Starfile / California

COLONIAL GARDENS NURSING HOME

7246 S. ROSEMEAD BLVD., PICO RIVERA, CA 90660 · CCN 555715

Inspection history vs California & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$44,463

Number of fines

3

Number of penalties

3

Payment denials

0

Inspection citations (109)1 immediate jeopardy1 actual harm

1. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-12-30 · Health · corrected 2026-01-12

   Potential for more than minimal harm

2. DF0761Ensure 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.2025-12-30 · Health · corrected 2026-01-12

   Potential for more than minimal harm

3. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-12-04 · Health · corrected 2025-12-28

   Potential for more than minimal harm

4. DF0584Honor 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.2025-11-18 · Health · corrected 2025-12-05

   Potential for more than minimal harm

5. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-11-14 · Health · corrected 2025-12-14

   Potential for more than minimal harm

6. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-11-14 · Health · corrected 2025-12-14

   Potential for more than minimal harm

7. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-11-14 · Health · corrected 2025-12-14

   Potential for more than minimal harm

8. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-08-15 · Health · corrected 2025-09-14

   Potential for more than minimal harm

9. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-08-06 · Health · corrected 2025-08-21

   Potential for more than minimal harm

10. DF0610Respond appropriately to all alleged violations.2025-08-06 · Health · corrected 2025-08-21

    Potential for more than minimal harm

11. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-08-06 · Health · corrected 2025-08-21

    Potential for more than minimal harm

12. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-08-06 · Health · corrected 2025-08-21

    Potential for more than minimal harm

13. DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2025-08-06 · Health · corrected 2025-08-21

    Potential for more than minimal harm

14. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-06-24 · Health · corrected 2025-07-24

    Potential for more than minimal harm

15. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-06-24 · Health · corrected 2025-07-24

    Potential for more than minimal harm

16. DF0610Respond appropriately to all alleged violations.2025-06-24 · Health · corrected 2025-07-24

    Potential for more than minimal harm

17. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-06-24 · Health · corrected 2025-07-24

    Potential for more than minimal harm

18. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-05-22 · Health · corrected 2025-06-21

    Potential for more than minimal harm

19. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-05-22 · Health · corrected 2025-06-21

    Potential for more than minimal harm

20. DF0558Reasonably accommodate the needs and preferences of each resident.2025-05-22 · Health · corrected 2025-06-21

    Potential for more than minimal harm

21. DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-05-22 · Health · corrected 2025-06-21

    Potential for more than minimal harm

22. DF0637Assess the resident when there is a significant change in condition2025-05-22 · Health · corrected 2025-06-21

    Potential for more than minimal harm

23. DF0641Ensure each resident receives an accurate assessment.2025-05-22 · Health · corrected 2025-06-21

    Potential for more than minimal harm

24. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-05-22 · Health · corrected 2025-06-21

    Potential for more than minimal harm

25. DF0693Ensure 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.2025-05-22 · Health · corrected 2025-06-21

    Potential for more than minimal harm

26. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-05-22 · Health · corrected 2025-06-21

    Potential for more than minimal harm

27. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-05-22 · Health · corrected 2025-06-21

    Potential for more than minimal harm

28. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-05-22 · Health · corrected 2025-06-21

    Potential for more than minimal harm

29. FF0761Ensure 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.2025-05-22 · Health · corrected 2025-06-21

    Potential for more than minimal harm

30. DF0808Ensure 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.2025-05-22 · Health · corrected 2025-06-21

    Potential for more than minimal harm

31. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-05-22 · Health · corrected 2025-06-21

    Potential for more than minimal harm

32. DF0880Provide and implement an infection prevention and control program.2025-05-22 · Health · corrected 2025-06-21

    Potential for more than minimal harm

33. EF0911Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.2025-05-22 · Health · corrected 2025-06-21

    Potential for more than minimal harm

34. BF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2025-05-22 · Health · corrected 2025-06-21

    Potential for minimal harm

35. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2025-05-22 · Health · corrected 2025-06-21

