14 health deficiencies
Top issue: Nutrition and Dietary (4 deficiencies)
5 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Moreno Valley, CA
2-star overall rating with 2-star inspections with $8,827 in total fines with 14 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
26940 E Hospital Road, Moreno Valley, CA
(951) 363-5434
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
99
Certified beds
Average residents
93
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Pacs Group
Operator or chain grouping
Approved since
2020-04-06
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
264 facilities
Chain averages 3 overall / 3 health / 2 staffing / 4 quality stars
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
0.35
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
1.61
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
2.35
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
4.31
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
1.96
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
3.97
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
0.30
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
0.27
CMS adjusted RN staffing hours
Adjusted total hours
3.32
CMS adjusted total nurse staffing hours
Case-mix index
1.78
Higher values indicate more complex resident acuity
RN turnover
17%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
32%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
6,817
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
31.62
Composite VBP score used to determine payment impact.
Payment multiplier
0.9866
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0.93
Baseline 20.56% · Performance 21.00% · Measure score 0.93 · Achievement 0.93 · Improvement 0
Healthcare-associated infections
6.33
Baseline 7.31% · Performance 5.94% · Measure score 6.33 · Achievement 6.33 · Improvement 5.41
Total nurse turnover
5.39
Baseline 57.46% · Performance 41.67% · Measure score 5.39 · Achievement 5.39 · Improvement 4.34
Adjusted total nurse staffing
0
Baseline 3.63 hours · Performance 3.08 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.79% |
10.72%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 330 · Observed rate 11.52% · Lower 95% interval 8.6% |
| Discharge to community | 51.56% |
50.57%
1 pts better
|
No Different than the National Rate · Eligible stays 372 · Observed rate 43.82% · Lower 95% interval 43.62% |
| Medicare spending per beneficiary | 1.69 |
1.02
0.7 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 340 · Denominator 340 |
| Falls with major injury | 0.29% |
0.77%
0.5 pts better
|
Numerator 1 · Denominator 340 |
| Discharge self-care score | 71.43% |
53.69%
17.7 pts better
|
Numerator 80 · Denominator 112 |
| Discharge mobility score | 66.07% |
50.94%
15.1 pts better
|
Numerator 74 · Denominator 112 |
| Pressure ulcers or injuries, new or worsened | 1.18% |
2.29%
1.1 pts better
|
Numerator 4 · Denominator 340 · Adjusted rate 0.87% |
| Healthcare-associated infections requiring hospitalization | 5.94% |
7.12%
1.2 pts better
|
No Different than the National Rate · Eligible stays 296 · Observed rate 5.74% · Lower 95% interval 3.72% |
| Staff COVID-19 vaccination coverage | 4.27% |
8.2%
3.9 pts worse
|
Numerator 5 · Denominator 117 |
| Staff flu vaccination coverage | 35.92% |
42%
6.1 pts worse
|
Numerator 88 · Denominator 245 |
| Discharge function score | 67.86% |
56.45%
11.4 pts better
|
Numerator 76 · Denominator 112 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 122 · Denominator 122 |
| Transfer of health information to patient | 90.91% |
96.28%
5.4 pts worse
|
Numerator 160 · Denominator 176 |
| Resident COVID-19 vaccinations up to date | 14.71% |
25.2%
10.5 pts worse
|
Numerator 25 · Denominator 170 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.0 |
2.3
0.3 pts better
|
1.9
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 8.0 · Expected 7.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.8 |
1.6
0.2 pts worse
|
1.8
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 4.6 · Expected 4.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 93.3% |
98.5%
5.2 pts worse
|
93.4%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 97.5% · Q2 91.1% · Q3 90.0% · Q4 94.9% · 4Q avg 93.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 92.1% |
98.2%
6.1 pts worse
|
95.5%
3.4 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 92.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.6% |
1.6%
1 pts better
|
3.3%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.9% |
6.8%
1.9 pts better
|
11.4%
6.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 6.2% · Q3 8.6% · Q4 0.0% · 4Q avg 4.9% |
| Percentage of long-stay residents who lose too much weight | 2.7% |
4.1%
1.4 pts better
|
5.4%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 0.0% · Q3 5.9% · Q4 0.0% · 4Q avg 2.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.9% |
13.7%
6.2 pts worse
|
19.6%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.5% · Q2 15.9% · Q3 18.9% · Q4 25.0% · 4Q avg 19.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 13.8% |
14.2%
0.4 pts better
|
16.7%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.0% · Q2 15.0% · Q3 14.3% · Q4 8.0% · 4Q avg 13.8% · 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 ability to walk independently worsened | 0.0% |
11.0%
11 pts better
|
16.3%
16.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 6.2% |
10.7%
4.5 pts better
|
14.9%
8.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 7.5% · Q3 5.9% · Q4 2.9% · 4Q avg 6.2% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.2%
1.2 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 2.8% |
10.9%
8.1 pts better
|
19.8%
17 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 5.8% · Q4 5.2% · 4Q avg 2.8% |
