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NURSING HOME INSPECTION REPORT

Colonial Gardens Nursing Center in Pico Rivera: Inspection Record Review, Complaints and Abuse Reports (Updated October 30, 2026)

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Published by Beverly Law
7246 Rosemead Blvd, Pico Rivera · CDPH and CMS records · English y Español
Cal Health Find, the California Department of Public Health (CDPH) database, lists 15 state citations for Colonial Gardens Nursing 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 J (immediate jeopardy, one or a few residents), from the survey dated September 10, 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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Colonial Gardens Nursing Center at a glance: owner, beds and ratings

Address
7246 Rosemead Blvd, Pico Rivera, CA 90660
CDPH license / facility ID
940000042 / 940000033
Medicare CCN
555715
Licensed beds
99
Licensee (CDPH)
GARDENS HEALTHCARE LLC
Chain / affiliated entity (CMS)
None listed by CMS
Administrator of record
Stephens, Kent
CMS overall rating
1 of 5 stars
CMS staffing rating
4 of 5 stars
Nurse staffing (CMS)
4.26 reported nurse hours per resident per day*
CMS fines (last 3 years)
$36,700
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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Colonial Gardens Nursing 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
September 30, 2026State (CDPH)Class B citation (Abuse/Facility Not Self Reported), penalty $3,000
Abuse
Government record (CDPH) ↗
March 16, 2026Federal (CMS-2567), ComplaintF609 – Reporting of Alleged Violations, severity D (no actual harm, potential for more than minimal harm, isolated)
Abuse
Government record (CDPH) ↗
September 24, 2025Federal (CMS-2567), ComplaintF609 – Reporting of Alleged Violations, severity D (no actual harm, potential for more than minimal harm, isolated)
Abuse
Government record (CDPH) ↗
September 12, 2025State (CDPH)Class B citation (Abuse/Facility Not Self Reported), penalty $3,000
Abuse
Government record (CDPH) ↗
August 5, 2025Federal (CMS-2567), ComplaintF609 – Reporting of Alleged Violations, severity D (no actual harm, potential for more than minimal harm, isolated)
F610 – Investigate/Prevent/Correct Alleged Violation, severity D (no actual harm, potential for more than minimal harm, isolated)
Abuse
Government record (CDPH) ↗
July 24, 2025State (CDPH)Class B citation (Abuse/Facility Not Self Reported), penalty $3,000
Abuse
Government record (CDPH) ↗
July 23, 2025State (CDPH)Class B citation (Patient Rights), penalty $3,000Government record (CDPH) ↗
June 24, 2025Federal (CMS-2567), ComplaintF609 – Reporting of Alleged Violations, severity D (no actual harm, potential for more than minimal harm, isolated)
F610 – Investigate/Prevent/Correct Alleged Violation, severity D (no actual harm, potential for more than minimal harm, isolated)
Abuse
Government record (CDPH) ↗
May 19, 2025State (CDPH)Class B citation (Patient Rights), penalty $3,000Government record (CDPH) ↗
October 16, 2024State (CDPH)Class B citation (Patient Care), penalty $2,100, appealed by the facilityGovernment record (CDPH) ↗
September 10, 2024Federal (CMS-2567), ComplaintF689 – Free of Accident Hazards/Supervision/Devices, severity J (immediate jeopardy, one or a few residents)
Falls / supervision ›
Government record (CDPH) ↗
April 21, 2023State (CDPH)Class B citation (Abuse/Facility Not Self Reported), penalty $2,100, appealed by the facility
Abuse
Government record (CDPH) ↗
Show 2 older findings
DateSourceFindingRecord
March 2, 2023Federal (CMS-2567), ComplaintF600 – Free from Abuse and Neglect, severity D (no actual harm, potential for more than minimal harm, isolated)
F610 – Investigate/Prevent/Correct Alleged Violation, severity D (no actual harm, potential for more than minimal harm, isolated)
F609 – Reporting of Alleged Violations, severity D (no actual harm, potential for more than minimal harm, isolated)
Abuse
Government record (CDPH) ↗
January 19, 2023Federal (CMS-2567), ComplaintF880 – Infection Prevention & Control, severity K (immediate jeopardy, a pattern)Government record (CDPH) ↗

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Complaints against Colonial Gardens Nursing Center

YearIntakesComplaintsFacility-reported incidentsSubstantiated (at least one allegation)
20231712515
20246155
202536211515
2026196130

Cal Health Find lists 78 complaint and facility-reported incident intakes for this facility from 2023 through October 30, 2026. CDPH substantiated at least one allegation in 35 of them. 36 intakes involved an allegation in CDPH’s abuse category, and 7 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 Colonial Gardens Nursing Center

Cal Health Find lists no complaint or facility-reported incident for Colonial Gardens Nursing 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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Staffing at Colonial Gardens Nursing Center

Payroll records Colonial Gardens Nursing Center filed with the federal Centers for Medicare & Medicaid Services (CMS) for April through June 2026 show an average of 4.25 nursing hours per resident per day, counting registered nurses (RNs), licensed vocational nurses and nurse aides. The California average CMS published for the same period is 4.54, and the Los Angeles County median is 4.32. RN time averaged 0.47 hours per resident per day (California average 0.68). Staffing averaged 3.75 hours on weekends and 4.46 on weekdays.

