Above average — CMS composite of the measures below.
The next survey window likely opens around January 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Medical Center Convalescent Hospital during CMS and state inspections, most recent first.
Food Storage and Dish Drying Deficiencies: A plastic-wrapped container of beef roast was found in the freezer without a prep date, freeze-by date, or discard date, and wet dishes were observed stacked together instead of being air-dried. The DS confirmed the labeling and dish-drying practices did not follow facility policy, and the dishwashing procedure required items to be air-dried before storage.
A resident with confusion, seizures, right-sided weakness, hypertension, and fluctuating decision-making capacity was assessed as not having the mental or physical ability to safely self-administer meds. Even so, while the resident was out on pass, the DON confirmed the resident was sent with meds to self-administer, including Keppra and nifedipine removed from the bubble pack, despite the facility’s own assessment showing the resident was not a candidate for self-administration.
A resident’s call light was observed on the floor beside the bed and not within reach while the resident was sitting up in bed. An LVN confirmed the call light was inaccessible and stated it was important for the resident, who was at risk for falls, to be able to request assistance. The resident’s care plan included keeping the call light in reach, and the facility policy required placing the call device within the resident’s reach before leaving the room.
A facility failed to make the survey binder with the most recent survey results and CMS-2567 readily accessible to residents and visitors. During a Resident Council meeting, all residents present said they did not know where the binder was located, and an observation showed it placed on a shelf about 5.6 feet above the floor across from the nurses' station. The DON confirmed the binder was not in a readily accessible location, despite the facility policy requiring survey results or a notice of location to be posted in a readily accessible place.
Failure to Provide Written Advance Directive Information: The facility did not provide written information about the right to formulate an Advance Directive for four residents. Records showed each resident either had decision-making capacity or was able to make their own decisions, but their POLST or Acknowledgement of Advance Directive forms did not document that the required information was given, and the SSD could not produce written proof that help or information had been offered.
A resident with schizoaffective disorder and major depressive disorder had a PASRR Level 1 screening that identified a serious mental illness, but facility staff did not follow up after the attempted Level 2 evaluation could not be completed because staff were unresponsive. RN 1 could not provide evidence of follow-up, and the DON verified the PASRR was not completed.
A resident with an indwelling urinary catheter and diagnoses including BPH, urinary retention, and obstructive uropathy had an order for I&O monitoring every shift, but MAR review showed the I&O was not consistently documented on multiple shifts. An LPN verified the missing documentation, and the DON acknowledged the gaps and stated licensed staff were responsible for documenting I&O, including urine characteristics and hydration status.
A facility failed to keep three residents free from accident hazards. One resident with confusion and fluctuating decision-making capacity was sent out on pass without a documented nurse assessment, instructions, or completed OOP safety checklist. A second resident recovering from hip surgery was observed with a floor mat in place without a physician order or care plan intervention for the mat. A third resident was observed smoking on the patio before a smoking assessment was completed and was not listed on the facility smoking list.
A resident with an indwelling urinary catheter, urinary retention, BPH, and obstructive uropathy did not have catheter care consistently documented as completed on multiple shifts. The order required meatal care with soap and water every shift and PRN, and the care plan also called for foley care every shift. The TAR had missing signatures, and both the LVN and DON acknowledged the missing documentation and that licensed staff were responsible for documenting the care.
A medication error occurred when an RN gave a resident Senna S instead of the ordered sennosides dose. In Medication Room A, four normal saline IV bags were stored undated outside the overwrap, and two opened Aplisol vials were found undated in the med refrigerator. Staff acknowledged the storage issues, and the product literature stated the IV bags and Aplisol vials require dating and limited use periods after opening.
Medication labeling and storage practices were not followed for an opened inhaler mouthpiece, an insulin pen, bisacodyl suppositories, and medications kept in Central Supply. An inhaler mouthpiece was left without resident-specific labeling, an unused insulin pen was stored at room temperature instead of refrigerated, bisacodyl suppositories were placed in a medication refrigerator despite room-temperature labeling, and there were no temperature logs for medications stored in Central Supply. Staff and the DON acknowledged the labeling and storage issues during observation and interview.
A resident’s MAR was inaccurately documented when two scheduled BP meds were coded as if the resident were hospitalized, even though the resident was out on pass and had been provided medications during the temporary absence. The DON verified the MAR entries were incorrect and stated the code used did not match the resident’s status.
