Cedar Pine Post Acute
1640 N. Fair Oaks Avenue, Pasadena, CA 91103 · (626) 773-7969 · CMS certification number 555213
Cedar Pine Post Acute is a 99-bed for-profit nursing home in Pasadena, California, certified for Medicare and Medicaid since 1985. CMS rates it 2 out of 5 stars overall. Its last three inspection cycles produced 89 health citations, 2 of them at the level CMS classes as actual harm or immediate jeopardy.
CMS star ratings
| Overall | ★★★★★ |
|---|---|
| Health inspections | ★★★★★ |
| Staffing | ★★★★★ |
| Quality measures | ★★★★★ |
How it compares
| This facility | California average | |
|---|---|---|
| Health citations, most recent inspection cycle | 26 | 15.6 |
| Nurse staffing hours per resident per day | 4.12 | 4.54 |
| Nursing staff turnover | 33.3% | 36.6% |
| Overall star rating | 2 | 3.2 |
Facility details
| Ownership | For profit - Limited Liability company |
|---|---|
| Chain | Eva Care Group (9 facilities) |
| Certified beds | 99 (about 74 residents a day) |
| County | Los Angeles |
| Last standard inspection | June 26, 2026 |
Inspection history
89 citations from 24 inspections, 31 of them from complaint inspections. Newest first; select an inspection to see its citations.
June 26, 2026 17 citations · standard inspection Potential harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Potential for more than minimal harm (pattern) Resident Assessment and Care Planning
Tag F0656 · severity code E · corrected Jul 14, 2026
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Potential for more than minimal harm (pattern) Quality of Life and Care
Tag F0676 · severity code E · corrected Jul 20, 2026
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Potential for more than minimal harm (pattern) Quality of Life and Care
Tag F0686 · severity code E · corrected Jun 29, 2026
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Potential for more than minimal harm (pattern) Quality of Life and Care
Tag F0690 · severity code E · corrected Jul 13, 2026
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Potential for more than minimal harm (pattern) Quality of Life and Care
Tag F0698 · severity code E · corrected Jun 29, 2026
Provide and implement an infection prevention and control program.
Potential for more than minimal harm (isolated) Infection Control
Tag F0880 · severity code D · corrected Jul 20, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Potential for more than minimal harm (isolated) Resident Rights
Tag F0550 · severity code D · corrected Jul 20, 2026
Reasonably accommodate the needs and preferences of each resident.
Potential for more than minimal harm (isolated) Resident Rights
Tag F0558 · severity code D · corrected Jul 20, 2026
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.
Potential for more than minimal harm (isolated) Resident Rights
Tag F0584 · severity code D · corrected Jul 20, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Potential for more than minimal harm (isolated) Quality of Life and Care
Tag F0684 · severity code D · corrected Jul 20, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Potential for more than minimal harm (isolated) Quality of Life and Care
Tag F0695 · severity code D · corrected Jul 20, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Potential for more than minimal harm (isolated) Pharmacy Service
Tag F0755 · severity code D · corrected Jun 30, 2026
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Potential for more than minimal harm (isolated) Pharmacy Service
Tag F0756 · severity code D · corrected Jul 14, 2026
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Potential for more than minimal harm (isolated) Pharmacy Service
Tag F0757 · severity code D · corrected Jul 20, 2026
Ensure medication error rates are not 5 percent or greater.
Potential for more than minimal harm (isolated) Pharmacy Service
Tag F0759 · severity code D · corrected Jun 30, 2026
Ensure that residents are free from significant medication errors.
Potential for more than minimal harm (isolated) Pharmacy Service
Tag F0760 · severity code D · corrected Jun 30, 2026
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Potential for more than minimal harm (isolated) Resident Assessment and Care Planning
Tag F0842 · severity code D · corrected Jun 29, 2026
May 6, 2026 1 citation · complaint inspection Potential harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Potential for more than minimal harm (isolated) Resident Assessment and Care Planning Complaint
Tag F0842 · severity code D · corrected May 29, 2026
April 23, 2026 2 citations · complaint inspection Potential harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Potential for more than minimal harm (pattern) Pharmacy Service Complaint
Tag F0755 · severity code E · corrected May 4, 2026
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Potential for more than minimal harm (isolated) Quality of Life and Care Complaint
Tag F0694 · severity code D · corrected May 4, 2026
April 14, 2026 2 citations · complaint inspection Potential harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Potential for more than minimal harm (pattern) Resident Assessment and Care Planning Complaint
Tag F0842 · severity code E · corrected Apr 17, 2026
Respond appropriately to all alleged violations.
