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Nursing HomeMedicaid

Heritage Gardens Health Care Center

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

25271 Barton Road, Loma Linda, CA 92354110 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
3.1/5

based on 51 Google reviews

5
4
3
2
1
Heritage Gardens Health Care Center Nursing Home in Loma Linda, CA — Street View
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What this means for your family

This facility offers strong physical and occupational therapy services that have helped many patients recover from surgery. However, families should exercise extreme caution regarding long-term care, as there are recurring, serious reports of hygiene neglect and slow response times to call lights. We recommend frequent, unannounced visits to ensure your loved one's basic needs are being met.

Google Reviews

Google Reviews

51 reviews on Google
Families considering Heritage Gardens should be aware of a significant divide between highly praised rehabilitation services and severe allegations of neglect in long-term care. While many reviewers laud the physical and occupational therapy teams and specific nursing staff, multiple families have reported critical issues including poor hygiene, lack of communication, and inadequate response to call lights.

Quality Themes

Tap a score for details
Food3.0Staff4.0Clean2.0Activities5.0MedsN/AMemoryN/AComms2.0Value1.0

Strengths

  • Effective physical and occupational therapy
  • Kind and attentive certain nursing staff members
  • Professional and helpful case management
  • Cleanliness in specific rehabilitation settings

Concerns

  • Neglect regarding hygiene and incontinence care (mentioned by 4 reviewers)
  • Slow response times to call lights, especially on weekends (mentioned by 3 reviewers)
  • Lack of communication from staff regarding patient changes (mentioned by 3 reviewers)
  • Facility maintenance and unpleasant odors (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'13(2)'15(2)'17(2)'19(3)'22(2)'24(28)'26(5)

Distribution · 92 analyzed

5
45
4
1
3
4
2
0
1
42
14 reviews posted between Dec 17, 2024Dec 18, 2024 · 12 were 5-star

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1We've heard great things about your physical and occupational therapy programs; could you tell us more about how the therapists work with residents to regain their independence?
  • 2How does the nursing team ensure that personal hygiene and incontinence care are handled consistently for every resident throughout the day?
  • 3What steps are in place to ensure staff can respond quickly to call lights, particularly during the weekend shifts?
  • 4How does the facility manage communication with families when there are any changes in a resident's medical condition or daily care plan?
  • 5Could you describe the dining experience and how the facility is working to improve the variety and quality of the meals provided?
  • 6What is the protocol for handling medical emergencies or urgent care needs during the overnight hours?

Personalized based on this facility's data


Key Review Excerpts

The staff took amazing care of Emily - mom to me. Samantha, Carla, Peter, Joseph, and many more. The staff cares - much respect to the staff and thank you.

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

The physical therapist was very good with her and the nurses and aids were attentive to her needs. The administrative staff made themselves available every time we had questions or issues.

Rehab patient's family · 2021★★★★★

My mother was sent to this skilled nursing facility. I was very disappointed because the reviews were bad. The facility looks older but well kept! ... My mother is getting excellent care, attention, and is treated with respect.

Long-term resident's family · 2024☆☆☆☆
Source: 51 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.31hrs
41%
Registered nurses for medical care
Total Nursing
4.06hrs
99%
All nurses + aides combined
Staff Turnover
100%
Lower is better (< 30% = good)
RN Turnover
100%
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

14

measures

Worse Than Avg

2

measures

Mixed Results

1

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility4.4%
Better than Avg
Here
4.4%
US
19.4%
CA
10.7%
San bernardino
8.3%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility1.4%
Better than Avg
Here
1.4%
US
15.5%
CA
11.7%
San bernardino
8.9%
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.2%
Better than Avg
Here
1.2%
US
12.1%
CA
7.0%
San bernardino
9.9%

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

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility3.6%
Better than Avg
Here
3.6%
US
14.4%
CA
10.4%
San bernardino
10.9%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility9.4%
Better than Avg
Here
9.4%
US
19.5%
CA
13.7%
San bernardino
18.1%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility13.1%
Worse than Avg
Here
13.1%
US
5.3%
CA
4.1%
San bernardino
3.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility99.2%
Better than Avg
Here
99.2%
US
79.8%
CA
93.2%
San bernardino
92.8%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
CA
94.2%
San bernardino
95.6%
💊

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

8deficiencies
Near state avg (15.4)
10 complaint-triggered

This facility has concerning patterns with 74 deficiencies across 12 surveys, including 10 complaint-triggered violations where families filed reports. The most recurring problems involve food service and nutrition, medication management, and fire safety systems. Issues persist across multiple years, with food safety violations appearing in 2019, 2022, and 2025, and medication labeling problems recurring from 2019 through 2023, suggesting ongoing operational challenges that warrant careful consideration before placement.

May 6, 2025Complaint
1
0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

Jan 16, 2025Routine
12
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.

0037Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0637Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident when there is a significant change in condition

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0688Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0035Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Provide family notifications of emergency plan.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Jan 16, 2025Complaint
1
0839Potential for harm · IsolatedCorrected

Administration Deficiencies

Employ staff that are licensed, certified, or registered in accordance with state laws.

Dec 12, 2024Complaint
1
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Sep 5, 2024Complaint
1
0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

May 3, 2024Complaint
1
0604Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Heritage Gardens Health Care Center

Organization Type

for profit

Chain Affiliation

Chain Name

Progressive Health Care Centers

Chain Size

5 facilities nationwide

Chain avg rating: 2.8/5 · Rank 3 of 5

Ownership & Management

Owners

Cotton Family Revocable Trust

Owner · Organization

13%

Helen Louise Larson Revocable Trust

Owner · Organization

6%

The Larson Family Trust of 2010

Owner · Organization

6%

Armstrong, John

Owner

11%

Armstrong, Laura

Owner

11%

Goings, Gregory

Owner

16%

Goings, Patricia

Owner

16%

Goings, Verna

Owner

16%

Key personnel

Goings, SamuelW-2 Managing EmployeeGoings, GregoryOfficer / DirectorKilian, JamesOfficer / Director
Source: Medicare provider data

Contact

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References & Resources

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