Inland Valley Care and Rehabilitation Center
On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.
based on 98 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Special Focus Facility (under heightened CMS scrutiny)
- Abuse citation on record
- Low overall rating (1/5 stars)
- Above-median deficiencies (56 vs median 13.0)
Bottom 25% in CA · Below recommended RN staffing · Above recommended total nurse staffing · $214,782 in fines · Special Focus Facility (CMS) · Abuse citation
What this means for your family
While some families report excellent rehabilitation results and praise specific nursing staff, the facility has a deeply concerning pattern of serious medical neglect and communication failures. If you choose this facility, you must be prepared to be extremely hands-on with daily monitoring of wound care, hygiene, and medication, as multiple reviewers have noted that staff often fail to meet basic care standards.
Google Reviews
Google Reviews
98 reviews on Google“Families considering Inland Valley Care and Rehabilitation Center should be aware of significant discrepancies in care quality. While some residents and families praise specific nurses and successful rehabilitation outcomes, there are frequent and severe allegations of medical neglect, understaffing, and poor hygiene. Critical concerns regarding wound care, medication management, and communication with families are prevalent across many reviews.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate individual nurses and CNAs
- Successful physical therapy and rehab outcomes for some patients
- Friendly and welcoming reception staff
Concerns
- Severe medical neglect and wound care issues (mentioned by 4 reviewers)
- Chronic understaffing and slow response to call lights (mentioned by 6 reviewers)
- Poor communication and difficulty reaching administration via phone (mentioned by 8 reviewers)
- Unsanitary conditions and cleanliness issues (mentioned by 4 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 104 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1I noticed some families have shared great things about your nurses and CNAs; how do you ensure that level of compassionate care is consistent across all shifts?
- 2With the recent focus on improvements, what specific steps is the facility taking to address cleanliness and the upkeep of the resident rooms?
- 3How does the nursing team manage medication administration and monitor for any changes in a resident's medical condition?
- 4Could you tell me more about the daily activity schedule and how you keep residents engaged with social events?
- 5What is the best way for our family to stay in regular contact with the administration and receive updates on our loved one's care?
- 6How does the facility handle wound care management and ensure that skin integrity is closely monitored by the clinical staff?
Personalized based on this facility's data
Key Review Excerpts
“The staff and CNAs are generally good and caring, and the food is pretty solid. I am a resident here, and I've recently experienced hope to return to a normal life for the first time in a year. Thanks to my rehabilitation, I am now walking again.”
“My 90 year old MoM has dementia and is a long term patient that cannot walk nor use her hands at this facility. I agree some staff members are friendly than others, but some how my mom’s expensive glasses/frames were either stolen off of him face or thrown away carelessly.”
“My grandfather left this place with a bed sore on his coccyx. When he checked in this place, he didn't have one AT all.”
Staffing
Staffing Hours
per resident/day · Medicare 2026RN 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
7
measures
5
measures
5
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents with pressure sores (bedsores)
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Residents vaccinated for pneumonia
Residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has a concerning pattern of 213 deficiencies across multiple surveys, with over half (109) triggered by family complaints about serious care issues. The most frequent problems involve infection control, accident prevention and safety, and medication management. Recent violations in 2024-2025 include abuse protection failures, inadequate nursing staffing, and poor wound care, indicating ongoing quality issues despite corrections being reported for each deficiency.
Mar 31, 2026Complaint1
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Mar 4, 2026Complaint4
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Quality of Life and Care Deficiencies
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Feb 11, 2026Complaint7
Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Quality of Life and Care Deficiencies
Provide appropriate foot care.
Nursing and Physician Services Deficiencies
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Quality of Life and Care Deficiencies
Provide routine and 24-hour emergency dental care for each resident.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Dec 18, 2025Complaint2
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Dec 12, 2025Complaint1
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Nov 13, 2025Complaint1
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
Payment Denial
Oct 23, 2025
5-day denial
Fine
Jun 27, 2025
$42,169
Fine
May 9, 2025
$35,175
Payment Denial
Aug 9, 2024
7-day denial
Fine
Jan 24, 2024
$57,329
Payment Denial
Jan 24, 2024
16-day denial
Fine
Jul 28, 2023
$70,145
Payment Denial
Jul 28, 2023
23-day denial
Ownership & Operations
Who Operates This Facility
Inland Valley Care and Rehabilitation Center
for profit
Ownership & Management
Owners
Nelson, Roberts
Owner
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
98 reviews from families & visitors
Official Website
Visit healthy.kaiserpermanente.org
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
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