Inland Valley Care and Rehabilitation Center
- Reviewed By
Anthony C. Lanzone, Founding Partner
Inland Valley Care and Rehabilitation Center has a significant history of complaints, low ratings, and violations of health and safety standards. Whether you are considering placing your loved one in the facility or already have a loved one there, you should be aware of the following:
- Inland Valley Care and Rehabilitation Center is on the Special Focus Facility candidate list issued by the Center for Medicare and Medicaid Services. A Special Focus Facility is a nursing home that state officials select for extra monitoring due to an extensive history of violations.
- Medicare.gov has given Inland Valley Care and Rehabilitation a one-star overall rating, the lowest rating available.
- At least three residents contracted scabies after the facility failed to trace its source or prevent it from spreading.
- State inspectors cited Inland Valley Care and Rehabilitation Center for failing to keep resident call buttons within reach and respond to call lights promptly.
- Inland Valley Care and Rehabilitation Center has a two-star, below-average rating for staffing levels, with persistent complaints and citations for understaffing, including a citation for not having a licensed nurse on duty at all times.
- This facility has been cited for administering psychotropic medications without consent. These types of medications are illegal chemical restraints.
Table of Contents:
- Inland Valley Care and Rehabilitation Center’s Reputation
- Inland Valley Care and Rehabilitation Center Violations
- How To Help Your Loved One If You Suspect Neglect or Abuse
- A Proven Track Record of Getting Justice for All Forms of Nursing Home Abuse
- Let Us Help You Get the Justice and Compensation Your Loved One Deserves
Inland Valley Care and Rehabilitation Center’s Reputation
Inland Valley Care and Rehabilitation Center has a history of violations and complaints from residents and their families. State inspectors send inspection reports to the Centers for Medicare & Medicaid Services, which publishes the reports and the resulting ratings on Medicare.gov. Inland Valley Care and Rehabilitation Center has received an overall rating of one star, or “much below average.”
In addition, inspectors have found 169 health deficiencies at the facility during the last three years, according to ProPublica. These include 51 health citations in the previous 12 months alone.
According to US News & World Report, 8.8 percent of Inland Valley Care and Rehabilitation Center’s short-term residents have been hospitalized for serious infections, and its long-term residents had an average of 1.6 emergency room visits for every 1,000 patient days. The facility has paid $505,659 in fines during the last three years.
Inland Valley Care and Rehabilitation Center’s history of poor performance has landed it on the candidate list for the Centers for Medicare & Medicaid Services’ Special Focus Facility program. Special Focus Facilities receive heightened supervision and progressive enforcement until they consistently meet quality standards. This facility has been a candidate for 35 months.
Inland Valley Care and Rehabilitation Center Reviews
Inland Valley Care and Rehabilitation Center has a 2.4-star Google rating based on 83 reviews. While such reviews are not official documentation, they are consistent with state inspection findings. Reviewers report the following experiences:
- Missing property, particularly cell phones
- Difficulties reaching loved ones by telephone, especially after hours
- Understaffing
- Dirty conditions with offensive odors
- Inattentive staff
- Dressing residents who were incontinent in diapers because they required help getting to the restroom
- Leaving residents in wet and soiled diapers for extensive periods
- Unappetizing food
- Malnourished residents
- Difficulties visiting loved ones in hospice care
One reviewer alleges that facility staff “ripped out” her father’s catheter so harshly that he bled profusely and required an emergency room visit. According to the review, the facility delayed discharging him after the incident in an apparent attempt to conceal the incident. The reviewer also claims her father lost 35 pounds in three weeks due to not receiving the required assistance with feeding.
Underlying Causes of Inland Valley Care and Rehabilitation Center Violations
One of the most common causes of nursing home abuse and neglect is understaffing. Medicare has given Inland Valley Care and Rehabilitation Center a two-star rating for staffing. Understaffing often forces a single CNA or nurse to care for an unreasonable number of residents. It creates a high-pressure situation that may lead to the following forms of neglect and abuse:
- Unanswered call lights
- Leaving residents in soiled or wet diapers or clothing
- Use of psychotropic drugs as chemical restraints
- Inappropriate use of physical restraints
- Use of medically unnecessary indwelling catheters
- Failing to provide residents with showers or assistance with other daily activities
- Medication errors
- Abuse stemming from frustration and burnout
According to inspection reports, these violations have occurred multiple times. However, understaffing is only one potential cause of longstanding quality issues. Other potential causes include inadequate training, failure to perform background checks, and failing to budget for essential equipment and supplies, such as sanitation equipment and quality food for residents. The common thread is budgetary constraints, as for-profit nursing home owners often prioritize profits over residents.
