Redlands, CA

Plymouth Village

5-star overall rating with 4-star inspections with 6 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

819 Salem Drive, Redlands, CA

(909) 793-1233

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

48

Certified beds

Average residents

44

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Humangood

Operator or chain grouping

Approved since

1968-03-29

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.31

Registered nurse staffing

LPN hours / resident day

1.45

Licensed practical nurse staffing

Aide hours / resident day

2.80

Nurse aide staffing

Weekend hours

4.07

Weekend nurse staffing

RN turnover

0%

Annual RN turnover

Total nurse turnover

43%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
98.5%
1.5 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.5%
98.2%
0.7 pts worse
95.5%
2 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 0.0%
1.6%
1.6 pts better
3.3%
3.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 0.0%
6.8%
6.8 pts better
11.4%
11.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 0.0%
4.1%
4.1 pts better
5.4%
5.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 8.2%
13.7%
5.5 pts better
19.6%
11.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 2.5%
14.2%
11.7 pts better
16.7%
14.2 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 14.7%
11.0%
3.7 pts worse
16.3%
1.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 6.4%
10.7%
4.3 pts better
14.9%
8.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
1.0%
1 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 4.8%
1.2%
3.6 pts worse
1.7%
3.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 14.7%
10.9%
3.8 pts worse
19.8%
5.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 1.2%
4.7%
3.5 pts better
5.1%
3.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
94.0%
6 pts better
81.7%
18.3 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 13.4%
11.2%
2.2 pts worse
12.0%
1.4 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.5%
1.5 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 97.4%
93.2%
4.2 pts better
79.7%
17.7 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 16.6%
23.2%
6.6 pts better
23.9%
7.3 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-19 · Fire 2025-06-19

6 health deficiencies

Top issue: Infection Control (1 deficiency)

2 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 2 Health 2024-04-26 · Fire 2024-04-26

7 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

1 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2023-03-10 · Fire 2023-03-10

9 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

15 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-06-19

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-07-16

F · Potential for more than minimal harm 2025-06-19

K741 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2025-07-16

D · Potential for more than minimal harm 2024-04-26

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-05-24

F · Potential for more than minimal harm 2023-03-10

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-04-20

E · Potential for more than minimal harm 2023-03-10

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2023-04-20

E · Potential for more than minimal harm 2023-03-10

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2023-04-20

E · Potential for more than minimal harm 2023-03-10

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2023-04-20

D · Potential for more than minimal harm 2023-03-10

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2023-04-20

D · Potential for more than minimal harm 2023-03-10

E31 · Emergency Preparedness Deficiencies

Fire Safety

Provide emergency officials' contact information.

Corrected 2023-04-20

D · Potential for more than minimal harm 2023-03-10

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2023-04-20

D · Potential for more than minimal harm 2023-03-10

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2023-04-20

D · Potential for more than minimal harm 2023-03-10

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-04-20

D · Potential for more than minimal harm 2023-03-10

K325 · Smoke Deficiencies

Fire Safety

Have properly installed hallway dispensers for alcohol-based hand rub.

Corrected 2023-04-20

D · Potential for more than minimal harm 2023-03-10

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2023-04-20

D · Potential for more than minimal harm 2023-03-10

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-04-20

D · Potential for more than minimal harm 2023-03-10

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-04-20

D · Potential for more than minimal harm 2023-03-10

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2023-04-20

D · Potential for more than minimal harm 2023-03-10

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-04-20

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-06-19

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-07-10

F · Potential for more than minimal harm 2025-06-19

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-07-10

D · Potential for more than minimal harm 2025-06-19

F550 · Resident Rights Deficiencies

Health

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

Corrected 2025-07-10

D · Potential for more than minimal harm 2025-06-19

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-07-10

D · Potential for more than minimal harm 2025-06-19

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-07-10

D · Potential for more than minimal harm 2025-06-19

F842 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-07-10

F · Potential for more than minimal harm 2024-04-26

F726 · Nursing and Physician Services Deficiencies

Health

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.

