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Nursing homeFAID #1198

Inland Valley Care and Rehabilitation Center

★★★★★1/5CMS Five-Star overall1/5 health inspections3/5 staffing3/5 quality measuresSource: CMS Care Compare

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Photo of INLAND VALLEY CARE AND REHABILITATION CENTER
Photo via Google · Katherine Thomas
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Bed capacity
221
CMS facility ID
056431
Care type
Nursing home
County
Los Angeles
Facility name
Inland Valley Care and Rehabilitation Center
Street address
250 W. ARTESIA STREET
City / state / ZIP
Pomona, CA 91768
Phone
(909) 623-7100

Inland Valley Care and Rehabilitation Center is a Medicare/Medicaid-certified skilled nursing facility in Pomona, California. It is licensed for 221 beds — well above the median for skilled nursing facilities in California (98 beds).

It is one of 18 senior care facilities in Pomona 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 Inland Valley Care and Rehabilitation Center 228 times across 55 inspections in the last three years, including 11 food-safety citations, and CMS has imposed $134,673 in fines. 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.

What the public record shows.

Ownership & operator

Ownership type
For profit - Limited Liability company

Registered owners & officers

Nelson, Roberts
Direct owner · Officer · Operational control — 25% stake — since 2003
Alexandre, Lydiette
Operational control · Additional disclosable party — since 2026
Chahine, Hassan
Operational control · Additional disclosable party — since 2024
Chase, Phillip
Officer · Operational control · Additional disclosable party — since 2003
Forouzan, Manijeh
Officer · Operational control · Additional disclosable party — since 2024
Gateways Rehabilitation Center Ii Llc
Additional disclosable party — since 2022
Renew Health Consulting Services Llc
Operational control · Additional disclosable party — since 2022
Sharma, Vatsala
Operational control · Additional disclosable party — since 2022

Regulatory standing

Licensed / certified since
1979-08-01
CMS overall rating
1 of 5 stars
Health deficiencies
62 at the last standard inspection
Federal fines
$134,673 total
Last standard inspection
2025-08-22
Nurse staffing
4.6 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$534 per day (≈ $16,230/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
74% Medicaid · 5% Medicare · 21% private/other
Occupancy
91% (fiscal year 2023)
Vs. state median
4% above the CA median of $514/day — full state cost breakdown

