Ontario Healthcare Center

Name: Ontario Healthcare Center
Address: 1661 S Euclid Ave, Ontario, CA, 91762, US
Telephone: 9099846713

1661 S Euclid Ave, Ontario, CA 91762 · San Bernardino County · 59 certified beds · avg 55 residents/day · certified since May 1, 1969

Part of chain: CAMBRIDGE HEALTHCARE SERVICES (32 facilities, chain avg rating 2.5★)

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.35

Nurse hours/resident/day (adjusted)

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

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

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 (23)

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
May 19, 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. · from a complaint
Feb 20, 2026	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.
Feb 20, 2026	D · Potential for harm, one-off	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Feb 20, 2026	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.
Feb 20, 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.
Feb 20, 2026	B · Minimal risk, repeated	The facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms.
Oct 24, 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.
Oct 24, 2024	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.
Oct 24, 2024	D · Potential for harm, one-off	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Oct 24, 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.
Oct 24, 2024	B · Minimal risk, repeated	The facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms.
Feb 14, 2022	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.
Feb 14, 2022	F · Potential for harm, facility-wide	The facility did not dispose of garbage and refuse properly.
Feb 14, 2022	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.
Feb 14, 2022	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.
Feb 14, 2022	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.
Feb 14, 2022	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Feb 14, 2022	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.
Feb 14, 2022	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.
Feb 14, 2022	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.
Feb 14, 2022	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.
Feb 14, 2022	D · Potential for harm, one-off	The facility did not perform required COVID-19 testing on residents and staff.
Feb 14, 2022	B · Minimal risk, repeated	The facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms.

Inspection trend by year

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

Year	Citations	Worst severity that year
2022	12	F
2024	5	F
2026	6	F

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)	4.35	4.31	3.95	top 36% in California; top 27% in the U.S.
Registered Nurse hours	0.40	0.61	0.69	bottom 32% in California; bottom 22% in the U.S.
Weekend total nurse staffing	4.05	3.90	3.50	top 30% in California; top 21% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.35	0.51	0.48	bottom 45% in California; bottom 42% in the U.S.
Total nursing staff turnover (%)	42.2	36.7	45.8	bottom 32% in California; top 42% in the U.S.
RN turnover (%)	50.0	38.1	42.9	bottom 29% in California; bottom 39% 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 3.85, RN 0.35, weekend 3.59. Staffing rating: 3/5.

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: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Kirkside Facilities Operations LLC	Organization	5% or Greater Direct Ownership Interest	—	01/22/2010
KSNF II LLC	Organization	5% or Greater Indirect Ownership Interest	20%	01/20/2017
KSNF LLC	Organization	5% or Greater Direct Ownership Interest	—	01/22/2010
Smedra, Ira	Individual	Indirect Ownership Interest	NOT APPLICABLE	01/22/2010
1661 South Euclid LLC	Organization	ADP of the SNF	NOT APPLICABLE	01/25/2007
Butenko, Julie	Individual	Operational/Managerial Control	NOT APPLICABLE	07/24/2023
Butenko, Julie	Individual	ADP of the SNF	NOT APPLICABLE	07/24/2023
Cambridge Healthcare Services LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	04/01/2014
Cambridge Healthcare Services LLC	Organization	ADP of the SNF	NOT APPLICABLE	11/04/2025
Capela, Heidi	Individual	Operational/Managerial Control	NOT APPLICABLE	04/03/2023
Capela, Heidi	Individual	ADP of the SNF	NOT APPLICABLE	04/03/2023
Cardenas, Sonia	Individual	Managing Control - Governing Body	NOT APPLICABLE	06/27/2022
Cardenas, Sonia	Individual	Operational/Managerial Control	NOT APPLICABLE	06/27/2022
Cardenas, Sonia	Individual	ADP of the SNF	NOT APPLICABLE	11/04/2025
Hassell, Lance	Individual	Operational/Managerial Control	NOT APPLICABLE	04/25/2022
Hassell, Lance	Individual	ADP of the SNF	NOT APPLICABLE	04/25/2022
Lutz, Linda	Individual	Operational/Managerial Control	NOT APPLICABLE	02/01/2012
Lutz, Linda	Individual	ADP of the SNF	NOT APPLICABLE	02/01/2012
Quadros, Sylvi	Individual	Operational/Managerial Control	NOT APPLICABLE	03/20/2025
Salazar, Paulina	Individual	Operational/Managerial Control	NOT APPLICABLE	12/14/2020

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"How is pest control handled here, and when was the last treatment or inspection?"
"How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Can I see the actual room my family member would live in before we decide?"
"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?"
"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
Inland Christian Home	1.2 mi	Ontario, CA	★★★★☆	4/5
Trellis Chino	2.6 mi	Chino, CA	★★★★★	5/5
Las Colinas Post Acute	2.7 mi	Ontario, CA	★★☆☆☆	2/5
Montclair Manor Care Center	2.7 mi	Montclair, CA	★★★★★	4/5
Ontario Grove Healthcare & Wellness Centre, LP	3.0 mi	Ontario, CA	★★★☆☆	4/5
Community Extended Care Hospital of Montclair	3.4 mi	Montclair, CA	★★★★★	5/5
Heritage Park Nursing Center	3.7 mi	Upland, CA	★★★★★	5/5
Upland Rehabilitation and Care Center	3.9 mi	Upland, CA	★★★★★	4/5
Villa Mesa Care Center	4.2 mi	Upland, CA	★★★☆☆	4/5
Claremont Heights Post Acute	5.0 mi	Claremont, CA	★★☆☆☆	2/5
Chino Valley Health Care Cente	5.3 mi	Pomona, CA	★★☆☆☆	2/5	abuse
Claremont Manor Care Center	5.9 mi	Claremont, CA	★★★☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Ontario →

Facility data as of CMS processing date 2026-08-01. CCN 055707.

The Care File

Visit checklist — Ontario Healthcare Center

1661 S Euclid Ave, Ontario, CA 91762 · 9099846713

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

Questions for the administrator:

☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "How is pest control handled here, and when was the last treatment or inspection?"
☐ "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Can I see the actual room my family member would live in before we decide?"
☐ "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?"
☐ "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 055707 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)