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Country Villa Claremont Health Center

📍 590 S. Indian Hill Blvd., Claremont, CA 91711 📞 (909) 624-4511 🛏️ 99 beds

Inspection History Overview

Detailed Inspection Reports

Notice: These are official CMS inspection narratives containing detailed regulatory findings. This information is not available in searchable format anywhere else online.

April 28, 2025 Complaint Investigation

Fines and Penalties by Year

2021 5 penalties totaling $6,551

$1,965
Nov 22, 2021

Fine

$1,638
Aug 30, 2021

Fine

$1,310
Aug 2, 2021

Fine

$983
Jun 28, 2021

Fine

$655
Jun 21, 2021

Fine

2019 1 penalties totaling $9,570

$9,570
Mar 12, 2019

Fine

2018 1 penalties totaling $0

$0
Jun 27, 2018

Payment Denial

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Health Violations by Year

2025 34 violations

Tag 0580 E Apr 28, 2025

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: May 14, 2025
Tag 0656 E Apr 28, 2025

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: May 14, 2025
Tag 0698 E Apr 28, 2025

Provide safe, appropriate dialysis care/services for a resident who requires such services.

✓ Corrected: May 14, 2025
Tag 0755 D Apr 28, 2025

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

✓ Corrected: May 14, 2025
Tag 0761 E Apr 4, 2025

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

✓ Corrected: Apr 28, 2025
Tag 0882 D Feb 27, 2025

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

✓ Corrected: Mar 7, 2025
Tag 0883 E Feb 27, 2025

Develop and implement policies and procedures for flu and pneumonia vaccinations.

✓ Corrected: Mar 23, 2025
Tag 0887 E Feb 27, 2025

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

✓ Corrected: Mar 13, 2025
Tag 0622 D Feb 19, 2025

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

✓ Corrected: Mar 10, 2025
Tag 0684 D Feb 19, 2025

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Mar 10, 2025
Tag 0842 D Feb 19, 2025

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

✓ Corrected: Mar 10, 2025
Tag 0880 E Feb 19, 2025

Provide and implement an infection prevention and control program.

✓ Corrected: Mar 7, 2025
Tag 0550 E Jan 10, 2025

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

✓ Corrected: Jan 15, 2025
Tag 0580 D Jan 10, 2025

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Feb 5, 2025
Tag 0584 D Jan 10, 2025

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

✓ Corrected: Feb 7, 2025
Tag 0655 D Jan 10, 2025

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: Feb 7, 2025
Tag 0656 D Jan 10, 2025

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Feb 7, 2025
Tag 0677 D Jan 10, 2025

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Feb 7, 2025
Tag 0686 D Jan 10, 2025

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Feb 7, 2025
Tag 0693 D Jan 10, 2025

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

✓ Corrected: Feb 7, 2025

2024 4 violations

Tag 0580 D Mar 13, 2024

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Apr 2, 2024
Tag 0689 D Mar 13, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Apr 2, 2024
Tag 0557 D Jan 19, 2024

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

✓ Corrected: Feb 12, 2024
Tag 0689 D Jan 19, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Feb 12, 2024
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2023 21 violations

Tag 0558 D Dec 29, 2023

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Jan 26, 2024
Tag 0578 D Dec 29, 2023

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

✓ Corrected: Jan 26, 2024
Tag 0604 D Dec 29, 2023

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

✓ Corrected: Jan 26, 2024
Tag 0609 D Dec 29, 2023

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Jan 26, 2024
Tag 0640 D Dec 29, 2023

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

✓ Corrected: Jan 26, 2024
Tag 0656 E Dec 29, 2023

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Jan 26, 2024
Tag 0657 D Dec 29, 2023

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Jan 26, 2024
Tag 0695 D Dec 29, 2023

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Jan 26, 2024
Tag 0756 E Dec 29, 2023

