Nursing Home Alerts

Rowntree Gardens

12151 Dale Avenue, Stanton, CA 90680

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Rowntree Gardens is a nursing home in Stanton, California. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

CMS star ratings

Facts from CMS

Phone
(714) 971-6865
Last standard health inspection
December 11, 2025 (11 months ago)
Certified beds
58
Residents per day, on average
41
Ownership type
Non profit - Church related
Legal business name
California Friends Homes
Chain
Not listed by CMS
Takes part in
Medicare and Medicaid

More health citations than the California average (55 vs 50).

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

  1. CMS update of October 28, 2026

    • Star rating

      The CMS staffing star rating changed from 4 of 5 to 5 of 5.

    • Star rating

      The CMS quality measures star rating changed from 5 of 5 to 4 of 5.

  2. 16 citations

    Health inspection on December 11, 2025

    CMS lists this as a standard inspection.

    • Citation F0605. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

      CMS lists it as corrected on January 11, 2026.

    • Citation F0688. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

      CMS lists it as corrected on January 11, 2026.

    • Citation F0726. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS lists it as corrected on January 11, 2026.

      CMS has cited this home for F0726 2 times since 2024.

    • Citation F0741. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

      CMS lists it as corrected on January 11, 2026.

    • Citation F0812. Severity E: potential for more than minimal harm, pattern.

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

      CMS lists it as corrected on January 11, 2026.

      CMS has cited this home for F0812 3 times since 2023.

    • Citation F0880. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on January 11, 2026.

      CMS has cited this home for F0880 3 times since 2023.

    • Citation F0881. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Implement a program that monitors antibiotic use.

      CMS lists it as corrected on January 11, 2026.

      CMS has cited this home for F0881 2 times since 2024.

    • Citation F0558. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Reasonably accommodate the needs and preferences of each resident.

      CMS lists it as corrected on January 11, 2026.

      CMS has cited this home for F0558 2 times since 2024.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on January 11, 2026.

      CMS has cited this home for F0656 2 times since 2024.

    • Citation F0684. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on January 11, 2026.

      CMS has cited this home for F0684 2 times since 2023.

    • Citation F0689. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on January 11, 2026.

    • Citation F0695. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.

      CMS lists it as corrected on January 11, 2026.

      CMS has cited this home for F0695 3 times since 2023.

    • Citation F0697. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe, appropriate pain management for a resident who requires such services.

      CMS lists it as corrected on January 11, 2026.

      CMS has cited this home for F0697 2 times since 2023.

    • Citation F0755. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on January 11, 2026.

      CMS has cited this home for F0755 3 times since 2023.

    • Citation F0842. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on January 11, 2026.

    • Citation F0657. Severity B: potential for minimal harm, pattern.

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

      CMS lists it as corrected on January 11, 2026.

    See this home on CMS Care Compare

  3. 4 citations

    Fire safety inspection on December 11, 2025

    CMS lists this as a standard inspection.

    • Citation K0324. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide properly protected cooking facilities.

      CMS lists it as corrected on December 16, 2025.

      CMS has cited this home for K0324 2 times since 2024.

    • Citation K0353. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on December 23, 2025.

      CMS has cited this home for K0353 3 times since 2023.

    • Citation K0363. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Install corridor and hallway doors that block smoke.

      CMS lists it as corrected on December 23, 2025.

      CMS has cited this home for K0363 3 times since 2023.

    • Citation K0345. Severity C: potential for minimal harm, widespread.

      The rule CMS cited: Have approved installation, maintenance and testing program for fire alarm systems.

      CMS lists it as corrected on December 16, 2025.

    See this home on CMS Care Compare

  4. CMS update of February 26, 2025

    • Star rating

      The CMS overall star rating changed from 5 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS health inspection star rating changed from 4 of 5 to 3 of 5.

  5. 1 citation

    Health inspection on February 10, 2025

    CMS lists this as a complaint inspection.

    • Citation F0622. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

      CMS lists it as corrected on February 18, 2025.

    See this home on CMS Care Compare

  6. 18 citations

    Health inspection on October 29, 2024

    CMS lists this as a standard inspection.

    • Citation F0700. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS lists it as corrected on November 29, 2024.

      CMS has cited this home for F0700 2 times since 2023.

    • Citation F0812. Severity E: potential for more than minimal harm, pattern.

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

      CMS lists it as corrected on November 29, 2024.

    • Citation F0909. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

      CMS lists it as corrected on November 29, 2024.

      CMS has cited this home for F0909 2 times since 2023.

    • Citation F0558. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Reasonably accommodate the needs and preferences of each resident.

      CMS lists it as corrected on November 29, 2024.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on November 29, 2024.

    • Citation F0686. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      CMS lists it as corrected on November 29, 2024.

    • Citation F0690. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on November 29, 2024.

    • Citation F0695. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.

      CMS lists it as corrected on November 29, 2024.

    • Citation F0726. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on November 29, 2024.

    • Citation F0755. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on November 29, 2024.

    • Citation F0759. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure medication error rates are not 5 percent or greater.

      CMS lists it as corrected on November 29, 2024.

    • Citation F0761. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on November 29, 2024.

