The nursing home failed to protect residents from abuse and neglect by others. Cited June 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
Nursing home report
PENN MAR HEALTHCARE CENTER
EL MONTE, CA · Medicare-certified · 45 beds
Needs attention
Abuse citationFor-profit
2 of 5 overall
PENN MAR HEALTHCARE CENTER in El Monte, CA has a 2-star overall rating, with 2 stars for health inspections and 1 star for staffing, despite 5 stars for quality measures. It reports 3.29 nursing hours per resident per day versus the 4.1 federal benchmark, has no fines in the last 24 months, and has a recent abuse citation.
Facility ratings
Health inspections
Staffing
3.2916 hrs/resident/day
Quality measures
Last inspection: December 4, 2025Penalties, last 24 months: $0recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2916.
Staffing detail
- Registered nurses
- 0.08
- Licensed practical nurses
- 1.17
- Nurse aides
- 2.05
- Weekend nursing
- 2.98
Hours per resident per day.
Total staff turnover: 56%
Registered nurse turnover: 100%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Residents with a fall causing major injury
0%Steady
Residents with pressure ulcers (bedsores)
0%Steady
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
1.2%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
0%Steady
Residents whose ability to walk got worse
0%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
16.9%Improving
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
0%Steady
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
83.9%Steady
Long-stay residents given the pneumonia vaccine
96.3%Improving
Short-stay residents given the seasonal flu vaccine
34.8%Steady
Short-stay residents given the pneumonia vaccine
98.9%Steady
What the inspectors found
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited November 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited November 2025 — limited pattern, potential for harm.
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F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
The home failed to make sure residents fully understood their health status, care, and treatments. Cited November 2025 — limited pattern, potential for harm.
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F-Tag 552 — 42 CFR §483.10 — S/S: E
The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited November 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 578 — 42 CFR §483.10 — 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 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 14 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $4,893 in total fines.
- $4,893
Federal fine
Jan 8, 2024
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Occupancy
- 44.3 residents on an average day (98% of 45 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 41 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.