Claremont Manor Care Center

Name: Claremont Manor Care Center
Address: 621 W BONITA AVE, Claremont, CA, 91711, US
Telephone: 9096261227

621 W Bonita Ave, Claremont, CA 91711 · Los Angeles County · 59 certified beds · avg 35 residents/day · certified since Nov 23, 1977

Part of chain: FRONT PORCH (9 facilities, chain avg rating 4.8★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

5.39

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

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 · Jan 24, 2025 · F-0744

The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience.

Why it matters: Poor dementia care can lead to distress, unsafe wandering, or unnecessary sedating medication.

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: Feb 22, 2025 (Deficient, Provider has date of correction)

All citations in the current public record (55)

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
Mar 13, 2026	E · Potential for harm, repeated	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand.
Mar 13, 2026	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Mar 13, 2026	D · Potential for harm, one-off	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.
Mar 13, 2026	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Mar 13, 2026	D · Potential for harm, one-off	The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay).
Mar 13, 2026	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.
Mar 13, 2026	D · Potential for 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.
Mar 13, 2026	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.
Mar 13, 2026	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.
Mar 13, 2026	D · Potential for harm, one-off	The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives.
Mar 13, 2026	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.
Mar 13, 2026	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.
Jul 14, 2025	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Apr 17, 2025	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Mar 11, 2025	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Feb 11, 2025	E · Potential for harm, repeated	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · from a complaint
Jan 24, 2025	▲ G · Actual harm, one-off	The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience.
Jan 24, 2025	E · Potential for harm, repeated	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.
Jan 24, 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.
Jan 24, 2025	E · Potential for harm, repeated	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.
Jan 24, 2025	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.
Jan 24, 2025	D · Potential for harm, one-off	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.
Jan 24, 2025	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Jan 24, 2025	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Jan 24, 2025	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Jan 24, 2025	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.
Jan 24, 2025	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.
Jan 24, 2025	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.
Jan 24, 2025	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.
Jan 24, 2025	D · Potential for harm, one-off	The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area.
Sep 26, 2024	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Sep 26, 2024	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
May 16, 2024	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Mar 18, 2024	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. · from a complaint
Jan 11, 2024	E · Potential for harm, repeated	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.
Jan 11, 2024	E · Potential for harm, repeated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jan 11, 2024	E · Potential for harm, repeated	The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids.
Jan 11, 2024	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.
Jan 11, 2024	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.
Jan 11, 2024	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Jan 11, 2024	D · Potential for harm, one-off	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.
Jan 11, 2024	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Jan 11, 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.
Jan 11, 2024	D · Potential for 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.
Jan 11, 2024	D · Potential for harm, one-off	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.
Jan 11, 2024	D · Potential for harm, one-off	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.
Jan 11, 2024	D · Potential for harm, one-off	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.
Dec 15, 2023	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. · from a complaint
Oct 20, 2023	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. · from a complaint
Aug 22, 2023	D · Potential for 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
Aug 22, 2023	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
Aug 21, 2023	E · Potential for harm, repeated	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. · from a complaint
Aug 21, 2023	D · Potential for harm, one-off	The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. · from a complaint
Aug 1, 2023	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Aug 1, 2023	D · Potential for harm, one-off	The facility did not train its staff on dementia care and on recognizing and reporting abuse, neglect, and exploitation. · from a complaint

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (14 → 12).

Year	Citations	Serious (G–L)	Worst severity that year
2023	8	0	E
2024	17	0	E
2025	18	1	G ▲
2026	12	0	E

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)	5.39	4.31	3.95	top 9% in California; top 8% in the U.S.
Registered Nurse hours	0.49	0.61	0.69	top 48% in California; bottom 37% in the U.S.
Weekend total nurse staffing	4.74	3.90	3.50	top 10% in California; top 9% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.36	0.51	0.48	bottom 49% in California; bottom 45% in the U.S.
Total nursing staff turnover (%)	22.5	36.7	45.8	top 12% in California; top 4% in the U.S.
RN turnover (%)	0.0	38.1	42.9	—

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 5.22, RN 0.48, weekend 4.59. Staffing rating: 4/5.

