County: San Bernardino

City: Alta Loma

Rancho Mesa Care Center
(909) 987-2501 — 9333 La Mesa Drive — Alta Loma, CA 91701


Services
How to interpret services information.

Cap.= 59 Type = SNF Owner type = Profit Corp Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 3/24/2009:
"Alzheimer's Unit": NoWanderer alert: No
Locked Ward: No
Types of Residents Accepted: A D E I L M P Q R S T
Types of Residents Not Accepted: B J N O
Languages spoken by direct-care staff: A I
Family Council: No Family Council

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 5/8/2012.
Last DHS Certification Inspection = 7/28/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2007 0 0 0 21 22.1 0 15.1
2008 0 0 0 30 18.2 2 14.4
2009 0 0 0 0 8.5 0 14.1
2010 0 0 0 0 11.7 1 6.5
2011 0 0 0 0 NA 0 NA
2012 0 0 0 0 NA 0 NA

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City: Apple Valley

Apple Valley Care Center
(760) 240-8151 — 11959 Apple Valley Road — Apple Valley, Ca 92308


Services
How to interpret services information.

Cap.= 99 Type = SNF Owner type = Individual Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 5/8/2012.
Last DHS Certification Inspection = 8/12/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2007 0 0 0 21 22.1 32 15.1
2008 0 0 0 38 18.2 51 14.4
2009 0 2 0 0 8.5 36 14.1
2010 0 0 0 2 11.7 17 6.5
2011 0 0 2 0 NA 0 NA
2012 0 0 1 0 NA 0 NA

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City: Barstow

Rimrock Villa Convalescent Hospital
(760) 252-2515 — 27555 Rimrock Road — Barstow, CA 92311


Services
How to interpret services information.

Cap.= 59 Type = SNF Owner type = Profit Corp Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 9/4/2003:
"Alzheimer's Unit": NoWanderer alert: No
Locked Ward: No
Types of Residents Accepted: A D E I L S U
Types of Residents Not Accepted: B J M N O P Q R T
Languages spoken by direct-care staff: I
Family Council: Yes

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 5/8/2012.
Last DHS Certification Inspection = 8/1/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2007 0 0 0 11 22.1 7 15.1
2008 0 0 0 15 18.2 6 14.4
2009 0 0 0 0 8.5 14 14.1
2010 0 0 0 0 11.7 3 6.5
2011 0 0 1 0 NA 0 NA
2012 0 0 0 0 NA 0 NA

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City: Barstow

Veterans Home of California - Barstow
(760) 252-6200 — 100 E. Veterans Parkway — Barstow, CA 92311


Services
How to interpret services information.

Cap.= 60 Type = SNF Owner type = State Agency Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 5/8/2012.
Last DHS Certification Inspection = 5/28/2010.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2007 0 0 0 18 22.1 48 15.1
2008 0 0 0 16 18.2 24 14.4
2009 0 0 0 4 8.5 7 14.1
2010 0 0 0 6 11.7 9 6.5
2011 0 0 0 0 NA 0 NA
2012 0 0 0 0 NA 0 NA

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City: Big Bear Lake

Bear Valley Community Hospital D/P SNF
(909) 866-6501 — 41870 Garstin Drive — Big Bear Lake, CA 92315


Services
How to interpret services information.

Cap.= 21 Type = D/P SNF Owner type = Other Public Agency Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 5/8/2012.
Last DHS Certification Inspection = 8/26/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2007 0 0 0 19 22.1 0 15.1
2008 0 0 0 25 18.2 2 14.4
2009 0 0 0 0 8.5 6 14.1
2010 0 0 0 0 11.7 5 6.5
2011 0 0 1 0 NA 0 NA
2012 0 0 0 0 NA 0 NA

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City: Colton

Reche Canyon Rehabilitation & Health Care Center
(909) 370-4411 — 1350 Reche Canyon Road — Colton, CA 92324


Services
How to interpret services information.

Cap.= 156 Type = SNF Owner type = Profit Corp Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 5/8/2012.
Last DHS Certification Inspection = 1/29/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2007 0 0 0 4 22.1 19 15.1
2008 0 0 0 26 18.2 15 14.4
2009 0 0 0 0 8.5 12 14.1
2010 0 0 1 0 11.7 10 6.5
2011 0 0 2 0 NA 0 NA
2012 0 0 0 0 NA 0 NA

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City: Colton

Western Healthcare Center
(909) 824-1530 — 1700 E. Washington St. — Colton, CA 92324


Services
How to interpret services information.

