Casa Bonita Convalescent Hospital

Name: Casa Bonita Convalescent Hospital
Address: 535 E BONITA AVENUE, San Dimas, CA, 91773, US
Telephone: 9095991248

535 E Bonita Avenue, San Dimas, CA 91773 · Los Angeles County · 106 certified beds · avg 98 residents/day · certified since Apr 1, 1972

Part of chain: LONGWOOD MANAGEMENT CORPORATION (38 facilities, chain avg rating 2.2★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.60

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Sep 10, 2025 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Oct 1, 2025 (Deficient, Provider has date of correction)

All citations in the current public record (38)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Sep 10, 2025	▲ G · Actual harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Jun 12, 2025	E · Potential for harm, repeated	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Jun 12, 2025	E · Potential for harm, repeated	The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective.
Jun 12, 2025	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Jun 12, 2025	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jun 12, 2025	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Jun 12, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Nov 26, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
May 30, 2024	E · Potential for harm, repeated	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
May 30, 2024	E · Potential for harm, repeated	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that.
May 30, 2024	E · Potential for harm, repeated	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
May 30, 2024	E · Potential for harm, repeated	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
May 30, 2024	E · Potential for harm, repeated	The facility did not provide each resident with a nourishing, tasty, well-balanced diet that meets their daily nutritional and special dietary needs.
May 30, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
May 30, 2024	D · Potential for harm, one-off	The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have.
May 30, 2024	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
May 30, 2024	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
May 30, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
May 30, 2024	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
May 30, 2024	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
May 30, 2024	D · Potential for harm, one-off	The facility did not serve meals and snacks at times that fit residents' needs, preferences, and requests, or did not offer nourishing alternatives for residents who want to eat outside scheduled meal times.
May 30, 2024	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
May 30, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
May 24, 2024	D · Potential for harm, one-off	The facility did not let a resident return after a hospital stay or approved leave that lasted longer than the facility's bed-hold policy allowed. Residents generally have the right to come back to the next available bed. · from a complaint
Feb 14, 2024	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint
Dec 16, 2021	E · Potential for harm, repeated	The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require.
Dec 16, 2021	E · Potential for harm, repeated	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Dec 16, 2021	E · Potential for harm, repeated	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Dec 16, 2021	E · Potential for harm, repeated	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Dec 16, 2021	E · Potential for harm, repeated	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Dec 16, 2021	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Dec 16, 2021	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Dec 16, 2021	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Dec 16, 2021	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Dec 16, 2021	D · Potential for harm, one-off	The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids.
Dec 16, 2021	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Dec 16, 2021	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Dec 16, 2021	B · Minimal risk, repeated	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (15 → 6).

Year	Citations	Serious (G–L)	Worst severity that year
2021	13	0	E
2024	18	0	E
2025	7	1	G ▲

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	California avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.60	4.31	3.95	bottom 15% in California; bottom 41% in the U.S.
Registered Nurse hours	0.51	0.61	0.69	top 44% in California; bottom 40% in the U.S.
Weekend total nurse staffing	3.37	3.90	3.50	bottom 20% in California; top 49% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.62	0.51	0.48	top 20% in California; top 22% in the U.S.
Total nursing staff turnover (%)	49.2	36.7	45.8	bottom 16% in California; bottom 39% in the U.S.
RN turnover (%)	33.3	38.1	42.9	top 40% in California; top 33% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 5.04, RN 0.72, weekend 4.72. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 5/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Aaron Friedman Group a Business Assets Trust	Organization	5% or Greater Indirect Ownership Interest	20%	06/30/2023
Devorah Danziger Group a Business Assets Trust	Organization	Indirect Ownership Interest	NOT APPLICABLE	06/30/2023
Elka Kaplan Group a Business Assets Trust	Organization	Indirect Ownership Interest	NOT APPLICABLE	06/30/2023
Esther Hoff Group a Business Assets Trust	Organization	Indirect Ownership Interest	NOT APPLICABLE	06/30/2023
Ira David Friedman Group a Business Assets Trust	Organization	5% or Greater Indirect Ownership Interest	20%	06/30/2023
JRB Investments LLC	Organization	5% or Greater Direct Ownership Interest	100%	01/01/2001
Mordechai Notis Group a Business Assets Trust	Organization	Indirect Ownership Interest	NOT APPLICABLE	06/30/2023
Rachel Notis Group a Business Assets Trust	Organization	Indirect Ownership Interest	NOT APPLICABLE	06/30/2023
Sarah Dunner Group a Business Assets Trust	Organization	Indirect Ownership Interest	NOT APPLICABLE	06/30/2023
Yehoshua Notis Group a Business Assets Trust	Organization	Indirect Ownership Interest	NOT APPLICABLE	06/30/2023
Yisroel Notis Group a Business Assets Trust	Organization	Indirect Ownership Interest	NOT APPLICABLE	06/30/2023
Aaron Friedman Group a Business Assets Trust	Organization	ADP of the SNF	NOT APPLICABLE	06/30/2023
Escontrias, Richard	Individual	Operational/Managerial Control	NOT APPLICABLE	01/27/2015
Escontrias, Richard	Individual	ADP of the SNF	NOT APPLICABLE	01/27/2015
Friedman Family Trust	Organization	ADP of the SNF	NOT APPLICABLE	06/30/2023
Friedman, Ira	Individual	Corporate Director	NOT APPLICABLE	06/30/2023
Friedman, Ira	Individual	Corporate Officer	NOT APPLICABLE	06/30/2023
Friedman, Ira	Individual	Trustee of the SNF	NOT APPLICABLE	06/30/2023
Ira D Friedman 1991 Trust	Organization	ADP of the SNF	NOT APPLICABLE	06/30/2023
Ira David Friedman Group a Business Assets Trust	Organization	ADP of the SNF	NOT APPLICABLE	06/30/2023

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Woods Health Services	1.1 mi	La Verne, CA	★★★☆☆	2/5
Bayshire San Dimas Post-Acute	2.3 mi	San Dimas, CA	★★★★☆	3/5
Claremont Care Center	2.9 mi	Pomona, CA	★★★★☆	3/5
Arbor Glen Care Center	2.9 mi	Glendora, CA	★★☆☆☆	2/5
Citrus Heights Health Center	3.2 mi	Covina, CA	★★★★★	4/5
Landmark Medical Center	3.3 mi	Pomona, CA	★★☆☆☆	1/5	abuse
Laurel Park Behavioral Health Center	3.4 mi	Pomona, CA	★★★☆☆	2/5
Mount San Antonio Gardens	3.5 mi	Pomona, CA	★★★★★	5/5
Gladstone Sub-Acute and Rehab Center	3.5 mi	Glendora, CA	★☆☆☆☆	1/5
Inland Valley Care and Rehabilitation Center	3.5 mi	Pomona, CA	★☆☆☆☆	1/5	abuseSFF
Park Avenue Healthcare & Wellness Center	3.6 mi	Pomona, CA	★☆☆☆☆	1/5
Mesa Glen Care Center	3.7 mi	Glendora, CA	★☆☆☆☆	1/5	abuseSFF

Compare this facility with the 3 closest →

All facilities in San Dimas →

Facility data as of CMS processing date 2026-08-01. CCN 056291.

The Care File

Visit checklist — Casa Bonita Convalescent Hospital

535 E Bonita Avenue, San Dimas, CA 91773 · 9095991248

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Most serious findings on record:

▲ Sep 10, 2025 (F-0689, Actual harm, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 056291 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)