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Nursing HomeMedicaid Top Rated

Ontario Healthcare Center

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

1661 South Euclid Avenue, Ontario, CA 9176259 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.3/5

based on 47 Google reviews

5
4
3
2
1
Ontario Healthcare Center Nursing Home in Ontario, CA — Street View
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What this means for your family

This facility is an excellent choice for rehabilitation, particularly if you are looking for a strong physical therapy team. However, if your loved one has high-acuity needs, you should specifically ask about staffing levels during evening and weekend shifts to ensure call lights are answered promptly.

Google Reviews

Google Reviews

47 reviews on Google
Families considering Ontario Healthcare Center will find a facility highly praised for its exceptional physical therapy department and compassionate nursing staff. While many reviewers highlight the personal, family-like care and successful rehabilitation outcomes, some families have raised serious concerns regarding slow response times to call lights and occasional issues with staffing levels.

Quality Themes

Tap a score for details
Food7.0Staff9.0Clean8.0ActivitiesN/AMedsN/AMemory5.0Comms9.0ValueN/A

Strengths

  • Exceptional physical therapy and rehab results
  • Compassionate and attentive nursing staff
  • Clean and pleasant facility environment
  • Strong communication from administration

Concerns

  • Slow response times to call lights/emergency buttons (mentioned by 2 reviewers)
  • Staffing shortages/nurses spread too thin (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'16(1)'18(4)'20(1)'22(5)'24(14)'26(5)

Distribution · 48 analyzed

5
35
4
4
3
3
2
0
1
6

How They Respond to Reviews

40%response rate
Good

The owner provides highly personalized and empathetic responses to reviews that mention specific staff members or family losses, while using templates for simple or star-only ratings. They actively attempt to resolve or clarify negative feedback by inviting direct contact or correcting identity confusion.

Questions for Your Tour

  • 1We've heard wonderful things about the physical therapy and rehab results here; could you tell us more about how that program works for new residents?
  • 2It's great to see that the administration is so active in communicating with families; how do you typically keep us updated on our loved one's daily progress?
  • 3How does the nursing team manage response times for call lights, especially during busier shifts or when the floor is particularly active?
  • 4Can you describe what a typical day looks like for residents in terms of social activities and community engagement?
  • 5In the event of a medical emergency after hours, what is the specific protocol for ensuring immediate care is provided?
  • 6Since the facility is so well-regarded for its cleanliness, how do you manage the daily upkeep and sanitization of the resident rooms?

Personalized based on this facility's data


Key Review Excerpts

The entire staff was great with my dad during his 3 week stay. PT worked with him 5 days a week, always encouraging and showing him extra care.

Rehab patient's family · 2024★★★★★

The staff here is wonderful. They give personal care to all of the patients. My father is treated like an important individual.

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

My mom fell and hit her head, and ended up with a brain bleed. ... The next day, the entire administration team came and introduced themselves to me.

Post-hospitalization transfer family · 2025★★★★★
Source: 47 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.39hrs
52%
Registered nurses for medical care
Total Nursing
3.80hrs
93%
All nurses + aides combined
Staff Turnover
38%
Lower is better (< 30% = good)
RN Turnover
33%
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

12

measures

Worse Than Avg

2

measures

Mixed Results

3

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility23.5%
Worse than Avg
Here
23.5%
US
15.4%
CA
11.6%
San bernardino
8.6%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility6.8%
Better than Avg
Here
6.8%
US
19.4%
CA
10.7%
San bernardino
8.6%
😔

Residents with depression symptoms

↓ Lower is better
This Facility3.2%
Better than Avg
Here
3.2%
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 on anti-anxiety or sleep medication

↓ Lower is better
This Facility21.6%
Worse than Avg
Here
21.6%
US
19.5%
CA
13.7%
San bernardino
16.9%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility7.8%
Better than Avg
Here
7.8%
US
15.3%
CA
10.5%
San bernardino
10.7%
💉

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%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility80.0%
Mixed vs Avgs
Here
80.0%
US
79.7%
CA
93.2%
San bernardino
94.3%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility85.7%
Mixed vs Avgs
Here
85.7%
US
81.8%
CA
94.2%
San bernardino
97.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.8%
Better than Avg
Here
0.8%
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

5deficiencies
Well below state avg (15.4)

Ontario Healthcare Center shows concerning patterns with recurring issues across three surveys spanning 2019-2024. The facility has persistent problems with room size requirements, emergency preparedness, infection control, and food safety that repeatedly appear across multiple inspections. While all 53 deficiencies were eventually corrected, the consistent recurrence of similar issues—particularly inadequate room sizes appearing in all three surveys—suggests ongoing operational challenges that families should carefully consider.

Feb 20, 2026Routine
11
0925Potential for harm · WidespreadCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

0026Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish roles under a Waiver declared by secretary.

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0100Potential for harm · IsolatedCorrected

Construction Deficiencies

Meet other general requirements.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

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.

Oct 24, 2024Routine
9
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 · WidespreadCorrected

Emergency Preparedness Deficiencies

Provide emergency officials' contact information.

0041Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

0347Potential for harm · WidespreadCorrected

Smoke Deficiencies

Properly provide smoke detection systems in areas open to corridors.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

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.

Feb 14, 2022Routine
30
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.

0814Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0036Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish emergency prep training and testing.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0351Potential for harm · PatternCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

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.

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

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.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

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.

0886Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Perform COVID19 testing on residents and staff.

0161Potential for harm · IsolatedCorrected

Construction Deficiencies

Use approved construction type or materials.

0293Potential for harm · IsolatedCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0006Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Conduct risk assessment and an All-Hazards approach.

0009Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Include a process for Emergency Preparedness collaboration.

0020Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Establish policies and procedures including evacuation.

0024Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Establish policies and procedures for volunteers.

0031Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Provide emergency officials' contact information.

0034Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Provide a means of sharing information on occupancy/needs.

0041Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

0361Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0372Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0712Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

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.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

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 Healthcare Center

Organization Type

for profit

Chain Affiliation

Chain Name

Cambridge Healthcare Services

Chain Size

32 facilities nationwide

Chain avg rating: 2.6/5 · Rank 4 of 31

Ownership & Management

Owners

Kirkside Facilities Operations LLC

Owner · Organization

Ksnf LLC

Owner · Organization

Ksnf II LLC

Owner (parent company) · Organization

20%

Smedra, Ira

Owner (parent company)

Key personnel

Cardenas, SoniaManaging Control - Governing BodyVidales, MiguelManaging Control - Governing BodyCambridge Healthcare Services LLCManagerButenko, JulieManagerCapela, HeidiManager
Source: Medicare provider data

Contact

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References & Resources

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