      CMS has cited this home for F0761 2 times since 2023.

    • Citation F0806. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

      CMS lists it as corrected on November 29, 2024.

      CMS has cited this home for F0806 2 times since 2023.

    • Citation F0813. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Have a policy regarding use and storage of foods brought to residents by family and other visitors.

      CMS lists it as corrected on November 29, 2024.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on November 29, 2024.

    • Citation F0881. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Implement a program that monitors antibiotic use.

      CMS lists it as corrected on November 29, 2024.

    • Citation F0550. Severity B: potential for minimal harm, pattern.

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

      CMS lists it as corrected on November 8, 2024.

      CMS has cited this home for F0550 2 times since 2023.

    • Citation F0582. Severity B: potential for minimal harm, pattern.

      The rule CMS cited: Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

      CMS lists it as corrected on November 29, 2024.

    See this home on CMS Care Compare

  7. 6 citations

    Fire safety inspection on October 29, 2024

    CMS lists this as a standard inspection.

    • Citation K0161. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Use approved construction type or materials.

      CMS lists it as corrected on November 18, 2024.

      CMS has cited this home for K0161 2 times since 2023.

    • Citation K0324. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide properly protected cooking facilities.

      CMS lists it as corrected on November 18, 2024.

    • Citation K0353. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on November 18, 2024.

    • Citation K0363. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Install corridor and hallway doors that block smoke.

      CMS lists it as corrected on November 18, 2024.

    • Citation K0920. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure proper usage of power strips and extension cords.

      CMS lists it as corrected on November 18, 2024.

    • Citation K0918. Severity C: potential for minimal harm, widespread.

      The rule CMS cited: Have generator or other power source capable of supplying service within 10 seconds.

      CMS lists it as corrected on November 18, 2024.

    See this home on CMS Care Compare

  8. 20 citations

    Health inspection on March 3, 2023

    CMS lists this as a standard inspection.

    • Citation F0812. Severity E: potential for more than minimal harm, pattern.

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

      CMS lists it as corrected on April 19, 2023.

    • Citation F0550. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on April 19, 2023.

    • Citation F0554. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Allow residents to self-administer drugs if determined clinically appropriate.

      CMS lists it as corrected on April 19, 2023.

    • Citation F0578. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on April 19, 2023.

    • Citation F0623. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

      CMS lists it as corrected on April 19, 2023.

    • Citation F0641. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident receives an accurate assessment.

      CMS lists it as corrected on April 19, 2023.

    • Citation F0684. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on April 19, 2023.

    • Citation F0695. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.

      CMS lists it as corrected on April 19, 2023.

    • Citation F0697. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe, appropriate pain management for a resident who requires such services.

      CMS lists it as corrected on April 19, 2023.

    • Citation F0698. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe, appropriate dialysis care/services for a resident who requires such services.

      CMS lists it as corrected on April 19, 2023.

    • Citation F0700. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on April 19, 2023.

    • Citation F0755. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on April 19, 2023.

    • Citation F0760. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that residents are free from significant medication errors.

      CMS lists it as corrected on April 19, 2023.

    • Citation F0761. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on April 19, 2023.

    • Citation F0803. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

      CMS lists it as corrected on April 19, 2023.

    • Citation F0804. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

      CMS lists it as corrected on April 19, 2023.

    • Citation F0806. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

      CMS lists it as corrected on April 19, 2023.

    • Citation F0867. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

      CMS lists it as corrected on April 19, 2023.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on April 19, 2023.

    • Citation F0909. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

      CMS lists it as corrected on April 19, 2023.

    See this home on CMS Care Compare

  9. 7 citations

    Fire safety inspection on March 3, 2023

    CMS lists this as a standard inspection.

    • Citation K0353. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on March 28, 2023.

    • Citation K0161. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Use approved construction type or materials.

      CMS lists it as corrected on March 28, 2023.

    • Citation K0363. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Install corridor and hallway doors that block smoke.

      CMS lists it as corrected on March 28, 2023.

    • Citation K0372. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

      CMS lists it as corrected on March 28, 2023.

    • Citation K0521. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

      CMS lists it as corrected on March 28, 2023.

    • Citation E0018. Severity C: potential for minimal harm, widespread.

      The rule CMS cited: Establish procedures for tracking staff and patients during an emergency.

      CMS lists it as corrected on March 28, 2023.

    • Citation K0511. Severity C: potential for minimal harm, widespread.

      The rule CMS cited: Have properly installed electrical wiring and gas equipment.

      CMS lists it as corrected on March 28, 2023.

    See this home on CMS Care Compare

Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

Questions

When was Rowntree Gardens last inspected?

CMS lists December 11, 2025 as the date of its most recent standard health inspection.

How many citations (violations) does Rowntree Gardens have?

CMS lists 55 health citations since March 3, 2023. CMS also calls these deficiencies.

Has Rowntree Gardens been fined?

CMS lists no fines for this home in the past three years.

What is the CMS star rating of Rowntree Gardens?

Its CMS overall star rating is 4 of 5.

Is Rowntree Gardens a Special Focus Facility?

No. CMS does not list it as a Special Focus Facility or a candidate.