Services & coverage

Licensed beds
221
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.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 11 food-safety citations on its three-year record — flagged below among the inspections.
2026-06-22Health inspectionComplaint-triggered2 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2026-06-24
F-0725
D · No harm foundFrom a complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2026-06-23
2026-06-12Health inspectionComplaint-triggered2 citations
F-0693
D · No harm foundFrom a complaint
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 2026-06-12
F-0697
D · No harm foundFrom a complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2026-06-12
51 earlier / fire-safety inspections (224 citations)
2026-06-09Health inspectionComplaint-triggered2 citations
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2026-06-11
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2026-06-09
2026-05-22Health inspectionComplaint-triggered2 citations
F-0550
E · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2026-06-08
F-0919
D · No harm foundFrom a complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2026-05-22
2026-05-06Health inspectionComplaint-triggered7 citations
F-0582
D · No harm foundFrom a complaint
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2026-05-04
F-0584
D · No harm foundFrom a complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2026-05-04
F-0627
E · No harm foundFrom a complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected 2026-05-06
F-0641
D · No harm foundFrom a complaint
Ensure each resident receives an accurate assessment.
Corrected 2026-05-06
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2026-05-06
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2026-05-06
F-0698
D · No harm foundFrom a complaint
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2026-05-04
2026-03-31Health inspectionComplaint-triggered1 citation
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-04-03
2026-03-04Health inspectionComplaint-triggered4 citations
F-0558
E · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2026-03-19
F-0584
D · No harm foundFrom a complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2026-03-05
F-0745
D · No harm foundFrom a complaint
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2026-03-15
F-0807
E · No harm foundFood safetyFrom a complaint
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Corrected 2026-03-19
2026-02-11Health inspectionComplaint-triggered7 citations
F-0584
D · No harm foundFrom a complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2026-03-06
F-0585
E · No harm foundFrom a complaint
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2026-03-18
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2026-03-06
F-0687
D · No harm foundFrom a complaint
Provide appropriate foot care.
Corrected 2026-03-06
F-0711
D · No harm foundFrom a complaint
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2026-03-06
F-0790
D · No harm foundFrom a complaint
Provide routine and 24-hour emergency dental care for each resident.
Corrected 2026-03-18
F-0804
D · No harm foundFood safetyFrom a complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2026-03-06
2025-12-18Health inspectionComplaint-triggered2 citations
F-0677
E · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2026-01-08
F-0725
E · No harm foundFrom a complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2026-01-08
2025-12-12Health inspectionComplaint-triggered1 citation
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-12-19
2025-11-13Health inspectionComplaint-triggered1 citation
F-0689
E · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-11-26
2025-10-23Health inspectionComplaint-triggered2 citations
F-0600
G · Actual harmFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-11-13
F-0627
D · No harm foundFrom a complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected 2025-11-07
2025-09-15Health inspectionComplaint-triggered2 citations
F-0573
D · No harm foundFrom a complaint
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected 2025-09-16
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-09-19
2025-08-22Health inspectionComplaint-triggered27 citations
F-0550
E · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-08-27
F-0552
D · No harm found
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-08-27
F-0558
E · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-08-27
F-0578
E · No harm found
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.
Corrected 2025-08-27
F-0580
D · No harm found
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-08-27
F-0584
D · No harm found
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2025-09-15
F-0641
E · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2025-08-26
F-0656
E · 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 2025-08-27
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-08-27
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-08-27
F-0684
E · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-08-27
F-0686
E · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-08-27
F-0688
D · No harm found
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2025-08-27
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 2025-08-27
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 2025-08-27
F-0695
E · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-08-27
F-0697
D · No harm found
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-08-27
F-0698
E · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-08-27
F-0700
D · No harm found
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2025-08-27
F-0725
E · No harm found
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-08-27
F-0755
E · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-08-27
F-0757
D · No harm found
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-08-27
F-0761
E · No harm foundFrom a complaint
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 2025-08-27
F-0804
E · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-08-25
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 2025-08-25
F-0812
E · 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 2025-08-25
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-09-06
2025-07-24Health inspectionComplaint-triggered1 citation
F-0584
D · No harm foundFrom a complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2025-07-30
2025-06-27Health inspectionComplaint-triggered5 citations
F-0550
E · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-07-03
F-0552
D · No harm foundFrom a complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-06-27
F-0684
J · Immediate jeopardyFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-06-27
F-0825
E · No harm foundFrom a complaint
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2025-07-01
F-0925
E · No harm foundFrom a complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2025-07-02
2025-06-13Health inspectionComplaint-triggered2 citations
F-0573
E · No harm foundFrom a complaint
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected 2025-06-16
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-06-18
2025-05-27Health inspectionComplaint-triggered2 citations
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 2025-05-29
F-0921
D · No harm foundFrom a complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-05-30
2025-05-09Health inspectionComplaint-triggered3 citations
F-0580
J · Immediate jeopardyFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-05-29
