Madison Grove Post Acute
1618 Laurel Ave · Redlands, CA · 92373 · 9097926050
243 certified beds For profit - Limited Liability company Chain: Madison Creek Partners
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.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 4.41 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.34 | 0.55–0.75 |
| Weekend hours / resident-day | 4.13 | ≈ weekday level |
| Nursing turnover / year | 35% | median 45% |
| Fines (3-yr window) | 1 · $9,110 |
Inspection citations (42 in the current record)
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Potential for harm · D March 3, 2026 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected March 13, 2026 · Environmental
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Potential for harm · E February 9, 2026 · found via complaint
Keep all essential equipment working safely.
Corrected March 7, 2026 · Environmental
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Potential for harm · D September 17, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 30, 2025 · Resident Rights
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Potential for harm · E September 17, 2025
Post 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.
Corrected September 30, 2025 · Resident Rights
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Potential for harm · D September 17, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 17, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected September 30, 2025 · Quality of Life and Care
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Potential for harm · D September 17, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 30, 2025 · Pharmacy Service
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Potential for harm · D September 17, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected September 30, 2025 · Pharmacy Service
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Potential for harm · E September 17, 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 September 30, 2025 · Pharmacy Service
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Potential for harm · F September 17, 2025
Provide and implement an infection prevention and control program.
Corrected September 30, 2025 · Infection Control
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Potential for harm · D September 17, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected September 30, 2025 · Environmental
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Actual harm · G August 27, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 27, 2025 · Quality of Life and Care
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Potential for harm · D March 19, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 16, 2025 · Quality of Life and Care
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Potential for harm · D August 28, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected September 19, 2024 · Quality of Life and Care
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Potential for harm · D August 27, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 31, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 5, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 28, 2024 · Quality of Life and Care
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Potential for harm · D April 25, 2022
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 May 19, 2022 · Resident Rights
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Potential for harm · D April 25, 2022
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Corrected May 19, 2022 · Resident Assessment and Care Planning
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Potential for harm · D April 25, 2022
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 19, 2022 · Quality of Life and Care
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Potential for harm · D April 25, 2022
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 19, 2022 · Quality of Life and Care
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Potential for harm · D April 25, 2022
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 May 19, 2022 · Quality of Life and Care
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Potential for harm · D April 25, 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 May 19, 2022 · Quality of Life and Care
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Potential for harm · D April 25, 2022
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected May 19, 2022 · Nursing and Physician Services
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Potential for harm · F April 25, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 19, 2022 · Nutrition and Dietary
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Potential for harm · D April 25, 2022
Provide and implement an infection prevention and control program.
Corrected May 19, 2022 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 27, 2025 | Fine | $9,110 |
| August 27, 2025 | Payment Denial | 3 days |
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 555350 · certified since April 7, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.