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Nursing HomeMedicaid Investigative

Colonial Gardens Nursing Home

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

7246 S. Rosemead Blvd., El Rancho · Pico Rivera, CA 9066099 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.2/5

based on 42 Google reviews

5
4
3
2
1
Colonial Gardens Nursing Home Nursing Home in Pico Rivera, CA — Street View
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3/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Above-median deficiencies (40 vs median 13.0)

Bottom 25% in CA · Below recommended RN staffing · Above recommended total nurse staffing · Low staff turnover (stable workforce) · $44,463 in fines

Source: Medicare data

What this means for your family

The facility shows a strong upward trend in quality, with recent reviews highly praising the nursing staff's compassion and the facility's cleanliness. However, families should verify communication protocols regarding resident updates, as there is a significant historical grievance regarding a lack of notification during a resident's passing.

Google Reviews

Google Reviews

42 reviews on Google
Families can expect highly compassionate and dedicated nursing staff, with several reviewers specifically praising the leadership and nurse managers for their kindness and professionalism. While the facility is frequently noted for its cleanliness and engaging activities, there is a critical historical concern regarding communication regarding resident passing and past issues with sanitation.

Quality Themes

Tap a score for details
FoodN/AStaff9.5Clean8.5Activities9.0MedsN/AMemoryN/AComms3.0ValueN/A

Strengths

  • Compassionate and attentive nursing staff
  • Clean and well-maintained environment
  • Engaging activities and games for residents
  • Strong and helpful administration/management

Concerns

  • Communication failures regarding resident status

Rating Trends

Tap a year to see what changed

2341.02020(2)4.82021(5)5.02023(1)1.02024(2)4.82025(20)4.72026(3)

Distribution · 33 analyzed

5
26
4
2
3
0
2
0
1
5
10 reviews posted between Mar 3, 2025Mar 5, 2025 · 10 were 5-star

How They Respond to Reviews

57%response rate
Generic

The owner uses highly templated, repetitive responses that often include boilerplate marketing language about being 'new owners' or 'committed to excellence.' While they personalize the greeting with the reviewer's name, the body of the responses frequently relies on pre-written paragraphs that do not specifically address the unique details of each review.

Questions for Your Tour

  • 1We've heard wonderful things about the engaging activities and games offered here; could you tell us more about what a typical day looks like for the residents?
  • 2How does the administration ensure that family members are kept updated and informed about any changes in a resident's health or status?
  • 3In the event of a medical emergency during the night, what is the specific protocol for notifying the family and providing immediate care?
  • 4We noticed the facility is very well-maintained; how often are the resident rooms and common areas deep-cleaned to ensure a comfortable environment?
  • 5With the recent inspections, what specific steps is the management team taking to address past deficiencies and improve the overall quality of care?
  • 6It's great to see the management team actively responding to feedback; how do you use family suggestions to improve daily operations?

Personalized based on this facility's data


Key Review Excerpts

The staff and administration is the best part of Colonial Gardens there is something money cannot buy, and that is dedication love concern for the patient and kindness

Long-term resident's family · 2026★★★★

Alvin, the nurse manager in charge, was extremely kind and helpful. He treated Frank with dignity and respect and helped me and the rest of our family in this time of grief.

Deceased resident's family · 2026★★★★★

These nurses at this nursing home saved my dad’s life. When had a stroke they were quick to act and got him to medical help as quick as possible.

Rehab/Acute care family member · 2025★★★★★
Source: 42 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.43hrs
57%
Registered nurses for medical care
Total Nursing
4.42hrs
OK
All nurses + aides combined
Staff Turnover
29%
Lower is better (< 30% = good)
RN Turnover
50%
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 · 16 measures

Medicare Rating
1/ 5
Better Than Avg

11

measures

Worse Than Avg

3

measures

Mixed Results

2

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility83.1%
Worse than Avg
Here
83.1%
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 Facility4.2%
Better than Avg
Here
4.2%
US
19.4%
CA
10.7%
Los angeles
9.7%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility7.1%
Better than Avg
Here
7.1%
US
19.5%
CA
13.7%
Los angeles
10.8%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility21.8%
Worse than Avg
Here
21.8%
US
14.4%
CA
10.4%
Los angeles
12.5%
💉

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 whose walking got worse

↓ Lower is better
This Facility9.0%
Better than Avg
Here
9.0%
US
15.3%
CA
10.5%
Los angeles
9.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
79.8%
CA
93.2%
Los angeles
92.5%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility98.8%
Better than Avg
Here
98.8%
US
81.8%
CA
94.2%
Los angeles
94.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility17.6%
Worse than Avg
Here
17.6%
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

40deficiencies
2penalties
Well above state avg (15.4)
38 complaint-triggered
$44,463 in fines

Colonial Gardens Nursing Home shows concerning patterns with families filing multiple complaints leading to 39 deficiencies across 23 surveys. The facility repeatedly struggles with care planning, medication management, and accident prevention - with safety hazards and inadequate supervision appearing in complaint investigations as recently as 2024. While the provider states corrections are made, the persistent recurrence of similar issues across multiple years, particularly in resident safety and pharmacy services, suggests ongoing systemic problems that warrant careful consideration before placement.

Apr 2, 2026Complaint
2
0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0842Potential for harm · IsolatedCorrected

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.

Mar 16, 2026Complaint
3
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.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

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.

Feb 18, 2026Complaint
1
0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

Dec 30, 2025Complaint
2
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.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

Dec 4, 2025Complaint
1
0726Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

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.

Nov 18, 2025Complaint
1
0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

Federal Penalties

Fine

Aug 5, 2024

$36,700

Fine

Jun 26, 2023

$2,470

Ownership & Operations

Who Operates This Facility

Owner / Operator

Colonial Gardens Nursing Home

Organization Type

for profit

Ownership & Management

Owners

Ahm Trust

Owner · Organization

20%

Lehmann, Kenneth

Owner

25%

Key personnel

Stephens, KentManaging Control - Governing BodyBak, AbrahamOfficer / DirectorGastwirth, MenachemOfficer / DirectorStephens, KentManagerVictoria, XantheManager
Source: Medicare provider data

Contact

Get in Touch

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

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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