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Nursing HomeMedicaid

Highland Care Center of Redlands

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

700 East Highland Avenue, South Redlands · Redlands, CA 9237480 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
3.9/5

based on 69 Google reviews

5
4
3
2
1

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What this means for your family

While the facility is noted for being exceptionally clean and having a great activities program, the presence of multiple reports regarding life-threatening medical errors and severe understaffing is a major red flag. If you choose this facility, you must implement a rigorous daily check-in routine to monitor medication administration and wound care personally.

Google Reviews

Google Reviews

69 reviews on Google
Families should exercise significant caution due to serious reports of medical neglect, including life-threatening incidents and severe understaffing. While some recent reviews praise the cleanliness and specific friendly staff members, there is a recurring pattern of critical failures in medication management, wound care, and emergency responsiveness.

Quality Themes

Tap a score for details
Food4.0Staff3.0Clean7.0Activities8.0Meds1.0MemoryN/AComms2.0ValueN/A

Strengths

  • Clean and well-maintained facility
  • Friendly and compassionate individual caregivers
  • Effective physical and occupational therapy
  • Engaging activities programs

Concerns

  • Severe medical neglect and life-threatening errors (mentioned by 3 reviewers)
  • Critical understaffing, especially on weekends (mentioned by 2 reviewers)
  • Inconsistent quality of care due to rotating trainees (mentioned by 2 reviewers)
  • Poor communication and lost personal property (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'15(1)'17(2)'19(3)'22(3)'24(8)'26(9)

Distribution · 72 analyzed

5
48
4
5
3
0
2
3
1
16
10 reviews posted between May 9, 2025May 9, 2025 · 10 were 5-star

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1We've heard wonderful things about how clean and well-maintained the facility is; could you show us around the common areas and the dining room?
  • 2What kind of engaging activities or social programs do you have planned to keep residents active and connected?
  • 3With the recent changes in staffing, what steps is the facility taking to ensure consistent, high-quality care is available every day of the week, including weekends?
  • 4How do you manage medication administration and ensure there are strict protocols in place to prevent any errors?
  • 5What is the best way for our family to stay in regular, clear communication with the nursing staff regarding our loved one's daily care and health updates?
  • 6Can you walk us through the specific protocols the team follows during a medical emergency or after-hours incident?

Personalized based on this facility's data


Key Review Excerpts

The place is night and day better than all the other places I vetted for my mother's rehab. Immaculate, caring, communicative, and they have P.T and O.T. in thebuilding.

Rehab patient's family · 2025★★★★★

A Catastrophic Failure of Care That Nearly Cost My Mother Her Life. Our nightmare with this facility began when my mother, who was struggling to breathe, had to call 911 from her own cell phone because the nursing staff was not taking her condition seriously.

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

My mom was sent here for medical rehabilitation after a toe amputation and after just 4 days was worse than when she arrived. She nearly lost her arm due to staff putting a tourniquet on her fistula to stop bleeding and left it on for over 10 hours.

Rehab patient's family · 2024★★☆☆☆
Source: 69 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.34hrs
45%
Registered nurses for medical care
Total Nursing
4.10hrs
OK
All nurses + aides combined
Staff Turnover
48%
Lower is better (< 30% = good)
RN Turnover
50%
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
3/ 5
Better Than Avg

8

measures

Worse Than Avg

3

measures

Mixed Results

6

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility5.6%
Better than Avg
Here
5.6%
US
19.4%
CA
10.7%
San bernardino
8.6%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility7.4%
Better than Avg
Here
7.4%
US
19.5%
CA
13.7%
San bernardino
17.1%
🛏️

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
11.4%
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.2%
Better than Avg
Here
2.2%
US
12.1%
CA
7.0%
San bernardino
10.9%

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

💉

Residents vaccinated for the flu

↑ Higher is better
This Facility91.9%
Worse than Avg
Here
91.9%
US
95.5%
CA
98.2%
San bernardino
98.7%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility9.4%
Better than Avg
Here
9.4%
US
15.3%
CA
10.5%
San bernardino
10.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility91.8%
Mixed vs Avgs
Here
91.8%
US
81.8%
CA
94.2%
San bernardino
97.3%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility88.1%
Mixed vs Avgs
Here
88.1%
US
79.7%
CA
93.2%
San bernardino
94.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.7%
Worse than Avg
Here
1.7%
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

13deficiencies
1penalties
Near state avg (15.4)
11 complaint-triggered
$12,931 in fines

Highland Care Center of Redlands shows concerning patterns with 78 deficiencies across 13 surveys, including 11 complaint-triggered cases where families filed reports. The most recurring issues involve safety/accident prevention, medication management, and fire safety systems. While all deficiencies show correction dates, the persistent nature of problems across multiple years—particularly repeated safety violations and ongoing family complaints about abuse prevention and accident hazards—suggests systemic challenges that warrant careful consideration during your visit.

Sep 26, 2025Complaint
1
0607Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Sep 25, 2025Complaint
1
0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Mar 27, 2025Complaint
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.

Feb 21, 2025Routine
16
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.

0342Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

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.

0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

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

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.

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.

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0908Potential for harm · IsolatedCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0919Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

0233Potential for harm · IsolatedCorrected

Egress Deficiencies

Install resident room doors of proper design and width.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0912Minimal · PatternCorrected

Environmental Deficiencies

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

Nov 14, 2024Complaint
1
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.

Aug 22, 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.

Federal Penalties

Fine

Jul 26, 2023

$12,931

Ownership & Operations

Who Operates This Facility

Owner / Operator

Highland Care Center of Redlands

Organization Type

for profit

Chain Affiliation

Chain Name

Cambridge Healthcare Services

Chain Size

32 facilities nationwide

Chain avg rating: 2.6/5 · Rank 12 of 31

Ownership & Management

Owners

Ag Facilities Operations, LLC

Owner · Organization

100%

Ira E Smedra Living Trust

Owner (parent company) · Organization

48%

Win Win Enterprises, LLC

Owner (parent company) · Organization

48%

Key personnel

Salazar, PaulinaOfficer / DirectorSmedra, IraOfficer / DirectorWintner, JacobOfficer / DirectorSmedra, IraManagerWintner, JacobManager
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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