Skilled Nursing

PENN MAR HEALTHCARE CENTER

3938 COGSWELL ROAD, EL MONTE, CA 91732

45beds
Skilled Nursingcare types
2/5CMS rating
Updated2026

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Inspection & Compliance

Data from CMS (Centers for Medicare & Medicaid Services), updated weekly. Medicare.gov Care Compare

CMS Abuse/Neglect Flag

This facility has been flagged by CMS for substantiated abuse or neglect of residents.

View full report

3.0h

Hrs/resident · weekday

Expected: 5.9h

5.4h

Hrs/resident · weekend

vs 3.0h on weekdays

Not reported

30-day hospital readmission rate

Annual Staff Turnover Rates

High turnover is one of the strongest predictors of care quality. National average CNA turnover is ~75%.

RNs
100%
LPNs
CNAs
56%

Administrator turnover: 1 in the past year

Health Inspection Deficiencies · Last 3 Years

71 standard deficiencies in the last 3 years

View all
0656Severity DDec 4, 2025

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

0911Severity BNov 21, 2025

Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

0887Severity BNov 21, 2025

Educate 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.

0881Severity BNov 21, 2025

Implement a program that monitors antibiotic use.

0868Severity ENov 21, 2025

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

0842Severity ENov 21, 2025

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

0812Severity ENov 21, 2025

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

0756Severity DNov 21, 2025

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0727Severity FNov 21, 2025

Have 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.

0726Severity ENov 21, 2025

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.

0656Severity ENov 21, 2025

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

0641Severity DNov 21, 2025

Ensure each resident receives an accurate assessment.

0605Severity DNov 21, 2025

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

0578Severity ENov 21, 2025

Honor 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.

0552Severity ENov 21, 2025

Ensure that residents are fully informed and understand their health status, care and treatments.

0600Severity DJul 9, 2025

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0732Severity BMay 14, 2025

Post nurse staffing information every day.

0730Severity EMay 14, 2025

Observe each nurse aide's job performance and give regular training.

0684Severity DMay 14, 2025

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

0656Severity DMay 7, 2025

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

0684Severity DApr 15, 2025

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

0600Severity DMar 28, 2025

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0947Severity EJan 16, 2025

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

0839Severity EJan 16, 2025

Employ staff that are licensed, certified, or registered in accordance with state laws.

0842Severity DDec 20, 2024

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

0689Severity DDec 20, 2024

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

0656Severity DDec 20, 2024

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

0911Severity BDec 6, 2024

Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

0812Severity EDec 6, 2024

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

0758Severity DDec 6, 2024

Implement 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.

0756Severity DDec 6, 2024

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0730Severity EDec 6, 2024

Observe each nurse aide's job performance and give regular training.

0727Severity EDec 6, 2024

Have 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.

0726Severity DDec 6, 2024

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.

0712Severity EDec 6, 2024

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

0684Severity DDec 6, 2024

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

0656Severity DDec 6, 2024

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

0638Severity EDec 6, 2024

Assure that each resident’s assessment is updated at least once every 3 months.

0578Severity EDec 6, 2024

Honor 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.

0880Severity EOct 23, 2024

Provide and implement an infection prevention and control program.

0600Severity EAug 28, 2024

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0865Severity EAug 5, 2024

Have a plan that describes the process for conducting QAPI and QAA activities.

0758Severity DJul 12, 2024

Implement 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.

0689Severity EJun 4, 2024

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

0684Severity EJun 4, 2024

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

0609Severity DJun 4, 2024

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

0600Severity GJun 4, 2024

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0600Severity EMay 7, 2024

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0689Severity DApr 2, 2024

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

0684Severity DApr 2, 2024

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

0689Severity EMar 20, 2024

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

0657Severity EMar 20, 2024

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

0609Severity DMar 20, 2024

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

0921Severity DDec 8, 2023

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

0919Severity EDec 8, 2023

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

0911Severity BDec 8, 2023

Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

0812Severity EDec 8, 2023

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

0805Severity EDec 8, 2023

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

0759Severity DDec 8, 2023

Ensure medication error rates are not 5 percent or greater.

0757Severity DDec 8, 2023

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0755Severity DDec 8, 2023

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

0732Severity DDec 8, 2023

Post nurse staffing information every day.

0692Severity DDec 8, 2023

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

0688Severity DDec 8, 2023

Provide 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.

0684Severity DDec 8, 2023

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

0578Severity BDec 8, 2023

Honor 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.

0561Severity DDec 8, 2023

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

0725Severity ENov 7, 2023

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0689Severity ENov 7, 2023

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

0726Severity DJul 28, 2023

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.

0580Severity DJul 28, 2023

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

View full inspection history on Medicare.gov

Civil Monetary Penalties

No civil monetary penalties on record.

Nearby Hospitals

No hospitals found within 10 miles.

Proximity to emergency care is especially important for medically complex residents.

Ownership

Legal Business Name Not Available· For profit - Limited Liability company

Data updated weekly from CMS. Last sync: Jun 26, 2026. Medicare.gov Care Compare →

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Data sourced from the Centers for Medicare & Medicaid Services and state licensing agencies. ← Back to search

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