San Marino Healthcare Center Complaints, Violations and Inspection Records

June 25, 2026, complaint inspection

1 deficiency cited. Surveyors cited the facility for protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

• F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (scope and severity D)

May 27, 2026, complaint inspection

1 deficiency cited. Surveyors cited the facility for safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

• F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (scope and severity D)

May 8, 2026, complaint inspection

1 deficiency cited. Surveyors cited the facility for ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

• F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity D)

January 9, 2026, standard inspection

13 deficiencies cited. Surveyors cited the facility for honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights, 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, and provide care and assistance to perform activities of daily living for any resident who is unable.

• F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (scope and severity E)
• F0584Honor 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. (scope and severity E)
• F0677Provide care and assistance to perform activities of daily living for any resident who is unable. (scope and severity E)
• F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity E)
• F0757Ensure each resident’s drug regimen must be free from unnecessary drugs. (scope and severity E)
• F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity E)
• F0881Implement a program that monitors antibiotic use. (scope and severity E)
• F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (scope and severity E)
• F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (scope and severity D)
• F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (scope and severity D)
• F0745Provide medically-related social services to help each resident achieve the highest possible quality of life. (scope and severity D)
• F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. (scope and severity D)
• F0880Provide and implement an infection prevention and control program. (scope and severity D)

July 16, 2025, complaint inspection

1 deficiency cited. Surveyors cited the facility for protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

• F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (scope and severity D)

April 15, 2025, complaint inspection

2 deficiencies cited. Surveyors cited the facility for protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody and timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

• F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (scope and severity D)
• F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (scope and severity D)

March 14, 2025, complaint inspection

1 deficiency cited. Surveyors cited the facility for honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

• F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (scope and severity D)

February 19, 2025, complaint inspection

1 deficiency cited. Surveyors cited the facility for implement gradual dose reductions(gdr) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and prn orders for psychotropic medications are only used when the medication is necessary and prn use is limited.

• F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. (scope and severity D)

January 30, 2025, complaint inspection

1 deficiency cited. Surveyors cited the facility for provide appropriate treatment and care according to orders, resident’s preferences and goals.

• F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity D)

November 14, 2024, standard inspection

11 deficiencies cited. Surveyors cited the facility for ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason, procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards, and honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

• F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (scope and severity E)
• F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity E)
• F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (scope and severity D)
• F0552Ensure that residents are fully informed and understand their health status, care and treatments. (scope and severity D)
• F0558Reasonably accommodate the needs and preferences of each resident. (scope and severity D)
• F0578Honor 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. (scope and severity D)
• F0584Honor 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. (scope and severity D)
• F0677Provide care and assistance to perform activities of daily living for any resident who is unable. (scope and severity D)
• F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity D)
• F0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. (scope and severity D)
• F0732Post nurse staffing information every day. (scope and severity B)

November 5, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

• F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity D)

September 5, 2024, complaint inspection

2 deficiencies cited. Surveyors cited the facility for timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities and respond appropriately to all alleged violations.

• F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (scope and severity D)
• F0610Respond appropriately to all alleged violations. (scope and severity D)

July 24, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

• F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity D)

April 29, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

• F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity D)

December 15, 2023, standard and complaint inspections

7 deficiencies cited. Surveyors cited the facility for 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, ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs, and procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

• F0693Ensure 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. (scope and severity E)
• F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. (scope and severity E)

• F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity E)
• F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity D)
• F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity D)
• F0695Provide safe and appropriate respiratory care for a resident when needed. (scope and severity D)
• F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (scope and severity D)

October 11, 2023, complaint inspection

1 deficiency cited. Surveyors cited the facility for develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

• F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity D)