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Nursing HomeMedicaid Top Rated

Upland Rehabilitation and Care Center

Strong Medicare quality ratings; families often praise friendly front desk and administrative staff. Still worth an in-person visit.

1221 E Arrow Hwy, Upland, CA 91786206 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
2.4/5

based on 43 Google reviews

5
4
3
2
1
Upland Rehabilitation and Care Center Nursing Home in Upland, CA — Street View
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What this means for your family

This facility presents significant risks regarding patient safety and basic hygiene, with multiple reports of neglect and medication errors. If you choose this facility, you must implement a rigorous daily check of your loved one's hygiene, skin integrity, and medication logs, as the facility's internal oversight appears unreliable.

Google Reviews

Google Reviews

43 reviews analyzed
Families should exercise extreme caution, as recent reviews frequently report severe neglect, including failure to manage medications, improper hygiene care, and the development of bed sores. While some long-term residents' families have praised specific caseworkers and the friendliness of certain staff members, the recurring themes of understaffing and poor communication present significant risks.

Quality Themes

Tap a score for details
Food1.0Staff2.0Clean2.0ActivitiesN/AMeds1.0MemoryN/AComms1.0ValueN/A

Strengths

  • Friendly front desk and administrative staff
  • Attentive caseworkers in specific instances
  • Ease of arranging video calls with residents

Concerns

  • Severe neglect regarding hygiene and bed sore prevention (mentioned by 4 reviewers)
  • Inaccurate or delayed medication administration (mentioned by 3 reviewers)
  • Poor communication from administration and social workers (mentioned by 4 reviewers)
  • Understaffing leading to slow response times (mentioned by 3 reviewers)
  • Overcrowded rooms and lack of privacy (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'16(3)'18(2)'21(6)'23(5)'25(4)'26(4)

Distribution

5
8
4
8
3
1
2
1
1
23

How They Respond to Reviews

3%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1We've heard great things about how welcoming the front desk and administrative staff are; how do you typically keep families updated on their loved one's daily progress?
  • 2What specific protocols do your nursing teams follow to ensure skin integrity and regular hygiene care for every resident?
  • 3Can you walk us through your process for medication administration to ensure everything is accurate and delivered on schedule?
  • 4How do you manage staffing during busy shifts to ensure that call bells are answered promptly and residents aren't left waiting?
  • 5What are some of the favorite daily activities or dining experiences that the residents here enjoy most?
  • 6In the event of a medical emergency during the night, what is the immediate procedure for getting care to a resident?

Personalized based on this facility's data


Key Review Excerpts

My brothers case worker Sana goes above and beyond all the time. She is on top of everything. They genuinely care.

Long-term resident's family · 2023★★★★

They left my husband in a shitty diaper for 4 hours. The next night he needed to be changed and the male night nurse came in and turned the light off.

Rehab patient's family · 2024☆☆☆☆

Nursing staff did not feed or provide any pain medications to my terminally ill mother for over 30 hours before she called me crying in pain and hungry.

Terminally ill resident's family · 2021☆☆☆☆
Source: 43 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.44hrs
58%
Registered nurses for medical care
Total Nursing
5.10hrs
OK
All nurses + aides combined
Staff Turnover
41%
Lower is better (< 30% = good)
RN Turnover
23%
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
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 Facility5.0%
Better than Avg
Here
5.0%
US
19.4%
CA
10.7%
San bernardino
8.6%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility3.5%
Better than Avg
Here
3.5%
US
14.4%
CA
10.4%
San bernardino
11.4%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility5.4%
Better than Avg
Here
5.4%
US
15.4%
CA
11.6%
San bernardino
8.9%
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.4%
Better than Avg
Here
2.4%
US
12.1%
CA
7.0%
San bernardino
10.9%
💉

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 Facility9.1%
Better than Avg
Here
9.1%
US
15.3%
CA
10.5%
San bernardino
10.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility98.2%
Better than Avg
Here
98.2%
US
79.7%
CA
93.2%
San bernardino
94.0%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.3%
Better than Avg
Here
99.3%
US
81.8%
CA
94.2%
San bernardino
97.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.2%
Better than Avg
Here
1.2%
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

16deficiencies
Above state avg (15.4)
8 complaint-triggered

Multiple families have filed formal complaints about this facility, triggering government investigations. The most recurring issues involve quality of care and treatment, resident rights, and food safety across multiple years. While all deficiencies show correction dates, the pattern of repeated complaints and similar care problems spanning from 2019 to 2025 suggests ongoing challenges with consistent care delivery that families should carefully consider.

Sep 22, 2025Complaint
1
0676MinorCorrected

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.

May 9, 2025Routine
19
0353ModerateCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0741ModerateCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0161MinorCorrected

Construction Deficiencies

Use approved construction type or materials.

0223MinorCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0550MinorCorrected

Resident Rights Deficiencies

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

0578MinorCorrected

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.

0605MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

0628MinorCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0656MinorCorrected

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.

0677MinorCorrected

Quality of Life and Care Deficiencies

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

0684MinorCorrected

Quality of Life and Care Deficiencies

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

0695MinorCorrected

Quality of Life and Care Deficiencies

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

0698MinorCorrected

Quality of Life and Care Deficiencies

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

0700MinorCorrected

Quality of Life and Care Deficiencies

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

0755MinorCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0761MinorCorrected

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.

0842MinorCorrected

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.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Oct 1, 2024Complaint
1
0684MinorCorrected

Quality of Life and Care Deficiencies

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

Sep 20, 2024Complaint
1
0573MinorCorrected

Resident Rights Deficiencies

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

Sep 19, 2024Complaint
1
0550MinorCorrected

Resident Rights Deficiencies

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

Jul 2, 2024Complaint
1
0686MinorCorrected

Quality of Life and Care Deficiencies

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

Ownership & Operations

Who Operates This Facility

Owner / Operator

Upland Rehabilitation and Care Center

Organization Type

for profit

Chain Affiliation

Chain Name

The Ensign Group

Chain Size

329 facilities nationwide

Chain avg rating: 3.2/5 · Rank 45 of 328 (Best)

Ownership & Management

Owners

Port, Barry

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Mcmillan, KipManaging Control - Governing BodyTakhar, DaljinderManaging Control - Governing BodyWillits, AdamOfficer / DirectorBurnam, SoonOfficer / DirectorJergensen, JeremyOfficer / Director
Source: Medicare provider data

Contact

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References & Resources

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