Inspection citations
20’23
18’24
17’25
55 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Dec 11, 2025 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Routine |
| Dec 11, 2025 | E · potential | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Routine |
| Dec 11, 2025 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Dec 11, 2025 | B · minimal | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Routine |
| Dec 11, 2025 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Routine |
| Dec 11, 2025 | E · potential | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Routine |
| Dec 11, 2025 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| Dec 11, 2025 | D · potential | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| Dec 11, 2025 | D · potential | Provide safe, appropriate pain management for a resident who requires such services. | Routine |
| Dec 11, 2025 | 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 |
| Dec 11, 2025 | E · potential | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Routine |
| Dec 11, 2025 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Dec 11, 2025 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Dec 11, 2025 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Routine |
| Dec 11, 2025 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Dec 11, 2025 | E · potential | Implement a program that monitors antibiotic use. | Routine |
| Feb 10, 2025 | D · potential | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Complaint |
| Oct 29, 2024 | B · minimal | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| Oct 29, 2024 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Routine |
| Oct 29, 2024 | B · minimal | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Routine |
| Oct 29, 2024 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Oct 29, 2024 | D · potential | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Routine |
| Oct 29, 2024 | D · potential | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Routine |
| Oct 29, 2024 | D · potential | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| Oct 29, 2024 | E · potential | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Routine |
| Oct 29, 2024 | D · 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 |
| Oct 29, 2024 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Oct 29, 2024 | D · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Oct 29, 2024 | 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 |
| Oct 29, 2024 | D · potential | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Routine |
| Oct 29, 2024 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Oct 29, 2024 | D · potential | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Routine |
| Oct 29, 2024 | D · potential | Provide and implement an infection prevention and control program. | Routine |
| Oct 29, 2024 | D · potential | Implement a program that monitors antibiotic use. | Routine |
| Oct 29, 2024 | E · potential | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Routine |
| Mar 3, 2023 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| Mar 3, 2023 | D · potential | Allow residents to self-administer drugs if determined clinically appropriate. | Routine |
| Mar 3, 2023 | D · 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 |
| Mar 3, 2023 | D · potential | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Routine |
| Mar 3, 2023 | D · potential | Ensure each resident receives an accurate assessment. | Routine |
| Mar 3, 2023 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Routine |
| Mar 3, 2023 | D · potential | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| Mar 3, 2023 | D · potential | Provide safe, appropriate pain management for a resident who requires such services. | Routine |
| Mar 3, 2023 | D · potential | Provide safe, appropriate dialysis care/services for a resident who requires such services. | Routine |
| Mar 3, 2023 | D · potential | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Routine |
| Mar 3, 2023 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Mar 3, 2023 | D · potential | Ensure that residents are free from significant medication errors. | Routine |
| Mar 3, 2023 | 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 |
| Mar 3, 2023 | D · potential | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Routine |
| Mar 3, 2023 | D · potential | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Routine |
| Mar 3, 2023 | D · potential | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Routine |
| Mar 3, 2023 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Mar 3, 2023 | D · potential | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Routine |
| Mar 3, 2023 | D · potential | Provide and implement an infection prevention and control program. | Routine |
| Mar 3, 2023 | D · potential | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Routine |
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
Rowntree Gardens
12151 Dale Avenue, Stanton, CA 90680 · (714) 971-6865
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 555718
- Certified beds
- 58
- Legal owner
- California Friends Homes
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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