Inland Valley Care and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Inland Valley Care and Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Jun 27, 2025

  Based on observation, interview, and record review, the facility failed to ensure one of six sampled residents (Resident 1) received care and services to prevent maggot (immature, worm-like stage in the life cycle of flies) infestation (when fly larvae (maggots) develop in a living organism's tissues or decaying organic matter) inside Resident 1's right ear, right nostril (openings in the nose) and mouth, by failing to: a. Ensure Certified Nurse Assistant (CNA 4) obtained help from licensed nurses (Licensed Vocational Nurses (LVNs) and Registered Nurses (RNs) and/or Respiratory Therapists (RTs) in the facility's Sub Acute Unit (SAU- specialized area for residents requiring more intensive skilled nursing care) to provide oral care (the practices and procedures aimed at maintaining and… […]

• Immediate jeopardy, isolatedF580May 9, 2025

  Based on interview and record review, the facility failed to promptly (quickly/timely) notify the physician for, one of 16 sampled residents (Resident 1), who experienced a change of condition (COC, a sudden clinically important deviation in the resident's health or functioning that requires further assessments and interventions) in accordance with the facilities policies and procedures (P&P) titled, Change in a Resident's Condition or Status, Resident Assessment and Examination, and Resident 1's Care Plan (CP) titled, Constipation ( difficulty in emptying the bowels), by failing to: 1. […]

• Immediate jeopardy, isolatedF740Oct 29, 2021

  Based on interview, and record review, the facility failed to have a system in place to provide behavioral health care and services for one of two sampled residents (Resident 1) who had suicidal (saying or doing something that reveals a self-destructive desire) threats and attempts in the facility by failing to: 1. Identify and address Resident 1's suicidal threats on 10/8/2021. 2.Develop and implement a person-centered care plan that included and support the behavioral healthcare needs of Resident 1's suicidal ideations/threats. 3. Supervise, identify, and remove environmental hazards, such as items that could potentially be used by Resident 1 to harm himself in his room. 4. […]

• Immediate jeopardy, isolatedF600Jul 29, 2021

  Based on observation, interview, and record review the facility failed to protect one of two sampled residents (Resident 1) from physical abuse (an intentional act causing injury or trauma to another person by way of bodily contact) who had a restraining order (a criminal protection order issued by a state court which requires one person to stay away and stop harming another person) against a male individual prior to admission on 6/11/2021. The facility was aware of the Resident 1's restraining order but did not have a plan of care to address the restraining order to protect Resident 1 from physical harm. […]

• Immediate jeopardy, isolatedF689Jul 29, 2021

  Based on observation, interview, and record review the facility failed to supervise and ensure one of two sampled residents (Resident 1) who had a restraining order (a criminal protection order issued by a state court which requires one person to stay away and stop harming another person) and was a victim of domestic violence (violent or aggressive behavior within the home, typically involving the violent abuse of a spouse or partner), was free from physical harm by a male individual who entered the facility on [DATE] at approximately 3:35 am,. The facility was aware of the Resident 1's restraining order but did not have a plan of care to address the restraining order to supervise and protect Resident 1 from physical harm. […]