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Nursing HomeMedicaid Investigative

Ivy Creek Healthcare & Wellness Centre

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

115 Bridge St., San Gabriel, CA 9177598 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.2/5

based on 49 Google reviews

5
4
3
2
1
Ivy Creek Healthcare & Wellness Centre Nursing Home in San Gabriel, CA — Street View
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1/ 10
low Risk

Quality Concerns Identified

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

  • Above-median deficiencies (14 vs median 13.0)

Below average in CA · Below recommended RN staffing · Low staff turnover (stable workforce) · No penalties on record

Source: Medicare data

What this means for your family

This facility is an excellent choice for families seeking high-quality rehabilitation and a culturally competent staff that speaks Mandarin and Cantonese. However, because of historical reports of communication failures during critical events, families should establish a clear, written protocol for how they wish to be notified of any changes in a resident's condition.

Google Reviews

Google Reviews

49 reviews on Google
Ivy Creek Healthcare & Wellness Centre is highly regarded by many families for its compassionate nursing staff and effective rehabilitation programs, particularly for post-surgery recovery. While many reviewers praise the facility's cleanliness and the ability to communicate with multilingual staff, there are serious, isolated allegations regarding medication errors and poor communication during end-of-life care.

Quality Themes

Tap a score for details
Food8.0Staff9.0Clean8.0Activities8.0Meds2.0MemoryN/AComms6.0ValueN/A

Strengths

  • Compassionate and attentive nursing staff
  • Effective rehabilitation and physical therapy
  • Clean and well-maintained facility
  • Multilingual staff (Mandarin/Cantonese)
  • Engaging resident activities

Concerns

  • Inconsistent communication regarding resident status/changes (mentioned by 2 reviewers)
  • Issues with medication management accuracy (mentioned by 2 reviewers)
  • Small or cramped room layouts (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'17(2)'19(2)'21(12)'24(14)'26(12)

Distribution · 115 analyzed

5
90
4
5
3
3
2
0
1
17
12 reviews posted between Jun 13, 2025Jun 14, 2025 · 12 were 5-star

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1We've heard wonderful things about how engaging the resident activities are here; could you tell us more about what a typical week looks like for someone living at Ivy Creek?
  • 2Since we value clear updates, what is your preferred process for keeping family members informed about any changes in a resident's daily health or status?
  • 3With the high praise for your nursing staff's compassion, could you explain the specific protocols you have in place to ensure medication is administered accurately and on schedule?
  • 4How does the facility handle medical emergencies or urgent care needs during the overnight hours?
  • 5We noticed your staff is multilingual; how does having Mandarin and Cantonese speakers integrated into the care team impact the daily experience for residents?
  • 6For residents who might be transitioning from rehab, how does the physical therapy team coordinate with the nursing staff to support their recovery goals?

Personalized based on this facility's data


Key Review Excerpts

The rehab team is also very experienced and motivated to help the patients get to their highest functioning level to return home quickly and safely.

Rehab patient's family · 2025★★★★★

The nurses, assistants and admin staff are all super caring and attentive. Our family is most grateful for everyone at Ivy Creek.

Long-term resident's family · 2025★★★★★

My mother had such a good experience here that she didn’t want to leave and we had to convince her that my dad would be lonely without her at home.

Short-term rehab family · 2023★★★★★
Source: 49 Google reviews

Quality Measures

Quality Measures

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

Medicare Rating
4/ 5
Better Than Avg

12

measures

Worse Than Avg

3

measures

Mixed Results

2

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility1.2%
Better than Avg
Here
1.2%
US
19.4%
CA
10.7%
Los angeles
9.7%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility4.2%
Better than Avg
Here
4.2%
US
15.3%
CA
10.5%
Los angeles
9.5%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility5.6%
Better than Avg
Here
5.6%
US
15.5%
CA
11.7%
Los angeles
11.4%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility10.8%
Better than Avg
Here
10.8%
US
19.5%
CA
13.7%
Los angeles
10.8%
💉

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 vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
CA
98.2%
Los angeles
97.8%
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 Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
CA
94.2%
Los angeles
94.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.4%
Worse than Avg
Here
2.4%
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

14deficiencies
Near state avg (15.4)
8 complaint-triggered

This facility has a concerning pattern of recurring deficiencies across multiple years, with families filing eight complaint-triggered reports. The most persistent issues involve infection control (appearing in five separate inspections), fire safety and building compliance, and care planning problems. While all deficiencies show correction dates, the repeated nature of core safety and care issues, particularly infection control failures spanning from 2021 to 2025, suggests ongoing operational challenges that families should carefully consider.

Dec 19, 2025Complaint
1
0744Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Apr 10, 2025Routine
18
0698Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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

0759Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0814Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0351Potential for harm · PatternCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

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.

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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

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.

0919Potential for harm · IsolatedCorrected

Environmental Deficiencies

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

0921Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0232Potential for harm · IsolatedCorrected

Egress Deficiencies

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0912Minimal · PatternCorrected

Environmental Deficiencies

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Feb 25, 2025Complaint
1
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.

Feb 5, 2025Complaint
2
0676Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

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.

Apr 12, 2024Routine
17
0343Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

0584Potential for harm · PatternCorrected

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.

0695Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

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.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0642Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure a qualified health professional conducts resident assessments.

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.

0676Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0849Potential for harm · IsolatedCorrected

Administration Deficiencies

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0908Potential for harm · IsolatedCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

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

0912Minimal · PatternCorrected

Environmental Deficiencies

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Jan 24, 2024Complaint
2
0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0921Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Ivy Creek Healthcare & Wellness Centre

Organization Type

for profit

Chain Affiliation

Chain Name

Corporate Interface Services

Chain Size

41 facilities nationwide

Ownership & Management

Key personnel

Rockport Administrative Services, LLCManagerQiu, BoshengManagerYu, CandaceManagerG4 Wellness Gp LLCGeneral Partnership InterestRechnitz, ShlomoLimited Partnership Interest
Source: Medicare provider data

Contact

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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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