Cap.= 99 Type = SNF Owner type = Profit Corp Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 5/8/2012.
Last DHS Certification Inspection = 4/22/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2007 0 0 0 65 22.1 94 15.1
2008 0 2 0 38 18.2 51 14.4
2009 0 0 0 0 8.5 68 14.1
2010 0 0 0 1 11.7 9 6.5
2011 0 2 3 0 NA 0 NA
2012 0 0 1 0 NA 0 NA

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City: Fontana

Citrus Nursing Center
(909) 823-3481 — 9440 Citrus Avenue — Fontana, CA 92335


Services
How to interpret services information.

Cap.= 99 Type = SNF Owner type = Profit Corp Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 8/25/2003:
"Alzheimer's Unit": NoWanderer alert: No
Locked Ward: No
Types of Residents Accepted: A D E F I L R S T U V
Types of Residents Not Accepted: B J M N O P
Languages spoken by direct-care staff: A B I
Family Council: Yes

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 5/8/2012.
Last DHS Certification Inspection = 10/25/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2007 1 0 0 13 22.1 9 15.1
2008 0 1 0 0 18.2 10 14.4
2009 0 0 0 0 8.5 18 14.1
2010 0 0 1 0 11.7 3 6.5
2011 0 0 0 0 NA 0 NA
2012 0 0 0 0 NA 0 NA

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City: Fontana

Laurel Convalescent Hospital
(909) 822-8066 — 7509 N. Laurel Ave — Fontana, Ca 92335


Services
How to interpret services information.

Cap.= 99 Type = SNF Owner type = Profit Corp Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 5/8/2012.
Last DHS Certification Inspection = 8/28/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2007 0 0 0 12 22.1 34 15.1
2008 0 0 0 27 18.2 16 14.4
2009 0 0 0 0 8.5 13 14.1
2010 0 0 0 0 11.7 2 6.5
2011 0 0 0 0 NA 0 NA
2012 0 0 0 0 NA 0 NA

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City: Grand Terrace

Grand Terrace Care Center
(909) 825-5221 — 12000 Mt. Vernon Avenue — Grand Terrace, Ca 92313


Services
How to interpret services information.

Cap.= 59 Type = SNF Owner type = Profit Corp Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 9/17/2003:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A D E F L M Q R S U V
Types of Residents Not Accepted: B I J N O P
Languages spoken by direct-care staff: A B I
Family Council: Yes

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 5/8/2012.
Last DHS Certification Inspection = 9/30/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2007 0 0 0 20 22.1 10 15.1
2008 0 0 0 33 18.2 1 14.4
2009 0 0 0 0 8.5 10 14.1
2010 0 0 0 0 11.7 3 6.5
2011 0 0 1 0 NA 0 NA
2012 0 0 0 0 NA 0 NA

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City: Highland

Highland Palms Healthcare Center
(909) 862-0611 — 7534 Palm Avenue — Highland, CA 92346


Services
How to interpret services information.

Cap.= 99 Type = SNF Owner type = Limited Liability Company Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 5/8/2012.
Last DHS Certification Inspection = 1/6/2010.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2007 0 0 0 20 22.1 9 15.1
2008 0 0 0 0 18.2 15 14.4
2009 0 0 0 0 8.5 6 14.1
2010 0 0 0 25 11.7 1 6.5
2011 0 0 3 0 NA 0 NA
2012 0 0 0 0 NA 0 NA

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City: Highland

Sierra Vista
(909) 862-6454 — 3455 E. Highland Avenue — Highland, CA 92346


Services
How to interpret services information.

Cap.= 116 Type = SNF (IMD) Owner type = Profit Corp Medi-Cal: yes Medicare: no

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 5/8/2012.
Last DHS Certification Inspection = 5/25/2010.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2007 0 0 0 3 22.1 284 15.1
2008 0 0 0 45 18.2 362 14.4
2009 0 0 1 0 8.5 486 14.1
2010 0 0 5 8 11.7 119 6.5
2011 0 0 1 0 NA 0 NA
2012 0 0 0 0 NA 0 NA

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City: Joshua Tree

Hi-Desert Medical Center D/P Snf
(760) 366-1500 — 6601 Whitefeather Rd — Joshua Tree, CA 92252


Services
How to interpret services information.

Cap.= 120 Type = D/P SNF Owner type = Other Public Agency Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 4/29/2005:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A D E F I L M N P Q R S T U V
Types of Residents Not Accepted: B J O
Languages spoken by direct-care staff:
Family Council: No Family Council

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 5/8/2012.
Last DHS Certification Inspection = 8/6/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2007 0 0 0 33 22.1 12 15.1
2008 0 1 1 6 18.2 26 14.4
2009 0 0 1 0 8.5 4 14.1
2010 0 1 0 0 11.7 3 6.5
2011 0 0 1 0 NA 0 NA
2012 0 0 2 0 NA 0 NA

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City: Lake Arrowhead

Mountains Community Hospital D/P SNF
(909) 336-3651 — 29101 Hospital Road — Lake Arrowhead, CA 92352


Services
How to interpret services information.

