Pomona Vista Care Center
Pomona, California · CCN 055282
46 surveys since 2011. The first finding at harm level was recorded in 2018.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 230
- Surveys
- 46
- Harm or worse
- 11
- Immediate jeopardy
- 7
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 59
- Ownership
- For profit - Limited Liability company
- Chain
- DAVID JOHNSON
- County
- Los Angeles
- Medicare-certified since
- 1967
CMS ratings
- Overall
- 4
- Health inspection
- 3
- Staffing
- 4
- Quality measures
- 5
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 252 for-profit facilities with fewer than 66 beds in California.
Last survey on record
Jul 17, 2026
115 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 4.23 | 4.36 |
| Registered-nurse hours per resident day | 0.55 | — |
| Annual nurse turnover | 31.7% | 36.4% |
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
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G22.3% | H— | I— |
| No harm, potential for more than minimal | D5361.6% | E2832.6% | F— |
| No harm, potential for minimal | A— | B33.5% | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6568×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F6844×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F6894×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F8804×
Provide and implement an infection prevention and control program.
- F5503×
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 Pomona Vista Care Center, in the surveyor’s own words.
- Immediate jeopardy, patternF697Sep 23, 2021
Based on observation, interview and record review the facility failed to implement a systematic method to identify and correct quality deficiencies regarding pain management by failing to accurately assess four of 11 sampled residents (Residents 1, 2, 3 and 4) who were prescribed narcotic (controlled illegal or prescription drugs regulated by the Controlled Substances Act (CSA) due to potential medication abuse and dependence) pain medications. The residents received multiple doses of PRN (as needed) pain medication between 7/1/21 and 8/30/21 to treat severe pain (documented as 7-8/10 pain score) and the following were identified: 1. […]
- Immediate jeopardy, patternF755Sep 23, 2021
Based on observation, interview and record review, the facility failed to have a system in place to monitor and safely provide pharmaceutical services that assure safe administration of controlled substances (drug or other substance that is tightly controlled by the government because it may be abused or cause addiction) to prevent drug diversion (when prescription medicines are obtained or used illegally) for four of 11 sampled residents (Residents 1, 2, 3 and 4) receiving pain control medications. 1. Resident 1 received 72 doses of [MEDICATION(S)] (a drug used to treat moderate to severe pain) 5/325 milligrams (mg, unit of measurement) between 7/3/2021 and 8/28/2021. 2. […]
- Immediate jeopardy, patternF756Sep 23, 2021
Based on observation, interview and record review, the facility failed to identify medication regimen (a treatment plan that specifies the dosage, the schedule, and the duration of treatment) irregularities in the frequent administration of PRN (as needed) medications for four of 11 sampled residents (Residents 1, 2, 3, and 4) who were prescribed controlled substance medications (drug or other substance that is tightly controlled by the government because it may be abused or cause addiction). 1. Resident 1 received 72 doses of [MEDICATION(S)] (a drug used to treat moderate to severe pain) 5/325 milligrams (mg, unit of measurement) between 7/3/2021 and 8/28/2021. 2. […]
- Immediate jeopardy, patternF600Aug 29, 2021
Based on observation, interview, and record review, the facility failed to ensure two of three sampled residents (Resident 1 and Resident 2) were free from physical abuse (willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain or mental anguish) by failing to: 1. Protect Resident 1 from physical abuse when Certified Nursing Assistant 1 (CNA 1) squeezed and pulled on Resident 1's scrotum (part of the external male genitalia [private parts]) and hit Resident 1's face near his mouth. 2. […]
- Immediate jeopardy, patternF607Aug 29, 2021
Based on observation, interview, and record review, the facility failed to implement a policy on physical abuse (willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain or mental anguish) for two of three sampled residents (Resident 1 and Resident 2) by failing to: 1. Protect Resident 1 from physical abuse on 8/11/2021 at 8:55 am by Certified Nursing Assistant 1 (CNA 1). 2. Prevent CNA 1 from continually harming Resident 1 and other residents CNA 1 cared for. 3. […]
Read 31 findings in full →The most serious and the most recent: 31 of 230 on record.
Every survey on record
FindingsAt actual harm or above
- Aug 21, 2026Complaint1 finding
- Jul 17, 2026Complaint2 findings
- May 18, 2026Standard9 findings
- Mar 18, 2026Complaint4 findings
- Apr 18, 2025Standard14 findings
- Jan 31, 2025Complaint3 findings
- Aug 9, 2024Complaint2 findings
- Jul 3, 2024Complaint1 finding
Show the 38 earlier surveys
- Jun 7, 2024Complaint1 finding
- May 22, 2024Complaint2 findings
- May 1, 2024Complaint2 findings
- Apr 18, 2024Standard16 findings
- Mar 21, 2024Complaint1 finding
- Jan 10, 2024Complaint2 findings
- Oct 24, 2023Complaint1 finding
- Aug 3, 2023Complaint1 finding
- Jul 5, 2023Complaint2 findings
- Apr 21, 2023Standard25 findings · 2 harm
- Mar 8, 2023Complaint2 findings
- Jan 9, 2023Complaint1 finding
- Nov 3, 2022Complaint1 finding
- Oct 18, 2022Complaint1 finding · 1 harm
- Oct 12, 2022Complaint2 findings
- Sep 26, 2022Complaint1 finding
- Apr 26, 2022Complaint2 findings
- Oct 19, 2021Complaint1 finding
- Sep 23, 2021Complaint3 findings · 3 harm
- Aug 29, 2021Complaint4 findings · 4 harm
- Feb 11, 2021Infection control1 finding
- Dec 18, 2020Infection control1 finding
- Oct 29, 2020Infection control1 finding
- Jun 29, 2020Infection control1 finding
- Jan 24, 2020Standard7 findings
- Apr 2, 2019Complaint2 findings
- Jan 18, 2019Standard and complaint15 findings
- Jan 19, 2018Standard16 findings · 1 harm
- Apr 7, 2017Complaint1 finding
- Mar 7, 2017Complaint2 findings
- Feb 12, 2017Standard8 findings
- Jun 24, 2016Complaint1 finding
- Feb 2, 2016Standard29 findings
- Dec 6, 2014Standard6 findings
- Aug 29, 2013—7 findings
- May 31, 2012—12 findings
- Oct 27, 2011—1 finding
- Feb 20, 2011—12 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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