Penn Mar Healthcare Center
3938 Cogswell Road · El Monte, CA · 91732 · 6264011557
45 certified beds For profit - Limited Liability company
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
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.
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.
RN staffing in the bottom 10% nationally
0.08 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: 2 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.29 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.08 | 0.55–0.75 |
| Weekend hours / resident-day | 2.98 | ≈ weekday level |
| Nursing turnover / year | 56% | median 45% |
| Fines (3-yr window) | 1 · $4,893 |
Inspection citations (71 in the current record)
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Potential for harm · D December 4, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · E November 21, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected December 15, 2025 · Resident Rights
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Potential for harm · E November 21, 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 December 15, 2025 · Resident Rights
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Potential for harm · D November 21, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected December 15, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 21, 2025
Ensure each resident receives an accurate assessment.
Corrected December 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · E November 21, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · E November 21, 2025
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 December 15, 2025 · Nursing and Physician Services
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Potential for harm · F November 21, 2025
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected December 15, 2025 · Nursing and Physician Services
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Potential for harm · D November 21, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected December 15, 2025 · Pharmacy Service
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Potential for harm · E November 21, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 15, 2025 · Nutrition and Dietary
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Potential for harm · E November 21, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected December 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · E November 21, 2025
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected December 15, 2025 · Administration
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No harm found · B November 21, 2025
Implement a program that monitors antibiotic use.
Corrected December 15, 2025 · Infection Control
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No harm found · B November 21, 2025
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected December 15, 2025 · Infection Control
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No harm found · B November 21, 2025
Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
Corrected December 15, 2025 · Environmental
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Potential for harm · D July 9, 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 May 14, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 6, 2025 · Quality of Life and Care
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Potential for harm · E May 14, 2025 · found via complaint
Observe each nurse aide's job performance and give regular training.
Corrected June 6, 2025 · Nursing and Physician Services
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No harm found · B May 14, 2025 · found via complaint
Post nurse staffing information every day.
Corrected June 6, 2025 · Nursing and Physician Services
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Potential for harm · D May 7, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 6, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 15, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 21, 2025 · Quality of Life and Care
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Potential for harm · D March 28, 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 April 21, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E January 16, 2025 · found via complaint
Employ staff that are licensed, certified, or registered in accordance with state laws.
Corrected February 12, 2025 · Administration
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Potential for harm · E January 16, 2025 · found via complaint
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected February 12, 2025 · Nursing and Physician Services
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Potential for harm · D December 20, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 14, 2025 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 8, 2024 | Fine | $4,893 |
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 05A360 · certified since April 25, 1985. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.