Live Oak Rehab Center
537 W Live Oak · San Gabriel, CA · 91776 · 6262893763
99 certified beds For profit - Corporation Chain: Longwood Management Corporation
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 4.18 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.41 | 0.55–0.75 |
| Weekend hours / resident-day | 3.85 | ≈ weekday level |
| Nursing turnover / year | 47% | median 45% |
| Fines (3-yr window) | 1 · $27,425 |
Inspection citations (84 in the current record)
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Potential for harm · D April 9, 2026
Keep residents' personal and medical records private and confidential.
Corrected April 30, 2026 · Resident Rights
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Potential for harm · D April 9, 2026
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected April 30, 2026 · Resident Rights
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Potential for harm · D April 9, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 30, 2026 · Quality of Life and Care
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Potential for harm · D April 9, 2026
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected April 30, 2026 · Quality of Life and Care
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Potential for harm · D April 9, 2026
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected April 30, 2026 · Quality of Life and Care
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Potential for harm · E April 9, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 30, 2026 · Quality of Life and Care
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Potential for harm · D April 9, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 30, 2026 · Pharmacy Service
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Potential for harm · E April 9, 2026
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected April 30, 2026 · Pharmacy Service
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Potential for harm · D April 9, 2026
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected April 30, 2026 · Pharmacy Service
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Potential for harm · E April 9, 2026
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected April 30, 2026 · Nutrition and Dietary
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Potential for harm · E April 9, 2026
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected April 30, 2026 · Nutrition and Dietary
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Potential for harm · D April 9, 2026
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected April 30, 2026 · Nutrition and Dietary
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Potential for harm · E April 9, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 30, 2026 · Nutrition and Dietary
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Potential for harm · E April 9, 2026
Provide and implement an infection prevention and control program.
Corrected April 30, 2026 · Infection Control
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Potential for harm · E April 9, 2026
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected April 30, 2026 · Environmental
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Potential for harm · D April 2, 2026 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 20, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 11, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 19, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 29, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 20, 2026 · Quality of Life and Care
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Potential for harm · D January 26, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected February 16, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 21, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 7, 2026 · Quality of Life and Care
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Potential for harm · D January 2, 2026 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected January 19, 2026 · Resident Rights
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Immediate jeopardy · J October 10, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected October 11, 2025 · Freedom from Abuse, Neglect, and Exploitation
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No harm found · B September 2, 2025 · found via complaint
Post nurse staffing information every day.
Corrected September 19, 2025 · Nursing and Physician Services
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Potential for harm · D August 29, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected September 17, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 29, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected September 17, 2025 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 10, 2025 | Fine | $27,425 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 056127 · certified since June 1, 1974. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.