Cap.= 18 Type = D/P SNF Owner type = Other Public Agency Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 5/3/2005:
"Alzheimer's Unit": NoWanderer alert: No
Locked Ward: No
Types of Residents Accepted: A D F I J L P Q R S T U V
Types of Residents Not Accepted: B E M N O
Languages spoken by direct-care staff: I
Family Council: No Family Council

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 5/8/2012.
Last DHS Certification Inspection = 2/29/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2007 0 0 0 0 22.1 2 15.1
2008 0 0 0 10 18.2 0 14.4
2009 0 0 0 1 8.5 1 14.1
2010 0 0 0 0 11.7 0 6.5
2011 0 0 0 0 NA 0 NA
2012 0 0 0 0 NA 0 NA

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City: Loma Linda

Heritage Gardens Health Care Center
(909) 796-0216 — 25271 Barton Road — Loma Linda, CA 92354


Services
How to interpret services information.

Cap.= 110 Type = SNF Owner type = Profit Corp Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 8/21/2003:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A D E F I L M U V
Types of Residents Not Accepted: B J N O P Q R S T
Languages spoken by direct-care staff: A I
Family Council: Not Specified

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 5/8/2012.
Last DHS Certification Inspection = 4/1/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2007 0 0 2 40 22.1 19 15.1
2008 0 0 1 32 18.2 20 14.4
2009 0 0 0 0 8.5 6 14.1
2010 0 0 0 0 11.7 2 6.5
2011 0 0 0 0 NA 0 NA
2012 0 0 0 0 NA 0 NA

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City: Loma Linda

Linda Valley Care Center
(909) 796-0235 — 25383 Cole Street — Loma Linda, CA 92354


Services
How to interpret services information.

Cap.= 83 Type = SNF Owner type = Profit Corp Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 5/8/2012.
Last DHS Certification Inspection = 12/22/2009.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2007 0 0 0 30 22.1 7 15.1
2008 0 0 0 3 18.2 8 14.4
2009 0 0 0 28 8.5 4 14.1
2010 0 0 0 0 11.7 5 6.5
2011 0 0 0 0 NA 0 NA
2012 0 0 0 0 NA 0 NA

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City: Mentone

Braswell's Ivy Retreat
(909) 794-1189 — 2278 Nice Avenue — Mentone, CA 92359


Services
How to interpret services information.

Cap.= 50 Type = SNF Owner type = Profit Corp Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 5/8/2012.
Last DHS Certification Inspection = 11/6/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2007 0 0 0 29 22.1 20 15.1
2008 0 0 0 2 18.2 61 14.4
2009 0 0 3 9 8.5 25 14.1
2010 0 0 0 0 11.7 1 6.5
2011 0 0 1 0 NA 0 NA
2012 0 0 0 0 NA 0 NA

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City: Montclair

Community Extended Care Hospital Of Montclair
(909) 621-4751 — 9620 Fremont Avenue — Montclair, CA 91763


Services
How to interpret services information.

Cap.= 140 Type = SNF Owner type = Profit Corp Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 9/19/2003:
"Alzheimer's Unit": NoWanderer alert: No
Locked Ward: No
Types of Residents Accepted: A D E F I M N Q R S T U V
Types of Residents Not Accepted: B J L O P
Languages spoken by direct-care staff: A F G I ll
Family Council: No Family Council

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 5/8/2012.
Last DHS Certification Inspection = 3/5/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2007 0 0 0 13 22.1 12 15.1
2008 0 0 0 32 18.2 9 14.4
2009 0 0 1 0 8.5 13 14.1
2010 0 0 1 3 11.7 13 6.5
2011 0 1 0 0 NA 0 NA
2012 0 0 0 0 NA 0 NA

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City: Montclair

Montclair Manor Care Center
(909) 626-1294 — 5119 Bandera Street — Montclair, CA 91763


Services
How to interpret services information.

Cap.= 59 Type = SNF Owner type = Limited Liability Company Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 9/10/2003:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: B E F L Q S U
Types of Residents Not Accepted: A D I J M O P R
Languages spoken by direct-care staff: A I
Family Council: No Family Council

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 5/8/2012.
Last DHS Certification Inspection = 8/25/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2007 0 0 0 17 22.1 7 15.1
2008 0 0 0 19 18.2 2 14.4
2009 0 0 0 0 8.5 4 14.1
2010 0 0 0 0 11.7 0 6.5
2011 0 0 0 0 NA 0 NA
2012 0 0 0 0 NA 0 NA

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City: Ontario

Bella Vista Healthcare Center
(909) 985-2731 — 933 E. Deodar St. — Ontario, CA 91764


Services
How to interpret services information.

