★★★★★Overall Medicare rating
★★★★★Health inspections
★★★★★Staffing
★★★★★Quality measures
Medicare rates every nursing home from 1 to 5 stars. 5 is much above average, 1 is much below.
Findings, latest cycle18
Findings with harm or immediate jeopardy, 3 cycles1
Fines, 3 years$70,925
Beds216
Inspection findings
Inspectors recorded 43 findings in the last three inspection cycles.
Each entry below is a requirement that inspectors found the home did not meet on that date, in the regulator's own English wording.
| Inspection date | Area | Requirement the home did not meet (official wording, in English) | Severity | Corrected |
|---|---|---|---|---|
| May 5, 2026 | Resident assessment and care planning | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (F0842) | No harm, but a risk of harm isolated · from a complaint | Corrected: May 21, 2026 |
| May 5, 2026 | Resident rights | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (F0580) | No harm, but a risk of harm isolated · from a complaint | Corrected: May 21, 2026 |
| Aug 29, 2025 | Building and environment | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. (F0925) | No harm, but a risk of harm widespread | Corrected: Nov 21, 2025 |
| Aug 29, 2025 | Building and environment | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (F0912) | No harm, minimal risk pattern | Corrected: Nov 21, 2025 |
| Aug 29, 2025 | Building and environment | Keep all essential equipment working safely. (F0908) | No harm, but a risk of harm widespread | Corrected: Nov 21, 2025 |
| Aug 29, 2025 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm widespread | Corrected: Nov 21, 2025 |
| Aug 29, 2025 | Food and nutrition | Have a policy regarding use and storage of foods brought to residents by family and other visitors. (F0813) | No harm, but a risk of harm widespread | Corrected: Nov 21, 2025 |
| Aug 29, 2025 | Pharmacy and medications | 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. (F0761) | No harm, but a risk of harm isolated | Corrected: Nov 21, 2025 |
| Aug 29, 2025 | Pharmacy and medications | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F0755) | No harm, but a risk of harm isolated | Corrected: Nov 21, 2025 |
| Aug 29, 2025 | Quality of life and care | Provide safe and appropriate respiratory care for a resident when needed. (F0695) | No harm, but a risk of harm isolated | Corrected: Nov 21, 2025 |
| Aug 29, 2025 | Quality of life and care | Assist a resident in gaining access to vision and hearing services. (F0685) | No harm, but a risk of harm isolated | Corrected: Nov 21, 2025 |
| Aug 29, 2025 | Quality of life and care | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (F0676) | No harm, but a risk of harm isolated | Corrected: Nov 21, 2025 |
| Aug 29, 2025 | Resident assessment and care planning | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (F0657) | No harm, but a risk of harm isolated | Corrected: Nov 21, 2025 |
| Aug 29, 2025 | Resident assessment and care planning | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656) | No harm, but a risk of harm isolated | Corrected: Nov 21, 2025 |
| Aug 29, 2025 | Resident assessment and care planning | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (F0636) | No harm, but a risk of harm isolated | Corrected: Nov 21, 2025 |
| Aug 29, 2025 | Abuse, neglect and exploitation | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. (F0605) | No harm, but a risk of harm isolated | Corrected: Nov 21, 2025 |
| Aug 29, 2025 | Resident rights | 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. (F0578) | No harm, but a risk of harm pattern | Corrected: Nov 21, 2025 |
| Aug 29, 2025 | Resident rights | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. (F0577) | No harm, minimal risk pattern | Corrected: Nov 21, 2025 |
| May 28, 2025 | Quality of life and care | Provide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jun 6, 2025 |
Earlier inspections (24)
| Inspection date | Area | Requirement the home did not meet (official wording, in English) | Severity | Corrected |
|---|---|---|---|---|
| Mar 14, 2025 | Abuse, neglect and exploitation | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (F0609) | No harm, but a risk of harm isolated · from a complaint | Corrected: Apr 3, 2025 |
| Feb 13, 2025 | Quality of life and care | Provide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684) | No harm, but a risk of harm isolated · from a complaint | Corrected: Feb 27, 2025 |
| Dec 4, 2024 | Quality of life and care | Provide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684) | No harm, but a risk of harm isolated · from a complaint | Corrected: Dec 13, 2024 |
