Cycle 1
Health 2025-03-28 · Fire 2025-03-28
12 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
San Gabriel, CA
San Gabriel Valley Medical Ctr D/P SNF
5-star overall rating with 4-star inspections with 12 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
438 W. Las Tunas Drive, San Gabriel, CA
(626) 289-5454
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
44
Certified beds
Average residents
38
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Ahmc Healthcare
Operator or chain grouping
Approved since
1986-10-10
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
5 facilities
Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
Hours and turnover
RN hours / resident day
2.50
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
2.51
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
2.67
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
7.68
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
5.01
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
7.06
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
2.15
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
1.08
CMS adjusted RN staffing hours
Adjusted total hours
3.31
CMS adjusted total nurse staffing hours
Case-mix index
3.17
Higher values indicate more complex resident acuity
RN turnover
13%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
12%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,959
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
52.72
Composite VBP score used to determine payment impact.
Payment multiplier
1.0073
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Total nurse turnover
10
Baseline 16.90% · Performance 13.85% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
0.54
Baseline 3.49 hours · Performance 3.23 hours · Measure score 0.54 · Achievement 0.54 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays 1 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 1 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | Not Available |
1.02
|
Too few residents or stays to report publicly. |
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator 8 · Adjusted rate Not Available · Too few residents or stays to report publicly. |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 5 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 16.18% |
8.2%
8 pts better
|
Numerator 11 · Denominator 68 |
| Staff flu vaccination coverage | 50.15% |
42%
8.1 pts better
|
Numerator 337 · Denominator 672 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.6% |
98.5%
0.1 pts better
|
93.4%
5.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 97.1% · Q4 97.4% · 4Q avg 98.6% |
| 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 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
1.6%
1.6 pts better
|
3.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
6.8%
6.8 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 7.7% |
4.1%
3.6 pts worse
|
5.4%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 5.6% · Q3 3.1% · Q4 7.7% · 4Q avg 7.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.7% |
13.7%
3 pts worse
|
19.6%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 19.4% · Q3 17.6% · Q4 15.4% · 4Q avg 16.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 6.1% |
14.2%
8.1 pts better
|
16.7%
10.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q3 8.7% · Q4 6.2% · 4Q avg 6.1% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 14.6% |
0.4%
14.2 pts worse
|
0.1%
14.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.1% · Q2 19.4% · Q3 11.8% · Q4 10.3% · 4Q avg 14.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 11.5% |
1.0%
10.5 pts worse
|
1.0%
10.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.0% · Q2 9.2% · Q3 7.7% · Q4 16.4% · 4Q avg 11.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.1% |
1.2%
0.9 pts worse
|
1.7%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 2.8% · Q3 0.0% · Q4 0.0% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 0.0% |
10.9%
10.9 pts better
|
19.8%
19.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents with pressure ulcers | 7.3% |
4.7%
2.6 pts worse
|
5.1%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 9.2% · Q3 6.1% · Q4 9.3% · 4Q avg 7.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 76.0% |
94.0%
18 pts worse
|
81.7%
5.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 76.0% |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-04-28 · Fire 2024-04-28
10 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2019-05-03 · Fire 2019-05-03
9 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-03-28
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-04-10
F · Potential for more than minimal harm
2025-03-28
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-04-10
F · Potential for more than minimal harm
2025-03-28
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-04-10
D · Potential for more than minimal harm
2025-03-28
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-04-10
D · Potential for more than minimal harm
2025-03-28
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-04-10
E · Potential for more than minimal harm
2024-04-28
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-05-17
D · Potential for more than minimal harm
2024-04-28
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-05-02
D · Potential for more than minimal harm
2024-04-28
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-05-03
C · Minimal harm
2024-04-28
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-05-22
F · Potential for more than minimal harm
2019-05-03
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-06-18
E · Potential for more than minimal harm
2019-05-03
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2019-06-18
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-12-16
F628 · Resident Rights Deficiencies
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2026-02-05
E · Potential for more than minimal harm