Cap.= 59 Type = SNF Owner type = Limited Liability Company Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 5/10/2005:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A D E F I J L O Q R S T U V
Types of Residents Not Accepted: B M N P
Languages spoken by direct-care staff: A I
Family Council: No Family Council

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 5/8/2012.
Last DHS Certification Inspection = 3/9/2010.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2007 0 0 0 45 22.1 23 15.1
2008 0 0 0 42 18.2 5 14.4
2009 0 0 0 2 8.5 5 14.1
2010 0 0 0 11 11.7 0 6.5
2011 0 0 0 0 NA 0 NA
2012 0 0 0 0 NA 0 NA

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City: Ontario

Inland Christian Home
(909) 983-2315 — 1950 S. Mountain Ave — Ontario, CA 91762


Services
How to interpret services information.

Cap.= 59 Type = SNF Owner type = Nonprofit Corp Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 3/2/2009:
"Alzheimer's Unit": YesWanderer alert: Yes
Locked Ward: Yes
Types of Residents Accepted: B D E I L O Q R S T
Types of Residents Not Accepted: A J N
Languages spoken by direct-care staff: I V ll
Family Council: No Family Council

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 5/8/2012.
Last DHS Certification Inspection = 12/20/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2007 0 0 0 18 22.1 2 15.1
2008 0 0 0 0 18.2 1 14.4
2009 0 0 0 19 8.5 15 14.1
2010 0 0 0 0 11.7 2 6.5
2011 0 0 1 0 NA 0 NA
2012 0 0 0 0 NA 0 NA

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City: Ontario

Ontario Healthcare Center
(909) 984-6713 — 1661 South Euclid Avenue — Ontario, CA 91761


Services
How to interpret services information.

Cap.= 59 Type = SNF Owner type = Limited Liability Company Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 9/25/2003:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: D E F I L S U V
Types of Residents Not Accepted: A B J M N O P Q R T
Languages spoken by direct-care staff: A I
Family Council: No Family Council

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 5/8/2012.
Last DHS Certification Inspection = 9/24/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2007 0 1 0 28 22.1 11 15.1
2008 0 0 0 1 18.2 7 14.4
2009 0 0 0 25 8.5 10 14.1
2010 0 0 1 0 11.7 4 6.5
2011 0 0 0 0 NA 0 NA
2012 0 0 0 0 NA 0 NA

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City: Ontario

Plott Nursing Home
(909) 984-8629 — 800 East 5th St. — Ontario, CA 91764


Services
How to interpret services information.

Cap.= 216 Type = SNF Owner type = Limited Liability Company Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 5/8/2012.
Last DHS Certification Inspection = 9/8/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2007 0 0 1 43 22.1 107 15.1
2008 0 0 0 49 18.2 108 14.4
2009 0 0 1 16 8.5 127 14.1
2010 0 0 0 4 11.7 13 6.5
2011 0 0 0 0 NA 0 NA
2012 0 0 1 0 NA 0 NA

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City: Redlands

Asistencia Villa Rehabilitation And Care Center
(909) 793-1382 — 1875 Barton Road — Redlands, CA 92373


Services
How to interpret services information.

Cap.= 99 Type = SNF Owner type = Profit Corp Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 5/8/2012.
Last DHS Certification Inspection = 12/18/2009.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2007 0 1 3 36 22.1 27 15.1
2008 0 1 1 5 18.2 11 14.4
2009 0 0 1 15 8.5 7 14.1
2010 0 0 0 0 11.7 11 6.5
2011 0 0 0 0 NA 0 NA
2012 0 0 1 0 NA 0 NA

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City: Redlands

Braswell's Colonial Care
(909) 792-6050 — 1618 Laurel — Redlands, CA 92373


Services
How to interpret services information.

Cap.= 243 Type = SNF Owner type = Partnership Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 5/8/2012.
Last DHS Certification Inspection = 2/8/2010.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2007 0 0 0 62 22.1 44 15.1
2008 0 0 0 5 18.2 55 14.4
2009 0 1 1 0 8.5 87 14.1
2010 0 0 2 16 11.7 16 6.5
2011 0 0 2 0 NA 0 NA
2012 0 0 1 0 NA 0 NA

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City: Redlands

Brookside Healthcare Center
(909) 793-2271 — 105 Terracina Blvd. — Redlands, CA 92373


Services
How to interpret services information.

Cap.= 97 Type = SNF Owner type = Limited Liability Company Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 5/8/2012.
Last DHS Certification Inspection = 11/7/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2007 0 0 1 37 22.1 6 15.1
2008 0 1 0 0 18.2 6 14.4
2009 0 0 0 0 8.5 18 14.1
2010 0 0 0 0 11.7 3 6.5
2011 0 0 0 0 NA 0 NA
2012 0 0 0 0 NA 0 NA

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City: REDLANDS

Country Villa Redlands Healthcare Center
(909) 793-2678 — 700 East Highland Avenue — REDLANDS, CA 92374


Services
How to interpret services information.

