Inspection History Overview

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Detailed Inspection Reports

Notice: These are official CMS inspection narratives containing detailed regulatory findings. This information is not available in searchable format anywhere else online.

December 19, 2025 Complaint Investigation

Fines and Penalties by Year

2021 1 penalties totaling $9,750

$9,750
Jan 19, 2021

Fine

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Health Violations by Year

2025 16 violations

Tag 0550 D Apr 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
Tag 0656 D Apr 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
Tag 0657 D Apr 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
Tag 0684 D Apr 10, 2025

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: May 2, 2025
Tag 0698 E Apr 10, 2025

Provide safe, appropriate dialysis care/services for a resident who requires such services.

✓ Corrected: May 2, 2025
Tag 0755 E Apr 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
Tag 0759 E Apr 10, 2025

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: May 2, 2025
Tag 0814 E Apr 10, 2025

Dispose of garbage and refuse properly.

✓ Corrected: May 2, 2025
Tag 0842 D Apr 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
Tag 0880 E Apr 10, 2025

Provide and implement an infection prevention and control program.

✓ Corrected: May 2, 2025
Tag 0912 B Apr 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
Tag 0919 D Apr 10, 2025

Make sure that a working call system is available in each resident's bathroom and bathing area.

✓ Corrected: May 2, 2025
Tag 0921 D Apr 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
Tag 0842 D Feb 25, 2025

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Mar 7, 2025
Tag 0609 D Feb 5, 2025

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Feb 28, 2025
Tag 0676 E Feb 5, 2025

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

✓ Corrected: Feb 28, 2025

2024 16 violations

Tag 0550 D Apr 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
Tag 0558 D Apr 12, 2024

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: May 7, 2024
Tag 0583 D Apr 12, 2024

Keep residents' personal and medical records private and confidential.

✓ Corrected: May 7, 2024
Tag 0584 E Apr 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
Tag 0642 D Apr 12, 2024

Ensure a qualified health professional conducts resident assessments.

✓ Corrected: May 7, 2024
Tag 0656 D Apr 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
Tag 0676 D Apr 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
Tag 0684 D Apr 12, 2024

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: May 7, 2024
Tag 0695 E Apr 12, 2024

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: May 7, 2024
Tag 0812 E Apr 12, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: May 7, 2024
Tag 0849 D Apr 12, 2024

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.

✓ Corrected: May 7, 2024
Tag 0880 D Apr 12, 2024

Provide and implement an infection prevention and control program.

✓ Corrected: May 7, 2024
Tag 0908 D Apr 12, 2024

Keep all essential equipment working safely.

✓ Corrected: May 7, 2024
Tag 0912 B Apr 12, 2024

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

✓ Corrected: May 7, 2024
Tag 0880 E Jan 24, 2024

Provide and implement an infection prevention and control program.

✓ Corrected: Feb 19, 2024
Tag 0921 E Jan 24, 2024

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

✓ Corrected: Feb 19, 2024

2023 2 violations

Tag 0689 D Nov 16, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Dec 8, 2023
Tag 0880 E Aug 29, 2023

Provide and implement an infection prevention and control program.

✓ Corrected: Sep 25, 2023

2021 9 violations

Tag 0558 D May 28, 2021

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Jul 1, 2021
Tag 0582 E May 28, 2021

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

✓ Corrected: Jul 1, 2021
Tag 0657 D May 28, 2021

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Jul 1, 2021
Tag 0676 D May 28, 2021

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

✓ Corrected: Jul 1, 2021
Tag 0692 D May 28, 2021

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Jul 1, 2021
Tag 0726 E May 28, 2021

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: Jul 1, 2021
Tag 0912 B May 28, 2021

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

✓ Corrected: Jul 1, 2021
Tag 0880 E Jan 19, 2021

Provide and implement an infection prevention and control program.

Tag 0883 D Jan 19, 2021

Develop and implement policies and procedures for flu and pneumonia vaccinations.

2020 1 violations

Tag 0880 D Sep 11, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Oct 16, 2020

2019 22 violations

Tag 0641 D Nov 1, 2019

Ensure each resident receives an accurate assessment.

✓ Corrected: Dec 4, 2019
Tag 0656 D Nov 1, 2019

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Dec 4, 2019
Tag 0658 D Nov 1, 2019

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Dec 4, 2019
Tag 0676 D Nov 1, 2019

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

✓ Corrected: Dec 4, 2019
Tag 0677 D Nov 1, 2019

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Dec 4, 2019
Tag 0687 D Nov 1, 2019

Provide appropriate foot care.

✓ Corrected: Dec 4, 2019
Tag 0688 D Nov 1, 2019

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.

✓ Corrected: Dec 4, 2019
Tag 0689 D Nov 1, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Dec 4, 2019
Tag 0692 D Nov 1, 2019

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Dec 4, 2019
Tag 0695 D Nov 1, 2019

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Dec 4, 2019
Tag 0697 D Nov 1, 2019

Provide safe, appropriate pain management for a resident who requires such services.

✓ Corrected: Dec 4, 2019
Tag 0698 D Nov 1, 2019

Provide safe, appropriate dialysis care/services for a resident who requires such services.

✓ Corrected: Dec 4, 2019
Tag 0726 E Nov 1, 2019

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: Dec 4, 2019
Tag 0755 D Nov 1, 2019

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Dec 4, 2019
Tag 0758 D Nov 1, 2019

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

✓ Corrected: Dec 4, 2019
Tag 0770 D Nov 1, 2019

Provide timely, quality laboratory services/tests to meet the needs of residents.

