Federal inspection record · CMS data as of October 1, 2026
Villa Health Care Center
8965 Magnolia Avenue, Riverside, CA · (951) 689-5788
- Certified beds
- 59
- Residents per day
- 50
- Ownership
- For-Profit
- Chain
- Nahs
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 16, 1989
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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in California.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among California homes
Villa Health Care Center carries 51 inspection points. That is fewer than 78% of California's 1,154 rated homes.
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
40 health citations on record since 2021. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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 Planning8D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure each resident receives an accurate assessment.
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Pharmacy Service7E
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure that residents are free from significant medication errors.
- D
Ensure medication error rates are not 5 percent or greater.
- D
Ensure that residents are free from significant medication errors.
- E
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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 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.
Quality of Life and Care7E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Infection Control5E
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- D
Report COVID19 data to residents and families.
- E
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation4D
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Resident Rights3E
- E
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.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
Prepare residents for a safe transfer or discharge from the nursing home.
Environmental3B
- B
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
- B
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
- B
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Nutrition and Dietary2E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration1D
- D
Provide timely, quality laboratory services/tests to meet the needs of residents.
Inspection history
2025-06-12
11 health deficiencies · 5 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
2024-04-12
7 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2021-07-02
22 health deficiencies · 12 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (6 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 16 min of nursing staff time a day, 21 min of it from a registered nurse.
This home
4 h 16 min
California average
4 h 33 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 65% of nursing staff and 63% 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.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.4 pts worse | 2.6 | 2.2 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.9 pts better | 0.6 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.5 pts better | 99.2% | 98.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.1 pts better | 100.0% | 97.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.8 pts better | 0.8% | 1.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms6.7 pts better | 0.9% | 7.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight1 pts better | 3.1% | 4.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.3 pts better | 8.4% | 13.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication11.3 pts better | 1.0% | 12.3% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.3 pts better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened5.8 pts better | 3.1% | 8.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4 pts better | 6.2% | 10.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better | 0.0% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.2 pts better | 0.0% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.6 pts worse | 14.4% | 9.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.7 pts better | 2.6% | 4.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5.2 pts better | 99.8% | 94.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.1 pts better | 10.0% | 11.1% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.7 pts better | 0.6% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine6.9 pts better | 100.0% | 93.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.5 pts worse | 26.1% | 22.6% | 23.4% |
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Who owns and runs it
9 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Nahs Holding Inc | 5% Or Greater Indirect Ownership Interest · Organization | 100% | 10 facilities |
| Daly, Jeffrey | Corporate Officer · Individual | 0% | 2 facilities |
| Ellis-Sherinian, James | Corporate Director · Individual | 0% | 7 facilities |
| Jergensen, Jeremy | Corporate Director · Individual | 0% | 4 facilities |
| Leet, Ryan | W-2 Managing Employee · Individual | 0% | 3 facilities |
| Leet, Ryan | Corporate Director · Individual | 0% | 3 facilities |
| Leet, Ryan | Corporate Officer · Individual | 0% | 3 facilities |
| Leet, Ryan | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Lundquist, Victor | Corporate Officer · Individual | 0% | 11 facilities |
·
Fire safety
22 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness9F
- F
Establish policies and procedures for medical documentation.
- F
Establish roles under a Waiver declared by secretary.
- F
Conduct testing and exercise requirements.
- D
Establish policies and procedures for volunteers.
- D
Establish roles under a Waiver declared by secretary.
- D
Provide family notifications of emergency plan.
- D
Create arrangements with other facilities to receive patients.
- D
Provide emergency officials' contact information.
- D
Conduct risk assessment and an All-Hazards approach.
Smoke9F
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
- D
Install corridor and hallway doors that block smoke.
- D
Provide properly protected cooking facilities.
- D
Install corridor and hallway doors that block smoke.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- C
Have approved installation, maintenance and testing program for fire alarm systems.
- C
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous1D
- D
Have simulated fire drills held at unexpected times.
Egress1D
- D
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Services1D
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Gas, Vacuum, and Electrical Systems1D
- D
Have generator or other power source capable of supplying service within 10 seconds.
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Other homes nearby
-
Alta Vista Healthcare & Wellness Centre
Riverside, CA · Citrus Wellness Centre
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 5 min
- Fines
- $0
-
Mission Care Center
Riverside, CA · David Johnson
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 6 h 29 min
- Fines
- $0
-
Riverwalk Post Acute
Riverside, CA · Pacs Group
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 20 min
- Fines
- $0