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Nursing HomeMedicaid

Ontario Grove Healthcare & Wellness Centre, Lp

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

933 East Deodar Street, Ontario, CA 9176459 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.0/5

based on 84 Google reviews

5
4
3
2
1
Ontario Grove Healthcare & Wellness Centre, Lp Nursing Home in Ontario, CA — Street View
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What this means for your family

This facility is a strong candidate for rehabilitation and long-term care if cleanliness and friendly front-end staff are your priorities. However, you must be highly proactive in monitoring medication administration and communicating with nursing staff, as multiple families have reported serious lapses in medical oversight and responsiveness.

Google Reviews

Google Reviews

84 reviews on Google
Families considering Ontario Grove Healthcare & Wellness Centre will find a facility that is widely praised for its cleanliness and the kindness of many of its staff members. However, there are serious, recurring allegations regarding medication mismanagement, poor communication from administration, and inconsistent nursing care during critical moments. While many residents appear happy and well-cared for, some families have reported distressing experiences involving neglect and lack of empathy.

Quality Themes

Tap a score for details
Food2.0Staff6.0Clean9.0ActivitiesN/AMeds1.0MemoryN/AComms3.0ValueN/A

Strengths

  • Clean and well-maintained interior
  • Friendly and welcoming front desk staff
  • Effective rehabilitation services for certain patients
  • Modern visitor check-in technology

Concerns

  • Inconsistent nursing attitude and empathy (mentioned by 3 reviewers)
  • Poor communication from administration (mentioned by 2 reviewers)
  • Issues with medication management and loss (mentioned by 2 reviewers)
  • Subpar food quality (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'16(2)'18(4)'20(2)'22(6)'24(12)'26(6)

Distribution · 85 analyzed

5
54
4
10
3
4
2
1
1
16

How They Respond to Reviews

0%response rate
Generic

The owner uses repetitive, templated responses for positive reviews and a standardized script for negative reviews. There is no attempt to personalize responses to the specific content of the reviews.

Questions for Your Tour

  • 1We've heard great things about how clean and well-maintained the facility is; could you show us around the common areas and the resident rooms?
  • 2How does the nursing team manage medication schedules and ensure everything is tracked accurately for each resident?
  • 3What is the process for communicating important health updates or changes in care from the administration to our family?
  • 4Could you tell us more about the dining experience, specifically regarding the variety of meals and how you address different dietary needs?
  • 5How does the staff approach resident care to ensure everyone feels supported and treated with empathy during their stay?
  • 6What kind of daily activities or social programs are available to keep residents engaged and active?

Personalized based on this facility's data


Key Review Excerpts

The staff helped her to regain her strength and is now eating normal food without chocking. The staff is caring and do their best to accommodate our needs.

Rehab patient's family · 2025★★★★★

The outside isn't as upkept and taken care of as it should be in a professional setting but the place inside is very well upkept clean and nice .. Front desk girls I've met are very nice and professional making visitors feel at ease and the nurses take good care of my mom .

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

Lost my father in laws' 30 day supply of Parkinsons and Schizophrenia medication, saying they accidentally threw it in the trash and refused to replace it.

Long-term resident's family · 2019☆☆☆☆
Source: 84 Google reviews

Quality Measures

Quality Measures

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

Medicare Rating
4/ 5
Better Than Avg

15

measures

Worse Than Avg

1

measures

Mixed Results

1

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility2.6%
Better than Avg
Here
2.6%
US
19.4%
CA
10.7%
San bernardino
8.7%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility5.6%
Better than Avg
Here
5.6%
US
19.5%
CA
13.7%
San bernardino
17.1%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility4.7%
Better than Avg
Here
4.7%
US
15.4%
CA
11.6%
San bernardino
8.9%
💉

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%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility10.0%
Better than Avg
Here
10.0%
US
15.3%
CA
10.5%
San bernardino
10.6%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility9.5%
Better than Avg
Here
9.5%
US
14.4%
CA
10.4%
San bernardino
11.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
79.7%
CA
93.2%
San bernardino
94.0%
💉

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
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

6deficiencies
Well below state avg (15.4)
3 complaint-triggered

This facility has concerning patterns with families filing complaint reports in four instances, highlighting recurring problems with infection control, quality of care, and resident protection that persist across multiple years. The most frequent issues involve infection prevention programs (appearing in 2019, 2022, and 2025), food safety and dietary services (deficient in 2019, 2022, and 2025), and inappropriate treatment and care delivery (cited in 2019, 2024, and 2025), suggesting systemic problems that haven't been permanently resolved despite corrections.

Dec 23, 2025Complaint
1
0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jun 5, 2025Routine
8
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.

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.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0676Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0919Potential for harm · IsolatedCorrected

Environmental Deficiencies

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

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.

Mar 3, 2025Complaint
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 18, 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.

Dec 2, 2022Routine
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.

0031Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Provide emergency officials' contact information.

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.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

0727Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

0756Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

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.

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.

0912Minimal · Pattern

Environmental Deficiencies

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

May 31, 2019Routine
18
0037Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

0041Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

0211Potential for harm · IsolatedCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0345Potential for harm · IsolatedCorrected

Smoke Deficiencies

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

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0557Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

0635Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

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.

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.

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.

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

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.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Ontario Grove Healthcare & Wellness Centre, Lp

Organization Type

for profit

Chain Affiliation

Chain Name

Corporate Interface Services

Chain Size

41 facilities nationwide

Chain avg rating: 2.5/5 · Rank 1 of 6 (Best)

Ownership & Management

Key personnel

Corporate Interface Services LLCManagerRockport Administrative Services, LLCManagerBartolome, NenitaManagerThiagarajan, DeepakManagerOntario Grove Wellness Gp, LLCGeneral Partnership Interest
Source: Medicare provider data

Contact

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References & Resources

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