Starfile / California

PENN MAR HEALTHCARE CENTER

3938 COGSWELL ROAD, EL MONTE, CA 91732 · CCN 05A360

Abuse icon

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

$4,893

Number of fines

1

Number of penalties

1

Payment denials

0

Inspection citations (74)1 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.2025-12-04 · Health · corrected 2025-12-26

   Potential for more than minimal harm

2. EF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-11-21 · Health · corrected 2025-12-15

   Potential for more than minimal harm

3. 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.2025-11-21 · Health · corrected 2025-12-15

   Potential for more than minimal harm

4. DF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2025-11-21 · Health · corrected 2025-12-15

   Potential for more than minimal harm

5. DF0641Ensure each resident receives an accurate assessment.2025-11-21 · Health · corrected 2025-12-15

   Potential for more than minimal harm

6. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-11-21 · Health · corrected 2025-12-15

   Potential for more than minimal harm

7. 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.2025-11-21 · Health · corrected 2025-12-15

   Potential for more than minimal harm

8. FF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2025-11-21 · Health · corrected 2025-12-15

   Potential for more than minimal harm

9. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-11-21 · Health · corrected 2025-12-15

   Potential for more than minimal harm

10. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-11-21 · Health · corrected 2025-12-15

    Potential for more than minimal harm

11. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-11-21 · Health · corrected 2025-12-15

    Potential for more than minimal harm

12. EF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2025-11-21 · Health · corrected 2025-12-15

    Potential for more than minimal harm

13. BF0881Implement a program that monitors antibiotic use.2025-11-21 · Health · corrected 2025-12-15

    Potential for minimal harm

14. BF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.2025-11-21 · Health · corrected 2025-12-15

    Potential for minimal harm

15. BF0911Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.2025-11-21 · Health · corrected 2025-12-15

    Potential for minimal harm

16. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-07-09 · Health · corrected 2025-08-04

    Potential for more than minimal harm

17. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-05-14 · Health · corrected 2025-06-06

    Potential for more than minimal harm

18. EF0730Observe each nurse aide's job performance and give regular training.2025-05-14 · Health · corrected 2025-06-06

    Potential for more than minimal harm

19. BF0732Post nurse staffing information every day.2025-05-14 · Health · corrected 2025-06-06

    Potential for minimal harm

20. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-05-07 · Health · corrected 2025-06-06

    Potential for more than minimal harm

21. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-04-15 · Health · corrected 2025-05-21

    Potential for more than minimal harm

22. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-03-28 · Health · corrected 2025-04-21

    Potential for more than minimal harm

23. EF0839Employ staff that are licensed, certified, or registered in accordance with state laws.2025-01-16 · Health · corrected 2025-02-12

    Potential for more than minimal harm

24. EF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2025-01-16 · Health · corrected 2025-02-12

    Potential for more than minimal harm

25. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-12-20 · Health · corrected 2025-01-14

    Potential for more than minimal harm

26. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-12-20 · Health · corrected 2025-01-14

    Potential for more than minimal harm

27. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-12-20 · Health · corrected 2025-01-14

    Potential for more than minimal harm

28. 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.2024-12-06 · Health · corrected 2024-12-30

    Potential for more than minimal harm

29. EF0638Assure that each resident’s assessment is updated at least once every 3 months.2024-12-06 · Health · corrected 2024-12-30

    Potential for more than minimal harm

30. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-12-06 · Health · corrected 2024-12-30

    Potential for more than minimal harm

31. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-12-06 · Health · corrected 2024-12-30

    Potential for more than minimal harm

32. EF0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.2024-12-06 · Health · corrected 2024-12-30

    Potential for more than minimal harm

33. 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.2024-12-06 · Health · corrected 2024-12-30

    Potential for more than minimal harm

34. EF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2024-12-06 · Health · corrected 2024-12-30

    Potential for more than minimal harm

35. EF0730Observe each nurse aide's job performance and give regular training.2024-12-06 · Health · corrected 2024-12-30

    Potential for more than minimal harm

36. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-12-06 · Health · corrected 2024-12-30

