Plymouth Village
819 Salem Drive, Redlands, CA 92373 · San Bernardino County · 48 certified beds · avg 43 residents/day · certified since Mar 29, 1968
Part of chain: HUMANGOOD (17 facilities, chain avg rating 4.5★)
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 (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 28, 2026 | 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. · from a complaint |
| Jun 19, 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. |
| Jun 19, 2025 | F · Potential for harm, facility-wide | 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 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. |
| Jun 19, 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. |
| Jun 19, 2025 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| 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. |
| Apr 26, 2024 | F · Potential for harm, facility-wide | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. |
| Apr 26, 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. |
| Apr 26, 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. |
| Apr 26, 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. |
| Apr 26, 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. |
| Apr 26, 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. |
| Apr 26, 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. |
| Mar 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. |
| Mar 10, 2023 | 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. |
| Mar 10, 2023 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Mar 10, 2023 | 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. |
| Mar 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. |
| Mar 10, 2023 | D · Potential for harm, one-off | 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. |
| Mar 10, 2023 | 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. |
| Mar 10, 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. |
| Mar 10, 2023 | D · Potential for harm, one-off | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (7 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 9 | 0 | F |
| 2024 | 7 | 0 | F |
| 2025 | 6 | 0 | F |
| 2026 | 1 | 0 | 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) | 4.76 | 4.31 | 3.95 | top 20% in California; top 17% in the U.S. |
| Registered Nurse hours | 0.34 | 0.61 | 0.69 | bottom 18% in California; bottom 14% in the U.S. |
| Weekend total nurse staffing | 4.22 | 3.90 | 3.50 | top 23% in California; top 17% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.20 | 0.51 | 0.48 | bottom 10% in California; bottom 12% in the U.S. |
| Total nursing staff turnover (%) | 26.5 | 36.7 | 45.8 | top 21% in California; top 9% 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 4.53, RN 0.32, weekend 4.02. 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 |
|---|---|---|---|---|
| Humangood | Organization | 5% or Greater Indirect Ownership Interest | 100% | 05/01/2016 |
| Humangood Norcal | Organization | 5% or Greater Direct Ownership Interest | 100% | 01/01/1967 |
| Baker Tilly Us LLP | Organization | ADP of the SNF | NOT APPLICABLE | 10/15/2024 |
| Baker, Judith | Individual | Corporate Director | NOT APPLICABLE | 04/25/2012 |
| Battison, William | Individual | Corporate Director | NOT APPLICABLE | 05/01/2016 |
| Brown, Herman | Individual | Corporate Director | NOT APPLICABLE | 05/01/2016 |
| Christopherson, Joanne | Individual | Corporate Director | NOT APPLICABLE | 03/20/2025 |
| Cochrane, John | Individual | Corporate Officer | NOT APPLICABLE | 08/10/2009 |
| Cochrane, John | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/10/2009 |
| Cochrane, John | Individual | ADP of the SNF | NOT APPLICABLE | 08/10/2009 |
| Davis, Victoria | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/06/2023 |
| Davis, Victoria | Individual | ADP of the SNF | NOT APPLICABLE | 08/06/2023 |
| Drake, Brett | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/14/2024 |
| Drake, Brett | Individual | ADP of the SNF | NOT APPLICABLE | 10/14/2024 |
| Feller, Irene | Individual | Corporate Director | NOT APPLICABLE | 01/26/2021 |
| Ghassemi, Bethany | Individual | Corporate Officer | NOT APPLICABLE | 05/21/2019 |
| Ghassemi, Bethany | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/21/2019 |
| Griffith, Alan | Individual | Corporate Director | NOT APPLICABLE | 06/30/2019 |
| Hansen | Organization | ADP of the SNF | NOT APPLICABLE | 03/27/2017 |
| Harrison, Michael | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/02/2024 |
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 keep residents' medical records accurate, complete, and secure?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "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 |
|---|---|---|---|---|---|
| Highland Care Center of Redlands | 0.6 mi | Redlands, CA | ★★★☆☆ | 3/5 | |
| Madison Grove Post Acute | 1.8 mi | Redlands, CA | ★★★☆☆ | 3/5 | |
| Redlands Healthcare Center | 1.8 mi | Redlands, CA | ★★★★☆ | 4/5 | |
| Redlands Comm Hosp D/P SNF | 1.8 mi | Redlands, CA | ★★★★☆ | 5/5 | |
| Brookside Healthcare Center | 2.3 mi | Redlands, CA | ★★★☆☆ | 3/5 | |
| Asistencia Villa Healthcare Center | 3.5 mi | Redlands, CA | ★★☆☆☆ | 3/5 | |
| University Post Acute | 3.8 mi | Mentone, CA | ★★★★★ | 5/5 | |
| Totally Kids Rehabilitation Hospital - D/P SNF | 4.4 mi | Loma Linda, CA | ★★★★★ | 4/5 | |
| Heritage Gardens Health Care Center | 4.6 mi | Loma Linda, CA | ★★★★☆ | 3/5 | |
| Loma Linda Post Acute | 4.6 mi | Loma Linda, CA | ★★★★☆ | 4/5 | |
| Highland Palms Healthcare Center | 5.5 mi | Highland, CA | ★★★★☆ | 4/5 | |
| The Canyons Post-Acute | 6.9 mi | Colton, CA | ★★☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 055914.