F-0641
E · No harm foundFrom a complaint
Ensure each resident receives an accurate assessment.
Corrected 2025-05-28
F-0842
E · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-05-29
2025-04-24Health inspectionComplaint-triggered5 citations
F-0550
E · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-05-05
F-0677
E · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-05-07
F-0725
E · No harm foundFrom a complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-05-07
F-0760
E · No harm foundFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2025-05-07
F-0921
E · No harm foundFrom a complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-05-05
2025-04-03Health inspectionComplaint-triggered2 citations
F-0921
E · No harm foundFrom a complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-04-08
F-0926
D · No harm foundFrom a complaint
Have policies on smoking.
Corrected 2025-04-09
2025-03-13Health 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 2025-03-24
2025-02-25Health inspectionComplaint-triggered6 citations
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-02-26
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-03-07
F-0693
D · No harm foundFrom a complaint
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 2025-03-12
F-0814
E · No harm foundFood safetyFrom a complaint
Dispose of garbage and refuse properly.
Corrected 2025-02-26
F-0825
D · No harm foundFrom a complaint
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2025-03-12
F-0919
E · No harm foundFrom a complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2025-02-25
2025-02-05Health inspectionComplaint-triggered2 citations
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-02-25
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-02-15
2025-01-28Health inspectionComplaint-triggered2 citations
F-0558
D · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-02-01
F-0921
E · No harm foundFrom a complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-02-14
2024-12-27Health inspectionComplaint-triggered4 citations
F-0687
D · No harm foundFrom a complaint
Provide appropriate foot care.
Corrected 2025-01-09
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 2025-01-09
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-01-13
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-01-17
2024-12-13Health inspectionComplaint-triggered2 citations
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-12-20
F-0842
E · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-12-20
2024-12-05Health inspectionComplaint-triggered3 citations
F-0558
E · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-12-17
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-12-17
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-12-17
2024-10-24Health inspectionComplaint-triggered1 citation
F-0690
E · No harm foundFrom a complaint
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 2024-11-07
2024-10-10Health inspectionComplaint-triggered1 citation
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-10-25
2024-08-30Health inspection27 citations
F-0558
E · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-09-13
F-0578
E · No harm found
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.
Corrected 2024-09-13
F-0584
D · No harm found
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2024-09-13
F-0641
E · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2024-09-13
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 2024-09-13
F-0676
E · No harm found
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2024-09-13
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-09-13
F-0686
E · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-09-13
F-0688
E · No harm found
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2024-09-13
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 2024-09-13
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 2024-09-13
F-0694
E · No harm found
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2024-09-13
F-0695
E · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-09-13
F-0700
E · No harm found
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2024-09-13
F-0725
E · No harm found
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-09-13
F-0732
D · No harm found
Post nurse staffing information every day.
Corrected 2024-09-13
F-0755
E · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-09-13
F-0758
D · No harm found
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.
Corrected 2024-09-13
F-0759
E · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-09-13
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 2024-09-13
F-0803
E · No harm foundFood safety
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2024-09-13
F-0805
E · No harm foundFood safety
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2024-09-13
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 2024-09-13
F-0812
E · 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 2024-09-13
F-0839
D · No harm found
Employ staff that are licensed, certified, or registered in accordance with state laws.
Corrected 2024-09-13
F-0847
D · No harm found
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected 2024-09-13
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-09-13
2024-08-09Health inspectionComplaint-triggered3 citations
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-08-28
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-28
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-08-27
2024-07-25Health inspectionComplaint-triggered1 citation
F-0573
E · No harm foundFrom a complaint
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected 2024-08-03
2024-07-15Health inspectionComplaint-triggered1 citation
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-08-08
2024-06-28Health inspectionComplaint-triggered1 citation
F-0725
E · No harm foundFrom a complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-08-07
2024-05-29Health inspectionComplaint-triggered1 citation
F-0842
E · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-06-18
2024-05-07Health inspectionComplaint-triggered2 citations
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-05-31
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 2024-05-28
2024-04-30Health inspectionComplaint-triggered1 citation
F-0584
D · No harm foundFrom a complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2024-05-20
2024-04-12Health inspectionComplaint-triggered3 citations
F-0558
E · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-04-26
F-0687
E · No harm foundFrom a complaint
Provide appropriate foot care.
Corrected 2024-05-03
F-0909
D · No harm foundFrom a complaint
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Corrected 2024-05-03
2024-03-07Health inspectionComplaint-triggered3 citations
F-0584
D · No harm foundFrom a complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2024-03-11
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 2024-03-08
F-0745
D · No harm foundFrom a complaint
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2024-03-25
2024-02-08Health inspectionComplaint-triggered4 citations
F-0580
G · Actual harmFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-03-01
F-0656
E · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-03-03
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-02-28
F-0686
E · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-03-03
2024-01-24Health inspectionComplaint-triggered6 citations
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-02-15