    Potential for more than minimal harm

37. DF0758Implement 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.2024-12-06 · Health · corrected 2024-12-30

    Potential for more than minimal harm

38. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-12-06 · Health · corrected 2024-12-30

    Potential for more than minimal harm

39. BF0911Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.2024-12-06 · Health · corrected 2024-12-30

    Potential for minimal harm

40. EF0880Provide and implement an infection prevention and control program.2024-10-23 · Health · corrected 2024-11-16

    Potential for more than minimal harm

41. EF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-08-28 · Health · corrected 2024-09-22

    Potential for more than minimal harm

42. EF0865Have a plan that describes the process for conducting QAPI and QAA activities.2024-08-05 · Health · corrected 2024-08-29

    Potential for more than minimal harm

43. DF0758Implement 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.2024-07-12 · Health · corrected 2024-08-02

    Potential for more than minimal harm

44. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-06-04 · Health · corrected 2024-06-28

    Actual harm

45. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-06-04 · Health · corrected 2024-06-28

    Potential for more than minimal harm

46. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-06-04 · Health · corrected 2024-06-28

    Potential for more than minimal harm

47. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-06-04 · Health · corrected 2024-06-28

    Potential for more than minimal harm

48. EF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-05-07 · Health · corrected 2024-05-30

    Potential for more than minimal harm

49. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-04-02 · Health · corrected 2024-04-25

    Potential for more than minimal harm

50. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-04-02 · Health · corrected 2024-04-25

    Potential for more than minimal harm

51. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-03-20 · Health · corrected 2024-04-16

    Potential for more than minimal harm

52. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-03-20 · Health · corrected 2024-04-16

    Potential for more than minimal harm

53. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-03-20 · Health · corrected 2024-04-16

    Potential for more than minimal harm

54. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2023-12-08 · Health · corrected 2024-01-08

    Potential for more than minimal harm

55. BF0578Honor 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.2023-12-08 · Health · corrected 2024-01-08

    Potential for minimal harm

56. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-12-08 · Health · corrected 2024-01-08

    Potential for more than minimal harm

57. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2023-12-08 · Health · corrected 2024-01-08

    Potential for more than minimal harm

58. DF0692Provide enough food/fluids to maintain a resident's health.2023-12-08 · Health · corrected 2024-01-08

    Potential for more than minimal harm

59. DF0732Post nurse staffing information every day.2023-12-08 · Health · corrected 2024-01-08

    Potential for more than minimal harm

60. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-12-08 · Health · corrected 2024-01-08

    Potential for more than minimal harm

61. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-12-08 · Health · corrected 2024-01-08

    Potential for more than minimal harm

62. DF0759Ensure medication error rates are not 5 percent or greater.2023-12-08 · Health · corrected 2024-01-08

    Potential for more than minimal harm

63. EF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2023-12-08 · Health · corrected 2024-01-08

    Potential for more than minimal harm

64. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-12-08 · Health · corrected 2024-01-08

    Potential for more than minimal harm

65. BF0911Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.2023-12-08 · Health · corrected 2024-01-08

    Potential for minimal harm

66. EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2023-12-08 · Health · corrected 2024-01-08

    Potential for more than minimal harm

67. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-12-08 · Health · corrected 2024-01-08

    Potential for more than minimal harm

68. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-11-07 · Health · corrected 2023-12-07

    Potential for more than minimal harm

69. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-11-07 · Health · corrected 2023-12-07

    Potential for more than minimal harm

70. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-07-28 · Health · corrected 2023-08-25

    Potential for more than minimal harm

71. 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.2023-07-28 · Health · corrected 2023-08-25

    Potential for more than minimal harm

72. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-03-16 · Health · corrected 2023-04-21

    Potential for more than minimal harm

73. DF0610Respond appropriately to all alleged violations.2023-03-16 · Health · corrected 2023-04-21

    Potential for more than minimal harm

74. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-03-16 · Health · corrected 2023-04-21

    Potential for more than minimal harm

Ownership

No ownership records.

Other facilities in EL MONTE

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