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Health Inspection

Penn Mar Healthcare Center

Inspection Date: November 21, 2025
Total Violations 14
Facility ID 05A360
Location EL MONTE, CA
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Inspection Findings

F-Tag F0552

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited PENN MAR HEALTHCARE CENTER in EL MONTE, CA for a deficiency under regulatory tag F-F0552 during a standard health inspection conducted on 2025-11-21.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Ensure that residents are fully informed and understand their health status, care and treatments.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of PENN MAR HEALTHCARE CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-15.

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F-Tag F0578

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited PENN MAR HEALTHCARE CENTER in EL MONTE, CA for a deficiency under regulatory tag F-F0578 during a standard health inspection conducted on 2025-11-21.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: 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.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of PENN MAR HEALTHCARE CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-15.

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F-Tag F0605

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited PENN MAR HEALTHCARE CENTER in EL MONTE, CA for a deficiency under regulatory tag F-F0605 during a standard health inspection conducted on 2025-11-21.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

The facility was found deficient in the following area: Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of PENN MAR HEALTHCARE CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-15.

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F-Tag F0641

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited PENN MAR HEALTHCARE CENTER in EL MONTE, CA for a deficiency under regulatory tag F-F0641 during a standard health inspection conducted on 2025-11-21.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Ensure each resident receives an accurate assessment.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of PENN MAR HEALTHCARE CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-15.

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F-Tag F0656

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited PENN MAR HEALTHCARE CENTER in EL MONTE, CA for a deficiency under regulatory tag F-F0656 during a standard health inspection conducted on 2025-11-21.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of PENN MAR HEALTHCARE CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-15.

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F-Tag F0726

Nursing and Physician Services Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited PENN MAR HEALTHCARE CENTER in EL MONTE, CA for a deficiency under regulatory tag F-F0726 during a standard health inspection conducted on 2025-11-21.

Category: Nursing and Physician Services Deficiencies

The facility was found deficient in the following area: 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.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of PENN MAR HEALTHCARE CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-15.

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F-Tag F0727

Nursing and Physician Services Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited PENN MAR HEALTHCARE CENTER in EL MONTE, CA for a deficiency under regulatory tag F-F0727 during a standard health inspection conducted on 2025-11-21.

Category: Nursing and Physician Services Deficiencies

The facility was found deficient in the following area: 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.

Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of PENN MAR HEALTHCARE CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-15.

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F-Tag F0756

Pharmacy Service Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited PENN MAR HEALTHCARE CENTER in EL MONTE, CA for a deficiency under regulatory tag F-F0756 during a standard health inspection conducted on 2025-11-21.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of PENN MAR HEALTHCARE CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-15.

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F-Tag F0812

Nutrition and Dietary Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited PENN MAR HEALTHCARE CENTER in EL MONTE, CA for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2025-11-21.

Category: Nutrition and Dietary Deficiencies

The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of PENN MAR HEALTHCARE CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-15.

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F-Tag F0842

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited PENN MAR HEALTHCARE CENTER in EL MONTE, CA for a deficiency under regulatory tag F-F0842 during a standard health inspection conducted on 2025-11-21.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of PENN MAR HEALTHCARE CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-15.

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F-Tag F0868

Administration Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited PENN MAR HEALTHCARE CENTER in EL MONTE, CA for a deficiency under regulatory tag F-F0868 during a standard health inspection conducted on 2025-11-21.

Category: Administration Deficiencies

The facility was found deficient in the following area: Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of PENN MAR HEALTHCARE CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-15.

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F-Tag F0881

Infection Control Deficiencies
Harm Level: Potential for Minimal Harm

Federal health inspectors cited PENN MAR HEALTHCARE CENTER in EL MONTE, CA for a deficiency under regulatory tag F-F0881 during a standard health inspection conducted on 2025-11-21.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: Implement a program that monitors antibiotic use.

Scope/Severity Level B: isolated, no actual harm with potential for minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of PENN MAR HEALTHCARE CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-15.

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F-Tag F0887

Infection Control Deficiencies
Harm Level: Potential for Minimal Harm

Federal health inspectors cited PENN MAR HEALTHCARE CENTER in EL MONTE, CA for a deficiency under regulatory tag F-F0887 during a standard health inspection conducted on 2025-11-21.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: 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.

Scope/Severity Level B: isolated, no actual harm with potential for minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of PENN MAR HEALTHCARE CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-15.

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F-Tag F0911

Environmental Deficiencies
Harm Level: Potential for Minimal Harm

Federal health inspectors cited PENN MAR HEALTHCARE CENTER in EL MONTE, CA for a deficiency under regulatory tag F-F0911 during a standard health inspection conducted on 2025-11-21.

Category: Environmental Deficiencies

The facility was found deficient in the following area: Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

Scope/Severity Level B: isolated, no actual harm with potential for minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of PENN MAR HEALTHCARE CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-15.

📋 Inspection Summary

PENN MAR HEALTHCARE CENTER in EL MONTE, CA inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in EL MONTE, CA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from PENN MAR HEALTHCARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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