Federal inspection record · CMS data as of October 1, 2026

Mission Care Center

4800 Delta Avenue, Rosemead, CA · (626) 607-2400

CMS overall rating

3 of 5

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Certified beds
59
Residents per day
51
Ownership
For-Profit
Chain
The Ensign Group
Medicare / Medicaid
Medicare + Medicaid
Certified since
September 30, 2002

1

How this home got 3 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in California.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    +1 star

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    3 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among California homes

Mission Care Center carries 98 inspection points. That is fewer than 41% of California's 1,154 rated homes.

5★4★3★2★1★+35 homes above 300.2505102550100200inspection points → fewer is better on the leftThis home · 98 pts · 2★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in California: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–33 pts
  • 4★ 33–66 pts
  • 3★ 66–96 pts
  • 2★ 96–146 pts
  • 1★ over 146 pts

Bars show every rated home in California by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

43 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 28 4 pts
E 15 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Resident Rights11E
  1. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    July 25, 2026 · Complaint · F580 · Corrected August 14, 2026

  2. D

    Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

    June 16, 2026 · Complaint · F573 · Corrected July 8, 2026

  3. D

    Ensure that residents are fully informed and understand their health status, care and treatments.

    March 19, 2026 · Standard · F552 · Corrected April 10, 2026

  4. D

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    March 19, 2026 · Standard · F561 · Corrected April 10, 2026

  5. D

    Give residents a notice of rights, rules, services and charges.

    March 19, 2026 · Standard · F572 · Corrected April 10, 2026

  6. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    March 19, 2026 · Standard · F580 · Corrected April 10, 2026

  7. D

    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.

    February 16, 2025 · Standard · F578 · Corrected March 11, 2025

  8. E

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

    February 18, 2024 · Standard · F550 · Corrected March 21, 2024

  9. D

    Reasonably accommodate the needs and preferences of each resident.

    February 18, 2024 · Standard · F558 · Corrected March 21, 2024

  10. D

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

    February 18, 2024 · Standard · F623 · Corrected March 21, 2024

  11. D

    Keep residents' personal and medical records private and confidential.

    October 25, 2023 · Complaint · F583 · Corrected November 13, 2023

Quality of Life and Care9E
  1. D

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

    March 19, 2026 · Standard · F686 · Corrected April 10, 2026

  2. D

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

    March 19, 2026 · Standard · F692 · Corrected April 10, 2026

  3. D

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

    March 19, 2026 · Standard · F694 · Corrected April 10, 2026

  4. D

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

    March 19, 2026 · Standard · F695 · Corrected April 10, 2026

  5. D

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

    December 10, 2025 · Complaint · F686 · Corrected December 12, 2025

  6. D

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

    February 16, 2025 · Standard · F695 · Corrected March 11, 2025

  7. D

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

    November 25, 2024 · Complaint · F689 · Corrected December 4, 2024

  8. E

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

    February 18, 2024 · Standard · F694 · Corrected March 21, 2024

  9. E

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

    February 18, 2024 · Standard · F695 · Corrected March 21, 2024

Infection Control6E
  1. E

    Provide and implement an infection prevention and control program.

    July 25, 2026 · Complaint · F880 · Corrected August 14, 2026

  2. E

    Provide and implement an infection prevention and control program.

    March 19, 2026 · Standard · F880 · Corrected April 10, 2026

  3. E

    Provide and implement an infection prevention and control program.

    December 10, 2025 · Complaint · F880 · Corrected December 12, 2025

  4. E

    Provide and implement an infection prevention and control program.

    January 24, 2025 · Complaint · F880 · Corrected February 3, 2025

  5. E

    Provide and implement an infection prevention and control program.

    February 18, 2024 · Standard · F880 · Corrected March 21, 2024

  6. E

    Provide and implement an infection prevention and control program.

    February 2, 2024 · Complaint · F880 · Corrected February 5, 2024

Pharmacy Service5D
  1. D

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

    March 19, 2026 · Standard · F755 · Corrected April 10, 2026

  2. D

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    March 19, 2026 · Standard · F757 · Corrected April 10, 2026

  3. D

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    March 19, 2026 · Standard · F761 · Corrected April 10, 2026

  4. D

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

    February 16, 2025 · Standard · F755 · Corrected March 11, 2025

  5. D

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    February 16, 2025 · Standard · F761 · Corrected March 11, 2025

Resident Assessment and Care Planning4E
  1. D

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

    July 25, 2026 · Complaint · F656 · Corrected August 14, 2026

  2. D

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

    July 25, 2026 · Complaint · F842 · Corrected August 14, 2026

  3. D

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

    February 16, 2025 · Standard · F842 · Corrected March 11, 2025

  4. E

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

    February 18, 2024 · Standard · F656 · Corrected March 21, 2024

Nutrition and Dietary4E
  1. E

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

    March 19, 2026 · Standard · F812 · Corrected April 10, 2026

  2. E

    Dispose of garbage and refuse properly.

    March 19, 2026 · Standard · F814 · Corrected April 10, 2026

  3. E

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

    February 16, 2025 · Standard · F812 · Corrected March 11, 2025

  4. E

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

    February 18, 2024 · Standard · F812 · Corrected March 21, 2024

Environmental3E
  1. D

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

    March 19, 2026 · Standard · F921 · Corrected April 10, 2026

  2. E

    Have policies on smoking.

