SNF

FIDELITY HEALTH CARE

CCN: 555088 · EL MONTE, CA 91731 · Los Angeles County

Overview

Address
11210 LOWER AZUSA RD., EL MONTE, CA 91731
Phone
6264426863
Certified beds
90
Avg daily residents
79 (88% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1978-05-04
Setting
Urban
5 /5
★★★★★
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 5/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 4/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 5/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 5/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 3/5
Short-Stay Quality Measures ★★★★★ 5/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
 4.10 3.07 5.16 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.41 0.54 0.52 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 1.00 0.68 1.26 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 2.69 1.85 3.38 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.42 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.15 — — —

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
3.77
hrs / resident / day
RN (weekend)
0.36
hrs / resident / day
Total nurse (adjusted, weekend)
4.73
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
20.3%
annual
RN turnover
14.3%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.09
near national average
Case-Mix Index Ratio
0.79
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-04-04 11 7 4 60 1 60
Cycle 2/3 (prior) 2024-04-26 13 13 0 88 1 88
Total weighted health score
67.0
lower is better

Deficiencies (42)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

42 D/E/F Actual harm — potential for minor
Tag Description Scope/Severity Survey date Corrected
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. D 2025-09-11 2025-10-03
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. E 2025-04-04 2025-04-25
0558 Reasonably accommodate the needs and preferences of each resident. D 2025-04-04 2025-04-25
0578 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. D 2025-04-04 2025-04-25
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2025-04-04 2025-04-25
0849 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. D 2025-04-04 2025-04-25
0880 Provide and implement an infection prevention and control program. E 2025-04-04 2025-04-25
0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. D 2025-04-04 2025-04-25
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. D 2025-03-07 2025-03-31
0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft. E 2025-03-07 2025-03-31
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2025-03-07 2025-03-31
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2024-04-26 2024-05-25
0558 Reasonably accommodate the needs and preferences of each resident. E 2024-04-26 2024-05-25
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2024-04-26 2024-05-25
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D 2024-04-26 2024-05-25
0676 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. D 2024-04-26 2024-05-25
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2024-04-26 2024-05-25
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. E 2024-04-26 2024-05-25
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2024-04-26 2024-05-25
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. E 2024-04-26 2024-05-25
0758 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. E 2024-04-26 2024-05-25
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2024-04-26 2024-05-25
0851 Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. F 2024-04-26 2024-05-25
0880 Provide and implement an infection prevention and control program. E 2024-04-26 2024-05-25
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2021-06-04 2021-07-15
0578 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. D 2021-06-04 2021-07-15
0583 Keep residents' personal and medical records private and confidential. D 2021-06-04 2021-07-15
0644 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. D 2021-06-04 2021-07-15
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2021-06-04 2021-07-15
0685 Assist a resident in gaining access to vision and hearing services. D 2021-06-04 2021-07-15
0692 Provide enough food/fluids to maintain a resident's health. E 2021-06-04 2021-07-15
0698 Provide safe, appropriate dialysis care/services for a resident who requires such services. D 2021-06-04 2021-07-15
0700 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. E 2021-06-04 2021-07-15
0726 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. E 2021-06-04 2021-07-15
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. E 2021-06-04 2021-07-15
0756 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. E 2021-06-04 2021-07-15
0758 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. D 2021-06-04 2021-07-15
0849 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. E 2021-06-04 2021-07-15
0880 Provide and implement an infection prevention and control program. E 2021-06-04 2021-07-15
0883 Develop and implement policies and procedures for flu and pneumonia vaccinations. D 2021-06-04 2021-07-15
0923 Have enough outside ventilation via a window or mechanical ventilation, or both. D 2021-06-04 2021-07-15
0924 Put firmly secured handrails on each side of hallways. D 2021-06-04 2021-07-15

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 23.0% Medicaid 3.4% Other 73.6%

Operating performance

Operating Margin
-3.4%
Total Margin
-3.4%
Occupancy Rate
87.9%
Cost per Resident Day
$39

