14 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
7 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Yucaipa, CA
3-star overall rating with 3-star inspections with 14 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
35253 Avenue H, Yucaipa, CA
(909) 795-2476
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
59
Certified beds
Average residents
50
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1976-08-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.88
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
2.78
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
2.97
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
6.63
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
3.66
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
5.94
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
0.80
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.12
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.47
CMS adjusted RN staffing hours
Adjusted total hours
3.53
CMS adjusted total nurse staffing hours
Case-mix index
2.57
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
52%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
9,542
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
23.35
Composite VBP score used to determine payment impact.
Payment multiplier
0.9831
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Total nurse turnover
4.67
Performance 44.59% · Measure score 4.67 · Achievement 4.67 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
0
Baseline 2.84 hours · Performance 2.63 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays 19 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 12 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | Not Available |
1.02
|
Too few residents or stays to report publicly. |
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 23 · Denominator 23 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 23 |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 23 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 9 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 8.74% |
8.2%
0.5 pts better
|
Numerator 9 · Denominator 103 |
| Staff flu vaccination coverage | 25.95% |
42%
16.1 pts worse
|
Numerator 41 · Denominator 158 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.1% |
98.5%
3.4 pts worse
|
93.4%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.0% · Q3 91.5% · Q4 90.5% · 4Q avg 95.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.4% |
98.2%
1.8 pts worse
|
95.5%
0.9 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.5% |
1.6%
1.1 pts better
|
3.3%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.4% |
6.8%
4.4 pts better
|
11.4%
9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.7% · Q3 3.6% · Q4 3.8% · 4Q avg 2.4% |
| Percentage of long-stay residents who lose too much weight | 4.9% |
4.1%
0.8 pts worse
|
5.4%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 6.2% · Q3 4.3% · Q4 9.5% · 4Q avg 4.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 25.9% |
13.7%
12.2 pts worse
|
19.6%
6.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.7% · Q2 24.5% · Q3 25.5% · Q4 26.2% · 4Q avg 25.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 7.9% |
14.2%
6.3 pts better
|
16.7%
8.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 4.8% · 4Q avg 7.9% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.4%
0.4 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose need for help with daily activities has increased | 2.4% |
10.7%
8.3 pts better
|
14.9%
12.5 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 2.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.9% |
1.0%
0.9 pts worse
|
1.0%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 0.8% · Q3 3.7% · Q4 1.9% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.5% |
1.2%
0.7 pts better
|
1.7%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.3% |
10.9%
7.4 pts worse
|
19.8%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.4% · Q2 25.9% · Q3 19.3% · Q4 10.0% · 4Q avg 18.3% |
| Percentage of long-stay residents with pressure ulcers | 10.0% |
4.7%
5.3 pts worse
|
5.1%
4.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 8.2% · Q3 11.3% · Q4 13.2% · 4Q avg 10.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 78.3% |
94.0%
15.7 pts worse
|
81.7%
3.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 90.7% · Q2 69.8% · Q3 76.7% · Q4 77.3% · 4Q avg 78.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.3% |
11.2%
0.1 pts worse
|
12.0%
0.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.3% · Observed 14.3% · Expected 14.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.7% |
1.5%
1.2 pts worse
|
1.6%
1.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.2% · Q3 3.6% · Q4 3.0% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 48.9% |
93.2%
44.3 pts worse
|
79.7%
30.8 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 48.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 30.3% |
23.2%
7.1 pts worse
|
23.9%
6.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 30.3% · Observed 47.6% · Expected 37.4% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
7 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Top issue: Pharmacy Service (2 deficiencies)
8 fire-safety deficiencies
Top issue: Emergency Preparedness (5 deficiencies)
Top issue: Nutrition and Dietary (4 deficiencies)
15 fire-safety deficiencies
Top issue: Emergency Preparedness (5 deficiencies)
Fire safety
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-08-07
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-08-07
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-08-07
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-08-07
Fire Safety
Install resident room doors of proper design and width.
Corrected 2025-08-07
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-08-07
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-08-11
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2024-06-26
Fire Safety
Establish methods for sharing information.
Corrected 2024-06-26
Fire Safety
Provide a means of sharing information on occupancy/needs.
Corrected 2024-06-26
Fire Safety
Implement emergency and standby power systems.
Corrected 2024-06-26
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2024-06-26
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-06-26
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-06-26
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-06-26
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-06-02
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2022-06-02
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2022-06-02
Fire Safety
Conduct testing and exercise requirements.
Corrected 2022-06-02
Fire Safety
Implement emergency and standby power systems.
Corrected 2022-06-02
Fire Safety
Include a process for Emergency Preparedness collaboration.
Corrected 2022-06-02
Fire Safety
Use approved construction type or materials.
Corrected 2022-06-02
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2022-06-02
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2022-06-02
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-06-02
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-06-02
Fire Safety
Have enough space near smoke barriers to protect residents.
Corrected 2022-06-02
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-06-02
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2022-06-02
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-06-02
Inspection history
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2026-02-06
Health
Ensure that residents are free from significant medication errors.
Corrected 2026-02-06
Health
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2025-08-08
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-08-08
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-08-08
Health
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.
Corrected 2025-08-08
Health
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.
Corrected 2025-08-08
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-08-08
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-08-08
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-08-08
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-08-08
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-08-08
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-08-08
Health
Provide and implement an infection prevention and control program.
Corrected 2025-08-08
Health
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.
Corrected 2024-06-28
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-06-28
Health
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.
Corrected 2024-06-28
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-06-28
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-03-21
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-09-08
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-05-10
Health
Dispose of garbage and refuse properly.
Corrected 2022-05-10
Health
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.
Corrected 2022-05-10
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2022-05-10
Health
Provide and implement an infection prevention and control program.
Corrected 2022-05-10
Health
Implement a program that monitors antibiotic use.
Corrected 2022-05-10
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2022-05-10
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-05-10
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-05-10
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2022-05-10
Health
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.
Corrected 2022-05-10
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
Operational/Managerial Control · Organization
W-2 Managing Employee · Individual
Nearby options
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3-star overall rating with 3-star inspections with 8 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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