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Complaint Investigation

San Gabriel Valley Medical Ctr D/p Snf

April 27, 2026 · San Gabriel, CA · 438 W. Las Tunas Drive
Citations 2
CMS Rating 4/5
Beds 44
Provider ID 555237
Healthcare Facility
San Gabriel Valley Medical Ctr D/p Snf
San Gabriel, CA  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

SAN GABRIEL VALLEY MEDICAL CTR D/P SNF in SAN GABRIEL, CA — inspection on April 27, 2026.

Found 2 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.

Inspection Findings

FF0658
Resident Assessment and Care Planning Deficiencies

During a review

P&P indicated the following:It is the policy of this facility that all changes of conditions will be communicated to the physician and family or legal representative.All symptoms and unusual signs will be communicated to the physician promptly.The nurse in charge is responsible for notification of physician and family or legal representatives prior to the end of assigned shift when a change in resident's condition is noted.Document resident change in condition and response in Nursing Progress Notes, on 24-Hour Report and update resident care plan as indicated.

During a review of the facility's P&P, titled, Charting, Guidelines, dated 4/2022, the P&P indicated the following:Charting should include all assessments of resident condition, all interventions taken to resolve a problem and the progress/lack of progress with the written care plan.Document normal findings as well as abnormal findings as this shows the resident was being assessed.All residents are assessed every shift and a nurse's note is written documenting any change in condition and the care given and at least once daily a nurse note is written.

555237 04/27/2026

San Gabriel Valley Medical Ctr D/P Snf 438 W.

Las Tunas Drive San Gabriel, CA 91776

During a review of the facility's P&P,

documented, in accordance with state and federal guidelines, and The Joint Commission (JCAHO- an

as soon as possible after clinical events occur, to ensure accuracy and to provide information relevant to the residents' continuing care.

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 SAN GABRIEL VALLEY MEDICAL CTR D/P SNF or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.