The facility failed to follow infection control policies, with dryers set below the required temperature and IV tubing for a resident not labeled as per policy. The dryers were set at 155°F, below the 180°F required by the facility's policy, potentially allowing harmful microorganisms to thrive. Additionally, a resident receiving IV antibiotics had tubing without a date label, contrary to the facility's procedures, which could lead to cross-contamination.
The facility failed to manage and dispose of expired medications and supplies, as identified during an inspection. An LVN found an expired bisacodyl suppository in the medication storage room, and another LVN found an expired alginate dressing in the treatment cart. The DON confirmed that the facility's policy on the disposal of expired items was not followed.
The facility failed to properly label pudding cups used during medication pass, as the Dietary Supervisor labeled them with the wrong date to meet nurses' preferences. This mislabeling contradicted the facility's policy, which required accurate dating to ensure food safety and quality. The Registered Dietitian confirmed the mistake, and the Director of Nursing and Licensed Vocational Nurses were under the impression that the date indicated the day of preparation.
A resident with a history of amputation and diabetes was not placed on the restorative nursing services (RNS) program after completing physical therapy (PT), contrary to facility policy. The resident expressed concerns about the lack of assistance for walking, which he previously received during therapy. The Director of Nursing and Director of Rehab confirmed the absence of documented RNS recommendations, acknowledging the policy was not followed.
A resident with a history of anxiety and aggressive behavior accidentally discharged bear spray in a facility, affecting five other residents. The incident led to symptoms like red, watery eyes and coughing, with four residents requiring hospitalization. The facility's failure to maintain a hazard-free environment resulted in this incident.
Food Storage and Dish Drying Deficiencies
Penalty
Summary
The facility failed to follow established food safety and sanitation standards when a plastic-wrapped container of beef roast was observed in the walk-in freezer without a label showing the preparation date, freeze-by date, or discard date. During the observation, the Dietary Supervisor confirmed that the facility’s policy was to ensure all food stored in the freezer was properly labeled and dated, and stated that the policy was not followed. The facility’s Food Storage policy stated that prepared food stored in the refrigerator until service shall be dated with an expiration date and tightly sealed with plastic wrap, foil, or a lid. The facility also failed to ensure clean dishes were air-dried after washing. During a follow-up kitchen observation, wet dishes were found stacked on top of each other and not air-dried. The Dietary Supervisor stated that all dishes should be air-dried before storing. The facility’s 3 Compartment Procedure for Manual Dishwashing stated that all items are air-dried, meaning no water droplets are present, and the 2022 FDA Food Code section 4-901.11 states that equipment and utensils shall be air-dried or adequately drained before contact with food.
Resident Given Medications to Self-Administer Despite Failed Self-Administration Assessment
Penalty
Summary
The facility failed to ensure that one sampled resident did not self-administer medications when the resident had been assessed as unable to safely do so. Resident 17’s admission record showed the resident was admitted to the facility on [DATE]. The resident’s H&P dated 11/18/25 noted a surrogate decision maker, confusion in the neurological exam, diagnoses including right sided weakness, seizures, and hypertension, and fluctuating capacity to understand and make decisions. The resident’s Self Administration of Medication Assessment dated 10/31/25 indicated the resident was not a candidate for safe self-administration and was assessed as having no mental and physical capacity to self-administer medications. Despite that assessment, Resident 17 was out on pass for four days beginning 2/24/26, and the DON confirmed during interview and record review that the resident was sent with medications to self-administer, with medication removed from the bubble pack. The resident’s order summary showed physician orders for Keppra 500 mg every 12 hours and Nifedipine ER 30 mg, and the facility policy stated that if a resident cannot safely self-administer medications, nursing staff will administer the medications.
Call Light Not Within Resident Reach
Penalty
Summary
The facility failed to ensure the call light was accessible for use for one sampled resident who was observed sitting up in bed with the call light on the floor to the left side of the bed. During the observation, the LVN exiting the room and later re-entering the room verified that the call light was not within the resident’s reach and acknowledged that it should have been accessible. The LVN also stated the resident was at risk for falls and that having the call light within reach was important for the resident to request assistance. Record review showed the resident was readmitted to the facility and had an MDS indicating dependence on staff for toileting, showering, and lower body dressing. The care plan identified the resident as at risk for falling and included an intervention to keep the call light in reach. During interview, the DON stated the importance of call lights was to ensure residents were able to alert and communicate with staff. The facility policy titled Call Light/Bell stated to place the call device within the resident's reach before leaving the room.
