Totally Kids Rehabilitation Hospital - D/P SNF
1720 Mountain View, Loma Linda, CA 92354 · San Bernardino County · 56 certified beds · avg 50 residents/day · certified since Feb 4, 1994
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 (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 |
|---|---|---|
| Apr 16, 2026 | E · Potential for harm, repeated | The facility did not provide a neutral and fair arbitration process. Arbitration is a way of settling disputes outside of court, and if it's used, the facility must agree with the resident on a neutral arbitrator and a convenient location. |
| Apr 16, 2026 | D · Potential for harm, one-off | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. |
| Apr 16, 2026 | D · Potential for harm, one-off | The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition. |
| Apr 16, 2026 | 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. |
| Apr 16, 2026 | 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. |
| Apr 16, 2026 | 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. |
| Apr 16, 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. |
| Jul 18, 2025 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Jan 9, 2025 | E · Potential for harm, repeated | The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition. |
| Jan 9, 2025 | E · Potential for harm, repeated | 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 9, 2025 | 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. |
| Jan 9, 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 9, 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 9, 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 9, 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. |
| Jan 9, 2025 | D · Potential for harm, one-off | 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 12, 2024 | E · Potential for harm, repeated | The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition. |
| Jan 12, 2024 | E · Potential for harm, repeated | 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 12, 2024 | D · Potential for harm, one-off | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. |
| Jan 12, 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. |
| Jan 12, 2024 | D · Potential for harm, one-off | 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 12, 2024 | 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. |
| Jan 12, 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. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (8 → 7).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 7 | 0 | E |
| 2025 | 9 | 0 | E |
| 2026 | 7 | 0 | 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)
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) | 4.68 | 4.31 | 3.95 | top 22% in California; top 19% in the U.S. |
| Registered Nurse hours | 0.92 | 0.61 | 0.69 | top 13% in California; top 19% in the U.S. |
| Weekend total nurse staffing | 4.37 | 3.90 | 3.50 | top 18% in California; top 14% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 1.76 | 0.51 | 0.48 | top 3% in California; top 1% in the U.S. |
| Total nursing staff turnover (%) | 31.3 | 36.7 | 45.8 | top 34% in California; top 17% in the U.S. |
| RN turnover (%) | 37.5 | 38.1 | 42.9 | top 50% in California; top 42% 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 11.90, RN 2.35, weekend 11.12. Staffing rating: 5/5.
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 - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Lambooy, Sallie | Individual | Indirect Ownership Interest | NOT APPLICABLE | 07/15/2020 |
| Mountain View Child Care, INC. | Organization | 5% or Greater Direct Ownership Interest | — | 06/20/2014 |
| Nydam Limited Partnership | Organization | Direct Ownership Interest | NOT APPLICABLE | 11/01/2016 |
| Nydam, Jack | Individual | 5% or Greater Indirect Ownership Interest | 10% | 07/15/2020 |
| Nydam, James | Individual | 5% or Greater Indirect Ownership Interest | 10% | 07/15/2020 |
| Nydam, Linda | Individual | 5% or Greater Indirect Ownership Interest | 10% | 12/04/2024 |
| Nydam, Robert | Individual | 5% or Greater Indirect Ownership Interest | 10% | 07/15/2020 |
| Padgett, Cynthia | Individual | 5% or Greater Direct Ownership Interest | — | 11/01/2016 |
| Padgett, Douglas | Individual | 5% or Greater Direct Ownership Interest | — | 11/01/2016 |
| Arden, Racquel | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2016 |
| Arden, Racquel | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2016 |
| Bilicke, Robert | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2016 |
| Bilicke, Robert | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2016 |
| Callicott, Cecelia | Individual | Managing Control - Governing Body | NOT APPLICABLE | 06/14/2014 |
| Callicott, Cecelia | Individual | Corporate Director | NOT APPLICABLE | 06/14/2014 |
| Callicott, Cecelia | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2014 |
| Capetillo, Cynthia | Individual | Corporate Officer | NOT APPLICABLE | 04/01/2005 |
| Capetillo, Cynthia | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2005 |
| Capetillo, Cynthia | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2005 |
| Citrus Pharmacy | Organization | ADP of the SNF | NOT APPLICABLE | 05/29/2014 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Does your admission agreement include an arbitration clause, and is signing it optional?"
- "How soon after admission is a full assessment completed, and how are the findings shared with the family?"
- "How do you track that every resident's quarterly assessment happens on time?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "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?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "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 |
|---|---|---|---|---|---|
| Loma Linda Post Acute | 1.4 mi | Loma Linda, CA | ★★★★☆ | 4/5 | |
| Asistencia Villa Healthcare Center | 1.6 mi | Redlands, CA | ★★☆☆☆ | 3/5 | |
| Heritage Gardens Health Care Center | 1.7 mi | Loma Linda, CA | ★★★★☆ | 3/5 | |
| Brookside Healthcare Center | 2.5 mi | Redlands, CA | ★★★☆☆ | 3/5 | |
| Madison Grove Post Acute | 3.2 mi | Redlands, CA | ★★★☆☆ | 3/5 | |
| Redlands Healthcare Center | 3.3 mi | Redlands, CA | ★★★★☆ | 4/5 | |
| Redlands Comm Hosp D/P SNF | 3.3 mi | Redlands, CA | ★★★★☆ | 5/5 | |
| The Canyons Post-Acute | 3.4 mi | Colton, CA | ★★☆☆☆ | 2/5 | |
| Highland Palms Healthcare Center | 3.6 mi | Highland, CA | ★★★★☆ | 4/5 | |
| Meadows Ridge Care Center | 3.8 mi | Colton, CA | ★★★★☆ | 4/5 | |
| Arrowhead Springs Healthcare | 4.3 mi | San Bernardino, CA | ★★★★☆ | 4/5 | |
| Plymouth Village | 4.4 mi | Redlands, CA | ★★★★☆ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 555587.