PASADENA, Calif.—Skilled nursing facilities (SNFs) provide long-term care services to many of Pasadena’s frail, older adults with underlying chronic medical conditions. Despite regulation by the state and the county, substandard care is an ongoing and persistent problem in many SNFs throughout the region, including Pasadena. The COVID-19 pandemic magnified systemic deficiencies at SNFs that threatened the lives of many of Pasadena’s most vulnerable residents. Unfortunately, the City of Pasadena does not have direct oversight of SNFs or authority to enforce...