Federal inspection record · CMS data as of October 1, 2026

Inland Valley Care And Rehabilitation Center

250 W. Artesia Street, Pomona, CA · (909) 623-7100

  • Cited for abuse (CMS abuse icon)
  • Special Focus Facility

CMS overall rating

1 of 5

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Certified beds
221
Residents per day
222
Ownership
For-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
August 1, 1979

1

How this home got 1 star

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in California.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    1 of 5

    Matches the rating CMS publishes on Care Compare.

This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.

2

Where it sits among California homes

Inland Valley Care And Rehabilitation Center carries 510.25 inspection points. That is fewer than 0% of California's 1,154 rated homes.

5★4★3★2★1★+3 homes above 535.7605102550100200400inspection points → fewer is better on the leftThis home · 510.25 pts · 1★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in California: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–33 pts
  • 4★ 33–66 pts
  • 3★ 66–96 pts
  • 2★ 96–146 pts
  • 1★ over 146 pts

Bars show every rated home in California by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

206 health citations on record since 2021. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 2 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 4 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 107 4 pts
E 93 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (6)

  1. G

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    October 23, 2025 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected November 13, 2025

  2. J

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    June 27, 2025 · Complaint inspection · Quality of Life and Care · F684 · Corrected June 27, 2025

  3. J

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    May 9, 2025 · Complaint inspection · Resident Rights · F580 · Corrected May 29, 2025

  4. G

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    August 9, 2024 · Complaint inspection · Quality of Life and Care · F689 · Corrected August 28, 2024

  5. G

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    February 8, 2024 · Complaint inspection · Resident Rights · F580 · Corrected March 1, 2024

  6. G

    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.

    May 7, 2021 · Standard inspection · Quality of Life and Care · F688 · Corrected June 6, 2021

Everything else, by area of care

Quality of Life and Care70E
  1. D

    Provide care or services that was trauma informed and/or culturally competent.

    August 21, 2026 · Complaint · F699 · Corrected August 22, 2026

  2. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    August 4, 2026 · Complaint · F689 · Corrected August 5, 2026

  3. E

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    July 28, 2026 · Complaint · F686 · Corrected July 31, 2026

  4. E

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    July 28, 2026 · Complaint · F694 · Corrected August 18, 2026

  5. E

    Provide safe and appropriate respiratory care for a resident when needed.

    July 28, 2026 · Complaint · F695 · Corrected August 3, 2026

  6. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    July 28, 2026 · Complaint · F677 · Corrected July 29, 2026

  7. D

    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.

    June 12, 2026 · Complaint · F693 · Corrected June 12, 2026

  8. D

    Provide safe, appropriate pain management for a resident who requires such services.

    June 12, 2026 · Complaint · F697 · Corrected June 12, 2026

  9. D

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    May 6, 2026 · Complaint · F686 · Corrected May 6, 2026

  10. D

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    May 6, 2026 · Complaint · F698 · Corrected May 4, 2026

  11. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    March 31, 2026 · Complaint · F684 · Corrected April 3, 2026

  12. D

    Provide medically-related social services to help each resident achieve the highest possible quality of life.

    March 4, 2026 · Complaint · F745 · Corrected March 15, 2026

  13. D

    Provide appropriate foot care.

    February 11, 2026 · Complaint · F687 · Corrected March 6, 2026

  14. D

    Provide routine and 24-hour emergency dental care for each resident.

    February 11, 2026 · Complaint · F790 · Corrected March 18, 2026

  15. E

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    December 18, 2025 · Complaint · F677 · Corrected January 8, 2026

  16. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    December 12, 2025 · Complaint · F684 · Corrected December 19, 2025

  17. E

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    November 13, 2025 · Complaint · F689 · Corrected November 26, 2025

  18. E

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    August 22, 2025 · Standard · F684 · Corrected August 27, 2025

  19. E

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    August 22, 2025 · Standard · F686 · Corrected August 27, 2025

  20. E

    Provide safe and appropriate respiratory care for a resident when needed.

    August 22, 2025 · Standard · F695 · Corrected August 27, 2025

  21. E

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    August 22, 2025 · Standard · F698 · Corrected August 27, 2025

  22. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    August 22, 2025 · Standard · F677 · Corrected August 27, 2025

  23. D

    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.

