Loma Linda Post Acute

Name: Loma Linda Post Acute
Address: 25383 Cole Street, Loma Linda, CA, 92354, US
Telephone: 9097960235

25383 Cole Street, Loma Linda, CA 92354 · San Bernardino County · 83 certified beds · avg 78 residents/day · certified since Jan 1, 1967

Part of chain: PACS GROUP (274 facilities, chain avg rating 2.9★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.54

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.

All citations in the current public record (29)

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 25, 2026	D · Potential for harm, one-off	The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint
Jul 3, 2025	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.
Jul 3, 2025	D · Potential for harm, one-off	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.
Jul 3, 2025	D · Potential for harm, one-off	The facility did not notify the appropriate authorities when a resident with a mental disorder or intellectual disability had a significant change in condition.
Jul 3, 2025	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.
Jul 3, 2025	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Jul 3, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
Jul 3, 2025	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Jul 3, 2025	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.
Jul 3, 2025	B · Minimal risk, repeated	The facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman.
May 29, 2025	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
Jun 20, 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.
Jun 4, 2024	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
Dec 12, 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
Dec 7, 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 3, 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
Jan 10, 2023	F · Potential for harm, facility-wide	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.
Jan 10, 2023	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.
Jan 10, 2023	E · Potential for harm, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Jan 10, 2023	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.
Jan 10, 2023	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 10, 2023	D · Potential for harm, one-off	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way.
Jan 10, 2023	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 10, 2023	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.
Jan 10, 2023	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.
Jan 10, 2023	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 10, 2023	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.
Jan 10, 2023	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 10, 2023	D · Potential for harm, one-off	The facility did not report COVID-19 data to residents and their families as required. Facilities must keep residents and families informed about COVID-19 cases.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (1 → 9).

Year	Citations	Worst severity that year
2023	16	F
2024	2	D
2025	10	F
2026	1	D

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)	3.54	4.31	3.95	bottom 12% in California; bottom 39% in the U.S.
Registered Nurse hours	0.40	0.61	0.69	bottom 33% in California; bottom 23% in the U.S.
Weekend total nurse staffing	3.19	3.90	3.50	bottom 10% in California; bottom 41% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.40	0.51	0.48	top 45% in California; top 48% in the U.S.
Total nursing staff turnover (%)	46.4	36.7	45.8	bottom 21% in California; bottom 46% in the U.S.
RN turnover (%)	70.0	38.1	42.9	bottom 7% in California; bottom 12% 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 4.24, RN 0.48, weekend 3.82. Staffing rating: 2/5.

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: 3/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Loma Linda Master Tenant LLC	Organization	5% or Greater Direct Ownership Interest	100%	05/24/2023
Providence Group NH, LLC	Organization	5% or Greater Indirect Ownership Interest	100%	06/30/2023
Apt, Frederick	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2024
Dimaunahan, Joel	Individual	Operational/Managerial Control	NOT APPLICABLE	09/09/2024
Jardine, Kenneth	Individual	Operational/Managerial Control	NOT APPLICABLE	03/01/2024
Jardine, Kenneth	Individual	ADP of the SNF	NOT APPLICABLE	04/02/2025
Jergensen, Joshua	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2024
Lords, Trevor	Individual	Operational/Managerial Control	NOT APPLICABLE	06/29/2023
Lords, Trevor	Individual	ADP of the SNF	NOT APPLICABLE	04/23/2025
Mitchell, John	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2024
Pai, Shantharam	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/2023
Pai, Shantharam	Individual	ADP of the SNF	NOT APPLICABLE	04/02/2025
Providence Administrative Consulting Services INC	Organization	ADP of the SNF	NOT APPLICABLE	06/30/2023
Truist Bank	Organization	5% or Greater Security Interest	NOT APPLICABLE	12/07/2023

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 safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
"How do you coordinate with state agencies for residents with mental health conditions or intellectual disabilities?"
"How do you help residents maintain their daily living skills, and how do you measure whether it's working?"
"How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
"How do you assess and manage residents' pain, especially for those who have trouble communicating?"
"How do you coordinate and monitor care for residents who receive dialysis?"
"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
Heritage Gardens Health Care Center	0.3 mi	Loma Linda, CA	★★★★☆	3/5
Asistencia Villa Healthcare Center	1.2 mi	Redlands, CA	★★☆☆☆	3/5
Totally Kids Rehabilitation Hospital - D/P SNF	1.4 mi	Loma Linda, CA	★★★★★	4/5
The Canyons Post-Acute	2.4 mi	Colton, CA	★★☆☆☆	2/5
Brookside Healthcare Center	2.4 mi	Redlands, CA	★★★☆☆	3/5
Meadows Ridge Care Center	2.9 mi	Colton, CA	★★★★☆	4/5
Madison Grove Post Acute	3.0 mi	Redlands, CA	★★★☆☆	3/5
Redlands Healthcare Center	3.1 mi	Redlands, CA	★★★★☆	4/5
Redlands Comm Hosp D/P SNF	3.1 mi	Redlands, CA	★★★★☆	5/5
Grand Terrace Health Care Center	3.6 mi	Grand Terrace, CA	★★★★★	5/5

Compare this facility with the 3 closest →

All facilities in Loma Linda →

Facility data as of CMS processing date 2026-08-01. CCN 055299.

The Care File

Visit checklist — Loma Linda Post Acute

25383 Cole Street, Loma Linda, CA 92354 · 9097960235

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

Questions for the administrator:

☐ "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
☐ "How do you coordinate with state agencies for residents with mental health conditions or intellectual disabilities?"
☐ "How do you help residents maintain their daily living skills, and how do you measure whether it's working?"
☐ "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
☐ "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
☐ "How do you coordinate and monitor care for residents who receive dialysis?"
☐ "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 055299 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)