Pine Grove Healthcare & Wellness Centre, LP
126 N. San Gabriel Blvd. · San Gabriel, CA · 91775 · 6262853131
75 certified beds For profit - Partnership Chain: Corporate Interface Services
Why this verdict
- Staffing levels are well below research benchmarks for safe care.
- No federal fines or payment denials in CMS’s 3-year window.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | none |
Inspection citations (49 in the current record)
-
Potential for harm · D March 19, 2026
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected April 9, 2026 · Resident Rights
-
Potential for harm · D March 19, 2026
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected April 9, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D March 19, 2026
Ensure each resident receives an accurate assessment.
Corrected April 9, 2026 · Resident Assessment and Care Planning
-
Potential for harm · E March 19, 2026
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected April 9, 2026 · Nursing and Physician Services
-
Potential for harm · D March 19, 2026
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected April 9, 2026 · Nutrition and Dietary
-
Potential for harm · E March 19, 2026
Dispose of garbage and refuse properly.
Corrected April 9, 2026 · Nutrition and Dietary
-
Potential for harm · E March 19, 2026
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 9, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D March 19, 2026
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected April 9, 2026 · Administration
-
Potential for harm · E March 19, 2026
Provide and implement an infection prevention and control program.
Corrected April 9, 2026 · Infection Control
-
Potential for harm · D March 19, 2026
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected April 9, 2026 · Environmental
-
No harm found · B March 19, 2026
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected April 9, 2026 · Environmental
-
Potential for harm · D February 13, 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 February 16, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D January 8, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 15, 2026 · Quality of Life and Care
-
Potential for harm · E September 15, 2025 · found via complaint
Implement a program that monitors antibiotic use.
Corrected September 29, 2025 · Infection Control
-
Potential for harm · D February 7, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected March 5, 2025 · Resident Rights
-
Potential for harm · E February 7, 2025
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 March 5, 2025 · Resident Rights
-
Potential for harm · D February 7, 2025
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected March 5, 2025 · Quality of Life and Care
-
Potential for harm · D February 7, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 5, 2025 · Quality of Life and Care
-
Potential for harm · D February 7, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 5, 2025 · Pharmacy Service
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Potential for harm · D February 7, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected March 5, 2025 · Pharmacy Service
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Potential for harm · D February 7, 2025
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 March 5, 2025 · Pharmacy Service
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Potential for harm · E February 7, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 5, 2025 · Nutrition and Dietary
-
Potential for harm · E February 7, 2025
Dispose of garbage and refuse properly.
Corrected March 5, 2025 · Nutrition and Dietary
-
Potential for harm · D February 7, 2025
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected March 5, 2025 · Administration
-
Potential for harm · E February 7, 2025
Provide and implement an infection prevention and control program.
Corrected March 5, 2025 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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 055056 · certified since January 1, 1972. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.