Inland Valley Care and Rehab: Infection Control Failures - CA
The infection control citation, issued under a regulatory category reserved for failures with the potential to cause more than minimal harm, documented a pattern of problems rather than a single lapse. Inspectors classified it at Scope/Severity Level E, the designation used when the same type of deficiency shows up across multiple instances or residents. No resident was documented as harmed. That is not the same as saying no one was at risk.
Infection control failures in nursing homes carry a particular weight. Residents in long-term care are, by definition, among the most medically vulnerable people in any community. Many are elderly, immunocompromised, or recovering from surgery or illness. A pattern of failures in the systems designed to prevent the spread of infection, whether in hand hygiene, equipment handling, wound care protocols, or staff practices, can turn a manageable situation into a serious one quickly.
The inspection report does not specify which practices were deficient or which residents were exposed to the breakdown. What it records is that inspectors found the pattern, that it was serious enough to cite, and that the facility's own infection prevention and control program was not being implemented as it should have been.
Inland Valley Care and Rehabilitation Center reported a correction date of September 6, 2025, fifteen days after the August 22 inspection. Whether the underlying conditions that produced a pattern-level finding were genuinely resolved in that window is not something the correction date alone can answer.
The infection control deficiency was one of 27 separate citations issued during the same inspection. Twenty-seven deficiencies in a single survey is a substantial number. For context, the average nursing home inspection in recent years has resulted in somewhere between six and eight deficiencies nationally. A facility reaching 27 in a single complaint inspection is not operating near the middle of the distribution.
The inspection report does not detail all 27 deficiencies or describe what categories they fell into beyond the infection control finding. What the record shows is that inspectors arrived, found problems across a wide range of areas, and documented them.
This was a complaint inspection, meaning it was not a routine survey triggered by a calendar date. Someone, whether a resident, a family member, a staff member, or another party, filed a complaint that brought inspectors to the facility. Complaint inspections are targeted, but they also frequently expand in scope once surveyors are on-site and begin observing conditions directly. The 27 deficiencies cited here suggest inspectors found considerably more than whatever the original complaint described.
Inland Valley Care and Rehabilitation Center is a licensed skilled nursing facility in Pomona, in the Inland Empire region east of Los Angeles. The facility offers rehabilitation and long-term care services.
The gap between what an infection control program says it does and what staff actually do on any given shift is where most of these citations originate. A binder of policies does not prevent an infection. The practices do, or they don't. When inspectors find a pattern, they are documenting that the gap between the written program and the daily reality was not a one-time oversight. It was recurring.
The facility has reported it corrected the problem. Inspectors will determine whether that holds.
What the inspection record cannot capture is what the weeks before August 22 looked like for the people living there.
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 22, 2026 · Our methodology
INLAND VALLEY CARE AND REHABILITATION CENTER in POMONA, CA was cited for violations during a health inspection on August 22, 2025.
Inspectors classified it at Scope/Severity Level E, the designation used when the same type of deficiency shows up across multiple instances or residents.
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.