Las Colinas Post Acute
800 E 5th St · Ontario, CA · 91764 · 9099848629
216 certified beds For profit - Limited Liability company Chain: Pacs Group
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
RN staffing in the bottom 10% nationally
0.25 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.93 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.25 | 0.55–0.75 |
| Weekend hours / resident-day | 3.57 | ≈ weekday level |
| Nursing turnover / year | 25% | median 45% |
| Fines (3-yr window) | 1 · $70,925 |
Inspection citations (45 in the current record)
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Potential for harm · E August 29, 2025
Honor 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.
Corrected November 21, 2025 · Resident Rights
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Potential for harm · D August 29, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected November 21, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 29, 2025
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected November 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 29, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 29, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected November 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 29, 2025
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected November 21, 2025 · Quality of Life and Care
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Potential for harm · D August 29, 2025
Assist a resident in gaining access to vision and hearing services.
Corrected November 21, 2025 · Quality of Life and Care
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Potential for harm · D August 29, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected November 21, 2025 · Quality of Life and Care
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Potential for harm · D August 29, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected November 21, 2025 · Pharmacy Service
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Potential for harm · D August 29, 2025
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 November 21, 2025 · Pharmacy Service
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Potential for harm · F August 29, 2025
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected November 21, 2025 · Nutrition and Dietary
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Potential for harm · F August 29, 2025
Provide and implement an infection prevention and control program.
Corrected November 21, 2025 · Infection Control
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Potential for harm · F August 29, 2025
Keep all essential equipment working safely.
Corrected November 21, 2025 · Environmental
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Potential for harm · F August 29, 2025
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected November 21, 2025 · Environmental
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No harm found · B August 29, 2025
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected November 21, 2025 · Resident Rights
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No harm found · B August 29, 2025
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected November 21, 2025 · Environmental
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Potential for harm · D May 28, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 6, 2025 · Quality of Life and Care
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Potential for harm · D March 14, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 3, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 13, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 27, 2025 · Quality of Life and Care
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Potential for harm · D December 4, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 13, 2024 · Quality of Life and Care
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Potential for harm · D October 11, 2024 · found via complaint
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected October 30, 2024 · Quality of Life and Care
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Potential for harm · D July 18, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 1, 2024 · Quality of Life and Care
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Potential for harm · D June 25, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 9, 2024 · Quality of Life and Care
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Potential for harm · D April 10, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 19, 2024 · Quality of Life and Care
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Immediate jeopardy · J November 2, 2023 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 21, 2023 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 2, 2023 | Fine | $70,925 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 055619 · certified since June 1, 1977. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.