Ivy Creek Healthcare & Wellness Centre
115 Bridge St. · San Gabriel, CA · 91775 · 6262894439
98 certified beds For profit - Corporation 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.
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
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
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 (42 in the current record)
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Potential for harm · D December 19, 2025 · found via complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected January 19, 2026 · Quality of Life and Care
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Potential for harm · D April 10, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 2, 2025 · Resident Rights
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Potential for harm · D April 10, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 2, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 10, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 2, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 10, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 2, 2025 · Quality of Life and Care
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Potential for harm · E April 10, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected May 2, 2025 · Quality of Life and Care
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Potential for harm · E April 10, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 2, 2025 · Pharmacy Service
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Potential for harm · E April 10, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected May 2, 2025 · Pharmacy Service
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Potential for harm · E April 10, 2025
Dispose of garbage and refuse properly.
Corrected May 2, 2025 · Nutrition and Dietary
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Potential for harm · D April 10, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected May 2, 2025 · Resident Assessment and Care Planning
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Potential for harm · E April 10, 2025
Provide and implement an infection prevention and control program.
Corrected May 2, 2025 · Infection Control
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Potential for harm · D April 10, 2025
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected May 2, 2025 · Environmental
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Potential for harm · D April 10, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected May 2, 2025 · Environmental
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No harm found · B April 10, 2025
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected May 2, 2025 · Environmental
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Potential for harm · D February 25, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 7, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 5, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected February 28, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E February 5, 2025 · found via complaint
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected February 28, 2025 · Quality of Life and Care
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Potential for harm · D April 12, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 7, 2024 · Resident Rights
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Potential for harm · D April 12, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected May 7, 2024 · Resident Rights
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Potential for harm · D April 12, 2024
Keep residents' personal and medical records private and confidential.
Corrected May 7, 2024 · Resident Rights
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Potential for harm · E April 12, 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 May 7, 2024 · Resident Rights
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Potential for harm · D April 12, 2024
Ensure a qualified health professional conducts resident assessments.
Corrected May 7, 2024 · Resident Assessment and Care Planning
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Potential for harm · D April 12, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 7, 2024 · Resident Assessment and Care Planning
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Potential for harm · D April 12, 2024
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected May 7, 2024 · Quality of Life and Care
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Potential for harm · D April 12, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 7, 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
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 055441 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.