The nursing home failed to reasonably accommodate each resident’s needs and preferences. Cited February 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 558 — 42 CFR §483.10 — S/S: E
Nursing home report
GARDEN VIEW POST ACUTE REHABILITATION
BALDWIN PARK, CA · Medicare-certified · 97 beds
In good standing
For-profitChain member
4 of 5 overall
Garden View Post Acute Rehabilitation in Baldwin Park has an overall rating of 4 out of 5 stars, with 5-star quality measures but 3-star health inspection and staffing ratings. Reported nurse staffing is slightly below the federal benchmark (4.06 vs. 4.1 hours per resident per day), and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.0598 hrs/resident/day
Quality measures
Last inspection: February 27, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.0598.
Staffing detail
- Registered nurses
- 0.43
- Licensed practical nurses
- 1.13
- Nurse aides
- 2.50
- Weekend nursing
- 3.64
Hours per resident per day.
Total staff turnover: 38%
Registered nurse turnover: 13%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
1.9%Worsening
Residents with a fall causing major injury
0%Steady
Residents with pressure ulcers (bedsores)
4.8%Steady
Residents with a urinary tract infection
0.8%Improving
Residents who lost too much weight
7.3%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
13.7%Improving
Residents whose ability to walk got worse
6.4%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
12.3%Steady
Short-stay residents newly given an antipsychotic
2.6%Steady
Residents with a long-term catheter
3.7%Improving
Residents with new or worsening incontinence
19.9%Improving
Residents with depressive symptoms
5%Worsening
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
79.7%Steady
Short-stay residents given the pneumonia vaccine
100%Steady
What the inspectors found
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited February 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 641 — 42 CFR §483.20(g) — S/S: E
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited February 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: E
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited February 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: E
The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited February 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 726 — 42 CFR §483.35 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 17 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 12 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of THE ENSIGN GROUP · 338 homes · 3.2 stars avg
- Occupancy
- 90 residents on an average day (93% of 97 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 54 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.