| Percentage of long-stay residents with pressure ulcers | 8.7% |
4.7%
4 pts worse
|
5.1%
3.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.3% · Q2 8.5% · Q3 9.9% · Q4 7.2% · 4Q avg 8.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 90.1% |
94.0%
3.9 pts worse
|
81.7%
8.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 92.8% · Q2 87.2% · Q3 87.6% · Q4 92.5% · 4Q avg 90.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.6% |
11.2%
1.4 pts worse
|
12.0%
0.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.6% · Observed 14.0% · Expected 12.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.0% |
1.5%
0.5 pts better
|
1.6%
0.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.7% · Q3 2.1% · Q4 1.3% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 92.1% |
93.2%
1.1 pts worse
|
79.7%
12.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 92.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.0% |
23.2%
1.2 pts better
|
23.9%
1.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.0% · Observed 25.5% · Expected 27.6% · Used in QM five-star |
Survey summary
Top issue: Nutrition and Dietary (4 deficiencies)
5 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
7 fire-safety deficiencies
Top issue: Emergency Preparedness (4 deficiencies)
Top issue: Quality of Life and Care (5 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
List the names and contact information of those in the facility.
Corrected 2025-01-03
Fire Safety
Provide emergency officials' contact information.
Corrected 2025-01-03
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-01-03
Fire Safety
Meet requirements for the use and maintenance of medical gas equipment.
Corrected 2025-01-02
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-01-03
Fire Safety
Establish policies and procedures for medical documentation.
Corrected 2022-04-26
Fire Safety
Establish emergency prep training and testing.
Corrected 2022-04-26
Fire Safety
Establish staff and initial training requirements.
Corrected 2022-04-26
Fire Safety
Conduct testing and exercise requirements.
Corrected 2022-04-26
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2022-04-26
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2022-04-26
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-04-26
Inspection history
Health
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected 2025-12-19
Health
Honor the resident's right to choose his or her attending physician.
Corrected 2026-01-13
Health
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
Corrected 2026-01-21
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-05-21
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-01-13
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-02-19
Health
Dispose of garbage and refuse properly.
Corrected 2025-01-02
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 2025-01-02
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 2025-01-02
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-01-02
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-01-02
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-01-02
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-01-02
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-01-02
Health
Provide and implement an infection prevention and control program.
Corrected 2025-01-02
Health
Keep all essential equipment working safely.
Corrected 2025-01-02
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-11-20
Health
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.
Corrected 2024-11-20
Health
Provide and implement an infection prevention and control program.
Corrected 2024-11-20
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-10-04
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-07-17
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2023-12-26
Health
Give the resident's representative the ability to exercise the resident's rights.
Corrected 2023-11-30
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-11-15
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-11-15
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-11-15
Health
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected 2023-10-31
Health
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.
Corrected 2023-10-31
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2023-10-31
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-08-31
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-06-30
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-06-30
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-05-27
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-05-27
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2023-03-30
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-03-30
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-03-30
Health
Provide and implement an infection prevention and control program.
Corrected 2022-03-28
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2022-03-28
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2022-03-28
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2022-03-28
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-03-28
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-03-28
Health
Provide activities to meet all resident's needs.
Corrected 2022-03-28
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-03-28
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2022-03-28
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2022-03-28
Penalties and ownership
Fine · fine $8,827
Fine
5% Or Greater Direct Ownership Interest · Organization
Corporate Officer · Individual
Contracted Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
W-2 Managing Employee · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
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