056316	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026
California CDPH Licensed Facility Listing CA	970000163	state_license, licensed_beds, licensee Linked to the CMS record by exact CCN.	Verified	Oct 16, 2026	Nov 7, 2026

Record-level source links for CCN 056316

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction

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Camellia Gardens Care Center

Federal certification

State license

Penalties

State enforcement · California

Owners of record

All disclosed roles

Nearby nursing homes

Camellia Gardens Care Center

Federal certification

State license

Penalties

State enforcement · California

Owners of record

All disclosed roles

Nearby nursing homes