Ontario Grove Healthcare & Wellness Centre, LP
933 E Deodar St · Ontario, CA · 91764 · 9099852731
59 certified beds For profit - Partnership Chain: Corporate Interface Services
Why this verdict
- Staffing levels are well below research benchmarks for safe care.
- No federal fines or payment denials in CMS’s 3-year window.
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
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
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: 4 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | none |
Inspection citations (29 in the current record)
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Potential for harm · D December 23, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected January 9, 2026 · Infection Control
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Potential for harm · D June 5, 2025
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected June 26, 2025 · Quality of Life and Care
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Potential for harm · F June 5, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 26, 2025 · Nutrition and Dietary
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Potential for harm · D June 5, 2025
Provide and implement an infection prevention and control program.
Corrected June 26, 2025 · Infection Control
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Potential for harm · D June 5, 2025
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected June 26, 2025 · Environmental
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No harm found · B June 5, 2025
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected June 26, 2025 · Environmental
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Potential for harm · D March 3, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 24, 2025 · Quality of Life and Care
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Potential for harm · D September 18, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 14, 2024 · Quality of Life and Care
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Potential for harm · D December 2, 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 December 30, 2022 · Resident Rights
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Potential for harm · D December 2, 2022
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected December 30, 2022 · Nursing and Physician Services
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Potential for harm · D December 2, 2022
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected December 30, 2022 · Pharmacy Service
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Potential for harm · D December 2, 2022
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 December 30, 2022 · Pharmacy Service
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Potential for harm · D December 2, 2022
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected December 30, 2022 · Nutrition and Dietary
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Potential for harm · F December 2, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 30, 2022 · Nutrition and Dietary
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Potential for harm · D December 2, 2022
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected December 30, 2022 · Resident Assessment and Care Planning
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Potential for harm · D December 2, 2022
Provide and implement an infection prevention and control program.
Corrected December 30, 2022 · Infection Control
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No harm found · B December 2, 2022
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected December 30, 2022 · Environmental
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Potential for harm · D May 31, 2019
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected June 21, 2019 · Resident Rights
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Potential for harm · D May 31, 2019
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Corrected June 21, 2019 · Resident Assessment and Care Planning
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Potential for harm · D May 31, 2019
Ensure each resident receives an accurate assessment.
Corrected June 21, 2019 · Resident Assessment and Care Planning
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Potential for harm · D May 31, 2019
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 21, 2019 · Resident Assessment and Care Planning
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Potential for harm · D May 31, 2019
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 21, 2019 · Quality of Life and Care
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Potential for harm · D May 31, 2019
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected June 21, 2019 · Quality of Life and Care
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Potential for harm · D May 31, 2019
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected June 21, 2019 · Nursing and Physician Services
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Potential for harm · D May 31, 2019
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 21, 2019 · Nutrition and Dietary
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
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 055693 · certified since September 1, 1971. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.