CareSentinel

Federal Nursing-Home Survey Record

IVY CREEK HEALTHCARE & WELLNESS CENTRE

CCN 055441 · 115 BRIDGE ST., SAN GABRIEL, CA, 91775

Record as of May 2026 · Updated monthly from CMS · Data incorrect? Contact records@caregiverhelpnow.com

Does IVY CREEK HEALTHCARE & WELLNESS CENTRE have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), IVY CREEK HEALTHCARE & WELLNESS CENTRE (CCN 055441), in SAN GABRIEL, CA, has federal inspection findings on its record.

In its current inspection cycle, CMS cited the facility for 14 deficiencies; the most serious carries scope/severity E on CMS's A–L scale — CMS's "potential for harm" tier, below actual harm. The most recent federal survey on file is dated 2025-04-10. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. This page restates the federal record as published by CMS and draws no conclusion of its own. Federal nursing-home surveys are conducted on a recurring cycle by state survey agencies acting on CMS's behalf, and the figures on this page are compiled from CMS's published provider data, as on file with CMS; the federal record may understate what actually occurred, and inspection findings are point-in-time survey results, not a determination that any specific resident was harmed.

The Federal Record

The most recent federal inspection on file records no actual-harm or immediate-jeopardy citations for this facility.

Below is this facility's federal survey record as on file with CMS.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations, as on file with CMS.

Overall CMS star rating: this facility vs the CMS-published state average

This facility: 2  ·  CMS state average: 3.2

Side-by-side with the CMS-published Overall CMS star rating for this state. This is the government's own published state average — not a CareSentinel-computed figure or delta.

Deficiency timeline — full federal history

2025-12-19
CURRENT CYCLE
F744S/S D

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

2025-04-10
CURRENT CYCLE
F698S/S E

Provide safe, appropriate dialysis care/services for a resident who requires such services.

2025-04-10
CURRENT CYCLE
F880S/S E

Provide and implement an infection prevention and control program.

2025-04-10
CURRENT CYCLE
F814S/S E

Dispose of garbage and refuse properly.

2025-04-10
CURRENT CYCLE
F759S/S E

Ensure medication error rates are not 5 percent or greater.

2025-04-10
CURRENT CYCLE
F755S/S E

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

2025-04-10
CURRENT CYCLE
F550S/S D

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

2025-04-10
CURRENT CYCLE
F656S/S D

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

2025-04-10
CURRENT CYCLE
F657S/S D

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

2025-04-10
CURRENT CYCLE
F684S/S D

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

2025-04-10
CURRENT CYCLE
F842S/S D

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

2025-04-10
CURRENT CYCLE
F919S/S D

Make sure that a working call system is available in each resident's bathroom and bathing area.

2025-04-10
CURRENT CYCLE
F921S/S D

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

2025-04-10
CURRENT CYCLE
F912S/S B

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

28 citations from earlier inspection cycles — historical, not current (expand)
2025-02-25
HISTORICAL
F842S/S D

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

2025-02-05
HISTORICAL
F676S/S E

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

2025-02-05
HISTORICAL
F609S/S D

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

2024-04-12
HISTORICAL
F695S/S E

Provide safe and appropriate respiratory care for a resident when needed.

2024-04-12
HISTORICAL
F584S/S E

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.

2024-04-12
HISTORICAL
F812S/S E

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

2024-04-12
HISTORICAL
F676S/S D

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

2024-04-12
HISTORICAL
F684S/S D

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

2024-04-12
HISTORICAL
F583S/S D

Keep residents' personal and medical records private and confidential.

2024-04-12
HISTORICAL
F558S/S D

Reasonably accommodate the needs and preferences of each resident.

2024-04-12
HISTORICAL
F849S/S D

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.

2024-04-12
HISTORICAL
F550S/S D

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

2024-04-12
HISTORICAL
F880S/S D

Provide and implement an infection prevention and control program.

2024-04-12
HISTORICAL
F908S/S D

Keep all essential equipment working safely.

2024-04-12
HISTORICAL
F642S/S D

Ensure a qualified health professional conducts resident assessments.

2024-04-12
HISTORICAL
F656S/S D

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

2024-04-12
HISTORICAL
F912S/S B

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

2024-01-24
HISTORICAL
F880S/S E

Provide and implement an infection prevention and control program.

2024-01-24
HISTORICAL
F921S/S E

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

2023-11-16
HISTORICAL
F689S/S D

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

2023-08-29
HISTORICAL
F880S/S E

Provide and implement an infection prevention and control program.

2021-05-28
HISTORICAL
F582S/S E

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

2021-05-28
HISTORICAL
F726S/S E

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.

2021-05-28
HISTORICAL
F558S/S D

Reasonably accommodate the needs and preferences of each resident.

2021-05-28
HISTORICAL
F692S/S D

Provide enough food/fluids to maintain a resident's health.

2021-05-28
HISTORICAL
F676S/S D

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

2021-05-28
HISTORICAL
F657S/S D

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

2021-05-28
HISTORICAL
F912S/S B

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

Each citation below is a federal survey finding, dated and labeled with its CMS deficiency tag, as on file with CMS. Older inspection cycles are de-emphasized; only the most recent cycle is current.

Document what happened

Have a concern about care at IVY CREEK HEALTHCARE & WELLNESS CENTRE?

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Strict time limits can apply to taking legal action — consider consulting a qualified attorney promptly.

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