Inspection citations
1’23
19’24
16’25
13’26
49 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Mar 19, 2026 | D · potential | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Routine |
| Mar 19, 2026 | D · potential | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Routine |
| Mar 19, 2026 | D · potential | Ensure each resident receives an accurate assessment. | Routine |
| Mar 19, 2026 | E · potential | 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. | Routine |
| Mar 19, 2026 | D · potential | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Routine |
| Mar 19, 2026 | E · potential | Dispose of garbage and refuse properly. | Routine |
| Mar 19, 2026 | E · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Routine |
| Mar 19, 2026 | D · potential | 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. | Routine |
| Mar 19, 2026 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Mar 19, 2026 | B · minimal | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Routine |
| Mar 19, 2026 | D · potential | Make sure that a working call system is available in each resident's bathroom and bathing area. | Routine |
| Feb 13, 2026 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Jan 8, 2026 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Sep 15, 2025 | E · potential | Implement a program that monitors antibiotic use. | Complaint |
| Feb 7, 2025 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Routine |
| Feb 7, 2025 | E · potential | 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. | Routine |
| Feb 7, 2025 | D · potential | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Routine |
| Feb 7, 2025 | D · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Routine |
| Feb 7, 2025 | B · minimal | Post nurse staffing information every day. | Routine |
| Feb 7, 2025 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Feb 7, 2025 | D · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Feb 7, 2025 | D · potential | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Routine |
| Feb 7, 2025 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Feb 7, 2025 | E · potential | Dispose of garbage and refuse properly. | Routine |
| Feb 7, 2025 | D · potential | 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. | Routine |
| Feb 7, 2025 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Feb 7, 2025 | B · minimal | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Routine |
| Feb 7, 2025 | D · potential | Make sure that a working call system is available in each resident's bathroom and bathing area. | Routine |
| Feb 7, 2025 | E · potential | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Routine |
| Oct 10, 2024 | D · potential | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Complaint |
| Oct 10, 2024 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Feb 15, 2024 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| Feb 15, 2024 | E · potential | 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. | Routine |
| Feb 15, 2024 | D · potential | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Routine |
| Feb 15, 2024 | D · potential | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Routine |
| Feb 15, 2024 | D · potential | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Routine |
| Feb 15, 2024 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Routine |
| Feb 15, 2024 | E · potential | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Routine |
| Feb 15, 2024 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| Feb 15, 2024 | E · potential | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Routine |
| Feb 15, 2024 | D · potential | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Routine |
| Feb 15, 2024 | E · potential | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| Feb 15, 2024 | C · minimal | Post nurse staffing information every day. | Routine |
| Feb 15, 2024 | D · potential | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Routine |
| Feb 15, 2024 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Feb 15, 2024 | E · potential | Dispose of garbage and refuse properly. | Routine |
| Feb 15, 2024 | B · minimal | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Routine |
| Feb 15, 2024 | E · potential | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Routine |
| Nov 10, 2023 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Complaint |
Medicare's severity letters: A–C minimal harm, D–F potential for more than minimal harm, G–L actual harm or immediate danger. Source: CMS health deficiencies file, processed October 1, 2026.
Questions to ask on a visit
Pine Grove Healthcare & Wellness Centre, LP
126 N. San Gabriel Blvd., San Gabriel, CA 91775 · (626) 285-3131
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 055056
- Certified beds
- 75
- Legal owner
- Pine Grove Healthcare & Wellness Centre LP
- Part of
- Corporate Interface Services
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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