Starfile

Starfile / California

COUNTRY OAKS CARE CENTER

215 W PEARL ST, POMONA, CA 91768 · CCN 055247

Ratings

Overall
★★☆☆☆ 2
Health inspection
★☆☆☆☆ 1
Quality measures
★★★★★ 5
Staffing
★★★☆☆ 3

Facility

Ownership type
For profit - Limited Liability company
Certified beds
81
Avg residents/day
68.7
Phone
9096221067

Inspection history vs California & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityCalifornia avgNational avgvs state
12025-03-062315.69.5+7.4 worse
22024-02-233417.49.8+16.6 worse
32023-02-243017.19.3+12.9 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care7
Resident assessment and care planning4
Nursing and physician services2
Resident rights3
Nutrition and dietary1
Pharmacy service2
Environmental2
Infection control2

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)4.4153.5%
RN staffing (reported)0.4555.6%
Total nurse staffing (adjusted)3.92—

Fines & penalties

Total fines
$14,310
Number of fines
1
Number of penalties
1
Payment denials
0

Chain

Chain
DAVID & FRANK JOHNSON
Facilities in chain
45
Chain avg overall
3.20 / 5

Inspection citations (87)1 immediate jeopardy

  1. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-07-17 · Health · corrected 2025-08-07

    Potential for more than minimal harm

  2. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-07-17 · Health · corrected 2025-08-08

    Potential for more than minimal harm

  3. EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-07-17 · Health · corrected 2025-08-07

    Potential for more than minimal harm

  4. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-16 · Health · corrected 2025-04-22

    Potential for more than minimal harm

  5. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-04-16 · Health · corrected 2025-04-23

    Potential for more than minimal harm

  6. DF0880Provide and implement an infection prevention and control program.2025-04-16 · Health · corrected 2025-04-17

    Potential for more than minimal harm

  7. DF0558Reasonably accommodate the needs and preferences of each resident.2025-03-06 · Health · corrected 2025-03-06

    Potential for more than minimal harm

  8. DF0578Honor 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.2025-03-06 · Health · corrected 2025-03-07

    Potential for more than minimal harm

  9. EF0584Honor 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.2025-03-06 · Health · corrected 2025-03-12

    Potential for more than minimal harm

  10. DF0641Ensure each resident receives an accurate assessment.2025-03-06 · Health · corrected 2025-03-14

    Potential for more than minimal harm

  11. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-03-06 · Health · corrected 2025-03-12

    Potential for more than minimal harm

  12. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-03-06 · Health · corrected 2025-03-12

    Potential for more than minimal harm

  13. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-03-06 · Health · corrected 2025-03-12

    Potential for more than minimal harm

  14. EF0693Ensure 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.2025-03-06 · Health · corrected 2025-03-10

    Potential for more than minimal harm

  15. EF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2025-03-06 · Health · corrected 2025-03-12

    Potential for more than minimal harm

  16. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-03-06 · Health · corrected 2025-03-10

    Potential for more than minimal harm

  17. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-03-06 · Health · corrected 2025-03-10

    Potential for more than minimal harm

  18. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-03-06 · Health · corrected 2025-03-12

    Potential for more than minimal harm

  19. DF0758Implement 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.2025-03-06 · Health · corrected 2025-03-14

    Potential for more than minimal harm

  20. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-03-06 · Health · corrected 2025-03-12

    Potential for more than minimal harm

  21. EF0880Provide and implement an infection prevention and control program.2025-03-06 · Health · corrected 2025-03-12

    Potential for more than minimal harm

  22. BF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2025-03-06 · Health · corrected 2025-03-14

    Potential for minimal harm

  23. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-03-06 · Health · corrected 2025-03-12

    Potential for more than minimal harm

  24. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-02-19 · Health · corrected 2025-03-13

    Potential for more than minimal harm

  25. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-02-19 · Health · corrected 2025-02-26

    Potential for more than minimal harm

  26. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-10-29 · Health · corrected 2024-11-04