Survey Binder Not Readily Accessible
Penalty
Summary
The facility failed to ensure the survey binder containing the results of the most recent survey, including the Statement of Deficiencies (Form CMS-2567), was readily accessible to residents and visitors. During a Resident Council meeting, all 10 residents present stated they did not know where the survey binder was located when asked if they could review the survey results without asking a staff member. An observation later showed the survey binder placed on a plastic shelf on the wall across from the nurses' station, approximately 5.6 feet above the floor. The DON confirmed that residents have the right to ask for and see the survey binder and acknowledged that it was placed in an area that was not readily accessible to residents. The facility policy titled Resident Rights stated that survey results and the plan of correction, or a notice of location, should be posted in a readily accessible place.
Failure to Provide Written Advance Directive Information
Penalty
Summary
The facility failed to provide written information concerning the right to formulate an Advance Directive for 4 of 14 sampled residents. Resident 1 was readmitted to the facility and had a POLST signed by the legally recognized decisionmaker indicating the resident did not have an Advance Directive; during interview and record review, the SSD confirmed the resident did not have an Advance Directive and that the legally recognized decisionmaker was not provided information on Advance Directives. The SSD also reviewed the facility policy titled, Assisting with Health Care Directives, and confirmed it was the SSD's responsibility to ensure information regarding Advance Directives was provided to residents and their families. Resident 11, Resident 49, and Resident 83 each had records showing they had the capacity to understand and make decisions, or were able to make their own decisions, and each had POLST or Acknowledgement of Advance Directive forms indicating they had not executed an Advance Directive. For each of these residents, the signed Acknowledgement of Advance Directive form did not show documented evidence that written information concerning the right to formulate an Advance Directive had been provided, and the box stating, "I received information on my rights about formulating an Advance Directive" was not checked. During interview, the SSD stated she was responsible for talking to residents if they wanted help to formulate an Advance Directive and that it would be documented in the resident's chart, but she was unable to show written documentation that help had been offered to the residents above.
Failure to Follow Up on PASRR Evaluation
Penalty
Summary
The facility failed to follow up with the Preadmission Screening and Resident Review (PASRR) process for one resident with schizoaffective disorder, depressive type, and major depressive disorder. Resident 6 was admitted with diagnoses including schizoaffective disorder, and the record showed a PASRR Level 1 screening completed after a status change on 10/17/25. That screening marked the resident as having a serious mental illness and listed schizoaffective disorder, depressive type, and major depressive disorder under Section III. The resident's Notice of Attempted Evaluation, dated 10/21/25, stated facility staff were unresponsive to two or more separate attempts of communication within 48 hours of the Level 1 screening, so the California Department of Health Care Services could not complete a Level 2 evaluation for serious mental illness to determine whether the individual could benefit from specialized services. During interviews, RN 1 stated they were responsible for completing and following up on PASRR for residents and that the process determined whether residents required special services or were appropriate to stay in the facility, but RN 1 could not provide evidence that the attempted Level II screening had been followed up and stated it was missed. The DON also verified that the PASRR was not completed and stated it was important to ensure the services and placement at the facility were appropriate for the resident.
Missing I&O Documentation for Resident with Indwelling Catheter
Penalty
Summary
The facility failed to ensure accurate intake and output (I&O) monitoring and documentation for one resident with an indwelling urinary catheter. Resident 3 had diagnoses including benign prostatic hyperplasia, urinary retention, and obstructive uropathy, and had a physician order for an indwelling catheter for obstruction with I&O to be monitored every shift. The resident’s care plan also identified a focus area for risk of urinary tract infection related to foley catheter use with an intervention to monitor I&O. Review of the MAR showed that I&O monitoring was not consistently documented on certain shifts in January and February 2026, including 1/25/26, 1/27/26 through 1/30/26, 2/16/26, and 2/20/26. During interview and record review, LVN 3 verified the missing signatures and stated licensed staff were responsible for monitoring and documenting the input and output of residents with an indwelling urinary catheter. The DON acknowledged the missing documentation and stated licensed staff must ensure I&O monitoring was documented in the MAR, noting that monitoring included assessing hydration status and the quality, color, odor, and consistency of the resident’s urine.
