Inland Valley Care And Rehabilitation Center
Inspection Findings
F-Tag F0550
Federal health inspectors cited INLAND VALLEY CARE AND REHABILITATION CENTER in POMONA, CA for a deficiency under regulatory tag F-F0550 during a standard health inspection conducted on 2025-08-22.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of INLAND VALLEY CARE AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-27.
F-Tag F0552
Federal health inspectors cited INLAND VALLEY CARE AND REHABILITATION CENTER in POMONA, CA for a deficiency under regulatory tag F-F0552 during a standard health inspection conducted on 2025-08-22.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Ensure that residents are fully informed and understand their health status, care and treatments.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of INLAND VALLEY CARE AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-27.
F-Tag F0558
Federal health inspectors cited INLAND VALLEY CARE AND REHABILITATION CENTER in POMONA, CA for a deficiency under regulatory tag F-F0558 during a standard health inspection conducted on 2025-08-22.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Reasonably accommodate the needs and preferences of each resident.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of INLAND VALLEY CARE AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-27.
F-Tag F0578
Federal health inspectors cited INLAND VALLEY CARE AND REHABILITATION CENTER in POMONA, CA for a deficiency under regulatory tag F-F0578 during a standard health inspection conducted on 2025-08-22.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: 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.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of INLAND VALLEY CARE AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-27.
F-Tag F0580
Federal health inspectors cited INLAND VALLEY CARE AND REHABILITATION CENTER in POMONA, CA for a deficiency under regulatory tag F-F0580 during a standard health inspection conducted on 2025-08-22.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of INLAND VALLEY CARE AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-27.
F-Tag F0584
Federal health inspectors cited INLAND VALLEY CARE AND REHABILITATION CENTER in POMONA, CA for a deficiency under regulatory tag F-F0584 during a standard health inspection conducted on 2025-08-22.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: 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.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of INLAND VALLEY CARE AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-15.
F-Tag F0641
Federal health inspectors cited INLAND VALLEY CARE AND REHABILITATION CENTER in POMONA, CA for a deficiency under regulatory tag F-F0641 during a standard health inspection conducted on 2025-08-22.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Ensure each resident receives an accurate assessment.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of INLAND VALLEY CARE AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-26.
F-Tag F0656
Federal health inspectors cited INLAND VALLEY CARE AND REHABILITATION CENTER in POMONA, CA for a deficiency under regulatory tag F-F0656 during a standard health inspection conducted on 2025-08-22.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of INLAND VALLEY CARE AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-27.
F-Tag F0657
Federal health inspectors cited INLAND VALLEY CARE AND REHABILITATION CENTER in POMONA, CA for a deficiency under regulatory tag F-F0657 during a standard health inspection conducted on 2025-08-22.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of INLAND VALLEY CARE AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-27.
F-Tag F0677
Federal health inspectors cited INLAND VALLEY CARE AND REHABILITATION CENTER in POMONA, CA for a deficiency under regulatory tag F-F0677 during a standard health inspection conducted on 2025-08-22.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide care and assistance to perform activities of daily living for any resident who is unable.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of INLAND VALLEY CARE AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-27.
F-Tag F0684
Federal health inspectors cited INLAND VALLEY CARE AND REHABILITATION CENTER in POMONA, CA for a deficiency under regulatory tag F-F0684 during a standard health inspection conducted on 2025-08-22.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of INLAND VALLEY CARE AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-27.
F-Tag F0686
Federal health inspectors cited INLAND VALLEY CARE AND REHABILITATION CENTER in POMONA, CA for a deficiency under regulatory tag F-F0686 during a standard health inspection conducted on 2025-08-22.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of INLAND VALLEY CARE AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-27.
F-Tag F0688
Federal health inspectors cited INLAND VALLEY CARE AND REHABILITATION CENTER in POMONA, CA for a deficiency under regulatory tag F-F0688 during a standard health inspection conducted on 2025-08-22.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of INLAND VALLEY CARE AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-27.
F-Tag F0690
Federal health inspectors cited INLAND VALLEY CARE AND REHABILITATION CENTER in POMONA, CA for a deficiency under regulatory tag F-F0690 during a standard health inspection conducted on 2025-08-22.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of INLAND VALLEY CARE AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-27.
F-Tag F0693
Federal health inspectors cited INLAND VALLEY CARE AND REHABILITATION CENTER in POMONA, CA for a deficiency under regulatory tag F-F0693 during a standard health inspection conducted on 2025-08-22.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: 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.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of INLAND VALLEY CARE AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-27.
F-Tag F0695
Federal health inspectors cited INLAND VALLEY CARE AND REHABILITATION CENTER in POMONA, CA for a deficiency under regulatory tag F-F0695 during a standard health inspection conducted on 2025-08-22.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide safe and appropriate respiratory care for a resident when needed.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of INLAND VALLEY CARE AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-27.