    Potential for more than minimal harm

  27. DF0776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.2024-10-23 · Health · corrected 2024-11-12

    Potential for more than minimal harm

  28. EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-09-25 · Health · corrected 2024-10-24

    Potential for more than minimal harm

  29. EF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-08-28 · Health · corrected 2024-08-29

    Potential for more than minimal harm

  30. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-08-28 · Health · corrected 2024-08-29

    Potential for more than minimal harm

  31. DF0732Post nurse staffing information every day.2024-08-28 · Health · corrected 2024-08-29

    Potential for more than minimal harm

  32. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-08-12 · Health · corrected 2024-08-26

    Potential for more than minimal harm

  33. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-08-01 · Health · corrected 2024-08-02

    Potential for more than minimal harm

  34. DF0880Provide and implement an infection prevention and control program.2024-07-27 · Health · corrected 2024-07-29

    Potential for more than minimal harm

  35. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-07-15 · Health · corrected 2024-07-31

    Potential for more than minimal harm

  36. DF0558Reasonably accommodate the needs and preferences of each resident.2024-07-15 · Health · corrected 2024-07-28

    Potential for more than minimal harm

  37. EF0584Honor 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.2024-07-15 · Health · corrected 2024-07-15

    Potential for more than minimal harm

  38. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-06-11 · Health · corrected 2024-07-09

    Potential for more than minimal harm

  39. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-05-07 · Health · corrected 2024-05-31

    Potential for more than minimal harm

  40. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-04-17 · Health · corrected 2024-05-16

    Potential for more than minimal harm

  41. EF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-04-17 · Health · corrected 2024-05-16

    Potential for more than minimal harm

  42. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-03-19 · Health · corrected 2024-03-20

    Potential for more than minimal harm

  43. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-03-19 · Health · corrected 2024-03-21

    Potential for more than minimal harm

  44. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-03-07 · Health · corrected 2024-04-02

    Potential for more than minimal harm

  45. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-02-23 · Health · corrected 2024-03-18

    Potential for more than minimal harm

  46. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-02-23 · Health · corrected 2024-03-18

    Potential for more than minimal harm

  47. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-02-23 · Health · corrected 2024-03-18

    Potential for more than minimal harm

  48. EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-02-23 · Health · corrected 2024-03-18

    Potential for more than minimal harm

  49. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-02-23 · Health · corrected 2024-03-18

    Potential for more than minimal harm

  50. EF0692Provide enough food/fluids to maintain a resident's health.2024-02-23 · Health · corrected 2024-03-18

    Potential for more than minimal harm

  51. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-02-23 · Health · corrected 2024-03-18

    Potential for more than minimal harm

  52. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-02-23 · Health · corrected 2024-03-18

    Potential for more than minimal harm

  53. DF0758Implement 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.2024-02-23 · Health · corrected 2024-03-18

    Potential for more than minimal harm

  54. EF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2024-02-23 · Health · corrected 2024-03-18

    Potential for more than minimal harm

  55. EF0880Provide and implement an infection prevention and control program.2024-02-23 · Health · corrected 2024-03-18

    Potential for more than minimal harm

  56. BF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2024-02-23 · Health · corrected 2024-03-18

    Potential for minimal harm

  57. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2024-02-23 · Health · corrected 2024-03-18

    Potential for more than minimal harm

  58. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-02-23 · Health · corrected 2024-03-18

    Potential for more than minimal harm

  59. DF0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.2023-12-26 · Health · corrected 2024-01-18

    Potential for more than minimal harm

  60. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-12-26 · Health · corrected 2024-01-17

    Potential for more than minimal harm

  61. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-05-30 · Health · corrected 2023-06-28

    Potential for more than minimal harm

  62. EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-05-30 · Health · corrected 2023-06-28

    Potential for more than minimal harm

  63. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-05-30 · Health · corrected 2023-06-28

    Potential for more than minimal harm

  64. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-04-27 · Health · corrected 2023-05-17

