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Nursing HomeMedicaid

Baldwin Gardens Nursing Center

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

10786 Live Oak Avenue, Temple City, CA 9178059 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.8/5

based on 28 Google reviews

5
4
3
2
1
Baldwin Gardens Nursing Center Nursing Home in Temple City, CA — Street View
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What this means for your family

This facility is an excellent choice for families seeking high-quality rehabilitation and a compassionate, family-like atmosphere. While recent years show overwhelming praise for the staff, you should verify that communication remains consistent even when you are not personally present at the facility.

Google Reviews

Google Reviews

28 reviews on Google
Families can expect a highly compassionate environment where staff members are frequently praised for treating residents like their own family. The facility excels in rehabilitation services and physical therapy, though one historical review warns of unresponsive care when family is not present.

Quality Themes

Tap a score for details
FoodN/AStaff10.0Clean9.0Activities10.0MedsN/AMemoryN/AComms8.0ValueN/A

Strengths

  • Compassionate and family-oriented nursing staff
  • Excellent physical therapy and rehab progress
  • Clean and well-maintained environment
  • Professional and attentive administration

Concerns

  • Unresponsiveness to patient needs in the absence of family

Rating Trends

Tap a year to see what changed

2341.0'16(1)5.05.0'19(3)5.05.0'21(1)5.04.9'25(17)5.0'26(1)

Distribution · 28 analyzed

5
26
4
1
3
0
2
0
1
1

How They Respond to Reviews

96%response rate
Generic

The owner relies heavily on a small set of repetitive templates to respond to positive reviews. Most responses use nearly identical phrasing and always conclude with the same contact phone number.

Questions for Your Tour

  • 1We've heard wonderful things about the compassion of your nursing staff; how do you ensure that same level of attentive care is maintained even when family members aren't present in the room?
  • 2Since your physical therapy and rehab programs have such great feedback, could you tell us more about how you customize those plans for a resident's specific recovery goals?
  • 3We noticed the facility is very well-maintained; what is your routine for ensuring the resident living areas stay clean and comfortable every day?
  • 4With the recent health inspections, what specific steps is the administration taking to address the noted deficiencies and improve the overall care rating?
  • 5How does the nursing team handle medical emergencies or changes in a resident's condition during the overnight hours?
  • 6What kind of daily activities or social outings do you organize to keep the residents engaged and connected with one another?

Personalized based on this facility's data


Key Review Excerpts

The four weeks she was there really helped her recovery. Physical Therapists were all top-notch. Very attentive and excellent demeanor.

Rehab patient's family · 2025★★★★

The level of care, honor, and respect shown to the veterans at the facility was truly inspiring. The staff went above and beyond to make the residents feel appreciated and recognized for their service.

Event attendee · 2025★★★★★

I am current rehab patient at Baldwin Garden skilled nursing facility since February 16, after being in two other skilled nursing facilities for two months. I wish I was here from day one, my progress has been tremendous.

Rehab patient · 2025★★★★★
Source: 28 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.48hrs
63%
Registered nurses for medical care
Total Nursing
5.73hrs
OK
All nurses + aides combined
Staff Turnover
25%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
1/ 5
Better Than Avg

7

measures

Worse Than Avg

7

measures

Mixed Results

3

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility34.6%
Worse than Avg
Here
34.6%
US
19.5%
CA
13.7%
Los angeles
10.8%
😔

Residents with depression symptoms

↓ Lower is better
This Facility29.4%
Worse than Avg
Here
29.4%
US
12.1%
CA
7.0%
Los angeles
8.7%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility8.7%
Better than Avg
Here
8.7%
US
19.4%
CA
10.7%
Los angeles
9.7%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
CA
98.6%
Los angeles
99.1%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility16.7%
Worse than Avg
Here
16.7%
US
14.4%
CA
10.4%
Los angeles
12.5%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility17.3%
Worse than Avg
Here
17.3%
US
15.5%
CA
11.7%
Los angeles
11.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility93.6%
Better than Avg
Here
93.6%
US
79.8%
CA
93.2%
Los angeles
92.5%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility92.0%
Mixed vs Avgs
Here
92.0%
US
81.8%
CA
94.2%
Los angeles
94.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility7.8%
Worse than Avg
Here
7.8%
US
1.6%
CA
1.5%
Los angeles
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

8deficiencies
Near state avg (15.4)
4 complaint-triggered
$3,174 in fines

This facility has a concerning pattern of recurring safety and care deficiencies, with families filing 5 complaints that triggered inspections. Most problematic are repeated issues with fire safety systems, quality of care, and medication management that persist across multiple surveys from 2021 to 2024. While the facility corrects deficiencies when cited, the pattern suggests ongoing operational challenges families should carefully consider.

Jan 30, 2026Routine
16
0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0552Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0637Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident when there is a significant change in condition

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0342Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

0351Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0030Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

List the names and contact information of those in the facility.

0039Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

Mar 11, 2025Complaint
1
0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Dec 18, 2024Complaint
1
0919Potential for harm · IsolatedCorrected

Environmental Deficiencies

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

Nov 22, 2024Routine
20
0558Potential for harm · PatternCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0578Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0641Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0693Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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.

0700Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0694Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0756Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0342Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0346Minimal · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

0354Minimal · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

0732Minimal · PatternCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

Dec 3, 2023Routine
18
0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0842Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0331Potential for harm · PatternCorrected

Smoke Deficiencies

Construct fire resistant interior walls.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0679Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0805Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

0808Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0342Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0041Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

0346Minimal · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

0354Minimal · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Jun 13, 2023Complaint
2
0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

Ownership & Operations

Who Operates This Facility

Owner / Operator

Baldwin Gardens Nursing Center

Organization Type

for profit

Chain Affiliation

Chain Name

Abraham Bak & Menachem Gastwirth

Chain Size

16 facilities nationwide

Chain avg rating: 2.4/5 · Rank 11 of 16

Ownership & Management

Owners

Lehmann, Kenneth

Owner

24%

Key personnel

Bak, AbrahamOfficer / DirectorGastwirth, MenachemOfficer / DirectorLehmann, KennethOfficer / DirectorGewirtz, ChonochOfficer / DirectorHorowicz, AviManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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