| Pine Grove Healthcare & Wellness Centre, LP | |
| 126 N. San Gabriel Blvd., San Gabriel, California 91775 | |
| (626) 285-3131 | |
| Name | Pine Grove Healthcare & Wellness Centre, LP |
|---|---|
| Location | 126 N. San Gabriel Blvd., San Gabriel, California |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 75 |
| Occupancy Rate | 92% |
| Medicare ID (CCN) | 055056 |
| Legal Business Name | Pine Grove Healthcare & Wellness Centre LP |
| Ownership Type | For Profit - Partnership |
| Chain | Corporate Interface Services (40 nursing homes) |
| Chain Average Overall Rating | 2.5 out of 5 |
| NPI Number | 1477814820 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Pine Grove Healthcare & Wellness Centre, LP |
| Address | 126 N San Gabriel Blvd, San Gabriel, CA 91775 |
| Phone Number | 626-285-3131 |
| NPI Number | 1891794939 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Fernview Convalescent Hospital, Inc |
| Address | 126 N San Gabriel Blvd, San Gabriel, CA 91775 |
| Phone Number | 626-285-3131 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 4.35 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.67 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.24 | 0.86 |
| Nurse aide hours per resident per day | 2.44 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.81 | 3.42 |
| RN hours per resident per day on the weekend | 0.37 | 0.48 |
| Physical therapist hours per resident per day | 0.16 | 0.07 |
| Total nursing staff turnover | Not available: the staffing data did not meet CMS's criteria for this measure | 45.8% |
| Registered nurse turnover | Not available: the staffing data did not meet CMS's criteria for this measure | 42.9% |
| Number of administrators who have left the nursing home | Not available: the staffing data did not meet CMS's criteria for this measure | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Mar 19, 2026 | 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. F0726, Nursing and Physician Services, Standard inspection | Potential for harm, pattern | Corrected by Apr 9, 2026 |
| Mar 19, 2026 | Dispose of garbage and refuse properly. F0814, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Apr 9, 2026 |
| Mar 19, 2026 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Apr 9, 2026 |
| Mar 19, 2026 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Apr 9, 2026 |
| Mar 19, 2026 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. F0559, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Apr 9, 2026 |
| Mar 19, 2026 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. F0604, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Apr 9, 2026 |
| Mar 19, 2026 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Apr 9, 2026 |
| Mar 19, 2026 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Apr 9, 2026 |
| Mar 19, 2026 | 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. F0849, Administration, Standard inspection | Potential for harm, isolated | Corrected by Apr 9, 2026 |
| Mar 19, 2026 | Make sure that a working call system is available in each resident's bathroom and bathing area. F0919, Environmental, Standard inspection | Potential for harm, isolated | Corrected by Apr 9, 2026 |
| Mar 19, 2026 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. F0912, Environmental, Standard inspection | Minimal harm potential, pattern | Corrected by Apr 9, 2026 |
| Feb 13, 2026 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Feb 16, 2026 |
| Jan 8, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Jan 15, 2026 |
| Sep 15, 2025 | Implement a program that monitors antibiotic use. F0881, Infection Control, Complaint inspection | Potential for harm, pattern | Corrected by Sep 29, 2025 |
| Feb 7, 2025 | 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. F0584, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Mar 5, 2025 |
| Feb 7, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Mar 5, 2025 |
| Feb 7, 2025 | Dispose of garbage and refuse properly. F0814, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Mar 5, 2025 |
| Feb 7, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Mar 5, 2025 |
| Feb 7, 2025 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921, Environmental, Standard inspection | Potential for harm, pattern | Corrected by Mar 5, 2025 |
| Feb 7, 2025 | Reasonably accommodate the needs and preferences of each resident. F0558, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Mar 5, 2025 |
| Feb 7, 2025 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. F0676, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Mar 5, 2025 |
| Feb 7, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Mar 5, 2025 |
| Feb 7, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Mar 5, 2025 |
| Feb 7, 2025 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Mar 5, 2025 |
| Feb 7, 2025 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Mar 5, 2025 |
| Feb 7, 2025 | 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. F0849, Administration, Standard inspection | Potential for harm, isolated | Corrected by Mar 5, 2025 |
| Feb 7, 2025 | Make sure that a working call system is available in each resident's bathroom and bathing area. F0919, Environmental, Standard inspection | Potential for harm, isolated | Corrected by Mar 5, 2025 |
| Feb 7, 2025 | Post nurse staffing information every day. F0732, Nursing and Physician Services, Standard inspection | Minimal harm potential, pattern | Corrected by Mar 5, 2025 |
| Feb 7, 2025 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. F0912, Environmental, Standard inspection | Minimal harm potential, pattern | Corrected by Mar 5, 2025 |
| Oct 10, 2024 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. F0604, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Oct 13, 2024 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 5.15 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 1.8 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 4.07 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.62 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.46 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.16 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 3.42 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 0 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 2.38 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 2.15 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 2.68 | 15.38 |
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