Failure to Assess Residents Before Out-on-Pass, Floor Mat Use, and Smoking Status
Penalty
Summary
The facility failed to ensure Resident 17 was properly assessed before being sent out on pass. Resident 17’s record showed a physician order allowing an overnight out-on-pass from 2/24/26 to 2/28/26, and the resident had a history of confusion with fluctuating capacity to understand and make decisions. However, there was no documented evidence that a licensed nurse completed a physical assessment or provided instructions before the resident left the facility. The Release for Temporary Absence form showed the resident departed on 2/24/26 at 10:08 AM with family, and the Out on Pass Safety Checklist was not completed in the binder as expected. The facility also failed to ensure Resident 25 had a physician order for floor mats and failed to implement care plan interventions related to the mat. Resident 25 was admitted after hip replacement and was identified by nursing staff as a fall risk because of recovery from hip surgery. The resident was observed in bed with a floor mat on the left side on two separate occasions. RN 1 reviewed the medical record and could not find a physician order for the floor mat, and the care plan for fall risk did not include the mat as an intervention. The DON stated that a physician order, care plan, and informed consent should be in place for floor mat use. The facility further failed to identify and assess Resident 84 as a smoker upon admission. Resident 84’s record indicated the resident was able to make own decisions, but the resident was observed smoking on the patio before a smoking assessment had been completed. The resident was not listed on the facility’s smoking list, and the Admissions Director stated the facility was supposed to complete a smoking assessment to determine whether the resident smoked and was safe to smoke at the facility. The Admissions Director reviewed the record and stated the smoking assessment was not completed until after the resident had already been observed smoking.
Inconsistent Documentation of Ordered Catheter Care
Penalty
Summary
The facility failed to ensure proper care and services for a resident with an indwelling urinary catheter by not consistently completing and documenting catheter care as ordered. Resident 3 was admitted with diagnoses including benign prostatic hyperplasia, urinary retention, and obstructive uropathy, and the resident’s record showed dependence on staff for toileting and personal hygiene as well as the presence of an indwelling catheter. The physician’s orders required indwelling catheter care with washing around the urinary meatus with soap and water every shift and as needed, and the care plan included foley catheter care every shift with cleansing around the urinary meatus. Review of the TAR showed catheter care was not consistently documented as completed on multiple shifts across January and February 2026. During interview, the LVN verified the missing TAR signatures and stated licensed staff were responsible for signing after catheter care was completed, and the DON acknowledged the missing documentation and stated licensed staff must ensure indwelling catheter care was documented to verify that the care was provided.
Medication Error and Improper Storage of IV Solution Bags and Aplisol Vials
Penalty
Summary
A medication error occurred for one resident when RN 1 prepared and administered two tablets of Senna S during medication pass, even though the resident’s current physician orders showed an order for sennosides 17.2 mg and not for the combination product Senna S. During the concurrent observation and record review, RN 1 acknowledged that the wrong medication had been given. The DON stated the expectation was to follow the 8 Rights of Medication Administration, including giving the right medication to the resident. In Medication Room A, four normal saline IV solution bags were observed stored outside the plastic overwrap and were undated in the compartment labeled BED HOLD MEDICATIONS. The MDS Coordinator acknowledged the bags were stored in that condition. The MDS later stated the bags should have been dated with a 20-day beyond use date after removal from the overwrap, and the DON stated the unlabeled and undated bags should have been discarded. The manufacturer’s literature reviewed by surveyors stated that IV solutions removed from overwrap may be given a 20-day beyond use date for 100 mL and greater bags, and that stability can be compromised if unwrapped for a length of time prior to use. Also in Medication Room A, two opened and undated multiple-dose Aplisol vials were observed stored in the medication refrigerator. The MDS acknowledged the vials were opened and undated. The IP stated the vial is to be dated because it is only good for a certain time, RN 2 stated the vial is labeled with the date when it is opened to determine when to discard it, and the DON stated opened Aplisol should be dated and kept no longer than 30 days. The package insert reviewed by surveyors stated vials in use more than 30 days should be discarded due to possible oxidation and degradation which may affect potency.
