The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited May 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — S/S: E
Nursing home report
SAN GABRIEL, CA · Medicare-certified · 98 beds
IVY CREEK HEALTHCARE & WELLNESS CENTRE (San Gabriel, CA) has an overall 4 out of 5 stars, with 4-star health inspections and quality measures, but 3-star staffing; reported nurse staffing is 3.95 hours per resident per day versus the 4.1 federal benchmark. There were no fines in the last 24 months, and recent inspection citations included resident rights, facility safety/cleanliness, and infection prevention and control.
Health inspections
Staffing
3.9483 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9483.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited May 2026 — limited pattern, potential for harm.
F-Tag 550 — 42 CFR §483.10(a) — S/S: E
The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited May 2026 — limited pattern, potential for harm.
F-Tag 921 — 42 CFR §483.90 — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited April 2025 — limited pattern, potential for harm.
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to provide safe, appropriate dialysis care for a resident who needed it. Cited April 2025 — limited pattern, potential for harm.
F-Tag 698 — 42 CFR §483.25(l) — S/S: E
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited April 2025 — limited pattern, potential for harm.
F-Tag 755 — 42 CFR §483.45 — S/S: E
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 9 health deficiencies.
Health inspection found 1 health deficiency.
Health inspection found 13 health deficiencies.
Health inspection found 1 health deficiency.
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.