Heritage Gardens Health Care Center

25271 Barton Rd · Loma Linda, CA · 92354 · 9097960216

110 certified beds For profit - Corporation Chain: Progressive Health Care Centers

  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

The composite number cleared 71 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

1 immediate-jeopardy citation in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

100% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 49
Serious harm & abuse 20% 84
Staffing 20% 57
Federal penalties 15% 100
Trend 10% 80
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day4.063.48 min · 4.1 strong
RN hours / resident-day0.310.55–0.75
Weekend hours / resident-day3.75≈ weekday level
Nursing turnover / year100%median 45%
Fines (3-yr window)none

Inspection citations (45 in the current record)

  • Potential for harm · D May 6, 2025 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected May 23, 2025 · Resident Rights

  • Potential for harm · D January 16, 2025

    Assess the resident when there is a significant change in condition

    Corrected February 11, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D January 16, 2025

    Ensure each resident receives an accurate assessment.

    Corrected February 11, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D January 16, 2025

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected February 11, 2025 · Quality of Life and Care

  • Potential for harm · D January 16, 2025

    Provide 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.

    Corrected February 11, 2025 · Quality of Life and Care

  • Potential for harm · D January 16, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected February 11, 2025 · Quality of Life and Care

  • Potential for harm · F January 16, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected February 11, 2025 · Nutrition and Dietary

  • Potential for harm · F January 16, 2025

    Provide and implement an infection prevention and control program.

    Corrected February 11, 2025 · Infection Control

  • Potential for harm · D January 16, 2025 · found via complaint

    Employ staff that are licensed, certified, or registered in accordance with state laws.

    Corrected February 11, 2025 · Administration

  • Potential for harm · D December 12, 2024 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected December 30, 2024 · Quality of Life and Care

  • Potential for harm · D September 5, 2024 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected September 30, 2024 · Quality of Life and Care

  • Potential for harm · D May 3, 2024 · found via complaint

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Corrected May 17, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D December 19, 2023 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected January 2, 2024 · Resident Rights

  • Potential for harm · D November 4, 2023 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected November 14, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D September 29, 2023 · found via complaint

    Ensure 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.

    Corrected October 16, 2023 · Pharmacy Service

  • Potential for harm · D September 24, 2023 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected October 9, 2023 · Infection Control

  • Potential for harm · D September 10, 2023 · found via complaint

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected September 27, 2023 · Nursing and Physician Services

  • Potential for harm · D July 15, 2022

    Reasonably accommodate the needs and preferences of each resident.

    Corrected August 16, 2022 · Resident Rights

  • Potential for harm · D July 15, 2022

    Keep residents' personal and medical records private and confidential.

    Corrected August 16, 2022 · Resident Rights

  • Potential for harm · D July 15, 2022

    Ensure each resident receives an accurate assessment.

    Corrected August 16, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D July 15, 2022

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected August 16, 2022 · Quality of Life and Care

  • Potential for harm · D July 15, 2022

    Provide enough food/fluids to maintain a resident's health.

    Corrected August 16, 2022 · Quality of Life and Care

  • Potential for harm · D July 15, 2022

    Ensure 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.

    Corrected August 16, 2022 · Quality of Life and Care

  • Potential for harm · D July 15, 2022

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected August 16, 2022 · Quality of Life and Care

  • Potential for harm · D July 15, 2022

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected August 16, 2022 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 055183 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.