    Potential for more than minimal harm

36. DF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2025-04-16 · Health · corrected 2025-05-16

    Potential for more than minimal harm

37. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-02 · Health · corrected 2025-05-02

    Potential for more than minimal harm

38. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-03-10 · Health · corrected 2025-04-09

    Potential for more than minimal harm

39. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-03-10 · Health · corrected 2025-04-09

    Potential for more than minimal harm

40. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-03-10 · Health · corrected 2025-04-09

    Potential for more than minimal harm

41. DF0880Provide and implement an infection prevention and control program.2025-03-10 · Health · corrected 2025-04-09

    Potential for more than minimal harm

42. EF0880Provide and implement an infection prevention and control program.2024-11-18 · Health · corrected 2024-11-24

    Potential for more than minimal harm

43. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-09-13 · Health · corrected 2024-09-23

    Immediate jeopardy

44. DF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2024-08-21 · Health · corrected 2024-09-09

    Potential for more than minimal harm

45. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-08-21 · Health · corrected 2024-09-09

    Potential for more than minimal harm

46. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-08-21 · Health · corrected 2024-09-09

    Potential for more than minimal harm

47. DF0692Provide enough food/fluids to maintain a resident's health.2024-08-21 · Health · corrected 2024-09-09

    Potential for more than minimal harm

48. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-08-05 · Health · corrected 2024-08-16

    Potential for more than minimal harm

49. EF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-06-27 · Health · corrected 2024-07-26

    Potential for more than minimal harm

50. DF0558Reasonably accommodate the needs and preferences of each resident.2024-06-27 · Health · corrected 2024-07-26

    Potential for more than minimal harm

51. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2024-06-27 · Health · corrected 2024-07-26

    Potential for more than minimal harm

52. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-06-27 · Health · corrected 2024-07-26

    Potential for more than minimal harm

53. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2024-06-27 · Health · corrected 2024-07-26

    Potential for more than minimal harm

54. DF0641Ensure each resident receives an accurate assessment.2024-06-27 · Health · corrected 2024-07-26

    Potential for more than minimal harm

55. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-06-27 · Health · corrected 2024-07-26

    Potential for more than minimal harm

56. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-06-27 · Health · corrected 2024-07-26

    Potential for more than minimal harm

57. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-06-27 · Health · corrected 2024-07-26

    Potential for more than minimal harm

58. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2024-06-27 · Health · corrected 2024-07-26

    Potential for more than minimal harm

59. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-06-27 · Health · corrected 2024-07-26

    Potential for more than minimal harm

60. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-06-27 · Health · corrected 2024-07-26

    Potential for more than minimal harm

61. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-06-27 · Health · corrected 2024-07-26

    Potential for more than minimal harm

62. EF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2024-06-27 · Health · corrected 2024-07-26

    Potential for more than minimal harm

63. EF0759Ensure medication error rates are not 5 percent or greater.2024-06-27 · Health · corrected 2024-07-26

    Potential for more than minimal harm

64. DF0760Ensure that residents are free from significant medication errors.2024-06-27 · Health · corrected 2024-07-26

    Potential for more than minimal harm

65. EF0761Ensure 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.2024-06-27 · Health · corrected 2024-07-26

    Potential for more than minimal harm

66. DF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2024-06-27 · Health · corrected 2024-07-26

    Potential for more than minimal harm

67. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-06-27 · Health · corrected 2024-07-26

    Potential for more than minimal harm

68. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-06-27 · Health · corrected 2024-07-26

    Potential for more than minimal harm

69. FF0865Have a plan that describes the process for conducting QAPI and QAA activities.2024-06-27 · Health · corrected 2024-07-26

    Potential for more than minimal harm

70. FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-06-27 · Health · corrected 2024-07-26

    Potential for more than minimal harm

71. FF0880Provide and implement an infection prevention and control program.2024-06-27 · Health · corrected 2024-07-26

    Potential for more than minimal harm

72. FF0881Implement a program that monitors antibiotic use.2024-06-27 · Health · corrected 2024-07-26

    Potential for more than minimal harm

73. EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-06-27 · Health · corrected 2024-07-26

    Potential for more than minimal harm

74. EF0911Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.2024-06-27 · Health · corrected 2024-07-26

    Potential for more than minimal harm

75. BF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2024-06-27 · Health · corrected 2024-07-26

    Potential for minimal harm

76. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-09-07 · Health · corrected 2023-09-22

    Potential for more than minimal harm

77. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-06-21 · Health · corrected 2023-07-07

    Potential for more than minimal harm

78. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-05-02 · Health · corrected 2023-05-18

    Potential for more than minimal harm

79. BF0880Provide and implement an infection prevention and control program.2023-04-13 · Health · corrected 2023-04-20

    Potential for minimal harm

80. BF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-04-10 · Health · corrected 2023-04-20

    Potential for minimal harm

81. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-03-24 · Health · corrected 2023-04-03

    Potential for more than minimal harm

82. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-03-24 · Health · corrected 2023-04-03

    Potential for more than minimal harm

83. DF0610Respond appropriately to all alleged violations.2023-03-24 · Health · corrected 2023-04-03

    Potential for more than minimal harm

84. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-03-24 · Health · corrected 2023-04-03

    Potential for more than minimal harm

85. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-04-08 · Health · corrected 2022-05-20

    Potential for more than minimal harm

86. EF0578Honor 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.2022-04-08 · Health · corrected 2022-05-20

    Potential for more than minimal harm

87. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2022-04-08 · Health · corrected 2022-05-20

    Potential for more than minimal harm

88. GF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2022-04-08 · Health · corrected 2022-05-20

    Actual harm

89. FF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2022-04-08 · Health · corrected 2022-05-20

    Potential for more than minimal harm

90. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2022-04-08 · Health · corrected 2022-05-20

    Potential for more than minimal harm

91. EF0610Respond appropriately to all alleged violations.2022-04-08 · Health · corrected 2022-05-20

    Potential for more than minimal harm

92. DF0641Ensure each resident receives an accurate assessment.2022-04-08 · Health · corrected 2022-05-20

    Potential for more than minimal harm

93. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-04-08 · Health · corrected 2022-05-20

    Potential for more than minimal harm

94. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-04-08 · Health · corrected 2022-05-20

    Potential for more than minimal harm

95. EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-04-08 · Health · corrected 2022-05-20

    Potential for more than minimal harm

96. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-04-08 · Health · corrected 2022-05-20

    Potential for more than minimal harm

97. DF0697Provide safe, appropriate pain management for a resident who requires such services.2022-04-08 · Health · corrected 2022-05-20

    Potential for more than minimal harm

98. EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2022-04-08 · Health · corrected 2022-05-20

    Potential for more than minimal harm

99. BF0732Post nurse staffing information every day.2022-04-08 · Health · corrected 2022-05-20

    Potential for minimal harm

100. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-04-08 · Health · corrected 2022-05-20

     Potential for more than minimal harm

101. EF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2022-04-08 · Health · corrected 2022-05-20

     Potential for more than minimal harm

102. EF0761Ensure 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.2022-04-08 · Health · corrected 2022-05-20

     Potential for more than minimal harm

103. FF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2022-04-08 · Health · corrected 2022-05-20

     Potential for more than minimal harm

104. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-04-08 · Health · corrected 2022-05-20

     Potential for more than minimal harm

105. FF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2022-04-08 · Health · corrected 2022-05-20

     Potential for more than minimal harm

106. EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2022-04-08 · Health · corrected 2022-05-20

     Potential for more than minimal harm

107. EF0880Provide and implement an infection prevention and control program.2022-04-08 · Health · corrected 2022-05-20

     Potential for more than minimal harm

108. DF0911Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.2022-04-08 · Health · corrected 2022-05-20

     Potential for more than minimal harm

109. BF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2022-04-08 · Health · corrected 2022-05-20

     Potential for minimal harm

Ownership

Other facilities in PICO RIVERA

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.