Inland Valley Care and Rehab: Assessment Failures - CA
Inspectors visited Inland Valley Care and Rehabilitation Center on August 22, 2025, and cited the facility under a category covering resident assessment and care planning. The deficiency, classified at scope and severity level E, means inspectors found a pattern of the problem across more than one resident, with potential for more than minimal harm, though no actual harm was recorded in the inspection record.
Accurate assessments are the foundation of nursing home care. When a facility doesn't correctly document a resident's condition, diagnoses, functional abilities, or needs, the care plan built on top of that assessment reflects a person who may not exist on paper the way they exist in the bed. Medications, therapies, fall precautions, dietary needs, and staffing decisions all flow from what the assessment says.
The inspection report does not detail which residents were affected, how many assessments were found to be inaccurate, or what specific information was wrong or missing. It states only that the facility was deficient in ensuring each resident receives an accurate assessment, and that the problem occurred in a pattern.
Twenty-seven deficiencies in a single inspection is a significant number. For context, the average nursing home inspection turns up a handful of citations. Twenty-seven across one visit, triggered by a complaint, suggests inspectors found problems that extended well beyond whatever prompted the initial complaint.
The facility reported correcting the assessment deficiency four days after the inspection concluded, on August 26, 2025.
What that correction looked like, which staff were involved, and whether the underlying conditions that produced the pattern of inaccurate assessments were actually addressed, the inspection record doesn't say. A facility's self-reported correction date is not the same as a verified finding that the problem has been resolved.
Inland Valley Care and Rehabilitation Center is a skilled nursing facility serving residents who depend on the accuracy of their own records to receive care matched to their actual condition. For a resident whose assessment understates cognitive decline, or misses a new diagnosis, or fails to capture a change in mobility, the gap between what the paperwork says and what is actually true can determine whether they get the right medication, the right level of supervision, or any intervention at all before something goes wrong.
The inspection report does not name any residents, and it does not describe any instance where an inaccurate assessment led to a specific harm. What it does record is a pattern, across multiple residents, of assessments that inspectors found to be inaccurate, at a facility that in the same visit accumulated 26 other deficiencies alongside this one.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Inland Valley Care and Rehabilitation Center from 2025-08-22 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Corrections: We strive for accuracy in everything we publish. If you believe any fact in this article is incorrect, please contact us with details, and we will review and correct it promptly.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: November 3, 2026 · Our methodology
INLAND VALLEY CARE AND REHABILITATION CENTER in POMONA, CA was cited for violations during a health inspection on August 22, 2025.
Accurate assessments are the foundation of nursing home care.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.