San Marino Healthcare Center
6812 N. Oak Avenue · San Gabriel, CA · 91775 · 6264465263
59 certified beds For profit - Limited Liability company
Why this verdict
- Carries CMS’s abuse warning icon.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
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.
Cited under the freedom-from-abuse rule
Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
RN staffing in the bottom 10% nationally
0.20 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
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: 3 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.10 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.20 | 0.55–0.75 |
| Weekend hours / resident-day | 3.66 | ≈ weekday level |
| Nursing turnover / year | 25% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (43 in the current record)
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Potential for harm · E January 9, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 5, 2026 · Resident Rights
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Potential for harm · D January 9, 2026
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected February 5, 2026 · Resident Rights
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Potential for harm · E January 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 February 5, 2026 · Resident Rights
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Potential for harm · D January 9, 2026
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected February 5, 2026 · Quality of Life and Care
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Potential for harm · E January 9, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 5, 2026 · Quality of Life and Care
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Potential for harm · E January 9, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 5, 2026 · Quality of Life and Care
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Potential for harm · D January 9, 2026
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected February 5, 2026 · Quality of Life and Care
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Potential for harm · E January 9, 2026
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected February 5, 2026 · Pharmacy Service
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Potential for harm · D January 9, 2026
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected February 5, 2026 · Nutrition and Dietary
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Potential for harm · E January 9, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 5, 2026 · Nutrition and Dietary
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Potential for harm · D January 9, 2026
Provide and implement an infection prevention and control program.
Corrected February 5, 2026 · Infection Control
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Potential for harm · E January 9, 2026
Implement a program that monitors antibiotic use.
Corrected February 5, 2026 · Infection Control
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Potential for harm · E January 9, 2026
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected February 5, 2026 · Environmental
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Potential for harm · D July 16, 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 August 4, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 15, 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 May 9, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 15, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 9, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 14, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 4, 2025 · Resident Rights
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Potential for harm · D February 19, 2025 · found via complaint
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected March 11, 2025 · Pharmacy Service
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Potential for harm · D January 30, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 31, 2025 · Quality of Life and Care
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Potential for harm · D November 14, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 6, 2024 · Resident Rights
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Potential for harm · D November 14, 2024
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected December 6, 2024 · Resident Rights
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Potential for harm · D November 14, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected December 6, 2024 · Resident Rights
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Potential for harm · D November 14, 2024
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected December 6, 2024 · Resident Rights
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Potential for harm · D November 14, 2024
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 December 6, 2024 · Resident Rights
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Potential for harm · E November 14, 2024
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected December 6, 2024 · Quality of Life and Care
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
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555825 · certified since March 11, 2005. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.