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-02-15
F-0678
E · No harm foundFrom a complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2024-02-15
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-02-15
F-0698
D · No harm foundFrom a complaint
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-02-15
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-02-15
2023-12-29Health 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 2024-01-16
2023-11-08Health inspectionComplaint-triggered3 citations
F-0584
D · No harm foundFrom a complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2023-11-30
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-11-30
F-0695
E · No harm foundFrom a complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-11-30
2023-10-23Health inspectionComplaint-triggered2 citations
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-10-26
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2023-10-26
2023-10-05Health inspectionComplaint-triggered2 citations
F-0684
E · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-10-30
F-0842
E · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-10-30
2023-08-24Health inspectionComplaint-triggered3 citations
F-0641
E · No harm foundFrom a complaint
Ensure each resident receives an accurate assessment.
Corrected 2023-09-20
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-09-20
F-0690
E · No harm foundFrom a complaint
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 2023-09-21
2023-08-16Health inspectionComplaint-triggered7 citations
F-0573
D · No harm foundFrom a complaint
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected 2023-09-14
F-0584
E · No harm foundFrom a complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2023-09-14
F-0676
E · No harm foundFrom a complaint
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2023-09-14
F-0686
E · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-09-14
F-0698
D · No harm foundFrom a complaint
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-09-18
F-0725
E · No harm foundFrom a complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2023-09-18
F-0744
D · No harm foundFrom a complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2023-09-14
2021-05-07Health inspection26 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2021-06-06
F-0552
E · No harm found
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2021-06-06
F-0558
E · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2021-06-06
F-0584
E · No harm found
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2021-06-06
F-0623
E · No harm found
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2021-06-06
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2021-06-06
F-0656
E · 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 2021-06-06
F-0676
E · No harm found
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2021-06-06
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2021-06-06
F-0685
E · No harm found
Assist a resident in gaining access to vision and hearing services.
Corrected 2021-06-06
F-0686
E · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2021-06-06
F-0688
G · Actual harm
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2021-06-06
F-0689
E · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2021-06-06
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 2021-06-06
F-0698
D · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2021-06-06
F-0725
E · No harm found
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2021-06-06
F-0732
D · No harm found
Post nurse staffing information every day.
Corrected 2021-06-06
F-0758
E · No harm found
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.
Corrected 2021-06-06
F-0759
E · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2021-06-06
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 2021-06-06
F-0812
E · 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 2021-06-06
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 2021-06-06
F-0849
D · No harm found
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2021-06-06
F-0867
E · No harm found
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2021-06-06
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2021-06-06
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 2021-06-06
2025-08-22Fire-safety inspection8 citations
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2025-09-04
K-0232
D · No harm found
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2025-08-27
K-0342
D · No harm found
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Corrected 2025-08-27
K-0351
E · No harm found
Install an approved automatic sprinkler system.
Corrected 2025-08-26
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-08-26
K-0511
D · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2025-08-27
K-0741
D · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-08-26
K-0761
E · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-08-27
2024-08-30Fire-safety inspection11 citations
K-0211
E · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-09-10
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-09-10
K-0342
E · No harm found
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Corrected 2024-09-10
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-09-10
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-09-10
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2024-09-10
K-0712
E · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2024-09-10
K-0741
D · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-09-10
K-0761
F · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-09-10
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2024-09-10
K-0923
E · No harm found
Have proper medical gas storage and administration areas.
Corrected 2024-09-10
2023-12-23Fire-safety inspectionComplaint-triggered1 citation
K-0354
F · No harm foundFrom a complaint
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2024-01-15
2021-05-07Fire-safety inspection7 citations
E-0041
F · No harm found
Implement emergency and standby power systems.
Corrected 2021-08-26
K-0211
D · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2021-08-26
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2021-08-26
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2021-08-26
K-0511
E · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2021-08-26
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2021-08-26
K-0920
E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2021-08-26

Federal penalties

2025-06-27Fine$42,169
2025-05-09Fine$35,175
2024-01-24Fine$57,329
2025-10-23Medicare payment denial — 5 days
2024-08-09Medicare payment denial — 7 days
2024-01-24Medicare payment denial — 16 days
Total fines$134,673
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 056431.
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Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
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Owners' other facilities
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Inspection citations — last 5 years

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The 228 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

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Active civil suits
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Federal dockets
CDC infection data
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Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
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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