Federal inspection record · CMS data as of October 1, 2026

Totally Kids Rehabilitation Hospital - D/P SNF

1720 Mountain View, Loma Linda, CA · (909) 796-6915

  • CMS high-performer trophy

CMS overall rating

5 of 5

Compare with a nearby home →
Certified beds
56
Residents per day
50
Ownership
For-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
February 4, 1994

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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in California.

  2. Staffing

    +1 star

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change (already 5)

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    5 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among California homes

Totally Kids Rehabilitation Hospital - D/P SNF carries 36 inspection points. That is fewer than 88% of California's 1,154 rated homes.

5★4★3★2★1★+35 homes above 300.2505102550100200inspection points → fewer is better on the leftThis home · 36 pts · 4★

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 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 17 4 pts
E 6 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

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 Planning9E
  1. D

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    April 16, 2026 · Standard · F636 · Corrected May 11, 2026

  2. D

    Assure that each resident’s assessment is updated at least once every 3 months.

    April 16, 2026 · Standard · F638 · Corrected May 11, 2026

  3. D

    Ensure each resident receives an accurate assessment.

    April 16, 2026 · Standard · F641 · Corrected May 11, 2026

  4. D

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

    April 16, 2026 · Standard · F656 · Corrected May 11, 2026

  5. E

    Assure that each resident’s assessment is updated at least once every 3 months.

    January 9, 2025 · Standard · F638 · Corrected February 7, 2025

  6. D

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

    January 9, 2025 · Standard · F656 · Corrected February 7, 2025

  7. E

    Assure that each resident’s assessment is updated at least once every 3 months.

    January 12, 2024 · Standard · F638 · Corrected February 12, 2024

  8. E

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    January 12, 2024 · Standard · F640 · Corrected February 12, 2024

  9. D

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

    January 12, 2024 · Standard · F842 · Corrected February 12, 2024

Pharmacy Service5E
  1. E

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    January 9, 2025 · Standard · F756 · Corrected February 7, 2025

  2. D

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

    January 9, 2025 · Standard · F755 · Corrected February 7, 2025

  3. D

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    January 9, 2025 · Standard · F758 · Corrected February 7, 2025

  4. D

    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.

    January 9, 2025 · Standard · F761 · Corrected February 7, 2025

  5. D

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

    January 12, 2024 · Standard · F755 · Corrected February 12, 2024

Infection Control3E
  1. D

    Provide and implement an infection prevention and control program.

    April 16, 2026 · Standard · F880 · Corrected May 15, 2026

  2. E

    Provide and implement an infection prevention and control program.

    January 9, 2025 · Standard · F880 · Corrected February 7, 2025

  3. D

    Provide and implement an infection prevention and control program.

    January 12, 2024 · Standard · F880 · Corrected February 12, 2024

Nutrition and Dietary2D
  1. D

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

    January 9, 2025 · Standard · F812 · Corrected January 22, 2025

  2. D

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

    January 12, 2024 · Standard · F812 · Corrected February 12, 2024

Administration1E
  1. E

    Provide a neutral and fair arbitration process and agree to arbitrator and venue.

    April 16, 2026 · Standard · F848 · Corrected May 7, 2026

Quality of Life and Care1D
  1. D

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

    April 16, 2026 · Standard · F695 · Corrected May 15, 2026

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    July 18, 2025 · Complaint · F600 · Corrected August 25, 2025

Nursing and Physician Services1D
  1. D

    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.

    January 12, 2024 · Standard · F726 · Corrected February 12, 2024

Inspection history

  1. 2026-04-16

    7 health deficiencies · 3 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (4 deficiencies)

  2. 2025-01-09

    9 health deficiencies · 0 fire-safety deficiencies

    Top issue: Pharmacy Service (4 deficiencies)

  3. 2024-01-12

    7 health deficiencies · 0 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (3 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 11 h 29 min of nursing staff time a day, 2 h 21 min of it from a registered nurse.

This home

11 h 29 min

California average

4 h 33 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 29% of nursing staff and 35% 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.

MeasureThis homeStateU.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine37.9 pts worse60.8%98.7%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine9.4 pts worse88.5%97.9%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.6 pts better0.0%1.6%3.2%
Percentage of long-stay residents who have depressive symptoms7.6 pts better0.0%7.6%13.5%
Percentage of long-stay residents who lose too much weight1 pts better3.1%4.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication61.6 pts worse75.3%13.7%19.5%
Percentage of long-stay residents who received an antipsychotic medication7.4 pts better4.9%12.3%15.4%
Percentage of long-stay residents who were physically restrained0.3 pts better0.0%0.3%0.1%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better0.0%0.7%0.7%
Percentage of long-stay residents with a urinary tract infection0.2 pts better1.0%1.2%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence9.8 pts better0.0%9.8%18.3%
Percentage of long-stay residents with pressure ulcers2.9 pts better1.4%4.3%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine66.6 pts worse28.0%94.6%82.3%

