Temple City, CA

Baldwin Gardens Nursing Center

2-star overall rating with 3-star inspections with $3,174 in total fines with 14 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

10786 Live Oak Avenue, Temple City, CA

(626) 447-3553

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

59

Certified beds

Average residents

55

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Abraham Bak & Menachem Gastwirth

Operator or chain grouping

Approved since

1977-02-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.44

Registered nurse staffing

LPN hours / resident day

1.49

Licensed practical nurse staffing

Aide hours / resident day

3.74

Nurse aide staffing

Weekend hours

5.15

Weekend nurse staffing

RN turnover

0%

Annual RN turnover

Total nurse turnover

21%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 3.4
2.3
1.1 pts worse
1.9
1.5 pts worse
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 2.0
1.6
0.4 pts worse
1.8
0.2 pts worse
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
98.5%
1.5 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
98.2%
1.8 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 0.5%
1.6%
1.1 pts better
3.3%
2.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 33.3%
6.8%
26.5 pts worse
11.4%
21.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 4.1%
4.1%
About the same
5.4%
1.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 34.0%
13.7%
20.3 pts worse
19.6%
14.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 18.8%
14.2%
4.6 pts worse
16.7%
2.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.4%
0.4 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 10.9%
11.0%
0.1 pts better
16.3%
5.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 18.8%
10.7%
8.1 pts worse
14.9%
3.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
1.0%
1 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 3.0%
1.2%
1.8 pts worse
1.7%
1.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 6.7%
10.9%
4.2 pts better
19.8%
13.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 8.0%
4.7%
3.3 pts worse
5.1%
2.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 94.7%
94.0%
0.7 pts better
81.7%
13 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 12.4%
11.2%
1.2 pts worse
12.0%
0.4 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 7.7%
1.5%
6.2 pts worse
1.6%
6.1 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 93.6%
93.2%
0.4 pts better
79.7%
13.9 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 28.7%
23.2%
5.5 pts worse
23.9%
4.8 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-11-22 · Fire 2024-11-22

14 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

7 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 2 Health 2023-12-03 · Fire 2023-12-03

13 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2021-04-29 · Fire 2021-04-29

18 health deficiencies

Top issue: Resident Assessment and Care Planning (5 deficiencies)

5 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2024-11-22

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-12-16

D · Potential for more than minimal harm 2024-11-22

K342 · Smoke Deficiencies

Fire Safety

Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

Corrected 2024-12-16

D · Potential for more than minimal harm 2024-11-22

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-12-16

D · Potential for more than minimal harm 2024-11-22

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-12-16

D · Potential for more than minimal harm 2024-11-22

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-12-16

C · Minimal harm 2024-11-22

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2024-12-16

C · Minimal harm 2024-11-22

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2024-11-27

E · Potential for more than minimal harm 2023-12-03

K331 · Smoke Deficiencies

Fire Safety

Construct fire resistant interior walls.

Corrected 2023-12-26

D · Potential for more than minimal harm 2023-12-03

K342 · Smoke Deficiencies

Fire Safety

Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

Corrected 2023-12-04

D · Potential for more than minimal harm 2023-12-03

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-12-04

C · Minimal harm 2023-12-03

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2023-12-26

C · Minimal harm 2023-12-03

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2023-12-15

C · Minimal harm 2023-12-03

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2023-12-15

F · Potential for more than minimal harm 2021-04-29

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2021-05-24

F · Potential for more than minimal harm 2021-04-29

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2021-05-24

E · Potential for more than minimal harm 2021-04-29

K331 · Smoke Deficiencies

Fire Safety

Construct fire resistant interior walls.