2025-03-28
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 2025-04-11
E · Potential for more than minimal harm
2025-03-28
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-04-11
E · Potential for more than minimal harm
2025-03-28
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 2025-04-11
E · Potential for more than minimal harm
2025-03-28
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-11
D · Potential for more than minimal harm
2025-03-28
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2025-04-11
D · Potential for more than minimal harm
2025-03-28
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 2025-04-11
D · Potential for more than minimal harm
2025-03-28
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-04-11
D · Potential for more than minimal harm
2025-03-28
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-03-28
D · Potential for more than minimal harm
2025-03-28
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 2025-04-11
D · Potential for more than minimal harm
2025-03-28
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-04-11
D · Potential for more than minimal harm
2025-03-28
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 2025-04-11
D · Potential for more than minimal harm
2024-11-26
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Not marked corrected
E · Potential for more than minimal harm
2024-04-28
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-05-22
E · Potential for more than minimal harm
2024-04-28
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 2024-05-20
E · Potential for more than minimal harm
2024-04-28
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-05-22
E · Potential for more than minimal harm
2024-04-28
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2024-05-20
E · Potential for more than minimal harm
2024-04-28
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 2024-05-20
E · Potential for more than minimal harm
2024-04-28
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2024-05-20
D · Potential for more than minimal harm
2024-04-28
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 2024-05-22
D · Potential for more than minimal harm
2024-04-28
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 2024-05-22
B · Minimal harm
2024-04-28
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2024-05-22
E · Potential for more than minimal harm
2019-05-03
F726 · Nursing and Physician Services Deficiencies
Health
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 2019-06-19
E · Potential for more than minimal harm
2019-05-03
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-06-19
D · Potential for more than minimal harm
2019-05-03
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 2019-06-19
D · Potential for more than minimal harm
2019-05-03
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 2019-06-19
D · Potential for more than minimal harm
2019-05-03
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2019-06-19
D · Potential for more than minimal harm
2019-05-03
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2019-06-19
D · Potential for more than minimal harm
2019-05-03
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2019-06-19
D · Potential for more than minimal harm
2019-05-03
F790 · Quality of Life and Care Deficiencies
Health
Provide routine and 24-hour emergency dental care for each resident.
Corrected 2019-06-19
D · Potential for more than minimal harm
2019-05-03
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 2019-06-19
Penalties and ownership
What sits behind the stars
Ownership
Sgvmc Healthcare Investment LP
5% Or Greater Direct Ownership Interest · Organization
Ahmc, Inc.
5% Or Greater Indirect Ownership Interest · Organization
Alhambra Hospital Medical Center, LP
5% Or Greater Indirect Ownership Interest · Organization
American Hospital Investment Inc
5% Or Greater Indirect Ownership Interest · Organization
Caballero, Eilyn
Corporate Officer · Individual
Calmed Investment LP
5% Or Greater Indirect Ownership Interest · Organization
Evergreen Trust
5% Or Greater Indirect Ownership Interest · Organization
Grim, Andrew
Corporate Officer · Individual
Huang Investments, LLC
5% Or Greater Indirect Ownership Interest · Organization
Khatkar, Tarinder
Operational/Managerial Control · Individual
Khatkar, Tarinder
Corporate Officer · Individual
Las Tunas Limited Partnership
5% Or Greater Indirect Ownership Interest · Organization
Lin, Joy Yu Chu
5% Or Greater Indirect Ownership Interest · Individual
Lin, Matthew
5% Or Greater Indirect Ownership Interest · Individual
Marsh, Linda
Corporate Officer · Individual
San Gabriel Healthcare Inc
Operational/Managerial Control · Organization
San Gabriel Healthcare LP
5% Or Greater Indirect Ownership Interest · Organization
Sgvmc Healthcare Investment LP
Limited Partnership Interest · Organization
Sgvmc Healthcare LP
5% Or Greater Direct Ownership Interest · Organization
Sgvmc Healthcare LP
General Partnership Interest · Organization
Universal Capital Investment LP
5% Or Greater Indirect Ownership Interest · Organization
Wu, Jonathan
5% Or Greater Indirect Ownership Interest · Individual
Wu, Jonathan
Corporate Director · Individual
Wu, Jonathan
Corporate Officer · Individual
Wu, Yi Kun
5% Or Greater Indirect Ownership Interest · Individual
Nearby options
Other facilities in reach
#1
Ivy Creek Healthcare & Wellness Centre
San Gabriel, CA
3-star overall rating with 3-star inspections with 14 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#2
Live Oak Rehab Center
San Gabriel, CA
1-star overall rating with 1-star inspections with abuse icon flag with $27,425 in total fines with 27 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#3
Royal Vista Care Center
San Gabriel, CA
1-star overall rating with 1-star inspections with $2,818 in total fines with 35 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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