13 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Rialto, CA
2-star overall rating with 1-star inspections with $31,881 in total fines with 13 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
1471 S Riverside Ave, Rialto, CA
(909) 877-1361
Overall
2 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
177
Certified beds
Average residents
165
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Serrano Group
Operator or chain grouping
Approved since
1967-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
11 facilities
Chain averages 2 overall / 2 health / 3 staffing / 5 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
0.52
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
1.12
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
2.95
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
4.59
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
1.64
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
4.14
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
0.36
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.53
CMS adjusted RN staffing hours
Adjusted total hours
4.67
CMS adjusted total nurse staffing hours
Case-mix index
1.34
Higher values indicate more complex resident acuity
RN turnover
91%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
54%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
2,623
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
48.69
Composite VBP score used to determine payment impact.
Payment multiplier
1.0025
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
5.45
Performance 18.90% · Measure score 5.45 · Achievement 5.45 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
3.32
Performance 6.84% · Measure score 3.32 · Achievement 3.32 · This facility did not have sufficient data to calculate a baseline period measure result.
Total nurse turnover
7.47
Baseline 49.35% · Performance 33.13% · Measure score 7.47 · Achievement 7.47 · Improvement 6.12
Adjusted total nurse staffing
3.22
Baseline 4.01 hours · Performance 3.99 hours · Measure score 3.22 · Achievement 3.22 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.43% |
10.72%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 48 · Observed rate 16.67% · Lower 95% interval 7.78% |
| Discharge to community | 35.58% |
50.57%
15 pts worse
|
Worse than the National Rate · Eligible stays 35 · Observed rate 22.86% · Lower 95% interval 26.35% |
| Medicare spending per beneficiary | 1.31 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 71.43% |
95.27%
23.8 pts worse
|
Numerator 30 · Denominator 42 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 42 |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 42 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.84% |
7.12%
0.3 pts better
|
No Different than the National Rate · Eligible stays 31 · Observed rate 6.45% · Lower 95% interval 3.91% |
| Staff COVID-19 vaccination coverage | 8.93% |
8.2%
0.7 pts better
|
Numerator 20 · Denominator 224 |
| Staff flu vaccination coverage | 57.45% |
42%
15.5 pts better
|
Numerator 135 · Denominator 235 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | 86.36% |
95.95%
9.6 pts worse
|
Numerator 19 · Denominator 22 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 31.03% |
25.2%
5.8 pts better
|
Numerator 9 · Denominator 29 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.1 |
2.3
0.8 pts worse
|
1.9
1.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.1 · Observed 3.4 · Expected 2.1 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.1 |
1.6
0.5 pts better
|
1.8
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.1 · Expected 1.6 · Used in QM five-star |
| 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 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.4% |
98.2%
1.2 pts better
|
95.5%
3.9 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.2% |
1.6%
0.4 pts better
|
3.3%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 1.3% · Q3 0.0% · Q4 0.7% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.9% |
6.8%
3.9 pts better
|
11.4%
8.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 1.7% · Q3 4.8% · Q4 3.9% · 4Q avg 2.9% |
| Percentage of long-stay residents who lose too much weight | 4.5% |
4.1%
0.4 pts worse
|
5.4%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.4% · Q2 7.1% · Q3 0.7% · Q4 3.6% · 4Q avg 4.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.4% |
13.7%
1.7 pts worse
|
19.6%
4.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.6% · Q2 14.6% · Q3 13.5% · Q4 14.7% · 4Q avg 15.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 6.2% |
14.2%
8 pts better
|
16.7%
10.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 2.8% · Q3 9.6% · Q4 8.5% · 4Q avg 6.2% · 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 | 10.5% |
11.0%
0.5 pts better
|
16.3%
5.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 2.5% · Q3 20.7% · Q4 16.5% · 4Q avg 10.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 4.4% |
10.7%
6.3 pts better
|
14.9%
10.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 3.2% · Q3 4.9% · Q4 7.0% · 4Q avg 4.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.9% |
1.0%
0.1 pts better
|
1.0%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.6% · Q3 1.9% · Q4 1.1% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.5% |
1.2%
0.7 pts better
|
1.7%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.4% · Q3 0.7% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 19.6% |
10.9%
8.7 pts worse
|
19.8%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 21.4% · Q2 23.5% · Q3 17.0% · Q4 16.3% · 4Q avg 19.6% |
| Percentage of long-stay residents with pressure ulcers | 3.1% |
4.7%
1.6 pts better
|
5.1%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 3.1% · Q3 2.3% · Q4 4.6% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.1% |
94.0%
5.1 pts better
|
81.7%
17.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.3% · Q2 100.0% · Q3 98.5% · Q4 98.7% · 4Q avg 99.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.8% |
11.2%
0.4 pts better
|
12.0%
1.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.8% · Observed 11.9% · Expected 12.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.7% |
1.5%
0.2 pts worse
|
1.6%
0.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.0% · Q4 3.7% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 81.8% |
93.2%
11.4 pts worse
|
79.7%
2.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 81.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.9% |
23.2%
3.3 pts better
|
23.9%
4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.9% · Observed 22.4% · Expected 26.8% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (3 deficiencies)
4 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Top issue: Quality of Life and Care (2 deficiencies)
5 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Top issue: Pharmacy Service (3 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire Safety
Use approved construction type or materials.
Corrected 2026-01-30
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2026-01-30
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2026-01-30
Fire Safety
Provide emergency officials' contact information.
Corrected 2026-01-30
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-12-05
Fire Safety
Provide emergency officials' contact information.
Corrected 2024-11-26
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-11-26
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-12-05
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-12-05
Fire Safety
Use approved construction type or materials.
Corrected 2022-01-20
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2022-01-20
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-01-20
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2022-01-20
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-01-20
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2022-01-20
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2022-01-20
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2022-01-20
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-01-20
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-01-20
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-01-31
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2026-01-31
Health
Keep residents' personal and medical records private and confidential.
Corrected 2026-01-31
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-01-31
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2026-01-31
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 2026-01-31
Health
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected 2026-01-31
Health
Provide and implement an infection prevention and control program.
Corrected 2026-01-31
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2026-01-31
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-06-03
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2025-05-19
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-05-01
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-04-01
Health
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected 2025-02-05
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-12-12
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-12-12
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-12-12
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 2024-12-12
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-01-29
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2023-12-11
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-12-05
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-10-16
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-10-16
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-05-03
Health
Ensure that residents are free from significant medication errors.
Corrected 2022-01-27
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-01-27
Health
Dispose of garbage and refuse properly.
Corrected 2022-01-27
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2022-01-27
Health
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Corrected 2022-01-27
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2022-01-27
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 2022-01-27
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2022-01-27
Penalties and ownership
Fine · fine $23,600
Fine
Fine · fine $8,281
Fine
Payment Denial · denial start 2025-05-09 · 25 days
25 day denial
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Individual
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