Starfile

Starfile / California

Madison Grove Post Acute

1618 Laurel Ave, Redlands, CA 92373 · CCN 555350

Ratings

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

Facility

Ownership type
For profit - Limited Liability company
Certified beds
243
Avg residents/day
230.6
Phone
9097926050

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
12025-09-171115.69.5-4.6 better
22022-04-251217.49.8-5.4 better
32021-10-191717.19.3-0.1 better

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care3
Resident assessment and care planning1
Resident rights2
Pharmacy service3
Environmental1
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)4.3638.1%
RN staffing (reported)0.3575.0%
Total nurse staffing (adjusted)3.34

Fines & penalties

Total fines
$9,110
Number of fines
1
Number of penalties
2
Payment denials
1

Chain

Chain
MADISON CREEK PARTNERS
Facilities in chain
12
Chain avg overall
3.20 / 5

Inspection citations (40)1 actual harm

  1. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-09-17 · Health · corrected 2025-09-30

    Potential for more than minimal harm

  2. EF0575Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.2025-09-17 · Health · corrected 2025-09-30

    Potential for more than minimal harm

  3. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-09-17 · Health · corrected 2025-09-30

    Potential for more than minimal harm

  4. DF0692Provide enough food/fluids to maintain a resident's health.2025-09-17 · Health · corrected 2025-09-30

    Potential for more than minimal harm

  5. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-09-17 · Health · corrected 2025-09-30

    Potential for more than minimal harm

  6. DF0759Ensure medication error rates are not 5 percent or greater.2025-09-17 · Health · corrected 2025-09-30

    Potential for more than minimal harm

  7. 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.2025-09-17 · Health · corrected 2025-09-30

    Potential for more than minimal harm

  8. FF0880Provide and implement an infection prevention and control program.2025-09-17 · Health · corrected 2025-09-30

    Potential for more than minimal harm

  9. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-09-17 · Health · corrected 2025-09-30

    Potential for more than minimal harm

  10. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-08-27 · Health · corrected 2025-09-27

    Actual harm

  11. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-03-19 · Health · corrected 2025-05-16

    Potential for more than minimal harm

  12. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-08-28 · Health · corrected 2024-09-19

    Potential for more than minimal harm

  13. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-08-27 · Health · corrected 2024-08-31

    Potential for more than minimal harm

  14. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-06-05 · Health · corrected 2024-06-28

    Potential for more than minimal harm

  15. 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.2022-04-25 · Health · corrected 2022-05-19

    Potential for more than minimal harm

  16. DF0646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.2022-04-25 · Health · corrected 2022-05-19

    Potential for more than minimal harm

  17. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-04-25 · Health · corrected 2022-05-19

    Potential for more than minimal harm

  18. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-04-25 · Health · corrected 2022-05-19

    Potential for more than minimal harm

  19. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2022-04-25 · Health · corrected 2022-05-19

    Potential for more than minimal harm

  20. 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.2022-04-25 · Health · corrected 2022-05-19

    Potential for more than minimal harm

  21. DF0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.2022-04-25 · Health · corrected 2022-05-19

    Potential for more than minimal harm

  22. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-04-25 · Health · corrected 2022-05-19

    Potential for more than minimal harm

  23. DF0880Provide and implement an infection prevention and control program.2022-04-25 · Health · corrected 2022-05-19

    Potential for more than minimal harm

  24. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2021-10-19 · Health · corrected 2021-11-30

    Potential for more than minimal harm

  25. DF0558Reasonably accommodate the needs and preferences of each resident.2021-10-19 · Health · corrected 2021-11-30

    Potential for more than minimal harm

  26. 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.2021-10-19 · Health · corrected 2021-11-30

    Potential for more than minimal harm

  27. EF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2021-10-19 · Health · corrected 2021-11-30

    Potential for more than minimal harm

  28. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2021-10-19 · Health · corrected 2021-11-30

    Potential for more than minimal harm

  29. EF0679Provide activities to meet all resident's needs.2021-10-19 · Health · corrected 2021-11-30

    Potential for more than minimal harm

  30. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2021-10-19 · Health · corrected 2021-11-30

    Potential for more than minimal harm

  31. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2021-10-19 · Health · corrected 2021-11-30

    Potential for more than minimal harm

  32. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2021-10-19 · Health · corrected 2021-11-30

    Potential for more than minimal harm

  33. DF0695Provide safe and appropriate respiratory care for a resident when needed.2021-10-19 · Health · corrected 2021-11-30

    Potential for more than minimal harm

  34. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2021-10-19 · Health · corrected 2021-11-30

    Potential for more than minimal harm

  35. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2021-10-19 · Health · corrected 2021-11-30

    Potential for more than minimal harm

  36. DF0814Dispose of garbage and refuse properly.2021-10-19 · Health · corrected 2021-11-30

    Potential for more than minimal harm

  37. DF0865Have a plan that describes the process for conducting QAPI and QAA activities.2021-10-19 · Health · corrected 2021-11-30

    Potential for more than minimal harm

  38. DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2021-10-19 · Health · corrected 2021-11-30

    Potential for more than minimal harm

  39. EF0880Provide and implement an infection prevention and control program.2021-10-19 · Health · corrected 2021-11-30

    Potential for more than minimal harm

  40. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2021-10-19 · Health · corrected 2021-11-30

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
LAUREL AVENUE LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2015-04-05
MADISON CREEK PARTNERS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2015-04-05
CHRISTENSEN, COVEYIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST2015-04-05
CHRISTENSEN, COVEYIndividualOPERATIONAL/MANAGERIAL CONTROL2015-04-05
CHRISTENSEN, COVEYIndividualCORPORATE OFFICER2015-04-05

Other facilities in Redlands

NameOverallBeds
Redlands Comm Hosp D/p Snf★★★★★16
Asistencia Villa Healthcare Center★★☆☆☆99

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