| Oct 11, 2024 | Quality of life and care | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (F0676) | No harm, but a risk of harm isolated · from a complaint | Corrected: Oct 30, 2024 |
| Jul 18, 2024 | Quality of life and care | Provide appropriate pressure ulcer care and prevent new ulcers from developing. (F0686) | No harm, but a risk of harm isolated · from a complaint | Corrected: Aug 1, 2024 |
| Jun 25, 2024 | Quality of life and care | Provide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jul 9, 2024 |
| Apr 10, 2024 | Quality of life and care | Provide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684) | No harm, but a risk of harm isolated · from a complaint | Corrected: Apr 19, 2024 |
| Nov 2, 2023 | Quality of life and care | Provide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684) | Immediate jeopardy isolated · from a complaint | Corrected: Nov 21, 2023 |
| Mar 18, 2022 | Building and environment | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (F0912) | No harm, minimal risk pattern | Corrected: Apr 8, 2022 |
| Mar 18, 2022 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm pattern | Corrected: Apr 8, 2022 |
| Mar 18, 2022 | Resident assessment and care planning | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (F0842) | No harm, but a risk of harm isolated | Corrected: Apr 8, 2022 |
| Mar 18, 2022 | Quality of life and care | Provide enough food/fluids to maintain a resident's health. (F0692) | No harm, but a risk of harm isolated | Corrected: Apr 8, 2022 |
| Mar 18, 2022 | Quality of life and care | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (F0676) | No harm, but a risk of harm isolated | Corrected: Apr 8, 2022 |
| Mar 18, 2022 | Resident assessment and care planning | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. (F0646) | No harm, but a risk of harm isolated | Corrected: Apr 8, 2022 |
| Mar 18, 2022 | Resident rights | Reasonably accommodate the needs and preferences of each resident. (F0558) | No harm, but a risk of harm isolated | Corrected: Apr 8, 2022 |
| May 23, 2019 | Building and environment | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (F0912) | No harm, minimal risk pattern | Corrected: Jun 22, 2019 |
| May 23, 2019 | Food and nutrition | Have a policy regarding use and storage of foods brought to residents by family and other visitors. (F0813) | No harm, but a risk of harm widespread | Corrected: Jun 22, 2019 |
| May 23, 2019 | Food and nutrition | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812) | No harm, but a risk of harm widespread | Corrected: Jun 22, 2019 |
| May 23, 2019 | Food and nutrition | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. (F0806) | No harm, but a risk of harm pattern | Corrected: Jun 22, 2019 |
| May 23, 2019 | Food and nutrition | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (F0804) | No harm, but a risk of harm widespread | Corrected: Jun 22, 2019 |
| May 23, 2019 | Food and nutrition | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. (F0802) | No harm, but a risk of harm widespread | Corrected: Jun 22, 2019 |
| May 23, 2019 | Food and nutrition | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. (F0801) | No harm, but a risk of harm widespread | Corrected: Jun 22, 2019 |
| May 23, 2019 | Quality of life and care | Provide safe, appropriate dialysis care/services for a resident who requires such services. (F0698) | No harm, but a risk of harm isolated | Corrected: Jun 22, 2019 |
| May 23, 2019 | Resident assessment and care planning | Ensure each resident receives an accurate assessment. (F0641) | No harm, but a risk of harm isolated | Corrected: Jun 22, 2019 |
Fines and payment denials
Federal fines in the last three years: $70,925 (1). Payment denials: 0.
| Date | Type | Amount |
|---|---|---|
| Nov 2, 2023 | Fine | $70,925 |
Staffing
| Nurse staff hours per resident per day | 3.98 | California median: 4.27 |
| Registered nurse hours per resident per day | 0.25 | California median: 0.52 |
| Nurse staff hours on weekends | 3.60 | California median: 3.85 |
| Nursing staff who left within a year | 24.9% | California median: 36.0% |
About this home
| Beds | 216 |
| Residents per day, average | 203.7 |
| Ownership | For-profit, limited liability company |
| Legal business name | Ontarioidence Opco, LLC |
| Chain | Pacs Group (277 homes) |
| In Medicare/Medicaid since | Jun 1, 1977 |
Questions to ask when you call
- What was corrected after the last inspection?
- How many staff work at night and on weekends?
- Does anyone on staff speak my relative's language?
- May I visit at any time, without an appointment?
Source. Medicare Care Compare (CMS Provider Data), data dated Oct 1, 2026. Open this home on Medicare.gov
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