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

✓ Corrected: Jan 26, 2024
Tag 0758 D Dec 29, 2023

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

✓ Corrected: Jan 26, 2024
Tag 0761 E Dec 29, 2023

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

✓ Corrected: Jan 26, 2024
Tag 0802 D Dec 29, 2023

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

✓ Corrected: Jan 26, 2024
Tag 0803 D Dec 29, 2023

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

✓ Corrected: Jan 26, 2024
Tag 0804 E Dec 29, 2023

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

✓ Corrected: Jan 26, 2024
Tag 0812 E Dec 29, 2023

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

✓ Corrected: Jan 26, 2024
Tag 0880 E Dec 29, 2023

Provide and implement an infection prevention and control program.

✓ Corrected: Jan 26, 2024
Tag 0919 E Dec 29, 2023

Make sure that a working call system is available in each resident's bathroom and bathing area.

✓ Corrected: Jan 26, 2024
Tag 0921 D Dec 29, 2023

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

✓ Corrected: Jan 26, 2024
Tag 0880 E Oct 18, 2023

Provide and implement an infection prevention and control program.

✓ Corrected: Nov 10, 2023
Tag 0609 D Jun 30, 2023

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Aug 4, 2023

2022 1 violations

Tag 0880 D Sep 20, 2022

Provide and implement an infection prevention and control program.

✓ Corrected: Nov 7, 2022
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2021 12 violations

Tag 0745 D Aug 6, 2021

Provide medically-related social services to help each resident achieve the highest possible quality of life.

✓ Corrected: Aug 16, 2021
Tag 0676 D Aug 5, 2021

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

✓ Corrected: Aug 19, 2021
Tag 0558 D Jul 30, 2021

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Sep 1, 2021
Tag 0578 D Jul 30, 2021

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

✓ Corrected: Sep 1, 2021
Tag 0583 D Jul 30, 2021

Keep residents' personal and medical records private and confidential.

✓ Corrected: Sep 1, 2021
Tag 0677 D Jul 30, 2021

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Sep 1, 2021
Tag 0686 D Jul 30, 2021

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Sep 1, 2021
Tag 0690 D Jul 30, 2021

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Sep 1, 2021
Tag 0755 E Jul 30, 2021

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

✓ Corrected: Sep 1, 2021
Tag 0758 D Jul 30, 2021

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

✓ Corrected: Sep 1, 2021
Tag 0812 E Jul 30, 2021

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

✓ Corrected: Sep 1, 2021
Tag 0880 D Jul 30, 2021

Provide and implement an infection prevention and control program.

✓ Corrected: Sep 1, 2021

2020 2 violations

Tag 0573 D Feb 4, 2020

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

✓ Corrected: Feb 25, 2020
Tag 0656 D Jan 22, 2020

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Jan 30, 2020
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2019 15 violations

Tag 0558 D Jul 23, 2019

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Jul 30, 2019
Tag 0558 D Jul 1, 2019

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Jul 29, 2019
Tag 0610 D Jul 1, 2019

Respond appropriately to all alleged violations.

✓ Corrected: Jul 29, 2019
Tag 0656 E Jul 1, 2019

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Jul 29, 2019
Tag 0684 D Jul 1, 2019

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Jul 29, 2019
Tag 0686 D Jul 1, 2019

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Jul 29, 2019
Tag 0689 D Jul 1, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Jul 29, 2019
Tag 0730 D Jul 1, 2019

Observe each nurse aide's job performance and give regular training.

✓ Corrected: Jul 29, 2019
Tag 0755 E Jul 1, 2019

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

✓ Corrected: Jul 29, 2019
Tag 0758 D Jul 1, 2019

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

✓ Corrected: Jul 29, 2019
Tag 0760 E Jul 1, 2019

Ensure that residents are free from significant medication errors.

✓ Corrected: Jul 29, 2019
Tag 0880 E Jul 1, 2019

Provide and implement an infection prevention and control program.