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: 4/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Front Porch Communities and Services	Organization	5% or Greater Direct Ownership Interest	100%	12/31/2021
Akopyan, Gevork	Individual	Operational/Managerial Control	NOT APPLICABLE	10/12/2022
Barton, Robert	Individual	Operational/Managerial Control	NOT APPLICABLE	07/10/2023
Duranteau, Nancy	Individual	Corporate Director	NOT APPLICABLE	04/01/2021
Forte, Vincent	Individual	Corporate Director	NOT APPLICABLE	04/01/2021
Gaddis, John	Individual	Operational/Managerial Control	NOT APPLICABLE	12/30/2024
Gaddis, John	Individual	ADP of the SNF	NOT APPLICABLE	07/08/2025
Handy, Joanne	Individual	Corporate Director	NOT APPLICABLE	04/01/2021
Jacobs, Laura	Individual	Corporate Director	NOT APPLICABLE	01/01/2019
Kasem, Mary	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2012
Kasem, Mary	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2012
Kelly, Sean	Individual	Corporate Officer	NOT APPLICABLE	03/06/2023
Kelly, Sean	Individual	Operational/Managerial Control	NOT APPLICABLE	03/06/2023
Kroeker, Kevin	Individual	Corporate Director	NOT APPLICABLE	01/01/2018
Macango, Susan	Individual	Operational/Managerial Control	NOT APPLICABLE	05/04/2026
McGovern, Marion	Individual	Corporate Director	NOT APPLICABLE	01/01/2017
McMullin, Mary	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2025
Merkin, Nickolas	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	09/29/2025
Nelson, Harry	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	09/29/2025
Olson, Kari	Individual	Operational/Managerial Control	NOT APPLICABLE	02/01/2001

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 specific dementia training do your staff receive, and how do you handle difficult moments without medication?"
"How do you explain health changes and treatment options to residents and their families?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"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
Pilgrim Place Health Services Center	0.1 mi	Claremont, CA	★★★☆☆	2/5
Mount San Antonio Gardens	0.6 mi	Pomona, CA	★★★★★	5/5
Claremont Heights Post Acute	0.9 mi	Claremont, CA	★★☆☆☆	2/5
Claremont Care Center	1.4 mi	Pomona, CA	★★★★☆	3/5
Landmark Medical Center	1.4 mi	Pomona, CA	★★☆☆☆	1/5	abuse
Inland Valley Care and Rehabilitation Center	1.7 mi	Pomona, CA	★☆☆☆☆	1/5	abuseSFF
Park Avenue Healthcare & Wellness Center	1.9 mi	Pomona, CA	★☆☆☆☆	1/5
Country Oaks Care Center	2.5 mi	Pomona, CA	★★★☆☆	2/5
Pomona Vista Care Center	2.5 mi	Pomona, CA	★★★★☆	3/5
Community Extended Care Hospital of Montclair	2.6 mi	Montclair, CA	★★★★★	5/5
Woods Health Services	2.9 mi	La Verne, CA	★★★☆☆	2/5
Montclair Manor Care Center	3.1 mi	Montclair, CA	★★★★★	4/5

Compare this facility with the 3 closest →

All facilities in Claremont →

Facility data as of CMS processing date 2026-08-01. CCN 555085.

The Care File

Visit checklist — Claremont Manor Care Center

621 W Bonita Ave, Claremont, CA 91711 · 9096261227

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

Most serious findings on record:

▲ Jan 24, 2025 (F-0744, Actual harm, one-off): The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience.

Questions for the administrator:

☐ "What specific dementia training do your staff receive, and how do you handle difficult moments without medication?"
☐ "How do you explain health changes and treatment options to residents and their families?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "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 555085 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)