San Gabriel Rehabilitation and Care Center
State inspectors recorded 3 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
CMS has flagged this facility with its abuse icon, which marks facilities cited for abuse in recent inspections.
Serious inspection findings
2025-09-12 — IMMEDIATE JEOPARDY (tag F0600, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2025-09-12 — IMMEDIATE JEOPARDY (tag F0610, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Respond appropriately to all alleged violations.
2025-03-18 — IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Staffing, from payroll records
Nursing hours / resident / day
2.55
state median 2.67
Weekend staffing gap
+4%
more nursing hours on weekends · state median −7%
RN hours / resident / day
0.15
registered nurses only
Contract (agency) staff
0%
share of all nursing hours
Days with zero RN hours reported
24
with residents present
Nursing staff turnover
55%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
2 enforcement action(s), totaling $19,393 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-09-12 | Fine | $11,112 |
| 2025-03-18 | Fine | $8,281 |
Ownership
Ownership type: For profit - Limited Liability company. Part of the FUNDAMENTAL HEALTHCARE chain.
Other facilities under the same ownership, with their CMS overall ratings:
- BELLTOWER HEALTH & REHABILITATION CENTER (GRANGER, IN) —
- BERLIN NURSING AND REHABILITATION CENTER (BERLIN, MD) —
- NORTHAMPTON MANOR NURSING AND REHABILITATION CENTE (FREDERICK, MD) —
- ALLEGANY HEALTH NURSING AND REHAB (CUMBERLAND, MD) —
- OAKLAND NURSING & REHABILITATION CENTER (OAKLAND, MD) —
- FAIRFIELD NURSING & REHABILITATION CENTER (CROWNSVILLE, MD) —
- MORAN NURSING AND REHABILITATION CENTER (WESTERNPORT, MD) —
- DEVLIN MANOR NURSING AND REHABILITATION CENTER (CUMBERLAND, MD) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-04-30 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | E | not recorded |
| 2026-04-30 | F0695 | Quality of Life and Care Deficiencies | E | not recorded |
| 2025-12-23 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-09-12 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | J | not recorded |
| 2025-09-12 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | J | not recorded |
| 2025-07-17 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2025-07-17 | F0584 | Resident Rights Deficiencies | E | not recorded |
| 2025-07-17 | F0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | E | not recorded |
| 2025-07-17 | F0645 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-07-17 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-07-17 | F0725 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2025-07-17 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-07-17 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2025-04-14 | F0558 | Resident Rights Deficiencies | E | not recorded |
| 2025-03-18 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2025-01-22 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-09-25 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-09-25 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-06-20 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2024-05-30 | F0558 | Resident Rights Deficiencies | D | not recorded |
| 2024-05-30 | F0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-05-30 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-05-30 | F0655 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-05-30 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-05-30 | F0919 | Environmental Deficiencies | D | not recorded |
| 2024-03-21 | F0919 | Environmental Deficiencies | D | not recorded |
| 2023-08-21 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-04-05 | F0583 | Resident Rights Deficiencies | D | not recorded |
| 2023-04-05 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-04-05 | F0803 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2023-04-05 | F0806 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2023-04-05 | F0880 | Infection Control Deficiencies | E | not recorded |