·

Who owns and runs it

65 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Nydam, Jack5% Or Greater Indirect Ownership Interest · Individual10%1 facilities
Nydam, James5% Or Greater Indirect Ownership Interest · Individual10%1 facilities
Nydam, Linda5% Or Greater Indirect Ownership Interest · Individual10%1 facilities
Nydam, Robert5% Or Greater Indirect Ownership Interest · Individual10%2 facilities
Arden, RacquelOperational/Managerial Control · Individual0%1 facilities
Arden, RacquelAdp Of The SNF · Individual0%1 facilities
Bilicke, RobertOperational/Managerial Control · Individual0%1 facilities
Bilicke, RobertAdp Of The SNF · Individual0%1 facilities
Callicott, CeceliaManaging Control - Governing Body · Individual0%1 facilities
Callicott, CeceliaCorporate Director · Individual0%1 facilities
Callicott, CeceliaOperational/Managerial Control · Individual0%1 facilities
Capetillo, CynthiaCorporate Officer · Individual0%1 facilities
Capetillo, CynthiaOperational/Managerial Control · Individual0%1 facilities
Capetillo, CynthiaAdp Of The SNF · Individual0%1 facilities
Citrus PharmacyAdp Of The SNF · Organization0%2 facilities
Ecapital Healthcare Corp5% Or Greater Security Interest · Organization0%27 facilities
Ecapital Healthcare CorpAdp Of The SNF · Organization0%27 facilities
Faculty Physicians And Surgeons Of LlusmOperational/Managerial Control · Organization0%1 facilities
Faculty Physicians And Surgeons Of LlusmAdp Of The SNF · Organization0%1 facilities
Gil, MargaritaOperational/Managerial Control · Individual0%1 facilities
Gil, MargaritaAdp Of The SNF · Individual0%1 facilities
Halliday & Company, Certified Public AccountantsOperational/Managerial Control · Organization0%1 facilities
Halliday & Company, Certified Public AccountantsAdp Of The SNF · Organization0%1 facilities
Hansen, IrwinCorporate Officer · Individual0%1 facilities
Hansen, IrwinOperational/Managerial Control · Individual0%1 facilities
Hansen, IrwinAdp Of The SNF · Individual0%1 facilities
Hennessey, PaulineOperational/Managerial Control · Individual0%1 facilities
Hennessey, PaulineAdp Of The SNF · Individual0%1 facilities
Lambooy, SallieIndirect Ownership Interest · Individual0%1 facilities
Lambooy, SallieLimited Partnership Interest · Individual0%1 facilities
Mountain View Child Care, Inc.5% Or Greater Direct Ownership Interest · Organization0%1 facilities
Mountain View Child Care, Inc.Operational/Managerial Control · Organization0%1 facilities
Nydam Limited PartnershipDirect Ownership Interest · Organization0%1 facilities
Nydam Limited PartnershipOperational/Managerial Control · Organization0%1 facilities
Nydam Limited PartnershipLimited Partnership Interest · Organization0%1 facilities
Nydam Limited PartnershipAdp Of The SNF · Organization0%1 facilities
Nydam, JackLimited Partnership Interest · Individual0%1 facilities
Nydam, JackAdp Of The SNF · Individual0%1 facilities
Nydam, JamesLimited Partnership Interest · Individual0%1 facilities
Nydam, LindaManaging Control - Governing Body · Individual0%1 facilities
Nydam, LindaCorporate Director · Individual0%1 facilities
Nydam, LindaOperational/Managerial Control · Individual0%1 facilities
Nydam, LindaLimited Partnership Interest · Individual0%1 facilities
Nydam, RobertLimited Partnership Interest · Individual0%2 facilities
Padgett, Cynthia5% Or Greater Direct Ownership Interest · Individual0%1 facilities
Padgett, CynthiaManaging Control - Governing Body · Individual0%1 facilities
Padgett, CynthiaCorporate Director · Individual0%1 facilities
Padgett, CynthiaOperational/Managerial Control · Individual0%1 facilities
Padgett, CynthiaAdp Of The SNF · Individual0%1 facilities
Padgett, Douglas5% Or Greater Direct Ownership Interest · Individual0%1 facilities
Padgett, DouglasManaging Control - Governing Body · Individual0%1 facilities
Padgett, DouglasCorporate Director · Individual0%1 facilities
Padgett, DouglasCorporate Officer · Individual0%1 facilities
Padgett, DouglasOperational/Managerial Control · Individual0%1 facilities
Padgett, DouglasAdp Of The SNF · Individual0%1 facilities
Professional Registry Network Corp.Adp Of The SNF · Organization0%1 facilities
Rao, RavindraManaging Control - Governing Body · Individual0%1 facilities
Rao, RavindraCorporate Director · Individual0%1 facilities
Rao, RavindraOperational/Managerial Control · Individual0%1 facilities
Rochette, BlakeCorporate Officer · Individual0%1 facilities
Rochette, BlakeOperational/Managerial Control · Individual0%1 facilities
Rochette, BlakeAdp Of The SNF · Individual0%1 facilities
Shiftmed, LLCAdp Of The SNF · Organization0%3 facilities
South Pacific Rehabilitation Services, IncOperational/Managerial Control · Organization0%3 facilities
South Pacific Rehabilitation Services, IncAdp Of The SNF · Organization0%3 facilities

·

Fire safety

3 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Miscellaneous1F
  1. F

    Have simulated fire drills held at unexpected times.

    April 16, 2026 · K712 · Corrected May 8, 2026

Smoke1D
  1. D

    Inspect, test, and maintain automatic sprinkler systems.

    April 16, 2026 · K353 · Corrected May 8, 2026

Gas, Vacuum, and Electrical Systems1D
  1. D

    Ensure proper usage of power strips and extension cords.

    April 16, 2026 · K920 · Corrected May 8, 2026

·

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