Inland Valley Care and Rehabilitation Center Violations
The most recent health inspection on August 30, 2024, resulted in 27 citations against Inland Valley Care and Rehabilitation Center, including the following:
- Failure to keep residents’ call lights within reach
- Failure to provide appropriate care to prevent bedsores
- Failure to maintain or improve a resident’s range of motion
- Failure to monitor a resident using a Foley catheter for urinary tract infections
- Failure to elevate the head of a resident’s bed while using a feeding tube
- Failure to provide necessary care to residents receiving oxygen
- Failure to explore alternatives before installing bedrails on a resident’s bed
- Failure to hire enough staff to have a licensed nurse on duty at all times and meet resident needs
- Failure to safely administer medication as prescribed
- Failure to obtain patient consent before prescribing psychotropic medication
- A medication error rate of 21.43 percent—far above the five percent maximum
- Failure to provide appetizing food that meets residents’ nutritional needs and accommodates allergies
- Unsanitary kitchen practices during food preparation and storage
- Staff performing work outside their qualifications
- Failure to ensure the residents and their families understood arbitration agreements and inform them that they are optional
- Failure to follow infection control guidelines, including hand sanitation
Violations Found During Complaint Inspections
Inland Valley Care and Rehabilitation Center had 13 complaint inspections from April 1, 2024, through March 31, 2025, which resulted in many of the same citations. Additional citations from complaints included the following:
- Failure to include fall prevention in the care plan of a resident with a known fall risk, leading to a fall in the bathroom that resulted in an arm fracture
- Failure to implement a scabies infection control program, with at least three residents infected
- Failure to hire enough staff to meet residents’ needs, including showers, assistance with transfers from beds to wheelchairs, and timely adult brief changes
- Failure to report suspected abuse when a resident told a staff member that a CNA was physically hurting her, using the excuse that the resident displayed no physical signs of abuse
- Failure to protect a resident from physical abuse by another resident with known violent tendencies
How To Help Your Loved One If You Suspect Neglect or Abuse
You might suspect your loved one is not receiving the necessary care. Perhaps your loved one has suffered more injuries than usual since entering the nursing home, or you have noticed that the facility is chronically understaffed.
If you have a bad feeling about the care your loved one is receiving, trust your instincts and seek help. The California Department of Aging Long-Term Care Ombudsman can visit your loved one, investigate, and report abuse and neglect. You can reach the state CRISIS Line at (800) 231-4024. To file a complaint with the state and request a formal investigation, contact the Department of Public Health at (800) 554-0354.
In addition, consult the nursing home abuse lawyers at Lanzone Morgan, LLP. Our compassionate attorneys can investigate your loved one’s care, help you report abuse to the appropriate agencies, and hold the nursing home accountable.
A Proven Track Record of Getting Justice for All Forms of Nursing Home Abuse
We are one of the leading elder abuse law firms in the United States with decades of proven experience handling all types of nursing home injury claims, including the following:
- Physical assault
- Sexual abuse and sexually transmitted infections
- Falls and fractures
- Infections
- Subdural hematomas
- Pressure ulcers
- Malnutrition and dehydration
- Poor hygiene
- Overmedication
- Wandering and elopement
- Wrongful death
Our attorneys don’t take lightly the trust you put in our firm when you choose Lanzone Morgan, LLP. You can count on us to represent you with the same passion and care we would give our own families. Our dedication comes through in the types of results we obtain. We have recovered over $200 million in settlements and verdicts, including the following:
- $3 million settlement for a skilled nursing facility resident who developed a coccyx bed sore
- $2.3 million verdict for a nursing home resident who sustained severe and permanent injuries from multiple falls
- $1.25 million settlement against a doctor and a nursing home for the family of a resident who starved to death
- $800,000 settlement for an assisted living facility resident with an unexplained compound fracture
Let Us Help You Get the Justice and Compensation Your Loved One Deserves
We have over 75 years of combined experience advocating for the rights and welfare of the elderly community with a proven track record of holding elder care facilities accountable. Nursing home abuse is all we do, so we know the ins and outs of nursing home litigation, how nursing home corporations operate, and what it takes to overcome their defense strategies.
