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Nursing HomeMedicaid Top Rated

Citrus Nursing Center

Strong Medicare quality ratings; families often praise excellent physical and occupational therapy teams. Still worth an in-person visit.

9440 Citrus Ave, Fontana, CA 9233599 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
3.4/5

based on 59 Google reviews

5
4
3
2
1

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What this means for your family

The facility offers excellent physical and occupational therapy that can significantly aid in post-surgical recovery. However, you must be extremely vigilant regarding hygiene and the security of personal belongings, as multiple families have reported serious issues with neglect and lost property.

Google Reviews

Google Reviews

59 reviews on Google
Families considering Citrus Nursing Center will find a polarizing environment where many praise the physical therapy and specific nursing staff for being professional and caring. However, there are serious, recurring allegations regarding patient neglect, hygiene issues, and the loss of personal belongings that should be investigated closely.

Quality Themes

Tap a score for details
Food3.0Staff5.0Clean3.0ActivitiesN/AMeds2.0MemoryN/AComms4.0ValueN/A

Strengths

  • Excellent physical and occupational therapy teams
  • Compassionate and friendly nursing staff
  • Professional administrative and admissions teams
  • Effective rehabilitation for post-surgery recovery

Concerns

  • Patient neglect and hygiene issues (mentioned by 4 reviewers)
  • Loss or theft of patient clothing and belongings (mentioned by 3 reviewers)
  • Inconsistent medication management (mentioned by 2 reviewers)
  • Poor food quality and nutrition (mentioned by 3 reviewers)
  • Staffing shortages and lack of supervision (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'15(1)'17(2)'19(5)'21(5)'23(6)'25(11)'26(5)

Distribution · 61 analyzed

5
32
4
6
3
2
2
2
1
19

How They Respond to Reviews

100%response rate
Generic

The owner relies heavily on repetitive templates and canned phrases, particularly for 5-star reviews. While they attempt to personalize some responses by mentioning specific staff names or family members, the underlying structure is highly formulaic.

Questions for Your Tour

  • 1We've heard wonderful things about your physical and occupational therapy teams; could you tell us more about how they support residents during rehabilitation?
  • 2How does the nursing team ensure that medication schedules are followed accurately and consistently every day?
  • 3What specific steps does the facility take to ensure that residents' personal belongings and clothing are kept safe and organized?
  • 4Could you describe the daily dining experience, including how much input residents have regarding their meal options and nutrition?
  • 5What are the protocols in place for managing medical emergencies or changes in health status during the overnight hours?
  • 6How do you ensure that cleanliness and hygiene standards are maintained consistently throughout the resident rooms and common areas?

Personalized based on this facility's data


Key Review Excerpts

Awesome staff, Pt & OT therapies best I’ve ever had. Highly recommended.

Rehab patient · 2026★★★★★

My mom has been their quiet a while and she loves that place even tough I don’t live close to her she always tells me she loves the cna Destiny she always makes very good comments about her that she does a very good job with helping her with all her essentials

Long-term resident's family · 2025★★★★★

My poor Dad was sent there for rehab after surgery and they allowed him to lay there soiled and fecal matter got into his surgery site wound and he ended up with a horrible infection with wound vacs and all.

Rehab patient's family · 2022☆☆☆☆
Source: 59 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.35hrs
47%
Registered nurses for medical care
Total Nursing
3.98hrs
97%
All nurses + aides combined
Staff Turnover
32%
Lower is better (< 30% = good)
RN Turnover
63%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

16

measures

Worse Than Avg

1

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility3.6%
Better than Avg
Here
3.6%
US
19.4%
CA
10.7%
San bernardino
8.7%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
15.4%
CA
11.6%
San bernardino
9.0%
😔

Residents with depression symptoms

↓ Lower is better
This Facility18.6%
Worse than Avg
Here
18.6%
US
12.1%
CA
7.0%
San bernardino
10.6%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility8.5%
Better than Avg
Here
8.5%
US
19.5%
CA
13.7%
San bernardino
17.1%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility6.8%
Better than Avg
Here
6.8%
US
15.3%
CA
10.5%
San bernardino
10.7%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
CA
98.6%
San bernardino
98.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility98.0%
Better than Avg
Here
98.0%
US
79.7%
CA
93.2%
San bernardino
94.0%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.5%
Better than Avg
Here
99.5%
US
81.8%
CA
94.2%
San bernardino
97.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
CA
1.5%
San bernardino
1.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

7deficiencies
1penalties
Well below state avg (15.4)
2 complaint-triggered
$7,446 in fines

This facility shows recurring quality of care concerns across multiple surveys, with families filing complaints about safety hazards and wound care issues. The most frequent problems involve fire safety systems, medication management, and basic care quality including nutrition and infection control. While the facility corrects deficiencies when cited, the same issues persist across surveys from 2019 to 2025, suggesting ongoing operational challenges that warrant careful consideration during any visit.

Jul 31, 2025Routine
14
0291Potential for harm · WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0921Potential for harm · PatternCorrected

Environmental Deficiencies

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

0100Potential for harm · IsolatedCorrected

Construction Deficiencies

Meet other general requirements.

0325Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have properly installed hallway dispensers for alcohol-based hand rub.

0351Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0741Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Dec 5, 2024Complaint
1
0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Aug 30, 2023Complaint
1
0689Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Jun 10, 2022Routine
20
0511Potential for harm · WidespreadCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0700Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.

0692Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0023Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Establish policies and procedures for medical documentation.

0031Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Provide emergency officials' contact information.

0034Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Provide a means of sharing information on occupancy/needs.

0035Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Provide family notifications of emergency plan.

0341Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

0346Potential for harm · IsolatedCorrected

Smoke Deficiencies

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

0354Potential for harm · IsolatedCorrected

Smoke Deficiencies

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

0900Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Meet Health Care Facilities Code mechanical requirements.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0726Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

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.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0803Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0345Minimal · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

Aug 23, 2019Routine
10
0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0025Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Create arrangements with other facilities to receive patients.

0031Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Provide emergency officials' contact information.

0712Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Federal Penalties

Fine

Aug 30, 2023

$7,446

Ownership & Operations

Who Operates This Facility

Owner / Operator

Citrus Nursing Center

Organization Type

for profit

Chain Affiliation

Chain Name

David Johnson

Chain Size

47 facilities nationwide

Chain avg rating: 3.2/5 · Rank 9 of 45 (Best)

Ownership & Management

Owners

Citrus Nursing Center

Owner · Organization

Marmur, Eli

Owner

Key personnel

Johnson, FrankOfficer / DirectorDehghanmanesh, AdrianOfficer / DirectorOxford, MichealOfficer / DirectorCitrus Nursing CenterManagerBernard-Butler, EstherManager
Source: Medicare provider data

Contact

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References & Resources

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