Cycle 1
Health 2025-12-04 · Fire 2025-12-04
5 health deficiencies
Top issue: Administration (1 deficiency)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Redlands, CA
Redlands Comm Hosp D/p Snf
5-star overall rating with 5-star inspections with 5 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
350 Terracina Blvd, Redlands, CA
(909) 335-5644
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
16
Certified beds
Average residents
7
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1995-06-30
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
Hours and turnover
RN hours / resident day
6.18
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
0.21
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
3.95
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
10.33
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
6.38
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
8.31
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
4.10
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.28
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
5.55
CMS adjusted RN staffing hours
Adjusted total hours
9.28
CMS adjusted total nurse staffing hours
Case-mix index
1.52
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Value-based purchasing
Program rank
599
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
66.74
Composite VBP score used to determine payment impact.
Payment multiplier
1.0205
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.64
Baseline 17.28% · Performance 18.82% · Measure score 5.64 · Achievement 5.64 · Improvement 0
Healthcare-associated infections
6.63
Baseline 6.33% · Performance 5.85% · Measure score 6.63 · Achievement 6.63 · Improvement 3.07
Total nurse turnover
7.75
Performance 32.00% · Measure score 7.75 · Achievement 7.75 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.36% |
10.72%
1.4 pts better
|
No Different than the National Rate · Eligible stays 71 · Observed rate 4.23% · Lower 95% interval 5.73% |
| Discharge to community | 69.76% |
50.57%
19.2 pts better
|
Better than the National Rate · Eligible stays 73 · Observed rate 71.23% · Lower 95% interval 59.13% |
| Medicare spending per beneficiary | 0.57 |
1.02
0.5 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 69 · Denominator 69 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 69 |
| Discharge self-care score | 31.03% |
53.69%
22.7 pts worse
|
Numerator 18 · Denominator 58 |
| Discharge mobility score | 24.14% |
50.94%
26.8 pts worse
|
Numerator 14 · Denominator 58 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 69 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 5.85% |
7.12%
1.3 pts better
|
No Different than the National Rate · Eligible stays 42 · Observed rate 0% · Lower 95% interval 2.93% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 15 |
| Staff flu vaccination coverage | 58.33% |
42%
16.3 pts better
|
Numerator 14 · Denominator 24 |
| Discharge function score | 20.69% |
56.45%
35.8 pts worse
|
Numerator 12 · Denominator 58 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 98.39% |
96.28%
2.1 pts better
|
Numerator 61 · Denominator 62 |
| Resident COVID-19 vaccinations up to date | 23.26% |
25.2%
1.9 pts worse
|
Numerator 10 · Denominator 43 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.0% |
94.0%
4 pts better
|
81.7%
16.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.2% · Q2 100.0% · Q3 100.0% · Q4 90.8% · 4Q avg 98.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.2% |
11.2%
2 pts better
|
12.0%
2.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.2% · Observed 8.7% · Expected 10.6% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 87.2% |
93.2%
6 pts worse
|
79.7%
7.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 87.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.6% |
23.2%
0.4 pts worse
|
23.9%
0.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.6% · Observed 18.8% · Expected 19.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-11-08 · Fire 2024-11-08
3 health deficiencies
Top issue: Infection Control (1 deficiency)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Cycle 3
Health 2023-11-16 · Fire 2023-11-16
1 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
3 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-12-04
K912 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2026-01-09
F · Potential for more than minimal harm
2025-12-04
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2026-01-07
D · Potential for more than minimal harm
2025-12-04
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2026-01-13
D · Potential for more than minimal harm
2024-11-08
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-11-26
D · Potential for more than minimal harm
2024-11-08
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-11-26
D · Potential for more than minimal harm
2024-11-08
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-11-26
C · Minimal harm
2024-11-08
K531 · Services Deficiencies
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2024-11-26
C · Minimal harm
2024-11-08
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-11-26
D · Potential for more than minimal harm
2023-11-16
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-12-18
C · Minimal harm
2023-11-16
K346 · Smoke Deficiencies
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2023-12-18
C · Minimal harm
2023-11-16
K354 · Smoke Deficiencies
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2023-12-18
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-12-04
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2026-01-01
D · Potential for more than minimal harm
2025-12-04
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-01-01
D · Potential for more than minimal harm
2025-12-04
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2026-01-01
D · Potential for more than minimal harm
2025-12-04
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 2026-01-01
D · Potential for more than minimal harm
2025-12-04
F851 · Administration Deficiencies
Health
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2026-01-01
D · Potential for more than minimal harm
2024-11-08
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 2024-12-02
D · Potential for more than minimal harm
2024-11-08
F638 · Resident Assessment and Care Planning Deficiencies
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2024-12-02
D · Potential for more than minimal harm
2024-11-08
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-11-22
F · Potential for more than minimal harm
2023-11-16
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 2023-12-12
Penalties and ownership
What sits behind the stars
Ownership
Alejandre, Theodore
Corporate Director · Individual
Beemer, Richard
Corporate Director · Individual
Contreras, Yolanda
Corporate Director · Individual
Emmerson, Willilam
Corporate Director · Individual
Hatfield, William
Corporate Director · Individual
Hodges, Robert
Corporate Director · Individual
Holmes, James
Operational/Managerial Control · Individual
Holmes, James
Corporate Officer · Individual
Huynh, Klemens
Corporate Director · Individual
Jones, Walter
Corporate Director · Individual
Martinez, Jeffrey
Corporate Director · Individual
Mcbride, Gary
Corporate Director · Individual
Mok, Michelle
Operational/Managerial Control · Individual
Mok, Michelle
Corporate Officer · Individual
Pai, Shantharam
Operational/Managerial Control · Individual
Racadio, Sam
Corporate Director · Individual
Redlands Community Hospital
Operational/Managerial Control · Organization
Salvesen, Kathleen
Corporate Director · Individual
Sexton, Todd
Operational/Managerial Control · Individual
Sexton, Todd
Corporate Officer · Individual
Snodgress, Carol
Corporate Director · Individual
Stange, Della
Operational/Managerial Control · Individual
Stange, Della
Corporate Director · Individual
Stange, Della
Corporate Officer · Individual
Umeda, Alvin
Corporate Director · Individual
Volsch, Joyce
Operational/Managerial Control · Individual
Volsch, Joyce
Corporate Officer · Individual
Waner, Neal
Corporate Director · Individual
Weisser, Stanley
Corporate Director · Individual
Zirkle, Karen
Operational/Managerial Control · Individual
Zirkle, Karen
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Redlands Healthcare Center
Redlands, CA
5-star overall rating with 5-star inspections with 2 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
Madison Grove Post Acute
Redlands, CA
1-star overall rating with 3-star inspections with $9,110 in total fines with 11 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#3
Brookside Healthcare Center
Redlands, CA
3-star overall rating with 3-star inspections with 12 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
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