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Nursing homeFAID #657

Grand Terrace Health Care Center

12000 Mount Vernon Ave, GRAND TERRACE, CA, 92313
(909) 825-5221
ensignservices.net
59 licensed beds
★★★★★5/5CMS Five-Star overall5/5 health inspections4/5 staffing5/5 quality measuresSource: CMS Care Compare

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Address

12000 Mount Vernon Ave
Grand Terrace, CA 92313
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Public record summary

What we can show you for free.
Bed capacity
59
CMS facility ID
055129
Care type
Nursing home
County
San Bernardino
Facility name
Grand Terrace Health Care Center
Street address
12000 Mount Vernon Ave
City / state / ZIP
Grand Terrace, CA 92313
Phone
(909) 825-5221
Website
ensignservices.net

About this facility — Grand Terrace Health Care Center

Grand Terrace Health Care Center is a Medicare/Medicaid-certified skilled nursing facility in Grand Terrace, California. It is licensed for 59 beds — below the median for skilled nursing facilities in California (98 beds).

It is one of 8 senior care facilities in Grand Terrace and 1,165 skilled nursing facilities across California. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Grand Terrace Health Care Center 38 times across 7 inspections in the last three years, including 4 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
The Ensign Group
Ownership type
For profit - Corporation

Registered owners & officers

Burnam, Soon
Officer — since 2022
Fitch, Craig
Officer — since 2022
Haroldsen, Brian
Operational control — since 2023
Sato, Ami
Officer — since 2024
Scott, Matthew
Officer — since 2023
Sharobiem, Andro
Additional disclosable party — since 2024
The Ensign Group Inc
Partner — since 2023
Willits, Adam
Director — since 2023

Regulatory standing

Federal court records
11 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1973-06-01
CMS overall rating
5 of 5 stars
Health deficiencies
3 at the last standard inspection
Federal fines
None on record
Last standard inspection
2026-03-05
Nurse staffing
4.7 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$586 per day (≈ $17,810/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
49% Medicaid · 35% Medicare · 16% private/other
Occupancy
91% (fiscal year 2023)
Vs. state median
14% above the CA median of $514/day — full state cost breakdown

Services & coverage

Licensed beds
59
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 4 food-safety citations on its three-year record — flagged below among the inspections.
2026-03-05Health inspection3 citations
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2026-03-26
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-03-26
F-0911
B · No harm found
Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
Corrected 2026-03-26
2024-11-22Health inspection9 citations
F-0636
D · No harm found
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2024-12-11
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2024-12-17
F-0655
D · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-12-02
F-0693
D · No harm found
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2024-12-03
F-0757
D · No harm found
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-12-02
F-0761
E · No harm found
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 2024-12-02
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-12-09
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-12-02
F-0911
B · No harm found
Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
Corrected 2024-12-09
5 earlier / fire-safety inspections (26 citations)
2024-10-14Health inspectionComplaint-triggered1 citation
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-10-18
2023-04-07Health inspection14 citations
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-05-02
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2023-05-02
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-05-02
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-05-02
F-0690
D · No harm found
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 2023-05-02
F-0698
D · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-05-02
F-0773
D · No harm found
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected 2023-05-02
F-0804
D · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-05-02
F-0806
D · No harm foundFood safety
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2023-05-02
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-05-02
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-05-02
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-05-02
F-0911
B · No harm found
Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
Corrected 2023-05-02
F-0921
D · No harm found
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2023-05-02
2026-03-05Fire-safety inspection2 citations
K-0324
D · No harm found
Provide properly protected cooking facilities.
Corrected 2026-04-09
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2026-04-09
2024-11-22Fire-safety inspection4 citations
E-0041
F · No harm found
Implement emergency and standby power systems.
Corrected 2024-12-03
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-12-17
K-0511
D · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2024-12-04
K-0761
F · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-12-05
2023-04-07Fire-safety inspection5 citations
E-0041
D · No harm found
Implement emergency and standby power systems.
Corrected 2023-05-15
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-05-15
K-0521
D · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-05-15
K-0918
D · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-05-15
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2023-05-15
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 055129.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 38 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered