Deficiency Index

Plymouth Village

Redlands, California · CCN 055914

25 surveys since 2011, 4 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
116
Surveys
25
Harm or worse
4
Immediate jeopardy
0
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse4

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file21/25

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
48
Ownership
Non profit - Corporation
Chain
HUMANGOOD
County
San Bernardino
Medicare-certified since
1968

CMS ratings

Overall
4
Health inspection
4
Staffing
4
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat more weighted findings than its peer group.

Weighted by harm level, against 71 not-for-profit facilities with fewer than 66 beds in California.

Last survey on record

May 28, 2026

165 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day4.534.85
Registered-nurse hours per resident day0.32—
Annual nurse turnover26.5%28.6%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1773.9%E—F626.1%
No harm, potential for minimalA—B—C—
CMS’s current file: 23 of the 116 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8123×

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

  • F8803×

    Provide and implement an infection prevention and control program.

  • F7552×

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  • F8422×

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  • F5501×

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

In the surveyor’s words

From the most serious findings on record at Plymouth Village, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812Aug 6, 2026

    Based on observation, interview, and record review the facility failed to maintain a sanitary kitchen when:There was white build up on the top inside of the ice bin around the ice chute and there was slime that was wipeable with a paper towel.The grill grates of the grill on the cooking line had black grime build-up, there was also black grime build-up on the metal around the grates. The ovens of two ranges not being used had food crumbs inside and under the ovens there was a metal ledge that had food and grease build-up, the wheels of the ranges had grease and grime build-up. A metal shelf storing the toaster had a build-up of grime and grease.The outside of the fryer had a build-up of grease and grime. […]

  • No harm, potential for more than minimal, widespreadF812Jun 19, 2025

    Based on observation, interview, and record review, the facility failed to ensure safe, sanitary food preparation, and storage practices in the kitchen when: 1. The main kitchen floors had accumulation of food crumbs, black stains, and dirt; the walk-in freezer had food crumbs on the floor, and the walk-in refrigerator floors had multiple cilantro leaves, cauliflower pieces, and multiple moist black and brown residue under the shelf. 2. Food equipment such as the toaster had black grime, white residue, and food crumbs; the mixer was found with multiple reddish-orange splashes on the handle. 3. […]

  • No harm, potential for more than minimal, widespreadF880Jun 19, 2025

    Based on observation, interview, and record review, the facility failed to ensure safe and sanitary conditions were maintained when a Laundry Staff used a dirty laundry basket (a basket for holding clothes and linen that have been washed) to transfer washed linens into the dryer machine. This failure had the potential to cause harm to the 44 residents residing within the facility by increasing the risk of exposure and spread of infection (the process by which an infectious agent (like a virus or bacteria) moves from one source to another, causing illness). […]

  • No harm, potential for more than minimal, widespreadF726Apr 26, 2024

    Based on interview and record review, the facility failed to implement a process to routinely evaluate contracted nursing staff on their skill levels (range of tasks and duties to be performed) and develop individualized competency-based training (a process to acquire skills and knowledge to be able to perform a task to a specified standard) for 10 of 10 contracted staff (one Licensed Vocational Nurse [LVN 1], and nine Certified Nursing Assistants [CNA 1, 2, 3, 4, 5, 6, 7, 8 and 9]). This failure had the potential to compromise the services and types of care necessary to safely meet the resident's needs. […]

  • No harm, potential for more than minimal, widespreadF804Apr 26, 2024

    Based on observation, interview and record review, the facility failed to store food by methods that conserve nutritive value, flavor, and appearance, when four bags of raw chicken had freezer burn (frozen foods are exposed to cold, dry air, which causes them to dehydrate as the outer layers lose moisture. One of the most commonly recognized signs of freezer burn is the formation of ice crystals on the outside of food, making it appear frost bitten). This had the potential for the chicken to not be palatable when cooked and served to 40 of 41 medically compromised residents who received food from the kitchen. […]

Read 24 findings in full →The most serious and the most recent: 24 of 116 on record.

Every survey on record

FindingsAt actual harm or above

  • Aug 6, 2026Standard7 findings
  • May 28, 2026Complaint1 finding
  • Jun 19, 2025Standard6 findings
  • Apr 26, 2024Standard7 findings
  • Mar 10, 2023Standard9 findings
  • Jun 28, 2022Complaint1 finding
  • Jun 22, 2020Complaint1 finding
  • Nov 1, 2019Standard5 findings
Show the 17 earlier surveys
  • Nov 2, 2018Standard12 findings
  • Oct 6, 2017Standard5 findings
  • Nov 10, 2016Standard5 findings
  • Jan 21, 2016Complaint1 finding · 1 harm
  • Nov 6, 2015Standard8 findings
  • Apr 15, 2015Complaint1 finding
  • Apr 9, 2015Complaint1 finding
  • Mar 24, 2015Complaint1 finding · 1 harm
  • Nov 4, 2014Standard5 findings
  • Jan 24, 2014Standard5 findings
  • Jan 15, 2014—1 finding · 1 harm
  • Jan 7, 2014—2 findings
  • Feb 8, 2013—5 findings
  • Jan 16, 2013—2 findings
  • Jan 10, 2013—1 finding
  • Apr 6, 2012—11 findings · 1 harm
  • Mar 21, 2011—13 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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