    February 16, 2025 · Standard · F926 · Corrected March 11, 2025

  3. D

    Keep all essential equipment working safely.

    February 16, 2025 · Standard · F908 · Corrected March 11, 2025

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    February 16, 2025 · Standard · F607 · Corrected March 11, 2025

Inspection history

  1. 2026-03-19

    22 health deficiencies · 8 fire-safety deficiencies

    Top issue: Resident Rights (6 deficiencies)

  2. 2025-02-16

    11 health deficiencies · 3 fire-safety deficiencies

    Top issue: Environmental (2 deficiencies)

  3. 2024-02-18

    10 health deficiencies · 3 fire-safety deficiencies

    Top issue: Resident Rights (4 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 4 h 34 min of nursing staff time a day, 37 min of it from a registered nurse.

This home

4 h 34 min

California average

4 h 33 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 36% of nursing staff and 44% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.3 pts better100.0%98.7%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine7.4 pts worse90.5%97.9%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.6 pts better0.0%1.6%3.2%
Percentage of long-stay residents who have depressive symptoms4.3 pts better3.3%7.6%13.5%
Percentage of long-stay residents who lose too much weight2.8 pts worse6.9%4.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication3.2 pts worse16.9%13.7%19.5%
Percentage of long-stay residents who received an antipsychotic medication4 pts better8.3%12.3%15.4%
Percentage of long-stay residents who were physically restrained0.3 pts better0.0%0.3%0.1%
Percentage of long-stay residents whose ability to walk independently worsened4.7 pts better4.2%8.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased2.4 pts better7.8%10.2%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts worse0.8%0.7%0.7%
Percentage of long-stay residents with a urinary tract infection1.2 pts better0.0%1.2%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence20.3 pts worse30.1%9.8%18.3%
Percentage of long-stay residents with pressure ulcers0.3 pts better4.0%4.3%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5.2 pts better99.8%94.6%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit8.7 pts better2.4%11.1%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.2 pts worse1.5%1.3%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine8 pts worse85.1%93.1%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission0.6 pts better22.0%22.6%23.4%

·

Who owns and runs it

13 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Burnam, SoonCorporate Officer · Individual0%353 facilities
Chien, NormanManaging Control - Governing Body · Individual0%2 facilities
Chien, NormanOperational/Managerial Control · Individual0%2 facilities
Chien, NormanAdp Of The SNF · Individual0%2 facilities
Keetch, ChadCorporate Officer · Individual0%301 facilities
Nelson, TimothyManaging Control - Governing Body · Individual0%46 facilities
Nelson, TimothyOperational/Managerial Control · Individual0%46 facilities
Nelson, TimothyAdp Of The SNF · Individual0%46 facilities
Port, BarryIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%203 facilities
Standard Bearer Healthcare Op LPAdp Of The SNF · Organization0%21 facilities
The Ensign Group IncAdp Of The SNF · Organization0%135 facilities
West Meadow Health Holdings Ii LLCAdp Of The SNF · Organization0%1 facilities
Willits, AdamCorporate Officer · Individual0%77 facilities

·

Fire safety

14 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke5E
  1. E

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

    March 19, 2026 · K355 · Corrected March 19, 2026

  2. D

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

    March 19, 2026 · K321 · Corrected March 19, 2026

  3. D

    Inspect, test, and maintain automatic sprinkler systems.

    March 19, 2026 · K353 · Corrected March 19, 2026

  4. D

    Install an approved automatic sprinkler system.

    February 16, 2025 · K351 · Corrected February 20, 2025

  5. D

    Install an approved automatic sprinkler system.

    February 18, 2024 · K351 · Corrected March 18, 2024

Gas, Vacuum, and Electrical Systems3F
  1. F

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

    March 19, 2026 · K918 · Corrected March 19, 2026

  2. F

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

    February 18, 2024 · K918 · Corrected March 18, 2024

  3. E

    Ensure proper usage of power strips and extension cords.

    February 18, 2024 · K920 · Corrected March 18, 2024

Emergency Preparedness3C
  1. C

    Provide primary/alternate means for communication.

    March 19, 2026 · E32 · Corrected March 19, 2026

  2. C

    Provide a means of sharing information on occupancy/needs.

    March 19, 2026 · E34 · Corrected March 19, 2026

  3. C

    Conduct testing and exercise requirements.

    March 19, 2026 · E39 · Corrected March 19, 2026

Egress2D
  1. D

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    February 16, 2025 · K211 · Corrected February 20, 2025

  2. D

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

    February 16, 2025 · K223 · Corrected February 20, 2025

Services1D
  1. D

    Have properly installed electrical wiring and gas equipment.

    March 19, 2026 · K511 · Corrected March 19, 2026

·

Other homes nearby

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    G
    Nursing / resident / day
    3 h 53 min
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    $0
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    Worst citation, 3 yrs
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    Nursing / resident / day
    4 h 24 min
    Fines
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  3. Royal Vista Care Center

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    Worst citation, 3 yrs
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    Nursing / resident / day
    3 h 48 min
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