Federal inspection record · CMS data as of October 1, 2026
Ontario Healthcare Center
1661 S Euclid Ave, Ontario, CA · (909) 984-6713
- CMS high-performer trophy
- Certified beds
- 59
- Residents per day
- 55
- Ownership
- For-Profit
- Chain
- Cambridge Healthcare Services
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 1, 1969
1
How this home got 5 stars
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.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in California.
-
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.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among California homes
Ontario Healthcare Center carries 31 inspection points. That is fewer than 91% of California's 1,154 rated homes.
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
23 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Assessment and Care Planning6D
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Environmental4F
- F
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- B
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
- B
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
- B
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Infection Control4E
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- D
Perform COVID19 testing on residents and staff.
Quality of Life and Care3D
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide enough food/fluids to maintain a resident's health.
Nutrition and Dietary3F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Dispose of garbage and refuse properly.
Resident Rights2D
- D
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
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Pharmacy Service1D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspection history
2026-02-20
6 health deficiencies · 6 fire-safety deficiencies
Top issue: Environmental (2 deficiencies)
2024-10-24
5 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2022-02-14
12 health deficiencies · 18 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 50 min of nursing staff time a day, 19 min of it from a registered nurse.
This home
3 h 50 min
California average
4 h 33 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 40% of nursing staff and 50% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1.1 pts worse | 3.3 | 2.2 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts worse | 1.9 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.3 pts better | 100.0% | 98.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.1 pts better | 100.0% | 97.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.2 pts worse | 1.8% | 1.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.8 pts better | 6.8% | 7.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.4 pts worse | 5.5% | 4.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication13 pts worse | 26.7% | 13.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication9.1 pts worse | 21.4% | 12.3% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.3 pts better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.3 pts better | 5.6% | 8.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.2 pts better | 8.0% | 10.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.4% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infectionAbout the same | 1.2% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.5 pts better | 3.3% | 9.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.2 pts better | 3.1% | 4.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine2.5 pts worse | 92.1% | 94.6% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.6 pts better | 0.7% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine1.7 pts better | 94.8% | 93.1% | 80.1% |
·
Who owns and runs it
30 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Ksnf Ii LLC | 5% Or Greater Indirect Ownership Interest · Organization | 20% | 4 facilities |
| 1661 South Euclid LLC | Adp Of The SNF · Organization | 0% | 2 facilities |
| Butenko, Julie | Operational/Managerial Control · Individual | 0% | 32 facilities |
| Butenko, Julie | Adp Of The SNF · Individual | 0% | 32 facilities |
| Cambridge Healthcare Services LLC | Operational/Managerial Control · Organization | 0% | 32 facilities |
| Cambridge Healthcare Services LLC | Adp Of The SNF · Organization | 0% | 32 facilities |
| Capela, Heidi | Operational/Managerial Control · Individual | 0% | 32 facilities |
| Capela, Heidi | Adp Of The SNF · Individual | 0% | 32 facilities |
| Cardenas, Sonia | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Cardenas, Sonia | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Cardenas, Sonia | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hassell, Lance | Operational/Managerial Control · Individual | 0% | 38 facilities |
| Hassell, Lance | Adp Of The SNF · Individual | 0% | 38 facilities |
| Kirkside Facilities Operations LLC | 5% Or Greater Direct Ownership Interest · Organization | 0% | 4 facilities |
| Ksnf LLC | 5% Or Greater Direct Ownership Interest · Organization | 0% | 4 facilities |
| Lutz, Linda | Operational/Managerial Control · Individual | 0% | 31 facilities |
| Lutz, Linda | Adp Of The SNF · Individual | 0% | 31 facilities |
| Quadros, Sylvi | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Salazar, Paulina | Operational/Managerial Control · Individual | 0% | 32 facilities |
| Salazar, Paulina | Adp Of The SNF · Individual | 0% | 32 facilities |
| Smedra, Ira | Indirect Ownership Interest · Individual | 0% | 31 facilities |
| Smedra, Ira | Operational/Managerial Control · Individual | 0% | 31 facilities |
| Smedra, Ira | Adp Of The SNF · Individual | 0% | 31 facilities |
| Vidales, Miguel | Managing Control - Governing Body · Individual | 0% | 8 facilities |
| Vidales, Miguel | Operational/Managerial Control · Individual | 0% | 8 facilities |
| Vidales, Miguel | Adp Of The SNF · Individual | 0% | 8 facilities |
| Wertz, Brittany | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Wertz, Brittany | Adp Of The SNF · Individual | 0% | 1 facilities |
| Wintner, Jacob | Operational/Managerial Control · Individual | 0% | 35 facilities |
| Wintner, Jacob | Adp Of The SNF · Individual | 0% | 35 facilities |
·
Fire safety
28 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness12F
- F
Establish roles under a Waiver declared by secretary.
- F
Conduct testing and exercise requirements.
- F
Provide emergency officials' contact information.
- F
Implement emergency and standby power systems.
- F
Establish emergency prep training and testing.
- D
Establish policies and procedures including evacuation.
- D
Establish policies and procedures for volunteers.
- D
Provide emergency officials' contact information.
- D
Provide a means of sharing information on occupancy/needs.
- D
Implement emergency and standby power systems.
- D
Conduct risk assessment and an All-Hazards approach.
- D
Include a process for Emergency Preparedness collaboration.
Smoke6F
- D
Install corridor and hallway doors that block smoke.
- F
Properly provide smoke detection systems in areas open to corridors.
- E
Install an approved automatic sprinkler system.
- D
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
- D
Install corridor and hallway doors that block smoke.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Gas, Vacuum, and Electrical Systems5F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure proper usage of power strips and extension cords.
- D
Have proper medical gas storage and administration areas.
Construction2D
- D
Meet other general requirements.
- D
Use approved construction type or materials.
Services1D
- D
Have properly installed electrical wiring and gas equipment.
Egress1D
- D
Have properly located and lighted "Exit" signs.
Miscellaneous1D
- D
Have simulated fire drills held at unexpected times.
·
Other homes nearby
-
Inland Christian Home
Ontario, CA
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 29 min
- Fines
- $0
-
Trellis Chino
Chino, CA · Pacs Group
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 27 min
- Fines
- $0
-
Las Colinas Post Acute
Ontario, CA · Pacs Group
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 59 min
- Fines
- $70,925