Medication Labeling and Storage Deficiencies
Penalty
Summary
Medication labeling practices were not followed for an opened tiotropium inhaler mouthpiece used by one resident. During an observation of Medication Cart B, the mouthpiece was found without resident-specific labeling. The LVN stated it would normally be labeled with the resident's name, and the Infection Preventionist, RN, and DON all stated it should be labeled with resident-specific information to prevent mix-ups with another resident. Medication storage temperature requirements were also not followed for insulin and bisacodyl suppositories. In Medication Cart C, an undated and unused Humalog insulin pen for one resident was found stored at room temperature with a blue refrigerate sticker, and the LVN stated it should be trashed. The RN stated insulin should be dated when stored in the medication cart at room temperature, while the DON stated the pen should have been kept in the refrigerator and dated when placed in the cart. In Medication Room A, two boxes of bisacodyl 10 mg suppositories were found in the medication refrigerator at 45 degrees Fahrenheit even though the product labeling and facility policy indicated room temperature storage. In Central Supply, multiple bottles of Dakins Quarter solution and multiple cartons of triple antibiotic ointment were observed stored in the storage area, but there were no temperature logs for that area. The ESD acknowledged the labeled storage temperature ranges on the products and stated there were no logs to show the medications were stored within the correct temperature range. The DON stated the facility threw away the medications observed in Central Supply because there were no temperature logs.
Inaccurate MAR Coding for Resident Out on Pass
Penalty
Summary
The facility failed to maintain an accurate Medication Administration Record (MAR) for one sampled resident, Resident 17, when the MAR indicated the resident was hospitalized while the resident was actually out on pass. Resident 17’s admission record showed the resident was admitted to the facility, and a Release for Temporary Absence form showed the resident departed the facility on 2/24/26 at 10:08 AM. During an observation on 2/25/26 at 8:10 AM, Resident 17 was not in the room and the bed was made. During a concurrent interview and record review with the DON on 2/25/26 at 10:58 AM, Resident 17’s MAR for 2/1/26 through 2/28/26 was reviewed. The MAR showed that on 2/25/26 at 7:00 AM, losartan potassium 100 mg and carvedilol 3.125 mg were each marked with code 6 and initialed KB08. The MAR code legend indicated code 6 meant the resident was hospitalized. The DON verified that Resident 17 was provided medications while out on pass and stated the resident would remain out on pass until 2/28/26. The DON stated the medications should have been marked with code 11 for out on pass, and confirmed that code 6 did not accurately reflect the resident’s status.
Infection Control Deficiencies in Laundry and IV Tubing
Penalty
Summary
The facility failed to adhere to its infection control policies in two key areas, potentially compromising the health of its residents. In the laundry room, two dryers were set below the facility's policy requirement of 180 degrees Fahrenheit, with both dryers measured at 155 degrees Fahrenheit. This discrepancy was observed during an inspection with the Maintenance Director, and the Laundry Staff confirmed the use of medium settings for certain items, which did not meet the facility's policy. The facility's Policy and Procedure on Water Temperature, revised in December 2014, clearly stated that dryers should not be set below 180 degrees Fahrenheit to comply with infection control measures. The Administrator and the Infection Control Preventionist Nurse acknowledged that the policy was not followed, which could lead to the growth of harmful microorganisms. Additionally, the facility failed to follow its policy regarding the labeling of intravenous (IV) tubing. Resident 192, who was admitted with diagnoses including endocarditis, weakness, and chronic obstructive pulmonary disease, was observed receiving IV antibiotic medication without a date label on the tubing. A Registered Nurse confirmed the absence of the label, admitting it was an oversight. The facility's Policy and Procedures for IVs required that the tubing be labeled with the date, time, and nurse's initials. The Director of Nursing confirmed that this policy was not adhered to, which could potentially lead to cross-contamination and infection among the residents.
Expired Medications and Supplies Found in Facility
Penalty
Summary
The facility failed to ensure proper management and disposal of expired medications and medical supplies, which was identified during an inspection. During an observation and interview with an LVN, a bisacodyl suppository that had expired in January 2025 was found in the medication storage room's refrigerator. The LVN confirmed the medication was expired and acknowledged it should not have been available for use. In a separate observation and interview with another LVN, an alginate dressing that expired in April 2023 was discovered in the treatment cart. The LVN confirmed the dressing was expired and should not have been in the cart. During a review with the DON, it was noted that the facility's policy on the disposal of expired medications was not followed, as the expired items were not placed in a designated, secure location for discontinued medications, nor were they disposed of as required by the policy.
