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Nursing home report

COLONIAL GARDENS NURSING HOME

PICO RIVERA, CA · Medicare-certified · 99 beds

Needs attention
For-profit
Data as of July 1, 2026
1 of 5 overall

Colonial Gardens Nursing Home in Pico Rivera, CA has an overall rating of 1 out of 5 stars, with 1-star health inspection and quality ratings but 3-star staffing. It has a recent federal penalty and $36,700 in fines over the last 24 months, while reported nurse staffing is 4.25 hours per resident per day versus the 4.1-hour federal benchmark.

Facility ratings

Health inspections

Staffing

4.2473 hrs/resident/day

Quality measures

Last inspection: April 2, 2026Penalties, last 24 months: $36,700recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.2473.

Staffing detail

Registered nurses
0.42
Licensed practical nurses
1.11
Nurse aides
2.72
Weekend nursing
3.82

Hours per resident per day.

Total staff turnover: 37%
Registered nurse turnover: 55%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Residents with a fall causing major injury

2.2%2.3%No change

Residents with pressure ulcers (bedsores)

2.1%4%Worsening

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

6.1%8%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

14.9%18.3%Worsening

Residents whose ability to walk got worse

3.8%4.3%No change

Long-stay residents on antianxiety or sleep medication

7.8%12.5%Worsening

Short-stay residents newly given an antipsychotic

27%

Residents with a long-term catheter

2.3%0%Improving

Residents with new or worsening incontinence

2%3.4%Worsening

Residents with depressive symptoms

72.4%79.7%Worsening

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

100%

Long-stay residents given the pneumonia vaccine

100%100%No change

Short-stay residents given the seasonal flu vaccine

100%

Short-stay residents given the pneumonia vaccine

98%100%Improving

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The home failed to ensure residents were free from physical restraints unless they were needed for medical treatment. Cited April 2022 — isolated incident, actual harm.

View the original federal record

F-Tag 604 — 42 CFR §483.12 — S/S: G

The home failed to properly label and securely store medications and biologicals. Cited May 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 761 — 42 CFR §483.45(g) — S/S: F

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

The home failed to have an ongoing quality review group that finds problems and makes corrective plans. Cited June 2024 — widespread issue, potential for harm.

View the original federal record

F-Tag 867 — 42 CFR §483.75 — S/S: F

Recent history

  1. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  2. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  3. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  4. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  5. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  6. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  7. PENALTY

    A federal fine of $36,700 was recorded.

Penalties & enforcement

On record with Medicare: 1 fine · $36,700 in total fines.

  • Federal fine

    Aug 5, 2024

    $36,700

Operator & ownership

Recent ownership change · Nov 1, 2024

Now operated by Colonial Gardens Nursing Center, previously Colonial Gardens Nursing Home.

Ownership
For profit - Limited Liability company
Occupancy
93.9 residents on an average day (95% of 99 beds)
Resident voice
Resident council
Medicare history
Certified for 28 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.