Revenue & costs

Net Patient Revenue
$11.3M
Total Costs
$1.1M
Net Income
-$388K

Balance sheet

Total Assets
$2.1M
Total Liabilities
$1.7M
Fund Balance
$377K
Current Ratio
0.04

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: IL & JOAN LEE

Chain ID
741
Facilities in chain
4
Legal business name
MID-WILSHIRE HEALTH CARE CENTER
Chain-average star ratings (for peer context)
Overall
3.3
Health
3.0
Staffing
4.0
QM
3.3

Owner / manager organizations (1)

Organization Role Association
JPH CONSULTING INC OPERATIONAL/MANAGERIAL CONTROL since 01/01/1997

Owner / manager individuals (8)

Name Role Association
LEE, IL 5% OR GREATER DIRECT OWNERSHIP INTEREST since 03/16/2001
LEE, JOAN 5% OR GREATER DIRECT OWNERSHIP INTEREST since 03/16/2001
CHUA, ALEX OPERATIONAL/MANAGERIAL CONTROL since 06/01/2019
GUPTA, ANIL OPERATIONAL/MANAGERIAL CONTROL since 01/01/2014
LEE, IL OPERATIONAL/MANAGERIAL CONTROL since 03/16/2001
LEE, JOAN OPERATIONAL/MANAGERIAL CONTROL since 03/16/2001
LEE, IL CORPORATE OFFICER since 03/16/2001
LEE, JOAN CORPORATE OFFICER since 03/01/2001

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
None
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $39 metrics.cost_per_resident_day
Cost Report Current Ratio 0.04 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 3.4% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 23.0% metrics.medicare_day_share
Cost Report Net Income ($) $-387,504 metrics.net_income
Cost Report Net Patient Revenue ($) $11,309,087 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 87.9% metrics.occupancy_rate
Cost Report Operating Margin (%) -3.4% metrics.operating_margin
Cost Report Total Assets ($) $2,079,361 metrics.total_assets
Cost Report Total Costs ($) $1,123,993 metrics.total_costs
Cost Report Total Fund Balances ($) $376,812 metrics.fund_balance
Cost Report Total Liabilities ($) $1,702,549 metrics.total_liabilities
Cost Report Total Margin (%) -3.4% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.26087 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 3.37751 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.52068 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 5.15906 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 4.73223 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote — Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 79.0 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote — Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.68177 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 1.85290 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.53738 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.07205 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 2.70769 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 3.0 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 3.3 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 3.3 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 4.0 Chain Average Staffing Rating
Provider Information Chain ID 741 Chain ID
Provider Information Chain Name IL & JOAN LEE Chain Name
Provider Information City/Town EL MONTE City/Town
Provider Information CMS Certification Number (CCN) 555088 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Los Angeles County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1978-05-04 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 4 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 34.0917 Latitude
Provider Information Legal Business Name MID-WILSHIRE HEALTH CARE CENTER Legal Business Name
Provider Information Location 11210 LOWER AZUSA RD.,EL MONTE,CA,91731 Location
Provider Information Long-Stay QM Rating 3 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -118.02 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 0 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 90 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections — Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 4 Number of Facilities in Chain
Provider Information Number of Fines 0 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.08829 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.78996 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 5 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type For profit - Limited Liability company Ownership Type
Provider Information Physical Therapist Staffing Footnote — Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 11210 LOWER AZUSA RD. Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name FIDELITY HEALTH CARE Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 200 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 5 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 60 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 4 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 7 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-04-04 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 60 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 11 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 13 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-04-26 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 88 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 0 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 88 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 13 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.35964 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 14.3 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.41753 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 1.00324 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.68741 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.14568 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.41429 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote — Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 4.10494 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 5 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote — Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 5 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State CA State
Provider Information Telephone Number 6264426863 Telephone Number
Provider Information Total Amount of Fines in Dollars 0.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.76533 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 0 Total Number of Penalties
Provider Information Total nursing staff turnover 20.3 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 67.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council None With a Resident and Family Council
Provider Information ZIP Code 91731 ZIP Code