    August 22, 2025 · Standard · F688 · Corrected August 27, 2025

  24. D

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

    August 22, 2025 · Standard · F690 · Corrected August 27, 2025

  25. D

    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.

    August 22, 2025 · Standard · F693 · Corrected August 27, 2025

  26. D

    Provide safe, appropriate pain management for a resident who requires such services.

    August 22, 2025 · Standard · F697 · Corrected August 27, 2025

  27. D

    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.

    August 22, 2025 · Standard · F700 · Corrected August 27, 2025

  28. E

    Provide or get specialized rehabilitative services as required for a resident.

    June 27, 2025 · Complaint · F825 · Corrected July 1, 2025

  29. D

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    June 13, 2025 · Complaint · F686 · Corrected June 18, 2025

  30. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    May 27, 2025 · Complaint · F689 · Corrected May 29, 2025

  31. E

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    April 24, 2025 · Complaint · F677 · Corrected May 7, 2025

  32. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    March 13, 2025 · Complaint · F689 · Corrected March 24, 2025

  33. D

    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.

    February 25, 2025 · Complaint · F693 · Corrected March 12, 2025

  34. D

    Provide or get specialized rehabilitative services as required for a resident.

    February 25, 2025 · Complaint · F825 · Corrected March 12, 2025

  35. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    February 5, 2025 · Complaint · F684 · Corrected February 15, 2025

  36. D

    Provide appropriate foot care.

    December 27, 2024 · Complaint · F687 · Corrected January 9, 2025

  37. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    December 27, 2024 · Complaint · F689 · Corrected January 9, 2025

  38. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    December 13, 2024 · Complaint · F684 · Corrected December 20, 2024

  39. D

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    December 5, 2024 · Complaint · F686 · Corrected December 17, 2024

  40. E

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

    October 24, 2024 · Complaint · F690 · Corrected November 7, 2024

  41. E

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    August 30, 2024 · Standard · F676 · Corrected September 13, 2024

  42. E

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    August 30, 2024 · Standard · F686 · Corrected September 13, 2024

  43. E

    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.

    August 30, 2024 · Standard · F688 · Corrected September 13, 2024

  44. E

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    August 30, 2024 · Standard · F694 · Corrected September 13, 2024

  45. E

    Provide safe and appropriate respiratory care for a resident when needed.

    August 30, 2024 · Standard · F695 · Corrected September 13, 2024

  46. E

    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.

    August 30, 2024 · Standard · F700 · Corrected September 13, 2024

  47. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    August 30, 2024 · Standard · F684 · Corrected September 13, 2024

  48. D

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

    August 30, 2024 · Standard · F690 · Corrected September 13, 2024

  49. D

    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.

    August 30, 2024 · Standard · F693 · Corrected September 13, 2024

  50. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    May 7, 2024 · Complaint · F689 · Corrected May 28, 2024

  51. E

    Provide appropriate foot care.

    April 12, 2024 · Complaint · F687 · Corrected May 3, 2024

  52. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    March 7, 2024 · Complaint · F689 · Corrected March 8, 2024

  53. D

    Provide medically-related social services to help each resident achieve the highest possible quality of life.

    March 7, 2024 · Complaint · F745 · Corrected March 25, 2024

  54. E

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    February 8, 2024 · Complaint · F686 · Corrected March 3, 2024

  55. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    February 8, 2024 · Complaint · F677 · Corrected February 28, 2024

  56. E

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    January 24, 2024 · Complaint · F678 · Corrected February 15, 2024

  57. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    January 24, 2024 · Complaint · F677 · Corrected February 15, 2024

  58. D

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    January 24, 2024 · Complaint · F686 · Corrected February 15, 2024

  59. D

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    January 24, 2024 · Complaint · F698 · Corrected February 15, 2024

  60. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    December 29, 2023 · Complaint · F689 · Corrected January 16, 2024

  61. E

    Provide safe and appropriate respiratory care for a resident when needed.

    November 8, 2023 · Complaint · F695 · Corrected November 30, 2023

  62. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    November 8, 2023 · Complaint · F677 · Corrected November 30, 2023

  63. E

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    October 5, 2023 · Complaint · F684 · Corrected October 30, 2023

  64. E

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    May 7, 2021 · Standard · F676 · Corrected June 6, 2021

  65. E

    Assist a resident in gaining access to vision and hearing services.