Corrected 2024-05-20

F · Potential for more than minimal harm 2024-04-26

F804 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-05-20

F · Potential for more than minimal harm 2024-04-26

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-05-20

D · Potential for more than minimal harm 2024-04-26

F693 · Quality of Life and Care Deficiencies

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 2024-05-20

D · Potential for more than minimal harm 2024-04-26

F755 · Pharmacy Service Deficiencies

Health

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

Corrected 2024-05-20

D · Potential for more than minimal harm 2024-04-26

F761 · Pharmacy Service Deficiencies

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 2024-05-20

D · Potential for more than minimal harm 2024-04-26

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-05-20

F · Potential for more than minimal harm 2023-03-10

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2023-04-18

D · Potential for more than minimal harm 2023-03-10

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2023-04-18

D · Potential for more than minimal harm 2023-03-10

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2023-04-18

D · Potential for more than minimal harm 2023-03-10

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-04-18

D · Potential for more than minimal harm 2023-03-10

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-04-18

D · Potential for more than minimal harm 2023-03-10

F690 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-04-18

D · Potential for more than minimal harm 2023-03-10

F755 · Pharmacy Service Deficiencies

Health

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

Corrected 2023-04-18

D · Potential for more than minimal harm 2023-03-10

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-04-18

D · Potential for more than minimal harm 2023-03-10

F921 · Environmental Deficiencies

Health

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

Corrected 2023-04-18

Penalties and ownership

What sits behind the stars

Ownership

Humangood

5% Or Greater Indirect Ownership Interest · Organization

100% 15 facilities 2016-05-01
Humangood Norcal

5% Or Greater Direct Ownership Interest · Organization

100% 15 facilities 1967-01-01
Baker, Judith

Corporate Director · Individual

0% 17 facilities 2012-04-25
Battison, William

Corporate Director · Individual

0% 13 facilities 2016-05-01
Brown, Herman

Corporate Director · Individual

0% 16 facilities 2016-05-01
Christopherson, Joanne

Corporate Director · Individual

0% 9 facilities 2025-03-20
Cochrane, John

Operational/Managerial Control · Individual

0% 17 facilities 2009-08-10
Cochrane, John

Corporate Officer · Individual

0% 17 facilities 2009-08-10
Davis, Victoria

Operational/Managerial Control · Individual

0% 1 facilities 2023-08-06
Drake, Brett

Operational/Managerial Control · Individual

0% 1 facilities 2024-10-14
Feller, Irene

Corporate Director · Individual

0% 9 facilities 2021-01-26
Ghassemi, Bethany

Operational/Managerial Control · Individual

0% 17 facilities 2019-05-21
Ghassemi, Bethany

Corporate Officer · Individual

0% 17 facilities 2019-05-21
Griffith, Alan

Corporate Director · Individual

0% 13 facilities 2019-06-30
Harrison, Michael

Operational/Managerial Control · Individual

0% 3 facilities 2024-01-02
Holmes, Michelle

Corporate Director · Individual

0% 13 facilities 2016-05-01
Humangood Norcal

Operational/Managerial Control · Organization

0% 15 facilities 1967-01-01
Humangood Socal

Operational/Managerial Control · Organization

0% 9 facilities 1967-01-01
Kelley, Albert

Corporate Director · Individual

0% 17 facilities 2016-05-01
Lopez, Jessica

Operational/Managerial Control · Individual

0% 8 facilities 2020-01-20
Mcdonald, Andrew

Operational/Managerial Control · Individual

0% 17 facilities 2020-01-01
Mcdonald, Andrew

Corporate Officer · Individual

0% 17 facilities 2020-01-01
Nassar, Mohamed

Operational/Managerial Control · Individual

0% 1 facilities 2020-07-01
Nassar, Mohamed

Contracted Managing Employee · Individual

0% 1 facilities 2020-07-01
Ogus, Daniel

Operational/Managerial Control · Individual

0% 17 facilities 1995-10-17
Ogus, Daniel

Corporate Officer · Individual

0% 17 facilities 2009-08-27
Roth, Sharon

Corporate Director · Individual

0% 8 facilities 2018-12-08
Vangelisto, Gwen

W-2 Managing Employee · Individual

0% 16 facilities 2021-08-28

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