CMS reports nursing staff turnover of 37.3% at this facility (California average 36.6%) and RN turnover of 41.7% (California average 37.8%).

California requires most skilled nursing facilities to provide at least 3.5 direct care hours per patient day (Health and Safety Code section 1276.65). Counting the RN, LVN and nurse aide hours in the same payroll data, Colonial Gardens Nursing Center was below 3.5 on 3 of 91 days. This is our calculation from CMS data, not a CDPH finding: CDPH counts some staff differently (for example psychiatric technicians in special treatment programs) and can grant waivers.

Colonial Gardens Nursing CenterLA County medianCalifornia average
Total nursing hours per resident per day4.254.324.54
RN hours per resident per day0.470.460.68
Weekend nursing hours per resident per day3.753.894.10
Nursing staff turnover37.3%34.1%36.6%

Compare staffing, profits and fines across Los Angeles County nursing homes →

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Who owns Colonial Gardens Nursing Center

The owners and operators below are listed for Colonial Gardens Nursing Center in the federal CMS nursing home ownership file (data as of October 1, 2026). CMS requires each Medicare-certified nursing home to report anyone with a 5% or greater ownership stake and anyone with operational or managerial control.

Owner or operatorRoleShareSince
Kenneth Lehmann5% or greater direct ownership25%November 1, 2024
Ahm Trust5% or greater direct ownership20%November 1, 2024
Kent StephensOperational or managerial control–November 1, 2024
Xanthe VictoriaOperational or managerial control–November 1, 2024

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Colonial Gardens Nursing Center finances

Colonial Gardens Nursing Center reported $18.9 million in health care revenue and net income of $2.7 million for the year ending December 31, 2025, a margin of 14.4%, in its annual financial report to HCAI (as submitted; HCAI has not finished reviewing it). The median operating margin that year was 5.9% for Los Angeles County nursing homes and 6.1% statewide. Medi-Cal paid for 60% of resident days. Salaries for RNs, LVNs and nurse aides came to $3.9 million.

YearRevenueNet incomeMarginOccupancyMedi-Cal days
2023$10.1 million-$169,797-1.7%96%–
2024*$10.9 million$4,7970.0%97%81%
2025$18.9 million$2.7 million14.4%98%60%

* More than one report was filed that year, usually after a change of ownership; the table shows the longest reporting period.

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Federal fines and penalties: Colonial Gardens Nursing Center

CMS lists 1 federal fine totaling $36,700 and 0 Medicare payment denials for Colonial Gardens Nursing Center in the roughly three years its penalty file covers.

DatePenaltyAmount or length
August 5, 2024Fine$36,700

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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 Colonial Gardens Nursing Center been cited by the State of California?

Cal Health Find lists 15 state citations for Colonial Gardens Nursing 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 Colonial Gardens Nursing Center?

From 2023 through October 30, 2026, Cal Health Find lists 78 complaint and facility-reported incident intakes, and CDPH substantiated at least one allegation in 35 of them.

Does Medicare flag Colonial Gardens Nursing Center for abuse?

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

Have there been sexual abuse reports at Colonial Gardens Nursing Center?

Cal Health Find lists no complaint or incident at Colonial Gardens Nursing 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 Colonial Gardens Nursing 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 Colonial Gardens Nursing Center have?

Colonial Gardens Nursing Center is licensed by CDPH for 99 beds and has a CMS overall rating of 1 out of 5 stars.

Who owns or operates Colonial Gardens Nursing Center?

CDPH lists the licensee as GARDENS HEALTHCARE LLC. CMS does not list a chain for this facility. According to the CMS ownership file, Ahm Trust holds 20% as a direct owner. The full list of owners and operators CMS reports is in the ownership section of this page.

How many nursing hours does Colonial Gardens Nursing Center provide per resident?

Payroll data the facility filed with CMS for April through June 2026 show 4.25 total nursing hours per resident per day, including 0.47 RN hours. The California average is 4.54.

My parent was hurt at Colonial Gardens Nursing 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 Colonial Gardens Nursing Center

FacilityCityDistanceCMS starsClass AA/AFederal G–L
El Rancho Vista Health Care CenterPico Rivera1.0 mi4/500
Riviera Healthcare CenterPico Rivera1.3 mi1/501
Brookfield Healthcare CenterDowney1.6 mi5/511
Pico Rivera Healthcare CenterPico Rivera1.6 mi4/511
Villa del RioBell Gardens2.0 mi1/545
Socal Post-Acute CareWhittier2.3 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 – Colonial Gardens Nursing Center
  2. Medicare Care Compare – Colonial Gardens Nursing Center
  3. CMS – Payroll-Based Journal Daily Nurse Staffing (2026 Q2)
  4. CMS – Nursing home Provider Information (staffing, turnover)
  5. CMS – Nursing home Ownership
  6. CMS – Nursing home Penalties
  7. HCAI – Long-Term Care Facility Financial Data
  8. CDPH – State Enforcement Actions (open data)
  9. 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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