Inland Valley Care and Rehab: 27 Deficiencies Found - CA
The August 22 inspection, conducted by federal health surveyors, documented the informed-consent breakdown under a category reserved for resident rights violations. Inspectors classified it as an isolated problem with no documented actual harm, but with potential for more than minimal harm to residents who may have been making decisions, or having decisions made for them, without understanding what was happening to their own bodies.
Twenty-seven deficiencies in a single inspection is a substantial number. For context, a facility can receive a deficiency for something as narrow as a missing signature on a form. But the breadth of findings across an inspection, taken together, reflects how thoroughly surveyors found fault with how the facility was operating on that day.
The resident rights violation sits in a category that nursing home regulators treat as foundational. The principle behind it is simple: a person living in a nursing home retains the right to know what is wrong with them, what treatments are being given, and why. When a facility fails to deliver that information in a way residents actually understand, the gap between what staff know and what residents know can shape every care decision that follows.
The facility reported the deficiency corrected by August 27, five days after inspectors left.
That timeline is not unusual. Facilities routinely submit correction dates shortly after inspections close, and regulators accept those dates as part of the compliance process. Whether the underlying conditions that produced the violation have genuinely changed is something subsequent inspections would reveal.
Inland Valley Care and Rehabilitation Center is a skilled nursing facility serving the Pomona area of Southern California's Inland Empire. The August inspection was triggered by a complaint, meaning someone, whether a resident, a family member, or another party, contacted regulators with a concern serious enough to prompt a visit.
Complaint inspections tend to be more targeted than standard surveys, focused on the specific allegations that prompted them. But inspectors who enter a facility for any reason are authorized to cite deficiencies they observe across the board. The 27 deficiencies found here suggest surveyors found problems well beyond whatever the original complaint described.
The informed-consent deficiency, tagged as F0552, was one piece of that larger picture.
What the inspection record does not contain is the specific story of how the failure played out: which resident or residents were affected, what information was withheld or inadequately explained, whether a family member noticed the gap and raised the alarm, or whether the problem surfaced only when inspectors began reviewing records and interviewing staff. The narrative provided to regulators was brief, and the details behind it remain in the full inspection file.
What the record does show is a facility that, as of late August, was operating with enough systemic gaps that federal surveyors working from a complaint found two dozen additional problems once they were inside.
For residents and families at Inland Valley, the August inspection offers a data point, not a verdict. A facility cited for 27 deficiencies on one day may look different on the next inspection. Facilities also contest findings, submit plans of correction, and sometimes successfully challenge citations on appeal. The correction date of August 27 represents the facility's own accounting of when it addressed the informed-consent violation.
What it cannot account for is the period before inspectors arrived, or the residents who navigated their care without the full picture of what was happening to them.
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: October 21, 2026 · Our methodology
INLAND VALLEY CARE AND REHABILITATION CENTER in POMONA, CA was cited for violations during a health inspection on August 22, 2025.
Twenty-seven deficiencies in a single inspection is a substantial number.
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.