✓ Corrected: Jul 29, 2019
Tag 0883 D Jul 1, 2019

Develop and implement policies and procedures for flu and pneumonia vaccinations.

✓ Corrected: Jul 29, 2019
Tag 0698 G Mar 12, 2019

Provide safe, appropriate dialysis care/services for a resident who requires such services.

✓ Corrected: Apr 11, 2019
Tag 0842 E Mar 12, 2019

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

✓ Corrected: Apr 11, 2019

2018 16 violations

Tag 0623 D Oct 19, 2018

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

✓ Corrected: Nov 5, 2018
Tag 0550 D Sep 27, 2018

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

✓ Corrected: Oct 16, 2018
Tag 0641 D Jul 21, 2018

Ensure each resident receives an accurate assessment.

✓ Corrected: Aug 16, 2018
Tag 0658 D Jul 21, 2018

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Aug 16, 2018
Tag 0679 D Jul 21, 2018

Provide activities to meet all resident's needs.

✓ Corrected: Aug 16, 2018
Tag 0689 E Jul 21, 2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Aug 16, 2018
Tag 0690 D Jul 21, 2018

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Aug 16, 2018
Tag 0695 D Jul 21, 2018

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Aug 16, 2018
Tag 0697 E Jul 21, 2018

Provide safe, appropriate pain management for a resident who requires such services.

✓ Corrected: Aug 16, 2018
Tag 0755 E Jul 21, 2018

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

✓ Corrected: Aug 16, 2018
Tag 0758 D Jul 21, 2018

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

✓ Corrected: Aug 16, 2018
Tag 0812 E Jul 21, 2018

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

✓ Corrected: Aug 16, 2018
Tag 0842 D Jul 21, 2018

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

✓ Corrected: Aug 16, 2018
Tag 0908 D Jul 21, 2018

Keep all essential equipment working safely.

✓ Corrected: Aug 16, 2018
Tag 0635 D Jun 27, 2018

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

✓ Corrected: Jul 27, 2018
Tag 0842 D Jun 27, 2018

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

✓ Corrected: Jul 27, 2018
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2017 15 violations

Tag 0281 D Dec 4, 2017

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Dec 22, 2017
Tag 0250 D Jul 20, 2017

Provide medically-related social services to help each resident achieve the highest possible quality of life.

✓ Corrected: Aug 14, 2017
Tag 0258 D Jul 20, 2017

Maintain comfortable sound levels.

✓ Corrected: Aug 14, 2017
Tag 0279 D Jul 20, 2017

Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Aug 14, 2017
Tag 0284 D Jul 20, 2017

Develop a post-discharge plan with the resident and family for the resident's care after leaving the nursing home.

✓ Corrected: Aug 21, 2017
Tag 0309 D Jul 20, 2017

Provide necessary care and services to maintain or improve the highest well being of each resident .

✓ Corrected: Aug 14, 2017
Tag 0328 D Jul 20, 2017

Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.

✓ Corrected: Aug 14, 2017
Tag 0329 E Jul 20, 2017

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

✓ Corrected: Aug 14, 2017
Tag 0425 E Jul 20, 2017

Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.

✓ Corrected: Aug 14, 2017
Tag 0428 E Jul 20, 2017

At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.

✓ Corrected: Aug 14, 2017
Tag 0431 D Jul 20, 2017

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

✓ Corrected: Aug 14, 2017
Tag 0441 E Jul 20, 2017

Have a program that investigates, controls and keeps infection from spreading.

✓ Corrected: Aug 14, 2017
Tag 0279 D Jun 30, 2017

Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Jul 24, 2017
Tag 0201 D Jun 5, 2017

Permit residents to remain in the facility and not be transferred or discharged without adequate reason.

✓ Corrected: Jun 20, 2017
Tag 0206 D Jun 5, 2017

Establish and follow a written policy that permits a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

✓ Corrected: Jun 20, 2017
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