    May 7, 2021 · Standard · F685 · Corrected June 6, 2021

  66. E

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    May 7, 2021 · Standard · F686 · Corrected June 6, 2021

  67. E

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    May 7, 2021 · Standard · F689 · Corrected June 6, 2021

  68. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    May 7, 2021 · Standard · F684 · Corrected June 6, 2021

  69. D

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

    May 7, 2021 · Standard · F690 · Corrected June 6, 2021

  70. D

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    May 7, 2021 · Standard · F698 · Corrected June 6, 2021

Resident Rights43E
  1. D

    Ensure that residents are fully informed and understand their health status, care and treatments.

    August 21, 2026 · Complaint · F552 · Corrected August 25, 2026

  2. D

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    August 21, 2026 · Complaint · F584 · Corrected August 22, 2026

  3. D

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    August 21, 2026 · Complaint · F585 · Corrected August 23, 2026

  4. D

    Reasonably accommodate the needs and preferences of each resident.

    August 4, 2026 · Complaint · F558 · Corrected August 6, 2026

  5. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    July 8, 2026 · Complaint · F580 · Corrected July 9, 2026

  6. D

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

    June 22, 2026 · Complaint · F550 · Corrected June 24, 2026

  7. E

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

    May 22, 2026 · Complaint · F550 · Corrected June 8, 2026

  8. E

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    May 6, 2026 · Complaint · F627 · Corrected May 6, 2026

  9. D

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    May 6, 2026 · Complaint · F582 · Corrected May 4, 2026

  10. D

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    May 6, 2026 · Complaint · F584 · Corrected May 4, 2026

  11. E

    Reasonably accommodate the needs and preferences of each resident.

    March 4, 2026 · Complaint · F558 · Corrected March 19, 2026

  12. D

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    March 4, 2026 · Complaint · F584 · Corrected March 5, 2026

  13. E

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    February 11, 2026 · Complaint · F585 · Corrected March 18, 2026

  14. D

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    February 11, 2026 · Complaint · F584 · Corrected March 6, 2026

  15. D

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    October 23, 2025 · Complaint · F627 · Corrected November 7, 2025

  16. D

    Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

    September 15, 2025 · Complaint · F573 · Corrected September 16, 2025

  17. E

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

    August 22, 2025 · Standard · F550 · Corrected August 27, 2025

  18. E

    Reasonably accommodate the needs and preferences of each resident.

    August 22, 2025 · Standard · F558 · Corrected August 27, 2025

  19. E

    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.

    August 22, 2025 · Standard · F578 · Corrected August 27, 2025

  20. D

    Ensure that residents are fully informed and understand their health status, care and treatments.

    August 22, 2025 · Standard · F552 · Corrected August 27, 2025

  21. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    August 22, 2025 · Standard · F580 · Corrected August 27, 2025

  22. D

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    August 22, 2025 · Standard · F584 · Corrected September 15, 2025

  23. D

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    July 24, 2025 · Complaint · F584 · Corrected July 30, 2025

  24. E

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

    June 27, 2025 · Complaint · F550 · Corrected July 3, 2025

  25. D

    Ensure that residents are fully informed and understand their health status, care and treatments.

    June 27, 2025 · Complaint · F552 · Corrected June 27, 2025

  26. E

    Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

    June 13, 2025 · Complaint · F573 · Corrected June 16, 2025

  27. E

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

    April 24, 2025 · Complaint · F550 · Corrected May 5, 2025

  28. D

    Reasonably accommodate the needs and preferences of each resident.

    January 28, 2025 · Complaint · F558 · Corrected February 1, 2025

  29. E

    Reasonably accommodate the needs and preferences of each resident.

    December 5, 2024 · Complaint · F558 · Corrected December 17, 2024

  30. E

    Reasonably accommodate the needs and preferences of each resident.

    August 30, 2024 · Standard · F558 · Corrected September 13, 2024

  31. E

    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.

    August 30, 2024 · Standard · F578 · Corrected September 13, 2024

  32. D

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    August 30, 2024 · Standard · F584 · Corrected September 13, 2024

  33. E

    Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

    July 25, 2024 · Complaint · F573 · Corrected August 3, 2024

  34. D

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    April 30, 2024 · Complaint · F584 · Corrected May 20, 2024

  35. E

    Reasonably accommodate the needs and preferences of each resident.