Cap.= 80 Type = SNF Owner type = Limited Liability Company Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 9/13/2003:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A D I M P S T U
Types of Residents Not Accepted: B E F J L N O Q R V
Languages spoken by direct-care staff:
Family Council: Yes

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 5/8/2012.
Last DHS Certification Inspection = 4/23/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2007 0 0 0 26 22.1 4 15.1
2008 0 0 0 21 18.2 3 14.4
2009 0 0 0 0 8.5 8 14.1
2010 0 0 0 0 11.7 0 6.5
2011 0 0 0 0 NA 0 NA
2012 0 0 0 0 NA 0 NA

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City: Redlands

Plymouth Village
(909) 793-1233 — 819 Salem Drive — Redlands, CA 92373


Services
How to interpret services information.

Cap.= 48 Type = SNF / CCRC Owner type = Nonprofit Corp Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 8/25/2003:
"Alzheimer's Unit": YesWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A B D E F I L O R S T U V
Types of Residents Not Accepted: J M N P
Languages spoken by direct-care staff: A I pp
Family Council: Yes

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 5/8/2012.
Last DHS Certification Inspection = 3/18/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2007 0 0 0 11 22.1 7 15.1
2008 0 0 0 18 18.2 8 14.4
2009 0 0 0 0 8.5 5 14.1
2010 0 0 1 0 11.7 2 6.5
2011 0 0 0 0 NA 0 NA
2012 0 0 0 0 NA 0 NA

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City: Redlands

Redlands Community Hospital D/P SNF
(909) 335-5644 — 350 Terracina Blvd — Redlands, CA 92373


Services
How to interpret services information.

Cap.= 16 Type = D/P SNF Owner type = Nonprofit Corp Medi-Cal: no Medicare: yes

From CANHR questionnaire returned 9/17/2003:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A D E F I L M N P S T U V
Types of Residents Not Accepted: B J O Q R
Languages spoken by direct-care staff: A B C I pp
Family Council: Yes

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 5/8/2012.
Last DHS Certification Inspection = 11/6/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2007 0 0 0 11 22.1 1 15.1
2008 0 0 0 0 18.2 0 14.4
2009 0 0 0 0 8.5 0 14.1
2010 0 0 0 0 11.7 0 6.5
2011 0 0 0 0 NA 0 NA
2012 0 0 0 0 NA 0 NA

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City: Redlands

Redlands Healthcare Center
(909) 793-2609 — 1620 West Fern Avenue — Redlands, Ca 92373


Services
How to interpret services information.

Cap.= 78 Type = SNF Owner type = Limited Liability Company Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 5/8/2012.
Last DHS Certification Inspection = 2/28/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2007 0 0 0 4 22.1 6 15.1
2008 0 0 0 18 18.2 7 14.4
2009 0 0 1 0 8.5 11 14.1
2010 0 0 0 0 11.7 3 6.5
2011 0 0 1 0 NA 0 NA
2012 0 0 0 0 NA 0 NA

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City: Rialto

Vista Cove Care Center At Rialto
(909) 877-1361 — 1471 S. Riverside — Rialto, CA 92376


Services
How to interpret services information.

Cap.= 201 Type = SNF Owner type = Individual Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 4/28/2005:
"Alzheimer's Unit": NoWanderer alert: No
Locked Ward: No
Types of Residents Accepted: A D E F I L M P R S T U V
Types of Residents Not Accepted: B J N O
Languages spoken by direct-care staff: A I
Family Council: Yes

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 5/8/2012.
Last DHS Certification Inspection = 7/29/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2007 0 0 2 40 22.1 25 15.1
2008 0 0 1 46 18.2 60 14.4
2009 0 0 0 0 8.5 31 14.1
2010 0 0 0 0 11.7 3 6.5
2011 0 0 1 0 NA 0 NA
2012 0 0 0 0 NA 0 NA

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City: San Bernardino

Arrowhead Home
(909) 886-4731 — 4343 N. Sierra Way — San Bernardino, CA 92407


Services
How to interpret services information.

Cap.= 58 Type = SNF Owner type = Profit Corp Medi-Cal: yes Medicare: no

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 5/8/2012.
Last DHS Certification Inspection = 9/26/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2007 0 0 0 17 22.1 16 15.1
2008 0 0 0 0 18.2 3 14.4
2009 0 1 1 0 8.5 3 14.1
2010 0 0 0 0 11.7 1 6.5
2011 0 0 0 0 NA 0 NA
2012 0 0 0 0 NA 0 NA

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City: San Bernardino

Community Convalescent Center of San Bernardino
(909) 887-6481 — 1676 Medical Center — San Bernardino, Ca 92411


Services
How to interpret services information.