Potential for more than minimal harm (isolated) Freedom from Abuse, Neglect, and Exploitation Complaint
Tag F0610 · severity code D · corrected Apr 17, 2026
December 23, 2025 1 citation · complaint inspection Potential harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Potential for more than minimal harm (pattern) Pharmacy Service Complaint
Tag F0755 · severity code E · corrected Jan 19, 2026
December 19, 2025 1 citation · complaint inspection Potential harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Potential for more than minimal harm (isolated) Freedom from Abuse, Neglect, and Exploitation Complaint
Tag F0600 · severity code D · corrected Jan 18, 2026
December 9, 2025 1 citation · complaint inspection Potential harm
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Potential for more than minimal harm (isolated) Freedom from Abuse, Neglect, and Exploitation Complaint
Tag F0605 · severity code D · corrected Dec 29, 2025
November 26, 2025 1 citation · complaint inspection Potential harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Potential for more than minimal harm (isolated) Freedom from Abuse, Neglect, and Exploitation Complaint
Tag F0600 · severity code D · corrected Dec 16, 2025
August 28, 2025 1 citation · complaint inspection Actual harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Actual harm to residents (isolated) Quality of Life and Care Complaint
Tag F0690 · severity code G · corrected Sep 15, 2025
August 15, 2025 1 citation · complaint inspection Potential harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Potential for more than minimal harm (isolated) Quality of Life and Care Complaint
Tag F0689 · severity code D · corrected Aug 21, 2025
July 30, 2025 1 citation · complaint inspection Potential harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Potential for more than minimal harm (isolated) Resident Assessment and Care Planning Complaint
Tag F0656 · severity code D · corrected Aug 22, 2025
May 23, 2025 15 citations · standard inspection Potential harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Potential for more than minimal harm (pattern) Resident Rights
Tag F0550 · severity code E · corrected Jun 19, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Potential for more than minimal harm (pattern) Resident Assessment and Care Planning
Tag F0656 · severity code E · corrected Jun 19, 2025
Ensure medication error rates are not 5 percent or greater.
Potential for more than minimal harm (pattern) Pharmacy Service
Tag F0759 · severity code E · corrected Jun 19, 2025
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Potential for more than minimal harm (pattern) Pharmacy Service
Tag F0761 · severity code E · corrected Jun 19, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Potential for more than minimal harm (pattern) Nutrition and Dietary
Tag F0812 · severity code E · corrected Jun 19, 2025
Provide routine and 24-hour emergency dental care for each resident.
Potential for more than minimal harm (isolated) Quality of Life and Care
Tag F0790 · severity code D · corrected Jun 19, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Potential for more than minimal harm (isolated) Pharmacy Service
Tag F0755 · severity code D · corrected Jun 19, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Potential for more than minimal harm (isolated) Quality of Life and Care
Tag F0677 · severity code D · corrected Jun 19, 2025
Ensure each resident receives an accurate assessment.
Potential for more than minimal harm (isolated) Resident Assessment and Care Planning
Tag F0641 · severity code D · corrected Jun 19, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Potential for more than minimal harm (isolated) Resident Rights
Tag F0580 · severity code D · corrected Jun 19, 2025
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.
Potential for more than minimal harm (isolated) Resident Rights
Tag F0578 · severity code D · corrected Jun 19, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Potential for more than minimal harm (isolated) Nutrition and Dietary
Tag F0804 · severity code D · corrected Jun 19, 2025
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Potential for more than minimal harm (isolated) Nutrition and Dietary
Tag F0810 · severity code D · corrected Jun 19, 2025
Provide and implement an infection prevention and control program.
Potential for more than minimal harm (isolated) Infection Control
Tag F0880 · severity code D · corrected Jun 19, 2025
Make sure that a working call system is available in each resident's bathroom and bathing area.
Potential for more than minimal harm (isolated) Environmental
Tag F0919 · severity code D · corrected Jun 19, 2025
April 19, 2025 2 citations · complaint inspection Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Immediate jeopardy to resident health or safety (isolated) Quality of Life and Care Complaint
Tag F0689 · severity code J · corrected Apr 19, 2025
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Potential for more than minimal harm (isolated) Quality of Life and Care Complaint
Tag F0740 · severity code D · corrected May 8, 2025
April 1, 2025 1 citation · complaint inspection Potential harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Potential for more than minimal harm (isolated) Freedom from Abuse, Neglect, and Exploitation Complaint
Tag F0600 · severity code D · corrected Apr 6, 2025
March 25, 2025 1 citation · complaint inspection Potential harm
Provide and implement an infection prevention and control program.
Potential for more than minimal harm (isolated) Infection Control Complaint
Tag F0880 · severity code D · corrected Apr 10, 2025
February 13, 2025 1 citation · complaint inspection Potential harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Potential for more than minimal harm (isolated) Resident Assessment and Care Planning Complaint
Tag F0842 · severity code D · corrected Mar 7, 2025
February 5, 2025 1 citation · complaint inspection Potential harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Potential for more than minimal harm (isolated) Freedom from Abuse, Neglect, and Exploitation Complaint
Tag F0609 · severity code D · corrected Feb 28, 2025
January 3, 2025 6 citations · complaint inspection Potential harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Potential for more than minimal harm (pattern) Resident Assessment and Care Planning Complaint
Tag F0842 · severity code E · corrected Jan 24, 2025
Ensure each resident receives an accurate assessment.
Potential for more than minimal harm (pattern) Resident Assessment and Care Planning Complaint
Tag F0641 · severity code E · corrected Jan 24, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Potential for more than minimal harm (pattern) Quality of Life and Care Complaint
Tag F0695 · severity code E · corrected Jan 24, 2025
Provide and implement an infection prevention and control program.
Potential for more than minimal harm (pattern) Infection Control Complaint
Tag F0880 · severity code E · corrected Jan 24, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Potential for more than minimal harm (isolated) Quality of Life and Care Complaint
Tag F0689 · severity code D · corrected Jan 24, 2025
Provide or get specialized rehabilitative services as required for a resident.
Potential for more than minimal harm (isolated) Quality of Life and Care Complaint
Tag F0825 · severity code D · corrected Jan 24, 2025
June 14, 2024 27 citations · standard, complaint inspection Potential harm
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Potential for more than minimal harm (pattern) Nutrition and Dietary
Tag F0813 · severity code E · corrected Jul 12, 2024
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Potential for more than minimal harm (pattern) Environmental
Tag F0921 · severity code E · corrected Jul 12, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Potential for more than minimal harm (pattern) Nutrition and Dietary
Tag F0812 · severity code E · corrected Jul 12, 2024
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Potential for more than minimal harm (pattern) Pharmacy Service
Tag F0761 · severity code E · corrected Jul 12, 2024
Ensure medication error rates are not 5 percent or greater.
Potential for more than minimal harm (pattern) Pharmacy Service
Tag F0759 · severity code E · corrected Jul 12, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Potential for more than minimal harm (pattern) Pharmacy Service
Tag F0756 · severity code E · corrected Jul 12, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Potential for more than minimal harm (pattern) Pharmacy Service
Tag F0755 · severity code E · corrected Jul 12, 2024
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Potential for more than minimal harm (pattern) Quality of Life and Care
Tag F0700 · severity code E · corrected Jul 12, 2024
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Potential for more than minimal harm (pattern) Quality of Life and Care
Tag F0698 · severity code E · corrected Jul 12, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Potential for more than minimal harm (pattern) Quality of Life and Care
Tag F0686 · severity code E · corrected Jul 12, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Potential for more than minimal harm (pattern) Resident Assessment and Care Planning
Tag F0657 · severity code E · corrected Jul 12, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Potential for more than minimal harm (pattern) Resident Assessment and Care Planning Complaint
Tag F0656 · severity code E · corrected Jul 12, 2024
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.
Potential for more than minimal harm (pattern) Resident Rights
Tag F0584 · severity code E · corrected Jul 12, 2024
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Potential for more than minimal harm (pattern) Resident Rights
Tag F0561 · severity code E · corrected Jul 12, 2024
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Potential for more than minimal harm (pattern) Administration
Tag F0849 · severity code E · corrected Jul 12, 2024
Provide and implement an infection prevention and control program.
Potential for more than minimal harm (pattern) Infection Control
Tag F0880 · severity code E · corrected Jul 12, 2024
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Potential for more than minimal harm (pattern) Administration
Tag F0848 · severity code E · corrected Jul 12, 2024
Assist a resident in gaining access to vision and hearing services.
Potential for more than minimal harm (isolated) Quality of Life and Care
Tag F0685 · severity code D · corrected Jul 12, 2024
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Potential for more than minimal harm (isolated) Administration
Tag F0868 · severity code D · corrected Jul 12, 2024
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Potential for more than minimal harm (isolated) Nutrition and Dietary
Tag F0810 · severity code D · corrected Jul 12, 2024
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.
Potential for more than minimal harm (isolated) Pharmacy Service
Tag F0758 · severity code D · corrected Jul 12, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Potential for more than minimal harm (isolated) Quality of Life and Care
Tag F0695 · severity code D · corrected Jul 12, 2024
Provide activities to meet all resident's needs.
Potential for more than minimal harm (isolated) Quality of Life and Care
Tag F0679 · severity code D · corrected Jul 12, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Potential for more than minimal harm (isolated) Resident Assessment and Care Planning
Tag F0645 · severity code D · corrected Jul 12, 2024
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.
Potential for more than minimal harm (isolated) Resident Rights
Tag F0578 · severity code D · corrected Jul 12, 2024
Reasonably accommodate the needs and preferences of each resident.
Potential for more than minimal harm (isolated) Resident Rights
Tag F0558 · severity code D · corrected Jul 12, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Potential for more than minimal harm (isolated) Resident Rights
Tag F0550 · severity code D · corrected Jul 12, 2024
January 5, 2024 1 citation · complaint inspection Potential harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Potential for more than minimal harm (pattern) Quality of Life and Care Complaint
Tag F0689 · severity code E · corrected Feb 5, 2024
December 8, 2023 2 citations · complaint inspection Potential harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Potential for more than minimal harm (isolated) Resident Assessment and Care Planning Complaint
Tag F0656 · severity code D · corrected Jan 6, 2024
Ensure each resident receives an accurate assessment.
Potential for more than minimal harm (isolated) Resident Assessment and Care Planning Complaint
Tag F0641 · severity code D · corrected Jan 6, 2024
December 7, 2023 1 citation · complaint inspection Potential harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Potential for more than minimal harm (isolated) Resident Rights Complaint
Tag F0550 · severity code D · corrected Dec 8, 2023
November 7, 2023 1 citation · complaint inspection Potential harm
Assist a resident in gaining access to vision and hearing services.
Potential for more than minimal harm (isolated) Quality of Life and Care Complaint
Tag F0685 · severity code D · corrected Dec 7, 2023
October 25, 2023 1 citation · complaint inspection Potential harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Potential for more than minimal harm (pattern) Quality of Life and Care Complaint
Tag F0689 · severity code E · corrected Nov 18, 2023
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| Apr 19, 2025 | Fine | $9,113 |
Covers roughly the last three years, as CMS publishes them.
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Source: the Centers for Medicare & Medicaid Services (CMS) nursing home data published on data.cms.gov and Medicare's Care Compare, updated on Lawbamba November 9, 2026. Citations come from state health inspections, standard and complaint-driven, over each facility's last three inspection cycles. A citation describes what inspectors found on the inspection date; facilities can dispute citations, and most are corrected afterwards. Star ratings, fines and the abuse icon are CMS's own.
Lawbamba is not affiliated with CMS or any nursing home, and this page is general information, not legal advice. Report a concern about a nursing home to your state survey agency or long-term care ombudsman.