    April 12, 2024 · Complaint · F558 · Corrected April 26, 2024

  36. D

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    March 7, 2024 · Complaint · F584 · Corrected March 11, 2024

  37. D

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    November 8, 2023 · Complaint · F584 · Corrected November 30, 2023

  38. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    October 23, 2023 · Complaint · F580 · Corrected October 26, 2023

  39. E

    Ensure that residents are fully informed and understand their health status, care and treatments.

    May 7, 2021 · Standard · F552 · Corrected June 6, 2021

  40. E

    Reasonably accommodate the needs and preferences of each resident.

    May 7, 2021 · Standard · F558 · Corrected June 6, 2021

  41. E

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    May 7, 2021 · Standard · F584 · Corrected June 6, 2021

  42. E

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

    May 7, 2021 · Standard · F623 · Corrected June 6, 2021

  43. D

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

    May 7, 2021 · Standard · F550 · Corrected June 6, 2021

Resident Assessment and Care Planning20E
  1. D

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

    August 21, 2026 · Complaint · F656 · Corrected August 21, 2026

  2. D

    Ensure each resident receives an accurate assessment.

    May 6, 2026 · Complaint · F641 · Corrected May 6, 2026

  3. D

    Ensure services provided by the nursing facility meet professional standards of quality.

    May 6, 2026 · Complaint · F658 · Corrected May 6, 2026

  4. E

    Ensure each resident receives an accurate assessment.

    August 22, 2025 · Standard · F641 · Corrected August 26, 2025

  5. E

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

    August 22, 2025 · Standard · F656 · Corrected August 27, 2025

  6. D

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

    August 22, 2025 · Standard · F657 · Corrected August 27, 2025

  7. E

    Ensure each resident receives an accurate assessment.

    May 9, 2025 · Complaint · F641 · Corrected May 28, 2025

  8. E

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

    May 9, 2025 · Complaint · F842 · Corrected May 29, 2025

  9. D

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

    February 25, 2025 · Complaint · F656 · Corrected March 7, 2025

  10. E

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

    December 13, 2024 · Complaint · F842 · Corrected December 20, 2024

  11. E

    Ensure each resident receives an accurate assessment.

    August 30, 2024 · Standard · F641 · Corrected September 13, 2024

  12. D

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

    August 30, 2024 · Standard · F656 · Corrected September 13, 2024

  13. D

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

    August 9, 2024 · Complaint · F656 · Corrected August 28, 2024

  14. E

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

    May 29, 2024 · Complaint · F842 · Corrected June 18, 2024

  15. E

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

    February 8, 2024 · Complaint · F656 · Corrected March 3, 2024

  16. D

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

    January 24, 2024 · Complaint · F656 · Corrected February 15, 2024

  17. E

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

    October 5, 2023 · Complaint · F842 · Corrected October 30, 2023

  18. E

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

    May 7, 2021 · Standard · F656 · Corrected June 6, 2021

  19. D

    Ensure each resident receives an accurate assessment.

    May 7, 2021 · Standard · F641 · Corrected June 6, 2021

  20. D

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

    May 7, 2021 · Standard · F842 · Corrected June 6, 2021

Pharmacy Service13E
  1. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    September 15, 2025 · Complaint · F755 · Corrected September 19, 2025

  2. E

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    August 22, 2025 · Complaint · F755 · Corrected August 27, 2025

  3. E

    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.

    August 22, 2025 · Complaint · F761 · Corrected August 27, 2025

  4. D

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    August 22, 2025 · Standard · F757 · Corrected August 27, 2025

  5. E

    Ensure that residents are free from significant medication errors.

    April 24, 2025 · Complaint · F760 · Corrected May 7, 2025

  6. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    December 27, 2024 · Complaint · F755 · Corrected January 13, 2025

  7. E

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    August 30, 2024 · Standard · F755 · Corrected September 13, 2024

  8. E

    Ensure medication error rates are not 5 percent or greater.

    August 30, 2024 · Standard · F759 · Corrected September 13, 2024

  9. E

    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.

    August 30, 2024 · Standard · F761 · Corrected September 13, 2024

  10. D

    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.

    August 30, 2024 · Standard · F758 · Corrected September 13, 2024

  11. E

    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.