Cap.= 99 Type = SNF Owner type = Nonprofit Corp Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 5/8/2012.
Last DHS Certification Inspection = 6/10/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2007 0 0 1 12 22.1 1 15.1
2008 0 0 0 18 18.2 1 14.4
2009 0 0 0 0 8.5 1 14.1
2010 0 0 0 0 11.7 0 6.5
2011 0 0 0 0 NA 0 NA
2012 0 0 0 0 NA 0 NA

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City: San Bernardino

Community Hospital of San Bernardino D/P SNF
(909) 887-6333 — 1805 Medical Ctr Dr. — San Bernardino, CA 92411


Services
How to interpret services information.

Cap.= 88 Type = D/P SNF Owner type = Nonprofit Corp Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 5/8/2012.
Last DHS Certification Inspection = 1/16/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2007 0 0 0 0 22.1 9 15.1
2008 0 0 0 21 18.2 11 14.4
2009 0 0 1 0 8.5 2 14.1
2010 0 0 0 0 11.7 1 6.5
2011 1 1 1 0 NA 0 NA
2012 0 0 0 0 NA 0 NA

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City: San Bernardino

Country Villa Hacienda Healthcare Center
(909) 793-2678 — 1311 East Date Street — San Bernardino, CA 92404


Services
How to interpret services information.

Cap.= 99 Type = SNF Owner type = Limited Liability Company Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 5/8/2012.
Last DHS Certification Inspection = 7/17/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2007 0 0 0 27 22.1 11 15.1
2008 0 0 0 24 18.2 4 14.4
2009 0 0 1 0 8.5 13 14.1
2010 0 0 0 0 11.7 3 6.5
2011 0 1 1 0 NA 0 NA
2012 0 0 1 0 NA 0 NA

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City: San Bernardino

Del Rosa Villa
(909) 885-3261 — 2018 N. Del Rosa Ave — San Bernardino, CA 92404


Services
How to interpret services information.

Cap.= 104 Type = SNF Owner type = Profit Corp Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 5/8/2012.
Last DHS Certification Inspection = 5/21/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2007 0 0 0 19 22.1 55 15.1
2008 0 0 1 27 18.2 50 14.4
2009 1 0 0 0 8.5 27 14.1
2010 1 0 0 0 11.7 5 6.5
2011 0 0 1 0 NA 0 NA
2012 0 0 0 0 NA 0 NA

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City: San Bernardino

Hillcrest Nursing Home
(909) 882-2965 — 4280 Cypress Drive — San Bernardino, CA 92407


Services
How to interpret services information.

Cap.= 59 Type = SNF Owner type = Profit Corp Medi-Cal: yes Medicare: no

From CANHR questionnaire returned 9/8/2003:
"Alzheimer's Unit": YesWanderer alert: No
Locked Ward: No
Types of Residents Accepted: B E L O U
Types of Residents Not Accepted: A D F I J M N P Q R S T V
Languages spoken by direct-care staff:
Family Council: No Family Council

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 5/8/2012.
Last DHS Certification Inspection = 4/3/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2007 0 0 1 56 22.1 82 15.1
2008 0 0 2 32 18.2 39 14.4
2009 0 1 0 0 8.5 21 14.1
2010 0 0 0 0 11.7 5 6.5
2011 0 0 0 0 NA 0 NA
2012 0 0 0 0 NA 0 NA

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City: San Bernardino

Legacy Post-Acute Rehabilitation Center
(909) 885-0268 — 1335 N. Waterman Avenue — San Bernardino, CA 92404


Services
How to interpret services information.

Cap.= 119 Type = SNF Owner type = Profit Corp Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 5/8/2012.
Last DHS Certification Inspection = 3/8/2010.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2007 0 0 0 35 22.1 12 15.1
2008 0 0 0 4 18.2 23 14.4
2009 0 0 1 0 8.5 5 14.1
2010 0 0 1 8 11.7 6 6.5
2011 0 0 0 0 NA 0 NA
2012 0 0 0 0 NA 0 NA

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City: San Bernardino

Medical Center Convalescent Hospital
(909) 884-4781 — 467 E. Gilbert Street — San Bernardino, CA 92404


Services
How to interpret services information.

Cap.= 99 Type = SNF Owner type = Profit Corp Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 9/3/2003:
"Alzheimer's Unit": NoWanderer alert: Yes
Locked Ward: No
Types of Residents Accepted: A D E F I J L M O P Q R S T U V
Types of Residents Not Accepted: N
Languages spoken by direct-care staff: A G I ll
Family Council: Yes

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 5/8/2012.
Last DHS Certification Inspection = 12/16/2009.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2007 0 0 0 20 22.1 4 15.1
2008 0 0 0 0 18.2 5 14.4
2009 0 0 0 19 8.5 3 14.1
2010 0 0 0 0 11.7 0 6.5
2011 0 0 1 0 NA 0 NA
2012 0 0 0 0 NA 0 NA

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City: San Bernardino

Shandin Hills Behavior Therapy Center
(909) 886-6786 — 4164 North 4th Avenue — San Bernardino, CA 92407


Services
How to interpret services information.

