Mount San Antonio Gardens

900 E. Harrison Ave, Pomona, CA 91767 (opens Google Maps) · Los Angeles County · (909) 624-5061· 64 certified beds · avg 40 residents/day · certified since Jan 1, 1967 · Medicare only — not Medicaid certified

Certified for Medicare only. Medicare pays for short rehabilitation stays, not for long-term care — and this facility cannot bill Medicaid, which is what most families rely on for a long stay. Ask what a long-term stay here would cost and how it would be paid for. Who pays for nursing home care →

5/5

Health inspection rating (on-site)

inspected Jun 24, 2026

Serious findings on record

Fines, last 3 years

6.84

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: ★★★★★5/5 · 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.

Inspection findings in the public record

Showing the latest 3 of 14 inspection findings. Open the full record below to read every finding.

Jun 24, 2026E · Potential for more than minimal harm, pattern
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. F-0689
Jun 24, 2026E · Potential for more than minimal harm, pattern
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. F-0695
Jun 24, 2026E · Potential for more than minimal harm, pattern
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

View all 14 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.

Date	Severity	What the facility was cited for
Jun 24, 2026	E · Potential for more than minimal harm, pattern	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Jun 24, 2026	E · Potential for more than minimal harm, pattern	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. · F-0695
Jun 24, 2026	E · Potential for more than minimal harm, pattern	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
Jun 24, 2026	D · Potential for more than minimal harm, isolated	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · F-0655
Jun 24, 2026	D · Potential for more than minimal harm, isolated	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · F-0925
Jan 22, 2026	D · Potential for more than minimal harm, isolated	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 · F-0689
May 30, 2025	D · Potential for more than minimal harm, isolated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
May 30, 2025	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
May 30, 2025	D · Potential for more than minimal harm, isolated	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. · F-0700
May 30, 2025	D · Potential for more than minimal harm, isolated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842
May 16, 2024	E · Potential for more than minimal harm, pattern	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. · F-0812
May 16, 2024	D · Potential for more than minimal harm, isolated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
May 16, 2024	D · Potential for more than minimal harm, isolated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
May 16, 2024	D · Potential for more than minimal harm, isolated	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

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 5).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01

All citationsSerious citations (G–L)

2024

2025

2026

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

Year	Citations	Worst severity that year
2024	4	E
2025	4	D
2026	6	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)

How to file a complaint about care →

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

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)

6.84

4.31

3.95

Registered Nurse hours

0.84

0.61

0.69

Weekend total nurse staffing

5.50

3.90

3.50

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

Measure	This facility	California avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	6.84	4.31	3.95	top 3% in California; top 2% in the U.S.
Registered Nurse hours	0.84	0.61	0.69	top 16% in California; top 24% in the U.S.
Weekend total nurse staffing	5.50	3.90	3.50	top 4% in California; top 3% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.54	0.51	0.48	top 26% in California; top 28% in the U.S.
Total nursing staff turnover (%)	—	36.7	45.8	—
RN turnover (%)	—	38.1	42.9	—

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 5.95, RN 0.73, weekend 4.79.Comparing with Medicare Care Compare? Care Compare shows the raw figure (5.95 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.

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: 5/5

Costs & payment

Price evidence · separate from quality

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

Calculate a stay from a quote you receive

Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.

Before you compare prices

Request the room type, effective date and itemized daily rate in writing.
Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

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 →

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Congregational Homes	Organization	5% or Greater Direct Ownership Interest	100%	06/09/2007
Abrams, Lise	Individual	Corporate Director	NOT APPLICABLE	01/01/2023
Abrams, Lise	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2023
Abrams, Lise	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2023
Aspinall, Robin	Individual	Corporate Director	NOT APPLICABLE	01/01/2023
Aspinall, Robin	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2023
Aspinall, Robin	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2023
Atilano, Lisa	Individual	Corporate Officer	NOT APPLICABLE	07/25/2024
Atilano, Lisa	Individual	Operational/Managerial Control	NOT APPLICABLE	07/25/2024
Atilano, Lisa	Individual	ADP of the SNF	NOT APPLICABLE	07/25/2024
Brown, Eleanor	Individual	Corporate Director	NOT APPLICABLE	01/01/2021
Brown, Eleanor	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2021
Brown, Eleanor	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2021
Brown, Evelyn	Individual	Corporate Director	NOT APPLICABLE	01/06/2022
Brown, Evelyn	Individual	Operational/Managerial Control	NOT APPLICABLE	01/06/2022
Brown, Evelyn	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2021
Bush, Jan	Individual	Corporate Director	NOT APPLICABLE	01/01/2023
Bush, Jan	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2023
Bush, Jan	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2023
Citrus Pharmacy	Organization	Operational/Managerial Control	NOT APPLICABLE	08/01/2025

Showing 20 of 98 parties CMS has on file for this facility; 78 are not displayed. The full list is in the CMS Ownership dataset.

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?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
"How is pest control handled here, and when was the last treatment or inspection?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"What alternatives do you try before using bed rails, and how do you involve families in that decision?"

Also worth asking anywhere

"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the plan of correction for the findings in your most recent state inspection?"
"The ownership record on file lists 98 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 98 within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Pilgrim Place Health Services Center	0.6 mi	Claremont, CA	★★★☆☆	2/5
Claremont Manor Care Center	0.6 mi	Claremont, CA	★★★☆☆	3/5
Claremont Care Center	0.8 mi	Pomona, CA	★★★★☆	3/5
Landmark Medical Center	1.2 mi	Pomona, CA	★★☆☆☆	1/5	abuse
Claremont Heights Post Acute	1.5 mi	Claremont, CA	★★☆☆☆	2/5
Inland Valley Care and Rehabilitation Center	1.6 mi	Pomona, CA	★☆☆☆☆	1/5	abuseSFF
Park Avenue Healthcare & Wellness Center	1.8 mi	Pomona, CA	★☆☆☆☆	1/5
Woods Health Services	2.3 mi	La Verne, CA	★★★☆☆	2/5
Country Oaks Care Center	2.4 mi	Pomona, CA	★★★☆☆	2/5
Pomona Vista Care Center	2.5 mi	Pomona, CA	★★★★☆	3/5
Laurel Park Behavioral Health Center	3.0 mi	Pomona, CA	★★★☆☆	2/5
Community Extended Care Hospital of Montclair	3.1 mi	Montclair, CA	★★★★★	5/5

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in Los Angeles, CA — 369 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Mountain View Conv Hosp — Sylmar, CA · overall 2/5
New Vista Post-Acute Care Center — Los Angeles, CA · overall 2/5abuse
North Long Beach Post Acute — Long Beach, CA · overall 1/5
North Valley Nursing Center — Tujunga, CA · overall 1/5abuse
Northridge Care Center — Reseda, CA · overall 1/5
Norwalk Skilled Nursing & Wellness Centre, LLC — Norwalk, CA · overall 1/5
Oakpark Healthcare Center — Tujunga, CA · overall 5/5
Ocean Park Healthcare — Santa Monica, CA · overall 2/5

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

All facilities in Pomona →

Facility data as of CMS processing date 2026-08-01. CCN 055016.

This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).

The Care File

Visit checklist — Mount San Antonio Gardens

900 E. Harrison Ave, Pomona, CA 91767 · (909) 624-5061

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

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 many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
☐ "How is pest control handled here, and when was the last treatment or inspection?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the plan of correction for the findings in your most recent state inspection?"
☐ "The ownership record on file lists 98 owning or managing parties — who makes the decisions about staffing levels?"
☐ "Can I visit again unannounced, at a mealtime or on a weekend?"

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 055016 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)