Is your loved one at Colonial Gardens Nursing Center?
If they fell, developed a bed sore, lost weight, were hurt or abused at Colonial Gardens Nursing Center, leave your name and phone. We call back today, request the chart and the full inspection file, and tell you plainly whether there is a case. Free, confidential, English or Spanish.
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Colonial Gardens Nursing Center at a glance: owner, beds and ratings
* 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 ↗
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.
| Date | Source | Finding | Record |
|---|---|---|---|
| September 30, 2026 | State (CDPH) | Class B citation (Abuse/Facility Not Self Reported), penalty $3,000 Abuse | Government record (CDPH) ↗ |
| March 16, 2026 | Federal (CMS-2567), Complaint | F609 – Reporting of Alleged Violations, severity D (no actual harm, potential for more than minimal harm, isolated) Abuse | Government record (CDPH) ↗ |
| September 24, 2025 | Federal (CMS-2567), Complaint | F609 – Reporting of Alleged Violations, severity D (no actual harm, potential for more than minimal harm, isolated) Abuse | Government record (CDPH) ↗ |
| September 12, 2025 | State (CDPH) | Class B citation (Abuse/Facility Not Self Reported), penalty $3,000 Abuse | Government record (CDPH) ↗ |
| August 5, 2025 | Federal (CMS-2567), Complaint | F609 – 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, 2025 | State (CDPH) | Class B citation (Abuse/Facility Not Self Reported), penalty $3,000 Abuse | Government record (CDPH) ↗ |
| July 23, 2025 | State (CDPH) | Class B citation (Patient Rights), penalty $3,000 | Government record (CDPH) ↗ |
| June 24, 2025 | Federal (CMS-2567), Complaint | F609 – 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, 2025 | State (CDPH) | Class B citation (Patient Rights), penalty $3,000 | Government record (CDPH) ↗ |
| October 16, 2024 | State (CDPH) | Class B citation (Patient Care), penalty $2,100, appealed by the facility | Government record (CDPH) ↗ |
| September 10, 2024 | Federal (CMS-2567), Complaint | F689 – Free of Accident Hazards/Supervision/Devices, severity J (immediate jeopardy, one or a few residents) Falls / supervision › | Government record (CDPH) ↗ |
| April 21, 2023 | State (CDPH) | Class B citation (Abuse/Facility Not Self Reported), penalty $2,100, appealed by the facility Abuse | Government record (CDPH) ↗ |
Show 2 older findings
| Date | Source | Finding | Record |
|---|---|---|---|
| March 2, 2023 | Federal (CMS-2567), Complaint | F600 – 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, 2023 | Federal (CMS-2567), Complaint | F880 – Infection Prevention & Control, severity K (immediate jeopardy, a pattern) | Government record (CDPH) ↗ |
Complaints against Colonial Gardens Nursing Center
| Year | Intakes | Complaints | Facility-reported incidents | Substantiated (at least one allegation) |
|---|---|---|---|---|
| 2023 | 17 | 12 | 5 | 15 |
| 2024 | 6 | 1 | 5 | 5 |
| 2025 | 36 | 21 | 15 | 15 |
| 2026 | 19 | 6 | 13 | 0 |
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.
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 →
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 Center | LA County median | California average | |
|---|---|---|---|
| Total nursing hours per resident per day | 4.25 | 4.32 | 4.54 |
| RN hours per resident per day | 0.47 | 0.46 | 0.68 |
| Weekend nursing hours per resident per day | 3.75 | 3.89 | 4.10 |
| Nursing staff turnover | 37.3% | 34.1% | 36.6% |
Compare staffing, profits and fines across Los Angeles County nursing homes →
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 operator | Role | Share | Since |
|---|---|---|---|
| Kenneth Lehmann | 5% or greater direct ownership | 25% | November 1, 2024 |
| Ahm Trust | 5% or greater direct ownership | 20% | November 1, 2024 |
| Kent Stephens | Operational or managerial control | – | November 1, 2024 |
| Xanthe Victoria | Operational or managerial control | – | November 1, 2024 |
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.
| Year | Revenue | Net income | Margin | Occupancy | Medi-Cal days |
|---|---|---|---|---|---|
| 2023 | $10.1 million | -$169,797 | -1.7% | 96% | – |
| 2024* | $10.9 million | $4,797 | 0.0% | 97% | 81% |
| 2025 | $18.9 million | $2.7 million | 14.4% | 98% | 60% |
* More than one report was filed that year, usually after a change of ownership; the table shows the longest reporting period.
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.
| Date | Penalty | Amount or length |
|---|---|---|
| August 5, 2024 | Fine | $36,700 |
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.
What to do now
- If someone is in danger, call 911.
- File a complaint with CDPH about Colonial Gardens Nursing Center: CDPH complaint form ↗
- Contact the long-term care ombudsman, the state-funded advocate for nursing home residents: California Long-Term Care Ombudsman ↗
- Ask the facility in writing for a copy of the resident’s chart, and write down dates, names of staff on shift, and photos of any injury.
- Talk to a Los Angeles nursing home abuse lawyer →
Free nursing home case review
We read the inspection record and the chart with you and tell you plainly whether there is a case. You pay no fees and no costs unless we win.
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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Hurt at Colonial Gardens Nursing Center? — Beverly Law
If your loved one was hurt at Colonial Gardens Nursing Center, talk to a California elder abuse attorney. Free, confidential, English or Spanish. You pay no fees and no costs unless we win.
Other nursing homes near Colonial Gardens Nursing Center
| Facility | City | Distance | CMS stars | Class AA/A | Federal G–L |
|---|---|---|---|---|---|
| El Rancho Vista Health Care Center | Pico Rivera | 1.0 mi | 4/5 | 0 | 0 |
| Riviera Healthcare Center | Pico Rivera | 1.3 mi | 1/5 | 0 | 1 |
| Brookfield Healthcare Center | Downey | 1.6 mi | 5/5 | 1 | 1 |
| Pico Rivera Healthcare Center | Pico Rivera | 1.6 mi | 4/5 | 1 | 1 |
| Villa del Rio | Bell Gardens | 2.0 mi | 1/5 | 4 | 5 |
| Socal Post-Acute Care | Whittier | 2.3 mi | 4/5 | 0 | 0 |
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
- Cal Health Find – Colonial Gardens Nursing Center
- Medicare Care Compare – Colonial Gardens Nursing Center
- CMS – Payroll-Based Journal Daily Nurse Staffing (2026 Q2)
- CMS – Nursing home Provider Information (staffing, turnover)
- CMS – Nursing home Ownership
- CMS – Nursing home Penalties
- HCAI – Long-Term Care Facility Financial Data
- CDPH – State Enforcement Actions (open data)
- 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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