Mission Care Center

Name: Mission Care Center
Address: 4800 DELTA AVENUE, Rosemead, CA, 91770, US
Telephone: 6266072400

4800 Delta Avenue, Rosemead, CA 91770 · Los Angeles County · 59 certified beds · avg 53 residents/day · certified since Sep 30, 2002

Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.52

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (39)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jun 16, 2026	D · Potential for harm, one-off	The facility did not let a resident or their legal representative see or buy copies of the resident's own records. · from a complaint
Mar 19, 2026	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Mar 19, 2026	E · Potential for harm, repeated	The facility did not dispose of garbage and refuse properly.
Mar 19, 2026	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Mar 19, 2026	D · Potential for harm, one-off	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand.
Mar 19, 2026	D · Potential for harm, one-off	The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time.
Mar 19, 2026	D · Potential for harm, one-off	The facility did not give residents the required written notice of their rights, the facility's rules, the services offered, and what those services cost.
Mar 19, 2026	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Mar 19, 2026	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Mar 19, 2026	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Mar 19, 2026	D · Potential for harm, one-off	The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them.
Mar 19, 2026	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Mar 19, 2026	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Mar 19, 2026	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Mar 19, 2026	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Mar 19, 2026	D · Potential for harm, one-off	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Dec 10, 2025	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Dec 10, 2025	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint
Feb 16, 2025	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Feb 16, 2025	E · Potential for harm, repeated	The facility did not have policies on smoking.
Feb 16, 2025	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Feb 16, 2025	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
Feb 16, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Feb 16, 2025	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Feb 16, 2025	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Feb 16, 2025	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Feb 16, 2025	D · Potential for harm, one-off	The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices.
Jan 24, 2025	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Nov 25, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Feb 18, 2024	E · Potential for harm, repeated	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Feb 18, 2024	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Feb 18, 2024	E · Potential for harm, repeated	The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them.
Feb 18, 2024	E · Potential for harm, repeated	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Feb 18, 2024	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Feb 18, 2024	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Feb 18, 2024	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Feb 18, 2024	D · Potential for harm, one-off	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Feb 2, 2024	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Oct 25, 2023	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential. · from a complaint

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (9 → 15).

Year	Citations	Worst severity that year
2023	1	D
2024	10	E
2025	12	E
2026	16	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	California avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.52	4.31	3.95	bottom 11% in California; bottom 38% in the U.S.
Registered Nurse hours	0.49	0.61	0.69	top 48% in California; bottom 37% in the U.S.
Weekend total nurse staffing	3.05	3.90	3.50	bottom 6% in California; bottom 34% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.35	0.51	0.48	bottom 46% in California; bottom 43% in the U.S.
Total nursing staff turnover (%)	37.7	36.7	45.8	bottom 45% in California; top 30% in the U.S.
RN turnover (%)	60.0	38.1	42.9	bottom 16% in California; bottom 22% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.46, RN 0.63, weekend 3.87. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Burnam, Soon	Individual	Corporate Officer	NOT APPLICABLE	01/30/2006
Chien, Norman	Individual	Managing Control - Governing Body	NOT APPLICABLE	06/24/2021
Chien, Norman	Individual	Operational/Managerial Control	NOT APPLICABLE	06/24/2021
Chien, Norman	Individual	ADP of the SNF	NOT APPLICABLE	06/24/2021
Keetch, Chad	Individual	Corporate Officer	NOT APPLICABLE	03/01/2011
Nelson, Timothy	Individual	Managing Control - Governing Body	NOT APPLICABLE	08/21/2013
Nelson, Timothy	Individual	Operational/Managerial Control	NOT APPLICABLE	08/21/2013
Nelson, Timothy	Individual	ADP of the SNF	NOT APPLICABLE	08/21/2013
Port, Barry	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	12/16/2025
Standard Bearer Healthcare Op LP	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2022
The Ensign Group INC	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2022
West Meadow Health Holdings II LLC	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2022
Willits, Adam	Individual	Corporate Officer	NOT APPLICABLE	02/01/2024

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"If I ask for a copy of my family member's records, how quickly will I get them and what does it cost?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can I see where garbage is stored and how often it's removed?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How do you explain health changes and treatment options to residents and their families?"
"What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
"Can I get a written copy of resident rights, house rules, and a full list of services and charges today?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Broadway Healthcare Center	0.8 mi	San Gabriel, CA	★★★☆☆	3/5
Pine Grove Healthcare & Wellness Centre, LP	0.9 mi	San Gabriel, CA	★★★★☆	3/5
Royal Vista Care Center	1.2 mi	San Gabriel, CA	★☆☆☆☆	1/5
Live Oak Rehab Center	1.3 mi	San Gabriel, CA	★☆☆☆☆	1/5	abuse
Ivy Creek Healthcare & Wellness Centre	1.4 mi	San Gabriel, CA	★★★★☆	4/5
San Gabriel Valley Medical Ctr D/P SNF	1.4 mi	San Gabriel, CA	★★★★☆	3/5
Alhambra Healthcare & Wellness Centre, LP	1.7 mi	Alhambra, CA	★★★☆☆	2/5
Rosemead Healthcare Center	1.8 mi	El Monte, CA	★★☆☆☆	2/5
Del Mar Convalescent Hospital	1.9 mi	Rosemead, CA	★★★★★	4/5
Atherton Baptist Home	2.3 mi	Alhambra, CA	★★★★★	4/5
Heritage Manor	2.3 mi	Monterey Park, CA	★★☆☆☆	1/5
Monterey Park Conv Hosp	2.4 mi	Monterey Park, CA	★★★★★	4/5

Compare this facility with the 3 closest →

All facilities in Rosemead →

Facility data as of CMS processing date 2026-08-01. CCN 555796.

The Care File

Visit checklist — Mission Care Center

4800 Delta Avenue, Rosemead, CA 91770 · 6266072400

Health inspection rating 3/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "If I ask for a copy of my family member's records, how quickly will I get them and what does it cost?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can I see where garbage is stored and how often it's removed?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How do you explain health changes and treatment options to residents and their families?"
☐ "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
☐ "Can I get a written copy of resident rights, house rules, and a full list of services and charges today?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 555796 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)