Ontario Grove Healthcare & Wellness Centre, Lp
Ontario Grove Healthcare & Wellness Centre, LP in Ontario, CA — inspection on December 23, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
posted on the right side of the door.
During an interview on December 19, 2025, at 12:20 PM, with the Director of Nursing (DON).
The DON stated that residents in room [number] are under droplet isolation for Covid-19.During an observation on December 19, 2025, at 12:25 PM, CNA 2 was observed leaving Room [number] after delivering a lunch tray and walking directly to the nurse's station without closing the door behind her.
During an interview on December 19, 2025, at 12:30 PM, with CNA 2, CNA 2 stated that she was aware of the requirement to keep the door closed in a Covid - 19 isolation room.
She acknowledged that she forgot to close the door behind her upon leaving.
During a follow-up observation on December 19, 2025, at 12:35 PM, the DON engaged in a conversation with the resident in room [number] and subsequently closed the door.
During an interview on December 19, 2025, at 4:35 PM with the IPN and DON, the DON stated that the staff is expected to keep the doors closed for residents under droplet isolation to limit the spread of respiratory droplets into common areas.
During an interview on December 20, 2025, at 2:20 PM, the Director of Nursing (DON) stated that the facility was not able to locate a written policy and procedures (P&P) specific to door closure for residents under droplet isolation.
The DON further stated that it is the facility's practice to keep doors closed for residents under droplet isolation to remain consistent with CDC infection control guidance for managing residents with suspected or confirmed COVID-19.During a concurrent record review and interview on December 20, 2025, at 3:20 PM, with the DON and Administrator, the facility's P&P titled, Testing of Residents and HCP with Signs/Symptoms of Respiratory Illness, revised May 29, 2024, was reviewed.
The P&P indicated, . 23.
Testing of Residents and HCP with Signs/Symptoms of Respiratory Illness.
See CDC guidance on interim guidance for managing healthcare personnel with SAR-Cov-2 Infection or Exposure to SAR-Cov-2.
The CDC guidance within the referenced link indicated, .
Patient Placement .
Place a patient with suspected or confirmed SARS-CoV-2 infection in a single-person room.
The door should be kept closed (if safe to do so). > If cohorting, only patient with the same respiratory pathogen should be housed in the same room.
The DON stated that staff did not follow the P&P.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.