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Pomona Vista Care Center

📍 651 N Main St, Pomona, CA 91768 📞 (909) 623-2481 🛏️ 59 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 18, 2025 Health Inspection

Fines and Penalties by Year

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Health Violations by Year

2025 17 violations

Tag 0550 D Apr 18, 2025

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

✓ Corrected: Apr 25, 2025
Tag 0656 E Apr 18, 2025

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

✓ Corrected: Apr 21, 2025
Tag 0676 D Apr 18, 2025

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

✓ Corrected: Apr 25, 2025
Tag 0686 E Apr 18, 2025

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

✓ Corrected: Apr 21, 2025
Tag 0692 D Apr 18, 2025

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Apr 23, 2025
Tag 0693 E Apr 18, 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: Apr 25, 2025
Tag 0695 E Apr 18, 2025

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

✓ Corrected: Apr 21, 2025
Tag 0699 D Apr 18, 2025

Provide care or services that was trauma informed and/or culturally competent.

✓ Corrected: May 5, 2025
Tag 0732 D Apr 18, 2025

Post nurse staffing information every day.

✓ Corrected: Apr 19, 2025
Tag 0760 D Apr 18, 2025

Ensure that residents are free from significant medication errors.

✓ Corrected: Apr 25, 2025
Tag 0761 D Apr 18, 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 25, 2025
Tag 0842 E Apr 18, 2025

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

✓ Corrected: May 14, 2025
Tag 0880 E Apr 18, 2025

Provide and implement an infection prevention and control program.

✓ Corrected: Apr 21, 2025
Tag 0912 B Apr 18, 2025

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Tag 0610 D Jan 31, 2025

Respond appropriately to all alleged violations.

✓ Corrected: Feb 17, 2025
Tag 0656 D Jan 31, 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 17, 2025
Tag 0842 D Jan 31, 2025

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

✓ Corrected: Feb 17, 2025

2024 27 violations

Tag 0600 D Aug 9, 2024

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Aug 23, 2024
Tag 0609 D Aug 9, 2024

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

✓ Corrected: Aug 23, 2024
Tag 0880 E Jul 3, 2024

Provide and implement an infection prevention and control program.

✓ Corrected: Jul 24, 2024
Tag 0689 D Jun 7, 2024

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

✓ Corrected: Jun 10, 2024
Tag 0600 E May 22, 2024

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: May 24, 2024
Tag 0744 D May 22, 2024

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

✓ Corrected: May 24, 2024
Tag 0626 D May 1, 2024

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

✓ Corrected: May 10, 2024
Tag 0684 D May 1, 2024

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

✓ Corrected: May 10, 2024
Tag 0554 D Apr 18, 2024

Allow residents to self-administer drugs if determined clinically appropriate.

✓ Corrected: May 7, 2024
Tag 0645 D Apr 18, 2024

PASARR screening for Mental disorders or Intellectual Disabilities

✓ Corrected: May 6, 2024
Tag 0656 D Apr 18, 2024

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

✓ Corrected: May 6, 2024
Tag 0657 E Apr 18, 2024

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

✓ Corrected: May 9, 2024
Tag 0679 D Apr 18, 2024

Provide activities to meet all resident's needs.

✓ Corrected: May 6, 2024
Tag 0684 E Apr 18, 2024

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

✓ Corrected: May 7, 2024
Tag 0685 D Apr 18, 2024

Assist a resident in gaining access to vision and hearing services.

✓ Corrected: May 6, 2024
Tag 0690 D Apr 18, 2024

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: Apr 19, 2024
Tag 0692 E Apr 18, 2024

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Apr 29, 2024
Tag 0759 E Apr 18, 2024

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Apr 29, 2024
Tag 0760 E Apr 18, 2024

Ensure that residents are free from significant medication errors.

