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Public Record

Ivy Creek Healthcare & Wellness Centre

Nursing HomeSan Gabriel, CACMS 055441
59 citations on record

From CMS

Facility profile

CMS overall rating
2 / 5

*CMS Five-Star

Certified beds
98

*CMS

Avg. residents per day
93

*CMS

Inspection record

On record from CMS

Citations on record
59

*CMS

Inspections on file
12

*CMS

Last inspection
2025-12-19

*CMS

Citations

59 citations on record

Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0744Generalpotential for harm

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

  • 0921Generalpotential for harm

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

  • 0919Generalpotential for harm

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

  • 0912Generalno actual harm

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

  • 0880Generalpotential for harm

    Provide and implement an infection prevention and control program.

  • 0842Generalpotential for harm

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

  • 0814Generalpotential for harm

    Dispose of garbage and refuse properly.

  • 0759Generalpotential for harm

    Ensure medication error rates are not 5 percent or greater.

  • 0755Generalpotential for harm

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

  • 0698Generalpotential for harm

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

  • 0684Generalpotential for harm

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

  • 0657Generalpotential for harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  • 0656Generalpotential for harm

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

  • 0550Generalpotential for harm

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

  • 0353Generalpotential for harm

    Inspect, test, and maintain automatic sprinkler systems.

  • 0232Generalpotential for harm

    Have corridors or aisles that are unobstructed and are at least 8 feet in width.

  • 0351Generalpotential for harm

    Install an approved automatic sprinkler system.

  • 0511Generalpotential for harm

    Have properly installed electrical wiring and gas equipment.

  • 0920Generalpotential for harm

    Ensure proper usage of power strips and extension cords.

  • 0842Generalpotential for harm

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

  • 0676Generalpotential for harm

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

  • 0609Generalpotential for harm

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

  • 0912Generalno actual harm

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

  • 0321Generalpotential for harm

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

  • 0343Generalpotential for harm

    Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

  • 0920Generalpotential for harm

    Ensure proper usage of power strips and extension cords.

  • 0550Generalpotential for harm

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

  • 0558Generalpotential for harm

    Reasonably accommodate the needs and preferences of each resident.

  • 0583Generalpotential for harm

    Keep residents' personal and medical records private and confidential.

  • 0584Generalpotential for harm

    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.

  • 0642Generalpotential for harm

    Ensure a qualified health professional conducts resident assessments.

  • 0656Generalpotential for harm

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

  • 0676Generalpotential for harm

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

  • 0684Generalpotential for harm

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

  • 0695Generalpotential for harm

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

  • 0812Generalpotential for harm

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

  • 0849Generalpotential for harm

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

  • 0880Generalpotential for harm

    Provide and implement an infection prevention and control program.

  • 0908Generalpotential for harm

    Keep all essential equipment working safely.

  • 0921Generalpotential for harm

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

  • 0880Generalpotential for harm

    Provide and implement an infection prevention and control program.

  • 0689Generalpotential for harm

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

  • 0880Generalpotential for harm

    Provide and implement an infection prevention and control program.

  • 0582Generalpotential for harm

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

  • 0912Generalno actual harm

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

  • 0031Generalpotential for harm

    Provide emergency officials' contact information.

  • 0726Generalpotential for harm

    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.

  • 0676Generalpotential for harm

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

  • 0692Generalpotential for harm

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

  • 0558Generalpotential for harm

    Reasonably accommodate the needs and preferences of each resident.

  • 0111Generalpotential for harm

    Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.

  • 0041Generalpotential for harm

    Implement emergency and standby power systems.

  • 0761Generalpotential for harm

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

  • 0511Generalpotential for harm

    Have properly installed electrical wiring and gas equipment.

  • 0372Generalpotential for harm

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

  • 0351Generalpotential for harm

    Install an approved automatic sprinkler system.

  • 0331Generalpotential for harm

    Construct fire resistant interior walls.

  • 0321Generalpotential for harm

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

  • 0657Generalpotential for harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Inspection history

Every health inspection on record

Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.

  • Inspection1 deficiency

    F 0744 Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed…

    Read full statement of deficiencies
  • Inspection18 deficiencies

    F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on…

    Read full statement of deficiencies
  • Inspection18 deficiencies
    View inspection report
  • Inspection1 deficiency

    F 0842 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT…

    Read full statement of deficiencies
  • Inspection2 deficiencies

    F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview…

    Read full statement of deficiencies
  • Inspection17 deficiencies
    View inspection report
  • Inspection17 deficiencies

    F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on…

    Read full statement of deficiencies
  • Inspection2 deficiencies

    F 0880 Provide and implement an infection prevention and control program. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review the facility failed to maintain infection…

    Read full statement of deficiencies
  • Inspection1 deficiency

    F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on…

    Read full statement of deficiencies
  • Inspection1 deficiency

    F 0880 Provide and implement an infection prevention and control program. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to ensure infection…

    Read full statement of deficiencies

Showing the 10 most recent inspections. 2 earlier inspections are also on record.

Common ownership

Part of the SR Capital ownership group

46nursing homes under common ownership

ReadyRule traces these homes to one beneficial owner, drawn from public ownership filings.

FAQ

Questions and answers

What is Ivy Creek Healthcare & Wellness Centre?
Ivy Creek Healthcare & Wellness Centre is a Medicare- and Medicaid-certified nursing home in San Gabriel, CA, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 055441.
What is the CMS rating for Ivy Creek Healthcare & Wellness Centre?
Ivy Creek Healthcare & Wellness Centre has a CMS overall rating of 2 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
How many beds does Ivy Creek Healthcare & Wellness Centre have?
Ivy Creek Healthcare & Wellness Centre is certified for 98 beds. It serves an average of 93 residents per day.
How many citations does Ivy Creek Healthcare & Wellness Centre have?
Ivy Creek Healthcare & Wellness Centre has 59 citations on record from CMS health inspections, each tied to a federal deficiency tag.
When was Ivy Creek Healthcare & Wellness Centre last inspected?
Ivy Creek Healthcare & Wellness Centre was last inspected on December 19, 2025. CMS surveys nursing homes about once a year and after complaints.
What can I do if I have concerns about care at this facility?
Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.

*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.

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