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Complaint Investigation

Ivy Creek Healthcare & Wellness Centre

May 21, 2026 · San Gabriel, CA · 115 Bridge St.
Citations 9
CMS Rating 4/5
Beds 98
Provider ID 055441
Healthcare Facility
Ivy Creek Healthcare & Wellness Centre
San Gabriel, CA  ·  View full profile →
Inspection Summary

IVY CREEK HEALTHCARE & WELLNESS CENTRE in SAN GABRIEL, CA — inspection on May 21, 2026.

Found 9 citations. Severity: Standard violations.

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

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Inspection Findings

FF0550
Resident Rights Deficiencies
Potential for More Than Minimal Harm

Federal health inspectors cited IVY CREEK HEALTHCARE & WELLNESS CENTRE in SAN GABRIEL, CA for a deficiency under regulatory tag F-F0550 during a standard health inspection conducted on 2026-05-21.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

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 9 deficiencies cited during this inspection of IVY CREEK HEALTHCARE & WELLNESS CENTRE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2026-06-12.

Federal health inspectors cited IVY CREEK HEALTHCARE & WELLNESS CENTRE in SAN GABRIEL, CA for a deficiency under regulatory tag F-F0641 during a standard health inspection conducted on 2026-05-21.

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 9 deficiencies cited during this inspection of IVY CREEK HEALTHCARE & WELLNESS CENTRE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2026-06-12.

Federal health inspectors cited IVY CREEK HEALTHCARE & WELLNESS CENTRE in SAN GABRIEL, CA for a deficiency under regulatory tag F-F0645 during a standard health inspection conducted on 2026-05-21.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: PASARR screening for Mental disorders or Intellectual Disabilities

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 9 deficiencies cited during this inspection of IVY CREEK HEALTHCARE & WELLNESS CENTRE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2026-06-12.

Federal health inspectors cited IVY CREEK HEALTHCARE & WELLNESS CENTRE in SAN GABRIEL, CA for a deficiency under regulatory tag F-F0656 during a standard health inspection conducted on 2026-05-21.

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 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 9 deficiencies cited during this inspection of IVY CREEK HEALTHCARE & WELLNESS CENTRE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2026-06-12.

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Federal health inspectors cited IVY CREEK HEALTHCARE & WELLNESS CENTRE in SAN GABRIEL, CA for a deficiency under regulatory tag F-F0677 during a standard health inspection conducted on 2026-05-21.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide care and assistance to perform activities of daily living for any resident who is unable.

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 9 deficiencies cited during this inspection of IVY CREEK HEALTHCARE & WELLNESS CENTRE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2026-06-12.

Federal health inspectors cited IVY CREEK HEALTHCARE & WELLNESS CENTRE in SAN GABRIEL, CA for a deficiency under regulatory tag F-F0757 during a standard health inspection conducted on 2026-05-21.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: Ensure each resident’s drug regimen must be free from unnecessary drugs.

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 9 deficiencies cited during this inspection of IVY CREEK HEALTHCARE & WELLNESS CENTRE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2026-06-12.

Federal health inspectors cited IVY CREEK HEALTHCARE & WELLNESS CENTRE in SAN GABRIEL, CA for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2026-05-21.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: Provide and implement an infection prevention and control program.

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 9 deficiencies cited during this inspection of IVY CREEK HEALTHCARE & WELLNESS CENTRE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2026-06-12.

Federal health inspectors cited IVY CREEK HEALTHCARE & WELLNESS CENTRE in SAN GABRIEL, CA for a deficiency under regulatory tag F-F0919 during a complaint investigation conducted on 2026-05-21.

Category: Environmental Deficiencies

The facility was found deficient in the following area: Make sure that a working call system is available in each resident's bathroom and bathing area.

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 9 deficiencies cited during this inspection of IVY CREEK HEALTHCARE & WELLNESS CENTRE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2026-06-12.

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Federal health inspectors cited IVY CREEK HEALTHCARE & WELLNESS CENTRE in SAN GABRIEL, CA for a deficiency under regulatory tag F-F0921 during a complaint investigation conducted on 2026-05-21.

Category: Environmental Deficiencies

The facility was found deficient in the following area: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

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 9 deficiencies cited during this inspection of IVY CREEK HEALTHCARE & WELLNESS CENTRE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2026-06-12.

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 SAN GABRIEL, 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 IVY CREEK HEALTHCARE & WELLNESS CENTRE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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