    May 7, 2021 · Standard · F758 · Corrected June 6, 2021

  12. E

    Ensure medication error rates are not 5 percent or greater.

    May 7, 2021 · Standard · F759 · Corrected June 6, 2021

  13. E

    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.

    May 7, 2021 · Standard · F761 · Corrected June 6, 2021

Environmental11E
  1. E

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    July 8, 2026 · Complaint · F925 · Corrected July 9, 2026

  2. D

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    May 22, 2026 · Complaint · F919 · Corrected May 22, 2026

  3. E

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    June 27, 2025 · Complaint · F925 · Corrected July 2, 2025

  4. D

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    May 27, 2025 · Complaint · F921 · Corrected May 30, 2025

  5. E

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    April 24, 2025 · Complaint · F921 · Corrected May 5, 2025

  6. E

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    April 3, 2025 · Complaint · F921 · Corrected April 8, 2025

  7. D

    Have policies on smoking.

    April 3, 2025 · Complaint · F926 · Corrected April 9, 2025

  8. E

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    February 25, 2025 · Complaint · F919 · Corrected February 25, 2025

  9. E

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    January 28, 2025 · Complaint · F921 · Corrected February 14, 2025

  10. D

    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.

    April 12, 2024 · Complaint · F909 · Corrected May 3, 2024

  11. D

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    May 7, 2021 · Standard · F921 · Corrected June 6, 2021

Nursing and Physician Services11E
  1. D

    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.

    July 8, 2026 · Complaint · F726 · Corrected July 9, 2026

  2. D

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    June 22, 2026 · Complaint · F725 · Corrected June 23, 2026

  3. D

    Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

    February 11, 2026 · Complaint · F711 · Corrected March 6, 2026

  4. E

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    December 18, 2025 · Complaint · F725 · Corrected January 8, 2026

  5. E

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    August 22, 2025 · Standard · F725 · Corrected August 27, 2025

  6. E

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    April 24, 2025 · Complaint · F725 · Corrected May 7, 2025

  7. E

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    August 30, 2024 · Standard · F725 · Corrected September 13, 2024

  8. D

    Post nurse staffing information every day.

    August 30, 2024 · Standard · F732 · Corrected September 13, 2024

  9. E

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    June 28, 2024 · Complaint · F725 · Corrected August 7, 2024

  10. E

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    May 7, 2021 · Standard · F725 · Corrected June 6, 2021

  11. D

    Post nurse staffing information every day.

    May 7, 2021 · Standard · F732 · Corrected June 6, 2021

Nutrition and Dietary11E
  1. E

    Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

    March 4, 2026 · Complaint · F807 · Corrected March 19, 2026

  2. D

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    February 11, 2026 · Complaint · F804 · Corrected March 6, 2026

  3. E

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    August 22, 2025 · Standard · F804 · Corrected August 25, 2025

  4. E

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

    August 22, 2025 · Standard · F812 · Corrected August 25, 2025

  5. D

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

    August 22, 2025 · Standard · F806 · Corrected August 25, 2025

  6. E

    Dispose of garbage and refuse properly.

    February 25, 2025 · Complaint · F814 · Corrected February 26, 2025

  7. E

    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.

    August 30, 2024 · Standard · F803 · Corrected September 13, 2024

  8. E

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    August 30, 2024 · Standard · F805 · Corrected September 13, 2024

  9. E

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

    August 30, 2024 · Standard · F812 · Corrected September 13, 2024

  10. D

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

    August 30, 2024 · Standard · F806 · Corrected September 13, 2024

  11. E

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

    May 7, 2021 · Standard · F812 · Corrected June 6, 2021

Infection Control10E
  1. D

    Provide and implement an infection prevention and control program.

    June 9, 2026 · Complaint · F880 · Corrected June 9, 2026

  2. E

    Provide and implement an infection prevention and control program.

    August 22, 2025 · Standard · F880 · Corrected September 6, 2025

  3. E

    Provide and implement an infection prevention and control program.

    December 27, 2024 · Complaint · F880 · Corrected January 17, 2025

  4. E

    Provide and implement an infection prevention and control program.

    December 5, 2024 · Complaint · F880 · Corrected December 17, 2024

  5. E

    Provide and implement an infection prevention and control program.

    August 30, 2024 · Standard · F880 · Corrected September 13, 2024

  6. E

    Provide and implement an infection prevention and control program.

