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Nursing HomeMedicaid Top Rated

Grand Terrace Health Care Center

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

12000 Mount Vernon Ave, Grand Terrace, CA 9231359 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.1/5

based on 82 Google reviews

5
4
3
2
1
Grand Terrace Health Care Center Nursing Home in Grand Terrace, CA — Street View
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What this means for your family

This facility offers an excellent rehabilitation and physical therapy program that many families find transformative. However, you must closely monitor dietary compliance and verify that call lights are being answered promptly, as multiple families have reported neglect during evening and weekend shifts.

Google Reviews

Google Reviews

82 reviews on Google
Grand Terrace Health Care Center is highly regarded by many families for its exceptional physical therapy team and the compassionate, professional nature of its nursing staff. However, there are serious, recurring allegations regarding neglect, inadequate staffing during evening/weekend hours, and failures in dietary management for specific medical needs. While many praise the facility's cleanliness, prospective families should be aware of documented concerns regarding medication errors and slow response times to call lights.

Quality Themes

Tap a score for details
Food4.0Staff7.0Clean9.0Activities8.0Meds3.0MemoryN/AComms4.0ValueN/A

Strengths

  • Exceptional physical and occupational therapy teams
  • Compassionate and attentive nursing staff
  • Clean and well-maintained facility
  • Professional and friendly administration

Concerns

  • Inadequate staffing and slow response to call lights (mentioned by 4 reviewers)
  • Dietary errors regarding allergies and religious/medical restrictions (mentioned by 2 reviewers)
  • Difficulty reaching staff or social workers via phone (mentioned by 3 reviewers)
  • Neglect regarding personal hygiene and incontinence care (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'15(1)'17(3)'19(5)'21(4)'23(3)'25(4)'26(28)

Distribution · 85 analyzed

5
58
4
6
3
2
2
5
1
14

How They Respond to Reviews

57%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1We've heard wonderful things about your physical and occupational therapy teams; could you tell us more about how they work with residents to maintain mobility?
  • 2How does the nursing team ensure that call lights are answered promptly, especially during the night shifts?
  • 3With the dietary needs of each resident in mind, what specific protocols are in place to prevent errors regarding food allergies or special dietary restrictions?
  • 4How do you ensure consistent communication between the social workers, the nursing staff, and family members if we have questions?
  • 5Could you walk us through the process for managing medications and how you ensure accuracy during shift changes?
  • 6What kind of daily activities or social outings are available to help residents stay engaged with the community?

Personalized based on this facility's data


Key Review Excerpts

The nurses,doctors, and administrative team have provided excellent service. They are compassionate, empathetic and caring. I live in SC and I was so worried that I could not be there with my mom but Stephanie,Ana,Bernardo,Alyssa,Hugo, and Kevin have put those worries to rest.

Long-term resident's family · 2026★★★★★

My wife almost died there, until Hospice came in and discovered she was over medicated. Nurses were great , but PT was very rough with her.

Family member of deceased resident · 2026★★☆☆☆

The therapy team is the best. The care is great. Nurses are good.

Visitor · 2026★★★★★
Source: 82 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.45hrs
60%
Registered nurses for medical care
Total Nursing
4.48hrs
OK
All nurses + aides combined
Staff Turnover
37%
Lower is better (< 30% = good)
RN Turnover
33%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

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

Medicare Rating
4/ 5
Better Than Avg

8

measures

Worse Than Avg

4

measures

Mixed Results

5

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility56.3%
Worse than Avg
Here
56.3%
US
12.1%
CA
7.0%
San bernardino
8.9%

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

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility1.1%
Better than Avg
Here
1.1%
US
19.4%
CA
10.7%
San bernardino
8.4%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility20.3%
Worse than Avg
Here
20.3%
US
15.3%
CA
10.5%
San bernardino
10.1%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
CA
98.6%
San bernardino
97.9%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility14.4%
Mixed vs Avgs
Here
14.4%
US
19.5%
CA
13.7%
San bernardino
18.0%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility10.4%
Mixed vs Avgs
Here
10.4%
US
15.5%
CA
11.7%
San bernardino
8.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility96.7%
Better than Avg
Here
96.7%
US
79.8%
CA
93.2%
San bernardino
92.8%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility96.8%
Better than Avg
Here
96.8%
US
81.8%
CA
94.2%
San bernardino
95.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.0%
Worse than Avg
Here
2.0%
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

3deficiencies
Well below state avg (15.4)
1 complaint-triggered

This facility shows persistent food safety issues recurring in three of four surveys (2021, 2023, 2024), along with ongoing problems in care planning, safety hazard prevention, and infection control. One family filed a complaint in 2024 regarding accident prevention. While all deficiencies have correction dates, the repeated food safety violations across multiple years suggest systemic challenges that families should investigate during visits.

Mar 5, 2026Routine
5
0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

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.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0911Minimal · PatternCorrected

Environmental Deficiencies

Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

Nov 22, 2024Routine
13
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.

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0041Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0761Potential for harm · PatternCorrected

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.

0636Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0911Minimal · Pattern

Environmental Deficiencies

Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

Oct 14, 2024Complaint
1
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.

Apr 7, 2023Routine
19
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.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

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.

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.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0773Potential for harm · IsolatedCorrected

Administration Deficiencies

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

0804Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0806Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

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.

0921Potential for harm · IsolatedCorrected

Environmental Deficiencies

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

0041Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

0521Potential for harm · IsolatedCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0911Minimal · PatternCorrected

Environmental Deficiencies

Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Grand Terrace Health Care Center

Organization Type

for profit

Chain Affiliation

Chain Name

The Ensign Group

Chain Size

342 facilities nationwide

Chain avg rating: 3.2/5 · Rank 102 of 328

Ownership & Management

Key personnel

Willits, AdamOfficer / DirectorBurnam, SoonOfficer / DirectorFitch, CraigOfficer / DirectorSato, AmiOfficer / DirectorScott, MatthewOfficer / Director
Source: Medicare provider data

Contact

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References & Resources

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