Nursing homeFAID #13742
Colonial Gardens Nursing Home
7246 S. ROSEMEAD BLVD., PICO RIVERA, CA, 90660
(562) 949-2591
99 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections3/5 staffing1/5 quality measuresSource: CMS Care Compare
Public record summary
What we can show you for free.
Bed capacity
99
CMS facility ID
555715
Care type
Nursing home
County
Los Angeles
Facility name
Colonial Gardens Nursing Home
Street address
7246 S. ROSEMEAD BLVD.
City / state / ZIP
Pico Rivera, CA 90660
Phone
(562) 949-2591
About this facility — Colonial Gardens Nursing Home
Colonial Gardens Nursing Home is a Medicare/Medicaid-certified skilled nursing facility in Pico Rivera, California. It is licensed for 99 beds — close to the median for skilled nursing facilities in California (98 beds).
It is one of 7 senior care facilities in Pico Rivera and 1,165 skilled nursing facilities across California. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.
Federal inspectors have cited Colonial Gardens Nursing Home 124 times across 24 inspections in the last three years, including 6 food-safety citations, and CMS has imposed $36,700 in fines. Every citation is listed, dated, and graded in the inspection record below.
This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.
Facility background
What the public record shows.
Ownership & operator
Ownership type
For profit - Limited Liability company
Registered owners & officers
Lehmann, Kenneth
Direct owner · Additional disclosable party — 25% stake — since 2024
Ahm Trust
Direct owner — 20% stake — since 2024
Abe and Rachel Bak Family Trust
Additional disclosable party — since 2024
Bak, Abraham
Officer · Additional disclosable party — since 2024
Gastwirth, Menachem
Officer · Additional disclosable party — since 2024
Stephens, Kent
Governing body · Operational control · Additional disclosable party — since 2024
Victoria, Xanthe
Operational control · Additional disclosable party — since 2024
Regulatory standing
Licensed / certified since
1997-12-03
CMS overall rating
1 of 5 stars
Health deficiencies
36 at the last standard inspection
Federal fines
$36,700 total
Last standard inspection
2025-05-22
Nurse staffing
4.2 hours per resident per day
Cost & payer profile (FY2024 cost report)
Average billed charges
$387 per day (≈ $11,760/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
6% Medicaid · 19% Medicare · 75% private/other
Occupancy
94% (fiscal year 2024)
Vs. state median
25% below the CA median of $514/day — full state cost breakdown
Services & coverage
Licensed beds
99
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.
Inspection record
Every citation, dated and graded.
Kitchen & food safety
Federal surveyors inspect the kitchen at every standard visit. This facility has 6 food-safety citations on its three-year record — flagged below among the inspections.
2026-04-02Health inspectionComplaint-triggered2 citations
F-0657
D · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2026-05-01
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-05-01
2026-03-16Health inspectionComplaint-triggered3 citations
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2026-04-15
F-0641
D · No harm foundFrom a complaint
Ensure each resident receives an accurate assessment.
Corrected 2026-04-15
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-04-15
22 earlier / fire-safety inspections (119 citations)
2026-02-18Health inspectionComplaint-triggered1 citation
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2026-03-14
2025-12-30Health inspectionComplaint-triggered2 citations
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-01-12
F-0761
D · No harm foundFrom a complaint
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.
Corrected 2026-01-12
2025-12-04Health inspectionComplaint-triggered1 citation
F-0726
D · No harm foundFrom a complaint
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.
Corrected 2025-12-28
2025-11-18Health inspectionComplaint-triggered1 citation
F-0584
D · No harm foundFrom a complaint
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.
Corrected 2025-12-05
2025-11-14Health inspectionComplaint-triggered3 citations
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-12-14
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-12-14
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-12-14
2025-08-15Health inspectionComplaint-triggered1 citation
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-09-14
2025-08-06Health inspectionComplaint-triggered5 citations
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-08-21
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2025-08-21
F-0657
D · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-08-21
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-08-21
F-0867
D · No harm foundFrom a complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2025-08-21
2025-06-24Health inspectionComplaint-triggered4 citations
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-07-24
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-07-24
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2025-07-24
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-07-24
2025-05-22Health inspection18 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-06-21
F-0552
D · No harm found
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-06-21
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-06-21
F-0628
D · No harm found
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-06-21
F-0637
D · No harm found
Assess the resident when there is a significant change in condition
Corrected 2025-06-21
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2025-06-21
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-06-21
F-0693
D · No harm found
Ensure 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.
Corrected 2025-06-21
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-06-21
F-0755
E · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-06-21
F-0757
D · No harm found
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-06-21
F-0761
F · No harm found
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.
Corrected 2025-06-21
F-0808
D · No harm foundFood safety
Ensure 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.
