Santa Fe Lodge

5053 Peck Rd. · El Monte, CA · 91732 · 6264484248

46 certified beds For profit - Limited Liability company Chain: Longwood Management Corporation

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

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Red flags

2 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

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.

Score breakdown

Inspection record 30% of score 38
Serious harm & abuse 20% 78
Staffing 20% 69
Federal penalties 15% 100
Trend 10% 83
Context 5% 75

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day4.303.48 min · 4.1 strong
RN hours / resident-day0.310.55–0.75
Weekend hours / resident-day3.86≈ weekday level
Nursing turnover / year43%median 45%
Fines (3-yr window)none

Inspection citations (55 in the current record)

  • Potential for harm · D April 7, 2026 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected April 29, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E April 7, 2026 · found via complaint

    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

    Corrected April 27, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D February 5, 2026 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected February 23, 2026 · Quality of Life and Care

  • Potential for harm · D March 20, 2025

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected April 10, 2025 · Resident Rights

  • Potential for harm · E March 20, 2025

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected April 10, 2025 · Resident Rights

  • Potential for harm · D March 20, 2025

    Reasonably accommodate the needs and preferences of each resident.

    Corrected April 10, 2025 · Resident Rights

  • Potential for harm · E March 20, 2025

    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 April 10, 2025 · Resident Rights

  • Potential for harm · D March 20, 2025

    Assess the resident when there is a significant change in condition

    Corrected April 10, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D March 20, 2025

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected April 10, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D March 20, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected April 10, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E March 20, 2025

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected April 10, 2025 · Quality of Life and Care

  • Potential for harm · E March 20, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected April 10, 2025 · Nutrition and Dietary

  • Potential for harm · E March 20, 2025

    Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

    Corrected April 10, 2025 · Administration

  • Potential for harm · E March 20, 2025

    Provide and implement an infection prevention and control program.

    Corrected April 10, 2025 · Infection Control

  • No harm found · B March 20, 2025

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    Corrected April 10, 2025 · Environmental

  • Potential for harm · D October 22, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected November 12, 2024 · Quality of Life and Care

  • Potential for harm · E September 11, 2024 · found via complaint

    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 September 27, 2024 · Resident Rights

  • Potential for harm · D March 7, 2024

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Corrected April 11, 2024 · Resident Rights

  • Potential for harm · D March 7, 2024

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected April 11, 2024 · Resident Rights

  • Potential for harm · D March 7, 2024

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected April 11, 2024 · Resident Rights

  • Potential for harm · D March 7, 2024

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Corrected April 11, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E March 7, 2024

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected April 11, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E March 7, 2024

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected April 11, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D March 7, 2024

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected April 11, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D March 7, 2024

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Corrected April 11, 2024 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555106 · certified since November 16, 1978. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.