Improper Labeling of Pudding Cups During Medication Pass
Penalty
Summary
The facility failed to adhere to its policy for labeling and dating food items, specifically pudding cups used during medication pass. The Dietary Supervisor (DS) prepared pudding on February 2, 2025, but labeled the cups with February 3, 2025, to align with the nurses' preference for freshly dated pudding. This mislabeling was acknowledged by the DS, who admitted to not considering the importance of accurate dating for food safety. The Director of Nursing (DON) and Licensed Vocational Nurses (LVNs) were under the impression that the date on the pudding cups indicated the day of preparation, which was not the case. The Registered Dietitian (RD) confirmed that the facility's practice required both the tray and individual pudding cups to be dated on the day they were prepared to ensure food safety and quality. The RD admitted that the DS made a mistake by not following this practice. The facility's policy and procedure for labeling and dating food items were reviewed, revealing that all prepared food needed to be labeled and dated, but this was not followed. This oversight had the potential to lead to the serving of outdated pudding, which could cause dissatisfaction among residents.
Failure to Implement Restorative Nursing Services Post-PT
Penalty
Summary
The facility failed to implement its restorative nursing services (RNS) policies and procedures for a resident, identified as Resident 61, who was not placed on the RNS program after completing physical therapy (PT). Resident 61, who has a history of right great toe amputation and type 2 diabetes mellitus with a foot ulcer, was observed sitting on the edge of his bed wearing a CAM boot on his right foot. During an interview, Resident 61 expressed concerns about his inability to walk since the completion of PT and the absence of staff assistance for walking, which he previously received during therapy sessions. The PT discharge summary for Resident 61 indicated that he was discharged with a recommendation for the use of an assisted device for safe functional mobility, with a good prognosis for maintaining his current level of function with consistent staff follow-through. However, the Director of Nursing (DON) and the Director of Rehab (DOR) confirmed that there was no documented evidence of RNS being recommended or implemented for Resident 61 post-PT. The DOR acknowledged that the facility's policy, which mandates restorative nursing care to promote optimal safety and independence, was not followed, resulting in the resident not being placed on the RNS program.
Accidental Bear Spray Discharge Affects Multiple Residents
Penalty
Summary
The facility failed to maintain a safe environment free from accident hazards, resulting in an incident where a resident accidentally discharged bear spray, affecting five other residents. Resident 1, who had a history of anxiety disorder and aggressive behavior, brought bear spray into the facility after an appointment. The resident typically kept the spray in their car but forgot to return it due to being upset about transportation delays. While entering their room, Resident 1 accidentally released the spray, impacting the hallway and other residents. The bear spray exposure caused five residents to experience symptoms such as red, watery eyes and coughing. Four of these residents required hospitalization for further evaluation and treatment. Resident 2, with chronic obstructive pulmonary disease, and Resident 3, with parkinsonism and epilepsy, both experienced eye redness and coughing, necessitating emergency room visits. Resident 4, who had cataracts and bradycardia, declined hospital transfer but felt relief after eye washing. Resident 5, with cerebrovascular disease and dementia, and Resident 6, with pneumonia and heart failure, were also hospitalized due to the exposure. The facility's Director of Nurses acknowledged the incident and reviewed the facility's policy on abuse and neglect prevention. Despite following procedures and interventions for Resident 1's behavior issues, the incident occurred, indicating a failure to protect residents from harm. The facility's policy emphasizes the importance of a multidisciplinary team in identifying risks and managing resident safety, but the incident highlighted a lapse in ensuring a hazard-free environment.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 700 citations issued within 25 miles in the last 12 months — including the 4 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near San Bernardino
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Arrowhead Springs Healthcare | 0.2 mi | ★★★★★ | 0 | 0 |
| Valley Healthcare Center | 0.2 mi | ★★★★★ | 0 | 0 |
| Waterman Canyon Post Acute | 0.4 mi | ★★★★★ | 2 | 0 |
| Haven Post Acute | 1.5 mi | ★★★★★ | 1 | 0 |
| Del Rosa Villa | 1.8 mi | ★★★★★ | 14 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.