✓ Corrected: Dec 4, 2019
Tag 0880 E Nov 1, 2019

Provide and implement an infection prevention and control program.

✓ Corrected: Dec 4, 2019
Tag 0881 E Nov 1, 2019

Implement a program that monitors antibiotic use.

✓ Corrected: Dec 4, 2019
Tag 0912 B Nov 1, 2019

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

✓ Corrected: Dec 4, 2019
Tag 0921 E Nov 1, 2019

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

✓ Corrected: Dec 4, 2019

2018 10 violations

Tag 0578 D Nov 8, 2018

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: Dec 14, 2018
Tag 0657 E Nov 8, 2018

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Dec 14, 2018
Tag 0698 E Nov 8, 2018

Provide safe, appropriate dialysis care/services for a resident who requires such services.

✓ Corrected: Dec 14, 2018
Tag 0758 D Nov 8, 2018

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

✓ Corrected: Dec 14, 2018
Tag 0759 E Nov 8, 2018

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Dec 14, 2018
Tag 0804 E Nov 8, 2018

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

✓ Corrected: Dec 14, 2018
Tag 0838 B Nov 8, 2018

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies.

✓ Corrected: Dec 14, 2018
Tag 0880 D Nov 8, 2018

Provide and implement an infection prevention and control program.

✓ Corrected: Dec 14, 2018
Tag 0881 B Nov 8, 2018

Implement a program that monitors antibiotic use.

✓ Corrected: Dec 14, 2018
Tag 0912 B Nov 8, 2018

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

✓ Corrected: Dec 14, 2018

2017 11 violations

Tag 0278 D Oct 30, 2017

Ensure each resident receives an accurate assessment by a qualified health professional.

✓ Corrected: Nov 30, 2017
Tag 0279 E Oct 30, 2017

Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Nov 30, 2017
Tag 0309 D Oct 30, 2017

Provide necessary care and services to maintain or improve the highest well being of each resident .

✓ Corrected: Nov 30, 2017
Tag 0323 D Oct 30, 2017

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

✓ Corrected: Nov 30, 2017
Tag 0328 E Oct 30, 2017

Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.

✓ Corrected: Nov 30, 2017
Tag 0329 E Oct 30, 2017

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

✓ Corrected: Nov 30, 2017
Tag 0371 E Oct 30, 2017

Store, cook, and serve food in a safe and clean way.

✓ Corrected: Nov 30, 2017
Tag 0431 E Oct 30, 2017

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

✓ Corrected: Nov 30, 2017
Tag 0441 E Oct 30, 2017

Have a program that investigates, controls and keeps infection from spreading.

✓ Corrected: Nov 30, 2017
Tag 0458 B Oct 30, 2017

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

✓ Corrected: Nov 30, 2017
Tag 0206 D Apr 26, 2017

Establish and follow a written policy that permits a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

✓ Corrected: May 9, 2017
🏥 Facility Summary

IVY CREEK HEALTHCARE & WELLNESS CENTRE is a 3-star nursing home in SAN GABRIEL, CA with 98 beds.

Most recent inspection: Data not available. No current violations on record.

📞 6262894439
📍 115 BRIDGE ST., SAN GABRIEL, CA
💵 Accepts Medicare and Medicaid
Data source: Centers for Medicare & Medicaid Services (CMS). Facility information updated daily. Star ratings range from 1 (much below average) to 5 (much above average).

Frequently Asked Questions About IVY CREEK HEALTHCARE & WELLNESS CENTRE

What violations has IVY CREEK HEALTHCARE & WELLNESS CENTRE received?
IVY CREEK HEALTHCARE & WELLNESS CENTRE has 0 health and safety violation(s) documented by CMS inspections. All violation data comes from official Medicare inspection reports and is updated regularly from government sources.
What is the quality rating of IVY CREEK HEALTHCARE & WELLNESS CENTRE?
IVY CREEK HEALTHCARE & WELLNESS CENTRE has a 3-star rating out of 5 from CMS. This is an average rating, meeting basic quality standards. The rating is based on health inspections, staffing levels, and quality measures.
When was IVY CREEK HEALTHCARE & WELLNESS CENTRE last inspected?
Inspection reports are documented by state survey agencies and the Centers for Medicare & Medicaid Services (CMS). Reports typically lag 2-3 months behind the actual inspection date. Visit the facility's full profile page for detailed violation information and inspection history.
Is IVY CREEK HEALTHCARE & WELLNESS CENTRE safe?
Safety at IVY CREEK HEALTHCARE & WELLNESS CENTRE should be evaluated based on multiple factors: the facility's CMS rating, recent violation history, and personal visits. We recommend reviewing the complete inspection history, speaking with current residents and families, consulting healthcare professionals, and visiting in person before making placement decisions.
How do I contact IVY CREEK HEALTHCARE & WELLNESS CENTRE?
Phone: 6262894439. Address: 115 BRIDGE ST., SAN GABRIEL, CA. For visiting hours and admission information, call the facility directly.
What services does IVY CREEK HEALTHCARE & WELLNESS CENTRE offer?
IVY CREEK HEALTHCARE & WELLNESS CENTRE is a skilled nursing facility with 98 beds. The facility accepts Medicare and Medicaid. For specific services like rehabilitation, memory care, or short-term recovery, contact the facility directly.
What are better facilities near SAN GABRIEL, CA?
Compare IVY CREEK HEALTHCARE & WELLNESS CENTRE with other nursing homes in SAN GABRIEL, CA on our facilities page. Filter by star rating, bed count, and recent inspection results to find the best match for your needs.