Cap.= 78 Type = SNF (IMD) Owner type = Profit Corp Medi-Cal: yes Medicare: no

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 5/8/2012.
Last DHS Certification Inspection = 2/7/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2007 0 0 0 5 22.1 79 15.1
2008 0 0 1 27 18.2 108 14.4
2009 0 0 0 0 8.5 77 14.1
2010 0 0 0 0 11.7 7 6.5
2011 0 0 0 0 NA 0 NA
2012 0 0 0 0 NA 0 NA

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City: San Bernardino

Valley Healthcare Center
(909) 886-5291 — 1680 North Waterman Avenue — San Bernardino, CA 92404


Services
How to interpret services information.

Cap.= 109 Type = SNF Owner type = Profit Corp Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 5/8/2012.
Last DHS Certification Inspection = 8/29/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2007 0 0 0 40 22.1 27 15.1
2008 0 2 0 28 18.2 9 14.4
2009 0 0 3 26 8.5 5 14.1
2010 1 0 0 0 11.7 3 6.5
2011 0 0 1 0 NA 0 NA
2012 0 0 2 0 NA 0 NA

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City: San Bernardino

Waterman Convalescent Hospital
(909) 882-1215 — 1850 N. Waterman Avenue — San Bernardino, CA 92404


Services
How to interpret services information.

Cap.= 166 Type = SNF Owner type = Limited Liability Company Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 5/8/2012.
Last DHS Certification Inspection = 9/30/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2007 0 0 1 12 22.1 58 15.1
2008 0 0 0 4 18.2 76 14.4
2009 0 1 1 2 8.5 96 14.1
2010 0 0 0 0 11.7 13 6.5
2011 0 0 0 0 NA 0 NA
2012 0 0 0 0 NA 0 NA

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City: Upland

Heritage Park Nursing Center
(909) 949-4887 — 275 Garnet Way — Upland, CA 91786


Services
How to interpret services information.

Cap.= 70 Type = SNF Owner type = Limited Liability Company Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 5/8/2012.
Last DHS Certification Inspection = 11/19/2009.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2007 0 0 0 24 22.1 18 15.1
2008 0 0 0 2 18.2 5 14.4
2009 0 0 0 25 8.5 4 14.1
2010 0 0 0 0 11.7 1 6.5
2011 0 0 0 0 NA 0 NA
2012 0 0 0 0 NA 0 NA

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City: Upland

Upland Rehabilitation And Care Center
(909) 985-1903 — 1221 East Arrow Hwy. — Upland, CA 91786


Services
How to interpret services information.

Cap.= 206 Type = SNF Owner type = Profit Corp Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 5/8/2012.
Last DHS Certification Inspection = 2/4/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2007 0 0 0 0 22.1 13 15.1
2008 0 0 0 38 18.2 28 14.4
2009 0 0 1 0 8.5 24 14.1
2010 0 0 0 0 11.7 7 6.5
2011 0 0 1 0 NA 0 NA
2012 0 1 3 0 NA 0 NA

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City: Upland

Villa Mesa Care Center
(909) 985-1981 — 867 E. 11th Street — Upland, CA 91786


Services
How to interpret services information.

Cap.= 99 Type = SNF Owner type = Profit Corp Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 3/24/2009:
"Alzheimer's Unit": NoWanderer alert: No
Locked Ward: No
Types of Residents Accepted: A D E I L M P Q R S T
Types of Residents Not Accepted: B J N O
Languages spoken by direct-care staff: A I
Family Council: No Family Council

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 5/8/2012.
Last DHS Certification Inspection = 12/27/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2007 0 0 0 27 22.1 1 15.1
2008 0 0 0 1 18.2 12 14.4
2009 0 0 0 0 8.5 14 14.1
2010 0 0 0 0 11.7 3 6.5
2011 0 0 1 0 NA 0 NA
2012 0 0 0 0 NA 0 NA

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City: Victorville

Desert Knolls Convalescent Hospital
(760) 245-6477 — 14973 Hesperia Road — Victorville, CA 92392


Services
How to interpret services information.

Cap.= 126 Type = SNF Owner type = Profit Corp Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 5/8/2012.
Last DHS Certification Inspection = 3/25/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2007 0 0 0 47 22.1 13 15.1
2008 0 0 0 34 18.2 7 14.4
2009 0 0 1 0 8.5 16 14.1
2010 0 0 0 0 11.7 4 6.5
2011 0 1 1 0 NA 0 NA
2012 0 0 0 0 NA 0 NA

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City: Victorville

Knolls West Convalescent Hospital
(760) 245-5361 — 16890 Green Tree Blvd — Victorville, CA 92392


Services
How to interpret services information.

