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Complaint Investigation

Upland Rehabilitation And Care Center

September 22, 2025 · Upland, CA · 1221 E Arrow Hwy
Citations 1
CMS Rating 5/5
Beds 206
Provider ID 055374
Healthcare Facility
Upland Rehabilitation And Care Center
Upland, CA  ·  View full profile →
Inspection Summary

Upland Rehabilitation and Care Center in Upland, CA — inspection on September 22, 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.

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Inspection Findings

FF0676
Quality of Life and Care Deficiencies
Potential for More Than Minimal Harm

During a review of Resident 1' admission Record (general demographics) on September 8, 2025, the document indicated Resident 1 was admitted to the facility on [DATE], with diagnoses that included muscle weakness, type 2 diabetes (a condition in which the body have more sugar in the blood), hypertension (a condition in with a high blood pressure) and abnormalities of gait and mobility (changes to the normal way of walking).

During an observation on September 8, 2025, at 11:55 AM, Resident 1 was observed lying in bed. Resident 1 was staring at playing cards on a bedside table in front of her.

During an interview on September 8, 2025, at 12:10 PM, with Certified Nursing Assistant (CNA). the CNA stated, [Name of Resident 1] usually stays in her room.

She does RNA in her room.

During an interview on September 8, 2025, at 12:15 PM, with Licensed Vocational Nurse (LVN). the LVN stated, I have not seen [Name of Resident 1] walk for a while, but I know she is on RNA program.

During an interview on September 8, 2025, at 12:45 PM, with Restorative Nursing Assistant staff (RNAS) the RNAS stated, [Name of Resident 1] is on RNA program for only the upper body. We don't walk with her.

During a concurrent interview and review of Resident 1's Physical Therapy (PT) notes, on September 8, 2025, at 1:10 PM, with Facility Rehab Staff (FRS), the FRS stated, [Name of Resident 1] should have been placed on RNA program for ambulation on July 21, 2025, after physical therapy treatment ended to work on her lower body. A review of Resident 1's care plan dated July 24, 2025, indicated, Focus: Has limited physical mobility related to weakness.

Goal: Increase with functional mobility, reduce fall risk.

Interventions: . improve functional mobility.

During an interview on September 9, 2023, at 2:00 PM, with the Administrator (Admin), the admin stated, There was no continuation of therapy for RNA after PT ended.

The Admin further stated, The resident should have been placed on RNA program for ambulation. A review of the facility's Policy and Procedure (P&P), titled, Quality of Care revised, November 2022, the P&P indicated, It is the policy of this facility that residents are given the appropriate treatment and services to maintain or improve his/her abilities. PROCEDUERS: 1.

Maintenance and restorative programs will be provided to residents in accordance with the resident's comprehensive assessment.

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 REPRESENTATIVE'S SIGNATURE

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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 Upland, 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 Upland Rehabilitation and Care Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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