Grand Terrace Health Care Center
12000 Mount Vernon Ave, Grand Terrace, CA 92313 · CCN 055129
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★★☆ 4
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 59
- Avg residents/day
- 51.0
- Phone
- 9098255221
Inspection history vs California & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | California avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-11-22 | 9 | 15.6 | 9.5 | -6.6 better |
| 2 | 2023-04-07 | 15 | 17.4 | 9.8 | -2.4 better |
| 3 | 2021-07-15 | 6 | 17.1 | 9.3 | -11.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 1 |
| Resident assessment and care planning | 3 |
| Nutrition and dietary | 1 |
| Pharmacy service | 2 |
| Environmental | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.70 | 37.5% |
| RN staffing (reported) | 0.50 | 50.0% |
| Total nurse staffing (adjusted) | 4.21 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- THE ENSIGN GROUP
- Facilities in chain
- 329
- Chain avg overall
- 3.20 / 5
Inspection citations (30)1 immediate jeopardy
- DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2024-11-22 · Health · corrected 2024-12-11
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-11-22 · Health · corrected 2024-12-17
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-11-22 · Health · corrected 2024-12-02
Potential for more than minimal harm
- DF0693Ensure 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.2024-11-22 · Health · corrected 2024-12-03
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-11-22 · Health · corrected 2024-12-02
Potential for more than minimal harm
- 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.2024-11-22 · Health · corrected 2024-12-02
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-11-22 · Health · corrected 2024-12-09
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2024-11-22 · Health · corrected 2024-12-02
Potential for more than minimal harm
- BF0911Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.2024-11-22 · Health · corrected 2024-12-09
Potential for minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-10-14 · Health · corrected 2024-10-18
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2023-04-07 · Health · corrected 2023-05-02
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2023-04-07 · Health · corrected 2023-05-02
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-04-07 · Health · corrected 2023-05-02
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-04-07 · Health · corrected 2023-05-02
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-04-07 · Health · corrected 2023-05-02
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-04-07 · Health · corrected 2023-05-02
Potential for more than minimal harm
- DF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.2023-04-07 · Health · corrected 2023-05-02
Potential for more than minimal harm
- DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-04-07 · Health · corrected 2023-05-02
Potential for more than minimal harm
- DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2023-04-07 · Health · corrected 2023-05-02
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-04-07 · Health · corrected 2023-05-02
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-04-07 · Health · corrected 2023-05-02
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-04-07 · Health · corrected 2023-05-02
Potential for more than minimal harm
- BF0911Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.2023-04-07 · Health · corrected 2023-05-02
Potential for minimal harm
- DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-04-07 · Health · corrected 2023-05-02
Potential for more than minimal harm
- BF0578Honor 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.2021-07-15 · Health · corrected 2021-09-13
Potential for minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2021-07-15 · Health · corrected 2021-09-13
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2021-07-15 · Health · corrected 2021-09-13
Potential for more than minimal harm
- LF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2021-07-15 · Health · corrected 2021-09-13
Immediate jeopardy
- EF0880Provide and implement an infection prevention and control program.2021-07-15 · Health · corrected 2021-09-13
Potential for more than minimal harm
- BF0911Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.2021-07-15 · Health · corrected 2021-09-13
Potential for minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| FLAGSTONE HEALTHCARE CENTRAL LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2022-11-08 |
| THE ENSIGN GROUP INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2023-02-01 |
| THE ENSIGN GROUP INC | Organization | LIMITED PARTNERSHIP INTEREST | — | 2023-02-01 |
| HAROLDSEN, BRIAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-02-01 |
| WILLITS, ADAM | Individual | CORPORATE DIRECTOR | — | 2023-02-01 |
| BURNAM, SOON | Individual | CORPORATE OFFICER | — | 2022-11-08 |
| FITCH, CRAIG | Individual | CORPORATE OFFICER | — | 2022-11-08 |
| SATO, AMI | Individual | CORPORATE OFFICER | — | 2024-09-09 |
| SCOTT, MATTHEW | Individual | CORPORATE OFFICER | — | 2023-02-01 |
Other facilities in Grand Terrace
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.