Chino Valley Health Care Cente
CHINO VALLEY HEALTH CARE CENTE in POMONA, CA — inspection on May 1, 2025.
Found 2 citations. 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
During a review of Resident 23's Minimum Data Set (MDS - a resident assessment tool), dated 3/21/2025, the MDS indicated Resident 23's cognition (the ability to think and process information) was moderately impaired.
The MDS indicated Resident 23 required supervision or touching assistance (helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity) with activities of daily living (ADL, term used in healthcare that refers to self-care activities) and required supervision or touching assistance with mobility.
During a review of Resident 47's AR, the AR indicated the facility admitted Resident 47 on 5/21/2024, and readmitted the resident on 10/9/2024, with diagnoses including dementia (a progressive state of decline in mental abilities), restlessness and agitation, and anxiety disorder (mental health conditions characterized by excessive and persistent worry and fear, often leading to physical symptoms and difficulties in daily life).
During a review of Resident 47's Minimum Data Set (MDS, a federally mandated resident assessment tool), dated 2/17/2025, the MDS indicated Resident 47's cognition was moderately impaired.
The MDS indicated Resident 47 required partial/moderate assistance (helper does less than half the effort) with ADLs and required partial/moderate assistance with mobility.
055126
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 055126 B.
Wing 05/01/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Chino Valley Health Care Cente 2351 S Towne Avenue Pomona, CA 91766
During a review of Resident 23's Minimum Data Set (MDS - a resident assessment tool), dated 3/21/2025, the MDS indicated Resident 23's cognition (the ability to think and process information) was moderately impaired.
The MDS indicated Resident 23 required supervision or touching assistance (helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity) with activities of daily living (ADL, term used in healthcare that refers to self-care activities) and required supervision or touching assistance with mobility.
During a review of Resident 47's Admission Record (AR), the AR indicated the facility admitted Resident 47 on 5/21/2024, and readmitted the resident on 10/9/2024, with diagnoses including dementia, restlessness and agitation, and anxiety disorder (mental health conditions characterized by excessive and persistent worry and fear, often leading to physical symptoms and difficulties in daily life).
During a review of Resident 47's Minimum Data Set (MDS, a federally mandated resident assessment tool), dated 2/17/2025, the MDS indicated Resident 47's cognition was moderately impaired.
The MDS indicated Resident 47 required partial/moderate assistance (helper does less than half the effort) with ADLs and required partial/moderate assistance with mobility.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
055126
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 055126 B.
Wing 05/01/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Chino Valley Health Care Cente 2351 S Towne Avenue Pomona, CA 91766