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Nursing home report

COLONIAL GARDENS NURSING HOME

PICO RIVERA, CA · Medicare-certified · 99 beds

Needs attention
For-profit
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 and a 3-star staffing rating. It reported 4.42 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and it has had $36,700 in fines in the last 24 months plus a recent federal penalty.

Facility ratings

Health inspections

Staffing

4.4165 hrs/resident/day

Quality measures

Last inspection: March 16, 2026Penalties, last 24 months: $36,700recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.4165.

Staffing detail

Registered nurses
0.43
Licensed practical nurses
1.18
Nurse aides
2.81
Weekend nursing
3.98

Hours per resident per day.

Total staff turnover: 29%
Registered nurse turnover: 50%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Residents with a fall causing major injury

1.4%Improving

Residents with pressure ulcers (bedsores)

3.7%Worsening

Residents with a urinary tract infection

0.7%Improving

Residents who lost too much weight

4.1%Worsening

Residents who were physically restrained

0.3%Worsening

Residents needing more help with daily activities

21.8%Improving

Residents whose ability to walk got worse

9%Improving
Show all measures

Long-stay residents on antianxiety or sleep medication

7.1%Worsening

Short-stay residents newly given an antipsychotic

17.6%Steady

Residents with a long-term catheter

0.9%Worsening

Residents with new or worsening incontinence

4.2%Worsening

Residents with depressive symptoms

83.1%Improving

Long-stay residents given the seasonal flu vaccine

100%Steady

Long-stay residents given the pneumonia vaccine

100%Steady

Short-stay residents given the seasonal flu vaccine

100%Steady

Short-stay residents given the pneumonia vaccine

98.8%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 3 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  5. PENALTY

    A federal fine of $36,700 was recorded.

Penalties & enforcement

On record with Medicare: 3 fines · $44,463 in total fines.

  • Federal fine

    Aug 5, 2024

    $36,700
  • Federal fine

    Jun 26, 2023

    $2,470
  • Federal fine

    Jun 5, 2023

    $5,293

Operator & ownership

Ownership
For profit - Limited Liability company
Occupancy
94.2 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.