Inland Christian Home
1950 S Mountain Ave, Ontario, CA 91762 · San Bernardino County · 59 certified beds · avg 53 residents/day · certified since Feb 16, 1979
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.
All citations in the current public record (25)
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 |
|---|---|---|
| Jun 19, 2025 | E · Potential for harm, repeated | 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. |
| Jun 19, 2025 | 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. |
| Jun 19, 2025 | E · Potential for harm, repeated | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| Jun 19, 2025 | D · Potential for harm, one-off | The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition. |
| Jun 19, 2025 | 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. |
| Jun 19, 2025 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Jun 19, 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. |
| Jun 19, 2025 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| May 10, 2024 | F · Potential for harm, facility-wide | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| May 10, 2024 | F · Potential for harm, facility-wide | 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 10, 2024 | F · Potential for harm, facility-wide | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. |
| May 10, 2024 | E · Potential for harm, repeated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| May 10, 2024 | E · Potential for harm, repeated | The 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. |
| May 10, 2024 | E · Potential for harm, repeated | 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. |
| May 10, 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 10, 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 10, 2024 | 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. |
| May 10, 2024 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| May 10, 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 10, 2024 | D · Potential for harm, one-off | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| May 10, 2024 | C · Minimal risk, facility-wide | 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. |
| May 10, 2024 | C · Minimal risk, facility-wide | 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 28, 2023 | D · Potential for harm, one-off | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. · from a complaint |
| Mar 3, 2022 | 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. |
| Mar 3, 2022 | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (14 → 8).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 2 | 0 | D |
| 2023 | 1 | 0 | D |
| 2024 | 14 | 0 | F |
| 2025 | 8 | 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) | 4.64 | 4.31 | 3.95 | top 23% in California; top 20% 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 | 4.12 | 3.90 | 3.50 | top 27% in California; top 20% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.31 | 0.51 | 0.48 | bottom 36% in California; bottom 34% in the U.S. |
| Total nursing staff turnover (%) | 49.3 | 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 4.55, RN 0.48, weekend 4.04. 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: 5/5 · short-stay residents: 4/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bosch, Bud | Individual | Corporate Director | NOT APPLICABLE | 01/01/2025 |
| Chrisman, Mary Beth | Individual | Corporate Director | NOT APPLICABLE | 01/01/2025 |
| Croan, Natalie | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/02/2025 |
| Croan, Natalie | Individual | ADP of the SNF | NOT APPLICABLE | 01/02/2025 |
| De Jager, Henry | Individual | Corporate Director | NOT APPLICABLE | 01/01/2025 |
| Gonzalez, Desiree | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Gonzalez, Desiree | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Groen, Melanie | Individual | Corporate Director | NOT APPLICABLE | 01/01/2025 |
| Inland Christian Home, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/01/1990 |
| Inland Christian Home, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 12/01/2025 |
| Jansen, Gina | Individual | Corporate Director | NOT APPLICABLE | 01/01/2025 |
| Jasper, Rick | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2025 |
| Miersma, Greta | Individual | Corporate Director | NOT APPLICABLE | 01/01/2025 |
| Nanninga, Peter | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2025 |
| Rip, Robert | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2025 |
| Stienstra, David | Individual | Corporate Director | NOT APPLICABLE | 09/01/1990 |
| Stienstra, David | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/1990 |
| Stienstra, David | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/1990 |
| Vander Molen, Bernie | Individual | Corporate Director | NOT APPLICABLE | 01/01/2025 |
| Wester, Rosie | Individual | Corporate Director | NOT APPLICABLE | 01/01/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you inspect and maintain essential equipment, and how quickly are repairs made?"
- "How do you track that every resident's quarterly assessment happens on time?"
- "How do you make sure resident assessments are completed and submitted to the state on time?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
- "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 |
|---|---|---|---|---|---|
| Ontario Healthcare Center | 1.2 mi | Ontario, CA | ★★★★★ | 5/5 | |
| Trellis Chino | 1.4 mi | Chino, CA | ★★★★★ | 5/5 | |
| Montclair Manor Care Center | 2.2 mi | Montclair, CA | ★★★★★ | 4/5 | |
| Community Extended Care Hospital of Montclair | 3.1 mi | Montclair, CA | ★★★★★ | 5/5 | |
| Las Colinas Post Acute | 3.5 mi | Ontario, CA | ★★☆☆☆ | 2/5 | |
| Ontario Grove Healthcare & Wellness Centre, LP | 3.8 mi | Ontario, CA | ★★★☆☆ | 4/5 | |
| Chino Valley Health Care Cente | 4.1 mi | Pomona, CA | ★★☆☆☆ | 2/5 | abuse |
| Heritage Park Nursing Center | 4.3 mi | Upland, CA | ★★★★★ | 5/5 | |
| Claremont Heights Post Acute | 4.4 mi | Claremont, CA | ★★☆☆☆ | 2/5 | |
| Upland Rehabilitation and Care Center | 4.6 mi | Upland, CA | ★★★★★ | 4/5 | |
| Villa Mesa Care Center | 4.8 mi | Upland, CA | ★★★☆☆ | 4/5 | |
| Pomona Vista Care Center | 4.9 mi | Pomona, CA | ★★★★☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 555108.