F-Tag F0697
Federal health inspectors cited INLAND VALLEY CARE AND REHABILITATION CENTER in POMONA, CA for a deficiency under regulatory tag F-F0697 during a standard health inspection conducted on 2025-08-22.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide safe, appropriate pain management for a resident who requires such services.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of INLAND VALLEY CARE AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-27.
F-Tag F0698
Federal health inspectors cited INLAND VALLEY CARE AND REHABILITATION CENTER in POMONA, CA for a deficiency under regulatory tag F-F0698 during a standard health inspection conducted on 2025-08-22.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide safe, appropriate dialysis care/services for a resident who requires such services.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of INLAND VALLEY CARE AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-27.
F-Tag F0700
Federal health inspectors cited INLAND VALLEY CARE AND REHABILITATION CENTER in POMONA, CA for a deficiency under regulatory tag F-F0700 during a standard health inspection conducted on 2025-08-22.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of INLAND VALLEY CARE AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-27.
F-Tag F0725
Federal health inspectors cited INLAND VALLEY CARE AND REHABILITATION CENTER in POMONA, CA for a deficiency under regulatory tag F-F0725 during a standard health inspection conducted on 2025-08-22.
Category: Nursing and Physician Services Deficiencies
The facility was found deficient in the following area: Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of INLAND VALLEY CARE AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-27.
F-Tag F0755
F 0755 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
record/accountability record of medications that are considered to have a strong potential for abuse) for Pregabalin 100 mg caps, dated 8/3 and ending on 8/20, the record indicated there was no documentation for the doses given on 8/21/2025 at 9 am and 1 pm.
During an interview on 8/21/2025 at 3:25 pm with Licensed Vocational Nurse 7 (LVN 7), LVN 7 stated Resident 47 was given Pregabalin 100 mg by her at 8:40 am and 1 pm, but did not document on the
Record of Controlled Substances because she was too busy. LVN 7 stated she was supposed to document
the administration on the Record of Controlled Substances after Resident 47 took it to prevent any mistakes from happening. LVN 7 stated the medication was an opioid (a class of drug used to reduce moderate to severe pain that can be addictive) for pain and could pose a danger to the resident.
During an interview on 8/22/2025 at 11:58 am with the Director of Nursing (DON), the DON stated when giving a controlled drug the nurse should document it on the MAR and they must sign the controlled drug
record to keep count of the quantity remaining and reflect the date/time of when the drug was given. The DON stated, once the medication is removed from the medication blister pack it should be documented timely to avoid it being forgotten. The DON stated signing off on the record was important so every medication that was used had a record and the next shift would know when it was utilized.
During a review of the facility’s policy and procedure (P&P) titled, “Controlled Substances,” last revised 11/2022, the P&P indicated the facility complied with all laws, regulations, and other requirements related to handling, storage, disposal, and documentation of controlled medications (listed as Schedule II-V of the Comprehensive Drug Abuse Prevention and Control Act of 1976). The P&P indicated controlled substance inventory were monitored and reconciled to identify loss or potential diversion in a manner that minimizes the time between loss/diversion and detection/follow-up. The P&P indicated the system of reconciling the receipt, dispensing and disposition of controlled substances included medication administration records.
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
08/22/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Inland Valley Care and Rehabilitation Center
250 W. Artesia Street Pomona, CA 91768
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0757
Federal health inspectors cited INLAND VALLEY CARE AND REHABILITATION CENTER in POMONA, CA for a deficiency under regulatory tag F-F0757 during a standard health inspection conducted on 2025-08-22.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure each resident’s drug regimen must be free from unnecessary drugs.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of INLAND VALLEY CARE AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-27.
F-Tag F0761
Federal health inspectors cited INLAND VALLEY CARE AND REHABILITATION CENTER in POMONA, CA for a deficiency under regulatory tag F-F0761 during a complaint investigation conducted on 2025-08-22.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: 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.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of INLAND VALLEY CARE AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-27.
F-Tag F0804
Federal health inspectors cited INLAND VALLEY CARE AND REHABILITATION CENTER in POMONA, CA for a deficiency under regulatory tag F-F0804 during a standard health inspection conducted on 2025-08-22.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of INLAND VALLEY CARE AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-25.
F-Tag F0806
Federal health inspectors cited INLAND VALLEY CARE AND REHABILITATION CENTER in POMONA, CA for a deficiency under regulatory tag F-F0806 during a standard health inspection conducted on 2025-08-22.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of INLAND VALLEY CARE AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-25.
F-Tag F0812
Federal health inspectors cited INLAND VALLEY CARE AND REHABILITATION CENTER in POMONA, CA for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2025-08-22.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of INLAND VALLEY CARE AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-25.
F-Tag F0880
Federal health inspectors cited INLAND VALLEY CARE AND REHABILITATION CENTER in POMONA, CA for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-08-22.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Provide and implement an infection prevention and control program.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 27 deficiencies cited during this inspection of INLAND VALLEY CARE AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-06.
INLAND VALLEY CARE AND REHABILITATION CENTER in POMONA, CA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in POMONA, CA, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from INLAND VALLEY CARE AND REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.