Deficiency timeline

Madison Grove Post Acute

Dated inspection findings, penalties, and correction notes for this nursing home in Redlands, CA. Newest events first.

44 eventsTimeline fines $9,110Class insights →
  1. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0925: Environmental

    Environment

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

    Corrected Mar 13, 2026

  2. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0908: Environmental

    Environment

    Keep all essential equipment working safely.

    Corrected Mar 7, 2026

  3. Class IIIPotential for more than minimal harm (D)cms

    F0550: Resident Rights

    Resident rights

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

    Corrected Sep 30, 2025

  4. Class IIIPotential for more than minimal harm (D)cms

    F0656: Resident Assessment and Care Planning

    Assessment & care planning

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected Sep 30, 2025

  5. Class IIIPotential for more than minimal harm (D)cms

    F0692: Quality of Life and Care

    Quality of life & care

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

    Corrected Sep 30, 2025

  6. Class IIIPotential for more than minimal harm (D)cms

    F0755: Pharmacy Service

    Pharmacy services

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

    Corrected Sep 30, 2025

  7. Class IIIPotential for more than minimal harm (D)cms

    F0759: Pharmacy Service

    Pharmacy services

    Ensure medication error rates are not 5 percent or greater.

    Corrected Sep 30, 2025

  8. Class IIIPotential for more than minimal harm (E)cms

    F0761: Pharmacy Service

    Pharmacy services

    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.

    Corrected Sep 30, 2025

  9. Class IIIPotential for more than minimal harm (E)cms

    F0575: Resident Rights

    Resident rights

    Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.

    Corrected Sep 30, 2025

  10. Class IIIPotential for more than minimal harm (D)cms

    F0921: Environmental

    Environment

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected Sep 30, 2025

  11. Class IIIPotential for more than minimal harm (F)cms

    F0880: Infection Control

    Infection control

    Provide and implement an infection prevention and control program.

    Corrected Sep 30, 2025

  12. cms

    Payment denial

    Medicare/Medicaid payment denial issued following a survey deficiency.

  13. Class IIActual harm (G)Complaint-relatedcms

    F0689: Quality of Life and Care

    Quality of life & care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected Sep 27, 2025

  14. Fine $9,110cms

    CMS fine

    Civil money penalty recorded in CMS Nursing Home Compare.

  15. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0689: Quality of Life and Care

    Quality of life & care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected May 16, 2025

  16. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0686: Quality of Life and Care

    Quality of life & care

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

    Corrected Sep 19, 2024

  17. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0600: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected Aug 31, 2024

  18. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0689: Quality of Life and Care

    Quality of life & care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected Jun 28, 2024

  19. Class IIIPotential for more than minimal harm (D)cms

    F0646: Resident Assessment and Care Planning

    Assessment & care planning

    Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

    Corrected May 19, 2022

  20. Class IIIPotential for more than minimal harm (F)cms

    F0812: Nutrition and Dietary

    Nutrition & dietary

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

    Corrected May 19, 2022

  21. Class IIIPotential for more than minimal harm (D)cms

    F0578: Resident Rights

    Resident rights

    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.

    Corrected May 19, 2022

  22. Class IIIPotential for more than minimal harm (D)cms

    F0684: Quality of Life and Care

    Quality of life & care

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

    Corrected May 19, 2022

  23. Class IIIPotential for more than minimal harm (D)cms

    F0686: Quality of Life and Care

    Quality of life & care

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

    Corrected May 19, 2022

  24. Class IIIPotential for more than minimal harm (D)cms

    F0688: Quality of Life and Care

    Quality of life & care

    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.

    Corrected May 19, 2022

  25. Class IIIPotential for more than minimal harm (D)cms

    F0693: Quality of Life and Care

    Quality of life & care

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Corrected May 19, 2022

  26. Class IIIPotential for more than minimal harm (D)cms

    F0710: Nursing and Physician Services

    Nursing & physician services

    Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

    Corrected May 19, 2022

  27. Class IIIPotential for more than minimal harm (D)cms

    F0880: Infection Control

    Infection control

    Provide and implement an infection prevention and control program.

    Corrected May 19, 2022

  28. Class IIIPotential for more than minimal harm (E)cms

    F0812: Nutrition and Dietary

    Nutrition & dietary

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

    Corrected Nov 30, 2021

  29. Class IIIPotential for more than minimal harm (E)cms

    F0880: Infection Control

    Infection control

    Provide and implement an infection prevention and control program.

    Corrected Nov 30, 2021

  30. Class IIIPotential for more than minimal harm (E)cms

    F0921: Environmental

    Environment

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected Nov 30, 2021

  31. Class IIIPotential for more than minimal harm (D)cms

    F0550: Resident Rights

    Resident rights

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

    Corrected Nov 30, 2021

  32. Class IIIPotential for more than minimal harm (D)cms

    F0558: Resident Rights

    Resident rights

    Reasonably accommodate the needs and preferences of each resident.

    Corrected Nov 30, 2021

  33. Class IIIPotential for more than minimal harm (D)cms

    F0584: Resident Rights

    Resident rights

    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.

    Corrected Nov 30, 2021

  34. Class IIIPotential for more than minimal harm (D)cms

    F0658: Resident Assessment and Care Planning

    Assessment & care planning

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected Nov 30, 2021

  35. Class IIIPotential for more than minimal harm (D)cms

    F0684: Quality of Life and Care

    Quality of life & care

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

    Corrected Nov 30, 2021

  36. Class IIIPotential for more than minimal harm (D)cms

    F0686: Quality of Life and Care

    Quality of life & care

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

    Corrected Nov 30, 2021

  37. Class IIIPotential for more than minimal harm (D)cms

    F0690: Quality of Life and Care

    Quality of life & care

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected Nov 30, 2021

  38. Class IIIPotential for more than minimal harm (D)cms

    F0695: Quality of Life and Care

    Quality of life & care

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

    Corrected Nov 30, 2021

  39. Class IIIPotential for more than minimal harm (D)cms

    F0755: Pharmacy Service

    Pharmacy services

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

    Corrected Nov 30, 2021

  40. Class IIIPotential for more than minimal harm (D)cms

    F0814: Nutrition and Dietary

    Nutrition & dietary

    Dispose of garbage and refuse properly.

    Corrected Nov 30, 2021

  41. Class IIIPotential for more than minimal harm (D)cms

    F0865: Administration

    Administration

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Corrected Nov 30, 2021

  42. Class IIIPotential for more than minimal harm (D)cms

    F0867: Administration

    Administration

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Corrected Nov 30, 2021

  43. Class IIIPotential for more than minimal harm (E)cms

    F0679: Quality of Life and Care

    Quality of life & care

    Provide activities to meet all resident's needs.

    Corrected Nov 30, 2021

  44. Class IIIPotential for more than minimal harm (E)cms

    F0640: Resident Assessment and Care Planning

    Assessment & care planning

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Corrected Nov 30, 2021

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AHCA class rollups without individual citation dates appear as a single summary row. CMS nursing home deficiencies include survey date, tag, category, scope/severity, and fine amounts when published. Back to community profile

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