| Santa Anita Convalescent Hospital | |
| 5522 Gracewood Ave., Temple City, California 91780 | |
| (626) 579-0310 | |
| Name | Santa Anita Convalescent Hospital |
|---|---|
| Location | 5522 Gracewood Ave., Temple City, California |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 391 |
| Occupancy Rate | 91.64% |
| Medicare ID (CCN) | 055293 |
| Legal Business Name | Santa Anita Convalescent Hospital & Retirement Center Inc |
| Ownership Type | For Profit - Corporation |
| NPI Number | 1134175201 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Santa Anita Convalescent Hospital & Retirement Center, Inc |
| Doing Business As | Santa Anita Convalescent Hospital |
| Address | 5522 Gracewood Ave, Arcadia, CA 91007 |
| Phone Number | 626-579-0310 |
| 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 | 4.23 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.29 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.27 | 0.86 |
| Nurse aide hours per resident per day | 2.67 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.97 | 3.42 |
| RN hours per resident per day on the weekend | 0.22 | 0.48 |
| Physical therapist hours per resident per day | 0.09 | 0.07 |
| Total nursing staff turnover | 41.1% | 45.8% |
| Registered nurse turnover | 59.3% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 4 |
| Total Amount of Fines in Dollars | $234,187 |
| Number of Payment Denials | 1 |
| Total Number of Penalties | 5 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Jun 15, 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, Complaint inspection | Potential for harm, isolated | Corrected by Jul 6, 2026 |
| Jun 12, 2026 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Jul 1, 2026 |
| Jun 12, 2026 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Jul 1, 2026 |
| Jun 5, 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, Complaint inspection | Potential for harm, isolated | Corrected by Jul 1, 2026 |
| May 29, 2026 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Jun 22, 2026 |
| May 29, 2026 | Reasonably accommodate the needs and preferences of each resident. F0558, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Jun 22, 2026 |
| May 29, 2026 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Jun 22, 2026 |
| May 29, 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, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Jun 22, 2026 |
| May 29, 2026 | 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, pattern | Corrected by Jun 22, 2026 |
| May 29, 2026 | 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, pattern | Corrected by Jun 22, 2026 |
| May 29, 2026 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Jun 22, 2026 |
| May 29, 2026 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jun 22, 2026 |
| May 29, 2026 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. F0636, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jun 22, 2026 |
| May 29, 2026 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. F0640, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jun 22, 2026 |
| May 29, 2026 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jun 22, 2026 |
| May 29, 2026 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jun 22, 2026 |
| May 29, 2026 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jun 22, 2026 |
| May 29, 2026 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jun 22, 2026 |
| May 29, 2026 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jun 22, 2026 |
| May 29, 2026 | Provide medically-related social services to help each resident achieve the highest possible quality of life. F0745, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jun 22, 2026 |
| May 29, 2026 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jun 22, 2026 |
| May 29, 2026 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. F0809, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Jun 22, 2026 |
| May 29, 2026 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. F0813, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Jun 22, 2026 |
| May 29, 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, isolated | Corrected by Jun 22, 2026 |
| May 29, 2026 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. F0847, Administration, Standard inspection | Potential for harm, isolated | Corrected by Jun 22, 2026 |
| Apr 30, 2026 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by May 22, 2026 |
| Apr 7, 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, Complaint inspection | Potential for harm, isolated | Corrected by May 1, 2026 |
| Mar 5, 2026 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Apr 3, 2026 |
| Mar 5, 2026 | Honor the resident's right to choose his or her attending physician. F0555, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Apr 3, 2026 |
| Jan 5, 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 29, 2026 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 19.66 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 6.85 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.22 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0.52 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 17 | 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 | 1.55 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.77 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.94 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 11.05 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 7.3 | 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 | 98.73 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 6.42 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 17.49 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 11.49 | 15.38 |
Baldwin Gardens Nursing Center Location: 10786 Live Oak Avenue, Temple City, California 91780 Phone: (626) 447-3553 |
Temple City Healthcare Location: 5101 Tyler Avenue, Temple City, California 91780 Phone: (626) 443-3028 |