Corrected 2025-06-21
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-06-21
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-06-21
F-0911
E · No harm found
Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
Corrected 2025-06-21
F-0912
B · No harm found
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected 2025-06-21
F-0919
D · No harm found
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2025-06-21
2025-04-16Health inspectionComplaint-triggered1 citation
F-0625
D · No harm foundFrom a complaint
Notify 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.
Corrected 2025-05-16
2025-04-02Health inspectionComplaint-triggered1 citation
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-05-02
2025-03-10Health inspectionComplaint-triggered4 citations
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-04-09
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-04-09
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-04-09
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-04-09
2024-11-18Health inspectionComplaint-triggered1 citation
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-11-24
2024-09-13Health inspectionComplaint-triggered1 citation
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-09-23
2024-08-21Health inspectionComplaint-triggered4 citations
F-0553
D · No harm foundFrom a complaint
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2024-09-09
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-09-09
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-09-09
F-0692
D · No harm foundFrom a complaint
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-09-09
2024-08-05Health inspectionComplaint-triggered1 citation
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-08-16
2024-06-27Health inspection27 citations
F-0552
E · No harm found
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2024-07-26
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-07-26
F-0561
D · No harm found
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2024-07-26
F-0580
D · No harm found
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-07-26
F-0604
D · No harm found
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2024-07-26
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2024-07-26
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-07-26
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-07-26
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-07-26
F-0676
D · No harm found
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2024-07-26
F-0686
D · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-07-26
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-07-26
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-07-26
F-0758
E · No harm found
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.
Corrected 2024-07-26
F-0759
E · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-07-26
F-0760
D · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2024-07-26
F-0761
E · No harm found
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.
Corrected 2024-07-26
F-0805
D · No harm foundFood safety
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2024-07-26
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-07-26
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-07-26
F-0865
F · No harm found
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2024-07-26
F-0867
F · No harm found
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2024-07-26
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-07-26
F-0881
F · No harm found
Implement a program that monitors antibiotic use.
Corrected 2024-07-26
F-0883
E · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-07-26
F-0911
E · No harm found
Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
Corrected 2024-07-26
F-0912
B · No harm found
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected 2024-07-26
2023-09-07Health inspectionComplaint-triggered1 citation
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-09-22
2022-04-08Health inspection25 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2022-05-20
F-0578
E · No harm found
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.
Corrected 2022-05-20
F-0600
D · No harm found
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2022-05-20
F-0604
G · Actual harm
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2022-05-20
F-0607
F · No harm found
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2022-05-20
F-0609
E · No harm found
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2022-05-20
F-0610
E · No harm found
Respond appropriately to all alleged violations.
Corrected 2022-05-20
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2022-05-20
F-0656
E · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-05-20
F-0684
E · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-05-20
F-0686
E · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-05-20
F-0689
E · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-05-20
F-0697
D · No harm found
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2022-05-20
F-0726
E · No harm found
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.
Corrected 2022-05-20
F-0732
B · No harm found
Post nurse staffing information every day.
Corrected 2022-05-20
F-0755
E · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2022-05-20
F-0758
E · No harm found
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.
Corrected 2022-05-20
F-0761
E · No harm found
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.
Corrected 2022-05-20
F-0803
F · No harm foundFood safety
Ensure 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.
Corrected 2022-05-20
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-05-20
F-0838
F · No harm found
Conduct 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.
Corrected 2022-05-20
F-0867
E · No harm found
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2022-05-20
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2022-05-20
F-0911
D · No harm found
Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
Corrected 2022-05-20
F-0912
B · No harm found
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected 2022-05-20
2025-05-22Fire-safety inspection5 citations
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-06-16
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-06-16
K-0355
D · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-06-16
K-0911
D · No harm found
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2025-06-16
K-0920
E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2025-06-16
2024-06-27Fire-safety inspection4 citations
E-0023
C · No harm found
Establish policies and procedures for medical documentation.
Corrected 2024-07-25
K-0511
D · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2024-07-25
K-0761
C · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-07-25
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2024-07-25
2022-04-08Fire-safety inspection8 citations
E-0031
E · No harm found
Provide emergency officials' contact information.
Corrected 2022-04-28
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2022-04-28
K-0351
E · No harm found
Install an approved automatic sprinkler system.
Corrected 2022-04-28
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-04-28
K-0362
E · No harm found
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2022-04-28
K-0712
E · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2022-04-28
K-0741
E · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2022-04-28
K-0761
F · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-04-28
Federal penalties
2024-08-05Fine$36,700
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 555715.
Inside your report
What unlocks when you order.
Ownership & corporate history
Primary tierPrior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more
Inspection citations — last 5 years
LockedThe 124 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.
Civil & criminal lawsuits
Advanced tier onlyActive civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Original records
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered