California ›Fontana

Citrus Nursing Center

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9440 Citrus Ave, Fontana, CA 92335 (opens Google Maps) · San Bernardino County · (909) 823-3481· 99 certified beds · avg 91 residents/day · certified since Jan 29, 1968 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Part of chain: DAVID JOHNSON (48 facilities, chain avg rating 3.2★)

4/5
Health inspection rating (on-site)
inspected Jul 31, 2025
1
Serious findings on record
most recent Aug 30, 2023
$7,446
Fines, last 3 years
3.64
Nurse hours/resident/day (adjusted)

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

New to these records? How to read an inspection report →

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, isolated · Aug 30, 2023 · 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 (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Sep 23, 2023 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 22 inspection findings. Open the full record below to read every finding.

  1. F · Potential for more than minimal harm, widespread

    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. F-0880

  2. E · Potential for more than minimal harm, pattern

    The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. F-0921

  3. D · Potential for more than minimal harm, isolated

    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. F-0690

View all 22 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Jul 31, 2025F · Potential for more than minimal harm, widespreadThe 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. · F-0880
Jul 31, 2025E · Potential for more than minimal harm, patternThe facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921
Jul 31, 2025D · Potential for more than minimal harm, isolatedThe 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. · F-0690
Jul 31, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692
Jul 31, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755
Jul 31, 2025D · Potential for more than minimal harm, isolatedThe 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. · F-0761
Jul 31, 2025D · Potential for more than minimal harm, isolatedThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842
Dec 5, 2024D · Potential for more than minimal harm, isolatedThe 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 · F-0686
Aug 30, 2023▲ J · Immediate jeopardy, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Jun 10, 2022E · Potential for more than minimal harm, patternThe facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692
Jun 10, 2022D · Potential for more than minimal harm, isolatedThe 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. · F-0686
Jun 10, 2022D · Potential for more than minimal harm, isolatedThe facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · F-0726
Jun 10, 2022D · Potential for more than minimal harm, isolatedThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755
Jun 10, 2022D · Potential for more than minimal harm, isolatedThe facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · F-0803
Jun 10, 2022D · Potential for more than minimal harm, isolatedThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Jun 10, 2022D · Potential for more than minimal harm, isolatedThe 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. · F-0880
Aug 23, 2019F · Potential for more than minimal harm, widespreadThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Aug 23, 2019D · Potential for more than minimal harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Aug 23, 2019D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Aug 23, 2019D · Potential for more than minimal harm, isolatedThe 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. · F-0761
Aug 23, 2019D · Potential for more than minimal harm, isolatedThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842
Aug 23, 2019D · Potential for more than minimal harm, isolatedThe 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. · F-0880

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (7 → 7).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2019
All citations: 6
Serious citations (G–L): 0
2022
All citations: 7
Serious citations (G–L): 0
2023
All citations: 1
Serious citations (G–L): 1
2024
All citations: 1
Serious citations (G–L): 0
2025
All citations: 7
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
201960F
202270E
202311J ▲
202410D
202570F

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)

How to file a complaint about care →

1 fine totaling $7,446.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

DateTypeAmount / length
Aug 30, 2023Fine$7,446

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

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityCalifornia averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.64
California average: 4.31
U.S. average: 3.95
Registered Nurse hours
This facility: 0.28
California average: 0.61
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.38
California average: 3.90
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityCalifornia avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.644.313.95bottom 17% in California; bottom 44% in the U.S.
Registered Nurse hours0.280.610.69bottom 8% in California; bottom 7% in the U.S.
Weekend total nurse staffing3.383.903.50bottom 21% in California; top 48% in the U.S.
Weekend RN hours (not acuity-adjusted)0.240.510.48bottom 19% in California; bottom 19% in the U.S.
Total nursing staff turnover (%)32.236.745.8top 38% in California; top 18% in the U.S.
RN turnover (%)63.638.142.9bottom 12% in California; bottom 17% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 4.02, RN 0.30, weekend 3.73.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.02 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

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

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Citrus Nursing Center. CMS inspection and staffing records do not tell us what this home will charge you.

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Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Corporation

Owner / managerTypeRoleStakeSince
Citrus Nursing CenterOrganization5% or Greater Direct Ownership Interest—12/24/1990
Marmur, EliIndividual5% or Greater Direct Ownership Interest—12/24/1990
Bernard-Butler, EstherIndividualOperational/Managerial ControlNOT APPLICABLE12/01/2024
Cibc Bank USAOrganizationADP of the SNFNOT APPLICABLE09/01/2021
Citrus Nursing CenterOrganizationOperational/Managerial ControlNOT APPLICABLE01/06/1991
Citrus Nursing CenterOrganizationADP of the SNFNOT APPLICABLE01/06/1991
De Jesus, WalterIndividualOperational/Managerial ControlNOT APPLICABLE09/18/2020
De Jesus, WalterIndividualADP of the SNFNOT APPLICABLE09/18/2020
Dehghanmanesh, AdrianIndividualCorporate OfficerNOT APPLICABLE07/01/2021
Dehghanmanesh, AdrianIndividualOperational/Managerial ControlNOT APPLICABLE06/01/2021
Dehghanmanesh, AdrianIndividualADP of the SNFNOT APPLICABLE06/01/2021
Farrales, MaryIndividualADP of the SNFNOT APPLICABLE01/01/2023
Golboo, SepehrIndividualOperational/Managerial ControlNOT APPLICABLE03/01/2022
Golboo, SepehrIndividualADP of the SNFNOT APPLICABLE05/22/2025
Johnson, FrankIndividualCorporate DirectorNOT APPLICABLE12/24/1990
Johnson, FrankIndividualOperational/Managerial ControlNOT APPLICABLE12/24/1990
K-Regency, LLCOrganizationADP of the SNFNOT APPLICABLE12/15/2024
Kochek, JoshuaIndividualOperational/Managerial ControlNOT APPLICABLE04/01/2022
Kochek, JoshuaIndividualADP of the SNFNOT APPLICABLE04/01/2022
Oxford, MichealIndividualCorporate OfficerNOT APPLICABLE01/03/2022

Showing 20 of 23 parties CMS has on file for this facility; 3 are not displayed. The full list is in the CMS Ownership dataset.

Other facilities in the same chain

CMS lists this facility under the chain David Johnson — 48 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking. Showing 8 of the 47 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"
  • "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
  • "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
  • "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
  • "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
  • "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
  • "Can you show me how medications are stored and secured on the units, including controlled drugs?"
  • "How do you keep residents' medical records accurate, complete, and secure?"

Also worth asking anywhere

  • "Your weekend nurse staffing is reported below the California midpoint — how does the weekend schedule differ from a weekday?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 32% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 23 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (12 closest of 76 within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Laurel Convalescent Hospital3.3 miFontana, CA★★★☆☆3/5
Rialto Post Acute Center4.6 miRialto, CA★★☆☆☆2/5
Riverside Heights Healthcare Center, LLC4.7 miRiverside, CA★★★★★5/5
Jurupa Hills Post Acute5.1 miRiverside, CA★★☆☆☆2/5
Vista Pacifica Convalescent Hospital5.5 miJurupa Valley, CA★★★★☆3/5
Vista Pacifica Center5.6 miJurupa Valley, CA★★★★☆3/5
Riverside Postacute Care7.8 miRiverside, CA—/5abuseSFF
Community Convalescent Center of San Bernardino8.0 miSan Bernardino, CA★★★★★5/5
Riverside Behavioral Healthcare Center8.0 miRiverside, CA★★★★★4/5
Community Hospital of San Bernardino DP SNF8.0 miSan Bernardino, CA★★☆☆☆3/5
Community Care on Palm8.1 miRiverside, CA★★★★☆3/5
The Grove Care and Wellness8.2 miRiverside, CA★★★★★4/5

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in San Bernardino, CA — 55 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Fontana →

Facility data as of CMS processing date 2026-08-01. CCN 055872.

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