✓ Corrected: Apr 29, 2024
Tag 0761 E Apr 18, 2024

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 29, 2024
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2023 30 violations

Tag 0607 D Oct 24, 2023

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Nov 7, 2023
Tag 0609 D Aug 3, 2023

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

✓ Corrected: Aug 30, 2023
Tag 0580 D Jul 5, 2023

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

✓ Corrected: Jul 19, 2023
Tag 0842 D Jul 5, 2023

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

✓ Corrected: Jul 19, 2023
Tag 0550 E Apr 21, 2023

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

✓ Corrected: Jun 30, 2023
Tag 0580 E Apr 21, 2023

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

✓ Corrected: Jun 30, 2023
Tag 0641 E Apr 21, 2023

Ensure each resident receives an accurate assessment.

✓ Corrected: Jun 30, 2023
Tag 0656 E Apr 21, 2023

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

✓ Corrected: Jun 30, 2023
Tag 0676 D Apr 21, 2023

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

✓ Corrected: Jul 14, 2023
Tag 0677 E Apr 21, 2023

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

✓ Corrected: Jun 30, 2023
Tag 0684 G Apr 21, 2023

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

✓ Corrected: Jun 30, 2023
Tag 0686 E Apr 21, 2023

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

✓ Corrected: Jun 30, 2023
Tag 0688 G Apr 21, 2023

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.

✓ Corrected: Jun 30, 2023
Tag 0690 E Apr 21, 2023

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: Jun 30, 2023
Tag 0692 E Apr 21, 2023

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Jun 30, 2023
Tag 0693 D Apr 21, 2023

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: Jun 30, 2023
Tag 0697 D Apr 21, 2023

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

✓ Corrected: Jun 30, 2023
Tag 0726 D Apr 21, 2023

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

✓ Corrected: Jun 30, 2023
Tag 0756 D Apr 21, 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: Jun 30, 2023
Tag 0758 D Apr 21, 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: Jun 30, 2023

2022 7 violations

Tag 0609 D Nov 3, 2022

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

✓ Corrected: Dec 16, 2022
Tag 0689 G Oct 18, 2022

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

✓ Corrected: Oct 28, 2022
Tag 0600 D Oct 12, 2022

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Oct 23, 2022
Tag 0656 D Oct 12, 2022

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

✓ Corrected: Oct 23, 2022
Tag 0880 E Sep 26, 2022

Provide and implement an infection prevention and control program.

✓ Corrected: Oct 18, 2022
Tag 0656 E Apr 26, 2022

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

✓ Corrected: May 9, 2022
Tag 0684 E Apr 26, 2022

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

✓ Corrected: May 9, 2022
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2021 9 violations

Tag 0622 E Oct 19, 2021

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: Jan 5, 2022
Tag 0697 K Sep 23, 2021

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

✓ Corrected: Nov 8, 2021
Tag 0755 K Sep 23, 2021

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

✓ Corrected: Nov 8, 2021
Tag 0756 K Sep 23, 2021

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

✓ Corrected: Nov 8, 2021
Tag 0600 K Aug 29, 2021

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Sep 27, 2021
Tag 0607 K Aug 29, 2021

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Sep 27, 2021
Tag 0609 K Aug 29, 2021

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

✓ Corrected: Sep 27, 2021
Tag 0610 K Aug 29, 2021

Respond appropriately to all alleged violations.

✓ Corrected: Sep 27, 2021
Tag 0880 E Feb 11, 2021

Provide and implement an infection prevention and control program.

2020 10 violations

Tag 0880 D Dec 18, 2020

Provide and implement an infection prevention and control program.