Corrected 2021-05-24

E · Potential for more than minimal harm 2021-04-29

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2021-05-24

D · Potential for more than minimal harm 2021-04-29

K300 · Egress Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2021-05-24

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-03-11

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2025-03-26

D · Potential for more than minimal harm 2024-12-18

F919 · Environmental Deficiencies

Health

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

Corrected 2025-01-06

E · Potential for more than minimal harm 2024-11-22

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-12-15

E · Potential for more than minimal harm 2024-11-22

F578 · Resident Rights Deficiencies

Health

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 2024-12-09

E · Potential for more than minimal harm 2024-11-22

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-12-09

E · Potential for more than minimal harm 2024-11-22

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-12-09

E · Potential for more than minimal harm 2024-11-22

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2024-12-09

E · Potential for more than minimal harm 2024-11-22

F700 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2024-12-13

D · Potential for more than minimal harm 2024-11-22

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-12-09

D · Potential for more than minimal harm 2024-11-22

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-12-09

D · Potential for more than minimal harm 2024-11-22

F694 · Quality of Life and Care Deficiencies

Health

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2024-12-09

D · Potential for more than minimal harm 2024-11-22

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-12-09

D · Potential for more than minimal harm 2024-11-22

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2024-12-12

D · Potential for more than minimal harm 2024-11-22

F883 · Infection Control Deficiencies

Health

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

Corrected 2024-12-09

B · Minimal harm 2024-11-22

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2024-12-13

E · Potential for more than minimal harm 2023-12-03

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-12-17

E · Potential for more than minimal harm 2023-12-03

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2023-12-15

E · Potential for more than minimal harm 2023-12-03

F842 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-12-17

D · Potential for more than minimal harm 2023-12-03

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2023-12-26

D · Potential for more than minimal harm 2023-12-03

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-12-17

D · Potential for more than minimal harm 2023-12-03

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2023-12-17

D · Potential for more than minimal harm 2023-12-03

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2023-12-17

D · Potential for more than minimal harm 2023-12-03

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2023-12-15

D · Potential for more than minimal harm 2023-12-03

F755 · Pharmacy Service Deficiencies

Health

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

Corrected 2023-12-17

D · Potential for more than minimal harm 2023-12-03

F805 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2023-12-17

D · Potential for more than minimal harm 2023-12-03

F808 · Nutrition and Dietary Deficiencies

Health

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

Corrected 2023-12-17

D · Potential for more than minimal harm 2023-12-03

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-12-17

E · Potential for more than minimal harm 2023-06-13

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-06-27

D · Potential for more than minimal harm 2023-06-13

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-07-05

F · Potential for more than minimal harm 2023-03-07

F921 · Environmental Deficiencies

Health

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

Corrected 2023-03-14

E · Potential for more than minimal harm 2021-04-29

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2021-05-25

E · Potential for more than minimal harm 2021-04-29

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2021-05-25

D · Potential for more than minimal harm 2021-04-29

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2021-05-25

D · Potential for more than minimal harm 2021-04-29

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2021-05-25

D · Potential for more than minimal harm 2021-04-29

F584 · Resident Rights Deficiencies

Health

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 2021-05-25

D · Potential for more than minimal harm 2021-04-29

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2021-05-25

D · Potential for more than minimal harm 2021-04-29

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2021-05-25

D · Potential for more than minimal harm 2021-04-29

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2021-05-25

D · Potential for more than minimal harm 2021-04-29

F661 · Resident Assessment and Care Planning Deficiencies

Health

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Corrected 2021-05-25

D · Potential for more than minimal harm 2021-04-29

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2021-05-25

D · Potential for more than minimal harm 2021-04-29

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2021-05-25

D · Potential for more than minimal harm 2021-04-29

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2021-05-25

D · Potential for more than minimal harm 2021-04-29

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2021-05-25

D · Potential for more than minimal harm 2021-04-29

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2021-05-25

D · Potential for more than minimal harm 2021-04-29

F842 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2021-05-25

Penalties and ownership

What sits behind the stars

$3,174 2023-05-30

Fine

Fine · fine $3,174

Fine

Ownership

Mayer, Helene

5% Or Greater Indirect Ownership Interest · Individual

24% 12 facilities 2020-03-13
Bak, Abraham

5% Or Greater Direct Ownership Interest · Individual

0% 18 facilities 2020-03-13
Bak, Abraham

Corporate Director · Individual

0% 18 facilities 2020-03-13
Gastwirth, Menachem

5% Or Greater Direct Ownership Interest · Individual

0% 17 facilities 2020-03-13
Gastwirth, Menachem

Corporate Director · Individual

0% 17 facilities 2020-03-13
Gewirtz, Chonoch

5% Or Greater Direct Ownership Interest · Individual

0% 13 facilities 2020-03-13
Gewirtz, Chonoch

Corporate Officer · Individual

0% 13 facilities 2020-03-13
Helene Mayer 2007 Irrevocable Exempt Trust Fbo Aaron Mayer Dated Decem

5% Or Greater Direct Ownership Interest · Organization

0% 6 facilities 2020-03-13
Helene Mayer 2007 Irrevocable Exempt Trust Fbo Abraham Mayer Dated Dec

5% Or Greater Direct Ownership Interest · Organization

0% 5 facilities 2020-03-13
Helene Mayer 2007 Irrevocable Exempt Trust Fbo Akiva Mayer Dated Decem

5% Or Greater Direct Ownership Interest · Organization

0% 5 facilities 2020-03-13
Helene Mayer 2007 Irrevocable Exempt Trust Fbo Aviva Mayer Dated Decem

5% Or Greater Direct Ownership Interest · Organization

0% 5 facilities 2020-03-13
Helene Mayer 2007 Irrevocable Exempt Trust Fbo Talia Mayer Dated Decem

5% Or Greater Direct Ownership Interest · Organization

0% 5 facilities 2020-03-13
Helene Mayer 2007 Irrevocable Exempt Trust Fbo Zachary Mayer Dated Dec

5% Or Greater Direct Ownership Interest · Organization

0% 5 facilities 2020-03-13
Horowicz, Avi

Operational/Managerial Control · Individual

0% 2 facilities 2024-08-27
Lehmann, Kenneth

5% Or Greater Direct Ownership Interest · Individual

0% 15 facilities 2020-03-13
Lehmann, Kenneth

Corporate Director · Individual

0% 15 facilities 2020-03-13
Shah, Jaykumar

Operational/Managerial Control · Individual

0% 1 facilities 2020-03-13

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