    August 9, 2024 · Complaint · F880 · Corrected August 27, 2024

  7. E

    Provide and implement an infection prevention and control program.

    July 15, 2024 · Complaint · F880 · Corrected August 8, 2024

  8. D

    Provide and implement an infection prevention and control program.

    January 24, 2024 · Complaint · F880 · Corrected February 15, 2024

  9. D

    Provide and implement an infection prevention and control program.

    October 23, 2023 · Complaint · F880 · Corrected October 26, 2023

  10. E

    Provide and implement an infection prevention and control program.

    May 7, 2021 · Standard · F880 · Corrected June 6, 2021

Freedom from Abuse, Neglect, and Exploitation7D
  1. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    July 28, 2026 · Complaint · F609 · Corrected July 31, 2026

  2. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    June 9, 2026 · Complaint · F609 · Corrected June 11, 2026

  3. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    February 11, 2026 · Complaint · F609 · Corrected March 6, 2026

  4. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    February 25, 2025 · Complaint · F600 · Corrected February 26, 2025

  5. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    February 5, 2025 · Complaint · F609 · Corrected February 25, 2025

  6. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    October 10, 2024 · Complaint · F600 · Corrected October 25, 2024

  7. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    May 7, 2024 · Complaint · F609 · Corrected May 31, 2024

Administration4E
  1. D

    Employ staff that are licensed, certified, or registered in accordance with state laws.

    August 30, 2024 · Standard · F839 · Corrected September 13, 2024

  2. D

    Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

    August 30, 2024 · Standard · F847 · Corrected September 13, 2024

  3. E

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    May 7, 2021 · Standard · F867 · Corrected June 6, 2021

  4. D

    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.

    May 7, 2021 · Standard · F849 · Corrected June 6, 2021

Inspection history

  1. 2025-08-22

    75 health deficiencies · 8 fire-safety deficiencies

    Top issue: Quality of Life and Care (27 deficiencies)

  2. 2024-08-30

    71 health deficiencies · 11 fire-safety deficiencies

    Top issue: Quality of Life and Care (23 deficiencies)

  3. 2021-05-07

    60 health deficiencies · 8 fire-safety deficiencies

    Top issue: Quality of Life and Care (23 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 4 h 36 min of nursing staff time a day, 33 min of it from a registered nurse.

This home

4 h 36 min

California average

4 h 33 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 27% of nursing staff and 13% of registered nurses left in the past year, along with 1 administrator.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$134,673 in federal fines on record over the past three years.

DatePenaltyAmount
2025-10-23Payment Denial · 5 day denial$0
2025-06-27Fine$42,169
2025-05-09Fine$35,175
2024-08-09Payment Denial · 7 day denial$0
2024-01-24Fine$57,329
2024-01-24Payment Denial · 16 day denial$0

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.3 pts worse2.52.21.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts better1.11.51.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.2 pts better99.9%98.7%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.6 pts better99.5%97.9%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.4 pts better1.2%1.6%3.2%
Percentage of long-stay residents who have depressive symptoms5.6 pts better2.0%7.6%13.5%
Percentage of long-stay residents who lose too much weight0.3 pts worse4.4%4.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication3.8 pts worse17.5%13.7%19.5%
Percentage of long-stay residents who received an antipsychotic medication1.7 pts worse14.0%12.3%15.4%
Percentage of long-stay residents who were physically restrained2.2 pts worse2.5%0.3%0.1%
Percentage of long-stay residents whose ability to walk independently worsened0.5 pts worse9.4%8.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased0.6 pts better9.6%10.2%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts worse1.2%0.7%0.7%
Percentage of long-stay residents with a urinary tract infection0.6 pts worse1.8%1.2%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.7 pts worse13.5%9.8%18.3%
Percentage of long-stay residents with pressure ulcers6.4 pts worse10.7%4.3%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5.3 pts better99.9%94.6%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit7.7 pts better3.4%11.1%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts worse2.7%1.3%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine2.5 pts better95.6%93.1%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission5.6 pts worse28.2%22.6%23.4%