    Potential for more than minimal harm

  65. KF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2023-04-27 · Health · corrected 2023-05-08

    Immediate jeopardy

  66. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-03-06 · Health · corrected 2023-03-30

    Potential for more than minimal harm

  67. DF0697Provide safe, appropriate pain management for a resident who requires such services.2023-03-03 · Health · corrected 2023-03-08

    Potential for more than minimal harm

  68. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-03-03 · Health · corrected 2023-03-08

    Potential for more than minimal harm

  69. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-02-24 · Health · corrected 2023-03-17

    Potential for more than minimal harm

  70. DF0558Reasonably accommodate the needs and preferences of each resident.2023-02-24 · Health · corrected 2023-03-17

    Potential for more than minimal harm

  71. EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2023-02-24 · Health · corrected 2023-03-17

    Potential for more than minimal harm

  72. DF0584Honor 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.2023-02-24 · Health · corrected 2023-03-17

    Potential for more than minimal harm

  73. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-02-24 · Health · corrected 2023-03-17

    Potential for more than minimal harm

  74. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2023-02-24 · Health · corrected 2023-03-17

    Potential for more than minimal harm

  75. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-02-24 · Health · corrected 2023-03-17

    Potential for more than minimal harm

  76. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-02-24 · Health · corrected 2023-03-17

    Potential for more than minimal harm

  77. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-02-24 · Health · corrected 2023-03-17

    Potential for more than minimal harm

  78. EF0695Provide safe and appropriate respiratory care for a resident when needed.2023-02-24 · Health · corrected 2023-03-17

    Potential for more than minimal harm

  79. EF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-02-24 · Health · corrected 2023-03-17

    Potential for more than minimal harm

  80. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-02-24 · Health · corrected 2023-03-17

    Potential for more than minimal harm

  81. EF0759Ensure medication error rates are not 5 percent or greater.2023-02-24 · Health · corrected 2023-03-17

    Potential for more than minimal harm

  82. EF0761Ensure 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.2023-02-24 · Health · corrected 2023-03-17

    Potential for more than minimal harm

  83. DF0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.2023-02-24 · Health · corrected 2023-03-17

    Potential for more than minimal harm

  84. EF0880Provide and implement an infection prevention and control program.2023-02-24 · Health · corrected 2023-03-17

    Potential for more than minimal harm

  85. DF0881Implement a program that monitors antibiotic use.2023-02-24 · Health · corrected 2023-03-17

    Potential for more than minimal harm

  86. BF0888Ensure staff are vaccinated for COVID-192023-02-24 · Health · corrected 2023-03-17

    Potential for minimal harm

  87. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-02-24 · Health · corrected 2023-03-17

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
COUNTRY OAKS PARTNERS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST—2008-11-05
BAUMAN, IRVINGIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST—2008-06-10
COUNTRY OAKS PARTNERS LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL—2008-11-05
SUN MAR MANAGEMENT SERVICESOrganizationOPERATIONAL/MANAGERIAL CONTROL—2008-06-10
DEHGHANMANESH, ADRIANIndividualOPERATIONAL/MANAGERIAL CONTROL—2021-06-01
JOHNSON, FRANKIndividualOPERATIONAL/MANAGERIAL CONTROL—2008-06-10
KOCHEK, JOSHUAIndividualOPERATIONAL/MANAGERIAL CONTROL—2022-04-01
SELVIG, KYLEIndividualOPERATIONAL/MANAGERIAL CONTROL—2022-12-05
HOVEY, ALESSANDRAIndividualW-2 MANAGING EMPLOYEE—2021-10-13

Other facilities in POMONA

NameOverallBeds
MOUNT SAN ANTONIO GARDENS★★★★★64
CLAREMONT CARE CENTER★★★★☆99
LAUREL PARK BEHAVIORAL HEALTH CENTER★★★☆☆43
POMONA VISTA CARE CENTER★★★☆☆59
CHINO VALLEY HEALTH CARE CENTE★★★☆☆102

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.