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NURSING HOME INSPECTION REPORT

Rosemead Healthcare Center in El Monte: Inspection Record Review, Complaints and Abuse Reports (Updated October 30, 2026)

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Published by Beverly Law
4096 Easy St, El Monte · CDPH and CMS records · English y Español
Cal Health Find, the California Department of Public Health (CDPH) database, lists 0 state citations for Rosemead Healthcare Center since 2023, including 0 Class AA and 0 Class A, and 2 federal deficiencies that inspectors rated at the actual-harm level or higher (G through L). The most serious federal finding was F689 (Free of Accident Hazards/Supervision/Devices) at severity level G (actual harm, one or a few residents), from the survey dated August 5, 2024. The federal Medicare Care Compare site does not show its abuse icon for this facility as of our data date.

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Rosemead Healthcare Center at a glance: owner, beds and ratings

Address
4096 Easy St, El Monte, CA 91731
CDPH license / facility ID
950000036 / 950000038
Medicare CCN
055202
Licensed beds
99
Licensee (CDPH)
ROSEMEAD HEALTHCARE CENTER, LLC
Chain / affiliated entity (CMS)
Aaron Mayer (chain or affiliated entity listed by CMS)
Administrator of record
Cabadas, Martel J
CMS overall rating
2 of 5 stars
CMS staffing rating
2 of 5 stars
Nurse staffing (CMS)
4.31 reported nurse hours per resident per day*
CMS fines (last 3 years)
$8,824
CMS abuse icon
Not shown

* California separately requires at least 3.5 direct care service hours per patient day, counted under state rules, so the two numbers are not measured the same way.

Records: Cal Health Find ↗ · Medicare Care Compare ↗

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Rosemead Healthcare Center citations and inspection findings

Newest first. State citations come from CDPH; federal deficiencies come from the CMS-2567 inspection report CDPH writes for Medicare. Every row links to the government record.

DateSourceFindingRecord
August 5, 2024Federal (CMS-2567), ComplaintF689 – Free of Accident Hazards/Supervision/Devices, severity G (actual harm, one or a few residents)
Falls / supervision ›
Read what inspectors found ↓
Government record (CDPH) ↗
February 28, 2024Federal (CMS-2567), ComplaintF600 – Free from Abuse and Neglect, severity D (no actual harm, potential for more than minimal harm, isolated)
F689 – Free of Accident Hazards/Supervision/Devices, severity G (actual harm, one or a few residents)
AbuseFalls / supervision ›
Read what inspectors found ↓
Government record (CDPH) ↗

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What inspectors found at Rosemead Healthcare Center

Tap a finding to read the summary. Each one is written from the government report linked under it.

·
August 2024: F689 (severity G) after a resident fell from a shower chair during a one-person mechanical lift transfer

According to the federal 2567 report, Resident 1 had dementia and one-sided weakness after a stroke, and depended completely on staff for transfers. The director of rehabilitation told inspectors Resident 1 always required a Hoyer lift (a mechanical lift) and two staff members for every transfer.

Inspectors found that on July 20, 2024, at about 11:30 a.m., CNA 1 used the Hoyer lift alone to move Resident 1 from the bed to a shower chair, contrary to the facility's lift policy. The report states Resident 1 fell from the shower chair to the floor when CNA 1 removed the lift strap from Resident 1's left shoulder, and a progress note recorded that Resident 1 hit the forehead on the bathroom doorknob. A registered nurse found Resident 1 on the floor bleeding from the head and called 911. At an acute care hospital, a 1-centimeter cut on the right forehead was closed with three stitches, and a CT scan showed a hematoma (a collection of blood) on the scalp.

According to the report, a facility corrective action memo dated July 25, 2024, stated CNA 1 did not follow directions for two-person assistance with the lift. The director of rehabilitation told inspectors the lift could tip over or the sling could break when one person operates it. Inspectors cited F689 (free of accident hazards, supervision and devices) at severity G.

↑ Back to this finding in the timeline

February 2024: F689 (severity G) and F600 (severity D) after a resident was injured by a metal table during an unsupervised smoking session

According to the federal 2567 report, the facility failed to supervise a smoking session on its patio on February 19, 2024, involving Residents 1 and 2, who both had intact cognition. Inspectors found the two had a history of conflict: a February 15 room change form stated they yelled at each other, and a care plan told staff to step in and separate them during any altercation.

Resident 1 told inspectors that during smoking time, around 9 p.m., Resident 2 kept asking for a cigarette, became angry when refused and threw a patio table toward Resident 1. The report states Resident 2 pushed a metal table that struck Resident 1's right lower leg, and that a staff member, Receptionist 2, did not notice or intervene. Resident 1 said no staff were outside. A registered nurse told inspectors of finding Resident 1 in a wheelchair with blood dripping from the leg and seeing no staff on the patio.

According to the report, the cut on Resident 1's right lower leg was 14.3 centimeters long. Resident 1 was sent to an acute care hospital at about 9:25 p.m., needed 16 surgical staples to close it and reported pain of 7 out of 10. Inspectors cited F689 (free of accident hazards, supervision and devices) at severity G. The same survey also cited F600 (free from abuse and neglect) at severity D.

↑ Back to this finding in the timeline

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Complaints against Rosemead Healthcare Center

YearIntakesComplaintsFacility-reported incidentsSubstantiated (at least one allegation)
20232112
20242202
20252201
20261100

Cal Health Find lists 7 complaint and facility-reported incident intakes for this facility from 2023 through October 30, 2026. CDPH substantiated at least one allegation in 5 of them. 1 intake involved an allegation in CDPH’s abuse category, and 0 of those had an abuse allegation substantiated. An intake can contain several allegations; “unsubstantiated” means CDPH did not find enough evidence, not that nothing happened.