Cap.= 62 Type = SNF Owner type = Partnership Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 5/8/2012.
Last DHS Certification Inspection = 7/24/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2007 0 0 0 19 22.1 5 15.1
2008 0 0 0 13 18.2 5 14.4
2009 0 0 0 0 8.5 3 14.1
2010 0 0 0 0 11.7 1 6.5
2011 0 0 0 0 NA 0 NA
2012 0 0 0 0 NA 0 NA

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City: Yucaipa

Braswell's Community Convalescent Center, LP
(909) 795-2421 — 13542 Second Street — Yucaipa, CA 92399


Services
How to interpret services information.

Cap.= 82 Type = SNF Owner type = Partnership Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 5/8/2012.
Last DHS Certification Inspection = 6/16/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2007 0 0 0 40 22.1 19 15.1
2008 0 0 0 18 18.2 73 14.4
2009 0 0 1 1 8.5 24 14.1
2010 0 1 0 0 11.7 5 6.5
2011 0 1 1 0 NA 0 NA
2012 0 0 1 0 NA 0 NA

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City: Yucaipa

Braswell's Hampton Manor
(909) 790-2273 — 11970 Fourth Street — Yucaipa, CA 92399


Services
How to interpret services information.

Cap.= 99 Type = SNF Owner type = Partnership Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 5/8/2012.
Last DHS Certification Inspection = 4/17/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2007 0 0 0 26 22.1 34 15.1
2008 0 0 2 30 18.2 14 14.4
2009 0 1 1 0 8.5 23 14.1
2010 0 0 0 0 11.7 2 6.5
2011 0 1 3 0 NA 0 NA
2012 0 0 0 0 NA 0 NA

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City: Yucaipa

Braswell's Yucaipa Valley Convalescent Hospital
(909) 795-2476 — 35253 Avenue H — Yucaipa, CA 92399


Services
How to interpret services information.

Cap.= 59 Type = SNF Owner type = Profit Corp Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 4/27/2005:
"Alzheimer's Unit": NoWanderer alert: No
Locked Ward: No
Types of Residents Accepted:
Types of Residents Not Accepted: B M N
Languages spoken by direct-care staff: A I pp
Family Council: No Family Council

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 5/8/2012.
Last DHS Certification Inspection = 2/16/2010.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2007 0 1 0 4 22.1 18 15.1
2008 0 0 2 24 18.2 19 14.4
2009 0 0 2 0 8.5 27 14.1
2010 0 0 0 8 11.7 3 6.5
2011 0 0 2 0 NA 0 NA
2012 0 0 0 0 NA 0 NA

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City: Yucca Valley

Desert Manor
(760) 365-0717 — 8515 Cholla Avenue — Yucca Valley, Ca 92284


Services
How to interpret services information.

Cap.= 58 Type = SNF Owner type = Profit Corp Medi-Cal: yes Medicare: yes

No current survey information available. Call the facility for services information.

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 5/8/2012.
Last DHS Certification Inspection = 12/26/2007.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2007 0 0 0 25 22.1 17 15.1
2008 0 0 0 2 18.2 27 14.4
2009 0 0 0 0 8.5 28 14.1
2010 0 0 0 0 11.7 5 6.5
2011 0 0 0 0 NA 0 NA
2012 0 0 0 0 NA 0 NA

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City: Yucca Valley

Sky Harbor Care Center
(760) 365-4870 — 57333 Joshua Lane — Yucca Valley, CA 92284


Services
How to interpret services information.

Cap.= 99 Type = SNF Owner type = Profit Corp Medi-Cal: yes Medicare: yes

From CANHR questionnaire returned 8/25/2003:
"Alzheimer's Unit": NoWanderer alert: No
Locked Ward: No
Types of Residents Accepted: A D E F I L Q R S T U V
Types of Residents Not Accepted: B J M N O P
Languages spoken by direct-care staff: I
Family Council: Yes

Violations Record
From Dept. of Public Health as of 8/30/2010;
Citations as of 5/8/2012.
Last DHS Certification Inspection = 5/14/2008.
How to interpret violations data.
Year Citations Deficiencies Complaints
  AA A B Rec'd Ca. Avg Rec'd Ca. Avg
2007 2 0 0 28 22.1 20 15.1
2008 0 0 0 29 18.2 16 14.4
2009 0 0 0 0 8.5 13 14.1
2010 0 0 2 0 11.7 3 6.5
2011 0 0 0 0 NA 0 NA
2012 0 0 0 0 NA 0 NA

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© 2012

California Advocates for Nursing Home Reform
( CANHR )
650 Harrison Street, 2nd Floor
San Francisco, CA 94107
Tel: (800) 474-1116 (consumers only)
Tel: (415) 974-5171