·

Who owns and runs it

18 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Nelson, Roberts5% Or Greater Direct Ownership Interest · Individual25%1 facilities
Alexandre, LydietteOperational/Managerial Control · Individual0%1 facilities
Alexandre, LydietteAdp Of The SNF · Individual0%1 facilities
Chahine, HassanOperational/Managerial Control · Individual0%1 facilities
Chahine, HassanAdp Of The SNF · Individual0%1 facilities
Chase, PhillipCorporate Officer · Individual0%3 facilities
Chase, PhillipOperational/Managerial Control · Individual0%3 facilities
Chase, PhillipAdp Of The SNF · Individual0%3 facilities
Forouzan, ManijehCorporate Officer · Individual0%1 facilities
Forouzan, ManijehOperational/Managerial Control · Individual0%1 facilities
Forouzan, ManijehAdp Of The SNF · Individual0%1 facilities
Gateways Rehabilitation Center Ii LLCAdp Of The SNF · Organization0%18 facilities
Nelson, RobertsCorporate Officer · Individual0%1 facilities
Nelson, RobertsOperational/Managerial Control · Individual0%1 facilities
Renew Health Consulting Services LLCOperational/Managerial Control · Organization0%14 facilities
Renew Health Consulting Services LLCAdp Of The SNF · Organization0%14 facilities
Sharma, VatsalaOperational/Managerial Control · Individual0%19 facilities
Sharma, VatsalaAdp Of The SNF · Individual0%19 facilities

·

Fire safety

27 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke11F
  1. E

    Install an approved automatic sprinkler system.

    August 22, 2025 · K351 · Corrected August 26, 2025

  2. E

    Inspect, test, and maintain automatic sprinkler systems.

    August 22, 2025 · K353 · Corrected August 26, 2025

  3. D

    Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

    August 22, 2025 · K342 · Corrected August 27, 2025

  4. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    August 30, 2024 · K345 · Corrected September 10, 2024

  5. F

    Inspect, test, and maintain automatic sprinkler systems.

    August 30, 2024 · K353 · Corrected September 10, 2024

  6. E

    Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

    August 30, 2024 · K342 · Corrected September 10, 2024

  7. E

    Install corridor and hallway doors that block smoke.

    August 30, 2024 · K363 · Corrected September 10, 2024

  8. D

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    August 30, 2024 · K321 · Corrected September 10, 2024

  9. F

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

    December 23, 2023 · K354 · Corrected January 15, 2024

  10. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    May 7, 2021 · K321 · Corrected August 26, 2021

  11. E

    Install corridor and hallway doors that block smoke.

    May 7, 2021 · K363 · Corrected August 26, 2021

Miscellaneous5F
  1. E

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    August 22, 2025 · K761 · Corrected August 27, 2025

  2. D

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    August 22, 2025 · K741 · Corrected August 26, 2025

  3. F

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    August 30, 2024 · K761 · Corrected September 10, 2024

  4. E

    Have simulated fire drills held at unexpected times.

    August 30, 2024 · K712 · Corrected September 10, 2024

  5. D

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    August 30, 2024 · K741 · Corrected September 10, 2024

Gas, Vacuum, and Electrical Systems4F
  1. E

    Have proper medical gas storage and administration areas.

    August 30, 2024 · K923 · Corrected September 10, 2024

  2. D

    Ensure proper usage of power strips and extension cords.

    August 30, 2024 · K920 · Corrected September 10, 2024

  3. F

    Have generator or other power source capable of supplying service within 10 seconds.

    May 7, 2021 · K918 · Corrected August 26, 2021

  4. E

    Ensure proper usage of power strips and extension cords.

    May 7, 2021 · K920 · Corrected August 26, 2021

Egress3E
  1. D

    Have corridors or aisles that are unobstructed and are at least 8 feet in width.

    August 22, 2025 · K232 · Corrected August 27, 2025

  2. E

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    August 30, 2024 · K211 · Corrected September 10, 2024

  3. D

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    May 7, 2021 · K211 · Corrected August 26, 2021

Emergency Preparedness2F
  1. F

    Conduct testing and exercise requirements.

    August 22, 2025 · E39 · Corrected September 4, 2025

  2. F

    Implement emergency and standby power systems.

    May 7, 2021 · E41 · Corrected August 26, 2021

Services2E
  1. D

    Have properly installed electrical wiring and gas equipment.

    August 22, 2025 · K511 · Corrected August 27, 2025

  2. E

    Have properly installed electrical wiring and gas equipment.

    May 7, 2021 · K511 · Corrected August 26, 2021

·

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