Tag 0880 E Oct 29, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Dec 18, 2020
Tag 0880 D Jun 29, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Jul 29, 2020
Tag 0656 D Jan 24, 2020

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

✓ Corrected: Feb 28, 2020
Tag 0657 D Jan 24, 2020

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

✓ Corrected: Feb 28, 2020
Tag 0684 D Jan 24, 2020

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

✓ Corrected: Feb 28, 2020
Tag 0695 D Jan 24, 2020

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

✓ Corrected: Feb 28, 2020
Tag 0745 D Jan 24, 2020

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

✓ Corrected: Feb 28, 2020
Tag 0812 D Jan 24, 2020

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

✓ Corrected: Feb 28, 2020
Tag 0912 B Jan 24, 2020

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

✓ Corrected: Feb 28, 2020
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2019 17 violations

Tag 0607 D Apr 2, 2019

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Apr 10, 2019
Tag 0609 D Apr 2, 2019

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

✓ Corrected: Apr 10, 2019
Tag 0550 D Jan 18, 2019

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

✓ Corrected: Mar 6, 2019
Tag 0610 D Jan 18, 2019

Respond appropriately to all alleged violations.

✓ Corrected: Mar 6, 2019
Tag 0658 D Jan 18, 2019

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

✓ Corrected: Mar 6, 2019
Tag 0659 E Jan 18, 2019

Provide care by qualified persons according to each resident's written plan of care.

✓ Corrected: Mar 6, 2019
Tag 0678 D Jan 18, 2019

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

✓ Corrected: Mar 6, 2019
Tag 0686 D Jan 18, 2019

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

✓ Corrected: Mar 6, 2019
Tag 0697 D Jan 18, 2019

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

✓ Corrected: Mar 6, 2019
Tag 0712 D Jan 18, 2019

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

✓ Corrected: Mar 6, 2019
Tag 0808 D Jan 18, 2019

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

✓ Corrected: Mar 6, 2019
Tag 0825 D Jan 18, 2019

Provide or get specialized rehabilitative services as required for a resident.

✓ Corrected: Mar 6, 2019
Tag 0838 D Jan 18, 2019

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies.

✓ Corrected: Mar 6, 2019
Tag 0880 E Jan 18, 2019

Provide and implement an infection prevention and control program.

✓ Corrected: Mar 6, 2019
Tag 0881 E Jan 18, 2019

Implement a program that monitors antibiotic use.

✓ Corrected: Mar 6, 2019
Tag 0912 D Jan 18, 2019

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

✓ Corrected: Mar 6, 2019
Tag 0921 E Jan 18, 2019

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

✓ Corrected: Mar 6, 2019

2018 16 violations

Tag 0550 E Jan 19, 2018

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

✓ Corrected: Feb 14, 2018
Tag 0578 D Jan 19, 2018

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: Feb 14, 2018
Tag 0623 D Jan 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: Feb 14, 2018
Tag 0625 D Jan 19, 2018

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

✓ Corrected: Feb 14, 2018
Tag 0656 D Jan 19, 2018

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

✓ Corrected: Feb 14, 2018
Tag 0657 D Jan 19, 2018

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

✓ Corrected: Feb 14, 2018
Tag 0676 D Jan 19, 2018

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

✓ Corrected: Feb 14, 2018
Tag 0677 D Jan 19, 2018

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

✓ Corrected: Feb 14, 2018
Tag 0679 E Jan 19, 2018

Provide activities to meet all resident's needs.

✓ Corrected: Apr 30, 2018
Tag 0684 E Jan 19, 2018

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

✓ Corrected: Feb 14, 2018
Tag 0686 G Jan 19, 2018

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

✓ Corrected: Feb 14, 2018
Tag 0688 E Jan 19, 2018

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.

✓ Corrected: Apr 30, 2018
Tag 0689 D Jan 19, 2018

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

✓ Corrected: Feb 14, 2018
Tag 0690 E Jan 19, 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: Feb 14, 2018
Tag 0880 D Jan 19, 2018

Provide and implement an infection prevention and control program.

✓ Corrected: Feb 14, 2018
Tag 0912 B Jan 19, 2018

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

✓ Corrected: Feb 14, 2018
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2017 1 violations

Tag 0155 D Apr 7, 2017

Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives.

✓ Corrected: May 10, 2017
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