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Sexual abuse reports at Rosemead Healthcare Center

Cal Health Find lists no complaint or facility-reported incident for Rosemead Healthcare Center from 2023 through October 30, 2026 that included an allegation CDPH classified as sexual abuse. That covers only what was reported to the state; if you suspect sexual abuse, report it even if nothing appears here.

Warning signs include bruising or bleeding in the genital area or inner thighs, a new genital infection, torn or stained underclothing, and a resident who suddenly fears a particular staff member or resists being bathed or changed. If you suspect sexual abuse, call 911 or local police first, ask that the resident not be bathed before a medical exam, and then report it to CDPH and the long-term care ombudsman. Sexual abuse reports at Los Angeles County nursing homes →

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Rosemead Healthcare Center lawsuits and criminal cases

Our search of California Attorney General and Los Angeles County District Attorney announcements, court reports and news coverage for Rosemead Healthcare Center is not finished yet. This section will be updated when it is; until then, do not read the absence of a case here as a finding that none exists.

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What this record means for your family

California uses classes for state citations. Under Health and Safety Code section 1424 ↗, a Class AA citation is a Class A violation that CDPH determined was a direct proximate cause of a resident’s death. A Class A citation means CDPH found an imminent danger, or a substantial probability, that death or serious physical harm would result. Class B covers violations with a direct or immediate relationship to residents’ health, safety or security.

Federal deficiencies carry a letter from A to L. G, H and I mean inspectors found actual harm to residents; J, K and L mean immediate jeopardy, the most serious level. F600 is the federal rule that residents be free from abuse and neglect; F609 and F610 cover reporting and investigating allegations; F689 covers accidents and supervision; F686 covers pressure injuries.

Warning signs worth asking about: unexplained bruises or fractures, new bed sores, sudden weight loss or dehydration, a resident who becomes fearful or withdrawn around certain staff, and calls that go unanswered.

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What to do now

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Questions families ask

Has Rosemead Healthcare Center been cited by the State of California?

Cal Health Find lists 0 state citations for Rosemead Healthcare Center since 2023, including 0 Class AA and 0 Class A. Each one is listed in the timeline above with a link to the CDPH record.

How many complaints have been filed against Rosemead Healthcare Center?

From 2023 through October 30, 2026, Cal Health Find lists 7 complaint and facility-reported incident intakes, and CDPH substantiated at least one allegation in 5 of them.

Does Medicare flag Rosemead Healthcare Center for abuse?

As of our data date, Medicare Care Compare does not show its abuse icon for Rosemead Healthcare Center. The icon is only one signal; read the citations above.

Have there been sexual abuse reports at Rosemead Healthcare Center?

Cal Health Find lists no complaint or incident at Rosemead Healthcare Center since 2023 that included an allegation CDPH classified as sexual abuse. That reflects only what was reported to the state.

Where can I read reviews and complaints about Rosemead Healthcare Center?

Online reviews are opinions. The official record is the state and federal inspection file: this page summarizes it and links each citation, complaint outcome and inspection report on Cal Health Find and Medicare Care Compare, so you can read the source yourself.

How many beds does Rosemead Healthcare Center have?

Rosemead Healthcare Center is licensed by CDPH for 99 beds and has a CMS overall rating of 2 out of 5 stars.

Who owns or operates Rosemead Healthcare Center?

CDPH lists the licensee as ROSEMEAD HEALTHCARE CENTER, LLC. CMS lists the facility under the chain or affiliated entity Aaron Mayer.

My parent was hurt at Rosemead Healthcare Center. What should I do?

Get medical care first, then report it to CDPH and the long-term care ombudsman, ask for the chart in writing and keep notes and photos. For a free, confidential review of a possible case, call Beverly Law at (310) 552-6959.

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Other nursing homes near Rosemead Healthcare Center

FacilityCityDistanceCMS starsClass AA/AFederal G–L
Mission Care CenterRosemead1.5 mi3/500
Santa Anita Convalescent HospitalTemple City1.6 mi1/5811
Valley View Post AcuteEl Monte1.7 mi3/501
Pine Grove Healthcare & Wellness Centre, LPSan Gabriel2.2 mi4/500
Sunset Manor Convalescent HospitalEl Monte2.2 mi3/501
Baldwin Gardens Nursing CenterTemple City2.2 mi4/500

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Methodology and sources

We pulled this facility’s complaints, state enforcement actions and survey deficiencies from Cal Health Find for 2023 through October 30, 2026, downloaded the CDPH citation notices and CMS-2567 reports behind every Class AA or A citation and every federal deficiency at level G or higher, and wrote the summaries above from those documents. Facility details come from the CDPH licensing file and the CMS Provider Data Catalog. Residents are described only as the government documents describe them. See the methodology page to report an error; we review correction requests within five business days.

Sources

  1. Cal Health Find – Rosemead Healthcare Center
  2. Medicare Care Compare – Rosemead Healthcare Center
  3. CDPH – State Enforcement Actions (open data)
  4. CMS Provider Data Catalog – Nursing homes

Important: This page reports findings from public records of the California Department of Public Health and the Centers for Medicare & Medicaid Services. A citation or deficiency is a regulatory finding by a government agency; it is not a court judgment and not proof of civil or criminal liability. Criminal defendants are presumed innocent unless proven guilty. Lawsuit allegations are claims, not findings. This page is general information, not legal advice, and reading it does not create an attorney-client relationship with Beverly Law. Attorney advertising. Prior results do not guarantee a similar outcome. Data as of: October 30, 2026. Methodology and corrections.

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