Gem Transitional
Gem Transitional – Medicare Certified Since 1972
Gem Transitional is a Medicare and Medicaid certified skilled nursing facility located in Pasadena, California. This facility has been serving the community for 54 years. A Medicare-certified skilled nursing facility provides 24-hour nursing care, rehabilitation services, and assistance with activities of daily living for patients who need skilled nursing or rehabilitation services on a daily basis.
This facility has 75 certified beds with a current occupancy rate of 82% (averaging 62 residents per day), which is moderate. Skilled nursing facilities provide 24-hour nursing care for patients who need rehabilitation services after a hospital stay or ongoing care for chronic conditions. Services include skilled nursing, physical therapy, occupational therapy, speech therapy, and assistance with daily activities.
Staffing Levels: Based on CMS payroll data, this facility provides approximately 4.2 hours of total nursing care per resident per day (2.64 hours from CNAs, 1 hours from LPNs, 0.56 hours from RNs). Physical therapy staffing is 0.03 hours per resident per day. This staffing level meets research-recommended quality thresholds.
Medicare Quality Ratings: According to CMS, Gem Transitional has an overall quality rating of 1 out of 5 stars, which is much below average compared to other nursing homes nationwide. Individual category ratings are: health inspection: 1 stars, staffing: 4 stars, quality measures: 2 stars.
Medicare Coverage: Medicare covers skilled nursing facility care for up to 100 days following a qualifying hospital stay of at least 3 days. Days 1-20 are fully covered by Medicare, days 21-100 require a daily coinsurance payment. Many residents also use Medicaid, private insurance, or pay privately for long-term stays.
Questions to Ask: When visiting a nursing home, ask about: staff-to-resident ratios and RN coverage around the clock, how they handle medical emergencies, activities and therapy programs, how they communicate with families, their approach to falls prevention, and policies for managing resident complaints.
Visit Medicare Care Compare to view detailed ratings, inspection reports, staffing data, and compare this facility with others in the area.
Quality ratings and facility data are updated periodically by CMS. We recommend verifying current information at Medicare Care Compare.
Local Comparison Snapshot
How Gem Transitional compares to 377 facilities in Los Angeles-Long Beach-Glendale, CA
Click a measure name to jump to details • Hover over ⓘ for definitions
Data from CMS Medicare Compare and Payroll-Based Journal. Area averages based on 377 facilities in Los Angeles-Long Beach-Glendale, CA.
Ratings and staffing data typically reflect the most recent quarterly reporting period available.
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Medicare Star Ratings
Official CMS ratings based on health inspections, staffing, and quality measures
Data as of December 2025
Star Ratings History
Quarterly performance from 2013-2026
How Does This Facility Compare?
Compared to 377 other nursing homes in Los Angeles-Long Beach-Glendale, CA
Based on CMS Medicare star ratings. Higher ratings indicate better performance.
Staffing Hours per Resident Day
Staffing data from CMS Payroll-Based Journal. Higher hours generally indicate more direct care time.
Staff Turnover Rate
Lower turnover rates generally indicate a more stable workforce and better continuity of care.
Agency/Contract Staff Usage
Lower agency usage often indicates better staff retention. High agency rates (>30%) may suggest staffing challenges.
Agency Staff Trends
Historical agency/contract staff usage by role
Data from CMS Payroll-Based Journal (PBJ). Agency % = contractor hours / total hours.
Direct Care Staffing
Average minutes of direct nursing care per resident per day
Data as of December 2025
Staffing Trends
Direct care minutes per resident per day
Occupancy Rate History
Average daily residents as a percentage of certified beds
Data from CMS Provider Info files. Occupancy = Average Residents per Day / Certified Beds.
Staff Turnover History
Annual percentage of nursing staff who left the facility
Data as of December 2025
Data from CMS Payroll-Based Journal. Turnover = staff who left during the year / total staff.
Average Daily Rate
Average daily charge for care at this facility
Based on CMS Cost Report data (inpatient revenue ÷ total patient days)
Data Source: Financial data from CMS Skilled Nursing Facility Cost Reports. Data typically lags 1-2 years. This information is for educational purposes only and should not be the sole basis for financial or care decisions. CareListings does not guarantee accuracy.
Financial Health
Comprehensive financial indicators from CMS Cost Reports
Data from fiscal year 2023 (most recent available - cost report data lags ~2 years)
Staff Investment: Higher spending per resident often correlates with better care quality.
Payer Mix: Shows revenue sources. Higher Medicare % typically means more post-acute/rehab care; higher Medicaid % indicates more long-term care residents.
Nonprofit/Government: May operate with lower margins while still providing quality care due to community mission.
Data Source: All financial data on this page comes from CMS Skilled Nursing Facility Cost Reports submitted by the facility to the Centers for Medicare & Medicaid Services. This information is provided for educational purposes only and should not be the sole basis for any financial or care decisions. Cost report data typically lags 1-2 years. CareListings does not guarantee the accuracy of this data.
Who Stays Here
Breakdown of residents by payment type
Based on fiscal year 2023 cost report data
Average Length of Stay
How long residents typically stay at this facility
Based on fiscal year 2023 cost report data
Services
Comprehensive skilled nursing services, rehabilitation programs, and medical care in PASADENA
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Reviews
If I could give this place zero stars I would! This place is horrible! 3 Patients have passed in the last 2-3 months. Any complaints given to RN Or any other on top of RN Don’t do anything They run out of diapers and restock till family member complains! No soap to shower them restrooms contain no paper towels for their employees or residents guest. They want to be on top of infection control but if you go to the back area of the facility they have dirty linens bags on the grown bags of trash a complete mess. Last but not least big roaches in the their rooms. DO NOT BRING YOUR LOVE ONES HERE!!!
My mom was a patient there for 8 days in October 2021. Very friendly and caring staff. Large portions of hot meals three times a day, too much food for senior appetites. The place has signs of wear with equipment and could use new wheelchairs, walkers and remodeled bathrooms. No private rooms.
My mother just recently was admitted to Gem because she had a hip replacement after falling at home. Gem is very clean and the staff is professional and friendly. The nurses gave me important updates on my mom's progress and her nursing assistant was respectful and caring. It seems like the staff are like a family and work well together. The rehab team made my mom stronger and now she is able to walk again:) I would recommend this facility to all my friends and family.
After my mother went I could not find anyone who had a positive experience. Found out night staff was not charting events so day staff had no idea what was going on. Hallways smelled and doors propped open with trashcans. Rooms are not all the same. Staff says one thing Dr.s say another. New administrator, 2nd day on the job when I had to call a meeting with staff. Hope new guy can do something with the place. Would not recommend, avoid if possible. Check on family member as often as possible.
Less than 48 hours of admission I told them to call 911 and upon arrival at emergency room he had blood sugar over 800. Had to be intubated and transferred to ICU where he stayed several days They clearly knew nothing about managing diabetes. He would not have survived the night. He is 50 yrs old.
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