The Grove Care and Wellness

Name: The Grove Care and Wellness
Address: 3401 LEMON STREET, Riverside, CA, 92501, US
Telephone: 9516868202

3401 Lemon Street, Riverside, CA 92501 · Riverside County · 38 certified beds · avg 36 residents/day · certified since Jul 30, 1994

Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.23

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: 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 (24)

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
Apr 9, 2026	D · Potential for harm, one-off	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · from a complaint
Apr 9, 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. · from a complaint
Mar 25, 2025	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. · from a complaint
Jan 30, 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.
Jan 30, 2025	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 30, 2025	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.
Jan 30, 2025	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.
Jan 30, 2025	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.
Jan 30, 2025	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Jan 30, 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.
Jan 17, 2025	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Nov 13, 2024	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
Nov 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 6, 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.
Dec 6, 2023	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.
Dec 6, 2023	E · Potential for harm, repeated	The facility did not have enough support staff to safely and effectively run its food and nutrition service.
Dec 6, 2023	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.
Dec 6, 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.
Dec 6, 2023	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.
Dec 6, 2023	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.
Oct 26, 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
Aug 30, 2023	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. · from a complaint
Nov 4, 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.
Nov 4, 2022	F · Potential for harm, facility-wide	The facility did not dispose of garbage and refuse properly.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (7 → 7).

Year	Citations	Worst severity that year
2022	2	F
2023	9	F
2024	2	D
2025	9	E
2026	2	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)	4.23	4.31	3.95	top 42% in California; top 31% in the U.S.
Registered Nurse hours	0.45	0.61	0.69	bottom 44% in California; bottom 30% in the U.S.
Weekend total nurse staffing	3.76	3.90	3.50	top 50% in California; top 31% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.35	0.51	0.48	bottom 46% in California; bottom 43% in the U.S.
Total nursing staff turnover (%)	45.7	36.7	45.8	bottom 23% in California; bottom 48% in the U.S.
RN turnover (%)	66.7	38.1	42.9	bottom 9% in California; bottom 15% 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 4.53, RN 0.48, weekend 4.02. 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: 3/5 · short-stay residents: 5/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Burnam, Soon	Individual	Corporate Officer	NOT APPLICABLE	01/16/2009
Burnam, Soon	Individual	ADP of the SNF	NOT APPLICABLE	07/11/2025
Caretrust GP LLC	Organization	ADP of the SNF	NOT APPLICABLE	01/16/2009
Caretrust Reit INC	Organization	ADP of the SNF	NOT APPLICABLE	01/16/2009
Ctr Partnership LP	Organization	ADP of the SNF	NOT APPLICABLE	01/16/2009
Ensign Services INC	Organization	ADP of the SNF	NOT APPLICABLE	01/16/2009
Keetch, Chad	Individual	Corporate Officer	NOT APPLICABLE	03/01/2011
Lemon River Health Holdings LLC	Organization	ADP of the SNF	NOT APPLICABLE	01/16/2009
Little, Gary	Individual	Managing Control - Governing Body	NOT APPLICABLE	07/15/2016
Little, Gary	Individual	Operational/Managerial Control	NOT APPLICABLE	07/15/2016
Little, Gary	Individual	ADP of the SNF	NOT APPLICABLE	07/15/2016
Matar, Mousa	Individual	Operational/Managerial Control	NOT APPLICABLE	12/01/2022
Matar, Mousa	Individual	ADP of the SNF	NOT APPLICABLE	12/01/2022
Port, Barry	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	07/11/2025
Willits, Adam	Individual	Corporate Officer	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.

"Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
"What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
"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
Riverside Behavioral Healthcare Center	1.2 mi	Riverside, CA	★★★★★	4/5
Community Care on Palm	1.3 mi	Riverside, CA	★★★★☆	3/5
Community Care and Rehabilitation Center	2.4 mi	Riverside, CA	★★★☆☆	2/5
Valencia Gardens Health Care Center	2.9 mi	Riverside, CA	★★★★★	4/5
Vista Pacifica Center	3.2 mi	Jurupa Valley, CA	★★★★☆	3/5
Vista Pacifica Convalescent Hospital	3.2 mi	Jurupa Valley, CA	★★★★☆	3/5
Jurupa Hills Post Acute	3.5 mi	Riverside, CA	★★☆☆☆	2/5
Woodcrest Post Acute & Rehabilitation	4.5 mi	Riverside, CA	★★★☆☆	3/5
Extended Care Hospital of Riverside	4.5 mi	Riverside, CA	★★★☆☆	3/5
Grand Terrace Health Care Center	4.9 mi	Grand Terrace, CA	★★★★★	5/5
Mission Care Center	5.1 mi	Riverside, CA	★★★★★	5/5
Alta Vista Healthcare & Wellness Centre	5.6 mi	Riverside, CA	★★★★☆	4/5

Compare this facility with the 3 closest →

All facilities in Riverside →

Facility data as of CMS processing date 2026-08-01. CCN 555613.

The Care File

Visit checklist — The Grove Care and Wellness

3401 Lemon Street, Riverside, CA 92501 · 9516868202

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

Questions for the administrator:

☐ "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
☐ "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
☐ "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 555613 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)