Everyone in our office has empathy and compassion for the victims we represent, and we are dedicated to giving them a voice and advocating for their right to compensation and quality care. We use a hands-on, customized approach to ensure you and your loved one receive the individualized support and advocacy you deserve 24 hours a day, seven days a week. We handle cases throughout California, including areas near Inland Valley Care and Rehabilitation Center, such as the following:
- Los Angeles and its suburbs
- Riverside
- San Bernardino
If you suspect your loved one is suffering from abuse or substandard care, we can help you get answers and pursue justice. We charge no upfront fees, and you pay nothing unless we win. Contact us online today or call (888) 887-9777 for a free, confidential consultation.
Disclaimer: The inspection information provided above comes from public sources. Thus, Lanzone Morgan, LLP, cannot ensure this page reflects the most current data or complete findings. For the latest information, visit www.il.gov or medicare.gov. The deficiencies listed may have been corrected since the inspection date and the time of publication. This page is a legal advertisement and information resource. It is not endorsed by the named facility or any government agency. Lanzone Morgan, LLP, is not affiliated with the facility discussed.
- Fact-Checked
This content has been legally reviewed and approved by nursing home abuse attorney, Anthony Lanzone. Anthony holds notable memberships with professional organizations including the American Association for Justice and Consumer Attorneys of California.
VIEW SOURCES
- Find health care providers: Compare care near you | Medicare. (n.d.). https://www.medicare.gov/care-compare/details/nursing-home/056431?id=d32d8a46-74b5-41bd-b94e-d67916bd9393&city=Pomona&state=CA&zipcode=&measure=nursing-home-health-inspections
- Find health care providers: Compare care near you | Medicare. (2024, July 15). https://www.medicare.gov/care-compare/inspections/pdf/nursing-home/056431/health/complaint-inspection?date=2024-07-15
- Find health care providers: Compare care near you | Medicare. (2024b, August 30). https://www.medicare.gov/care-compare/inspections/pdf/nursing-home/056431/health/health-inspection?date=2024-08-30
- Find health care providers: Compare care near you | Medicare. (n.d.-b). https://www.medicare.gov/care-compare/details/nursing-home/056431?id=d32d8a46-74b5-41bd-b94e-d67916bd9393&city=Pomona&state=CA&zipcode=
- Talbot, R., Groeger, L. V., & Ornstein, C. (2012, August 14). Inland Valley Care and Rehabilitation Center in California | Nursing Home records | ProPublica – Nursing Home inspect. ProPublica. https://projects.propublica.org/nursing-homes/homes/h-056431
- DEPARTMENT OF HEALTH & HUMAN SERVICES & Center for Clinical Standards and Quality/Quality Safety & Oversight Group. (2023). Special Focus Facility (SFF) program. In Centers for Medicare & Medicaid Services [Report]. https://www.cms.gov/files/document/sff-posting-candidate-list-march-2025.pdf
- Google review of Inland Valley Rehabilitation Center by The Reviewer From the stars. (n.d.). Google Review of Inland Valley Rehabilitation Center by the Reviewer From the Stars. https://g.co/kgs/r6mi9Ze
- Google review of Inland Valley Rehabilitation Center by Theresa Gonzales. (n.d.). Google Review of Inland Valley Rehabilitation Center by Theresa Gonzales. https://g.co/kgs/B2h59b5
- Google review of Inland Valley Rehabilitation Center by Martin Prado. (n.d.). Google Review of Inland Valley Rehabilitation Center by Martin Prado. https://g.co/kgs/mKHJQr6
- Google review of Inland Valley Rehabilitation Center by Karon. (n.d.). Google Review of Inland Valley Rehabilitation Center by Karon. https://g.co/kgs/1oUhsGm
- Find health care providers: Compare care near you | Medicare. (2024b, August 9). https://www.medicare.gov/care-compare/inspections/pdf/nursing-home/056431/health/complaint-inspection?date=2024-08-09
- Find health care providers: Compare care near you | Medicare. (2024a, June 28). https://www.medicare.gov/care-compare/inspections/pdf/nursing-home/056431/health/complaint-inspection?date=2024-06-28
- Find health care providers: Compare care near you | Medicare. (2024a, May 7). https://www.medicare.gov/care-compare/inspections/pdf/nursing-home/056431/health/complaint-inspection?date=2024-05-07
- Find health care providers: Compare care near you | Medicare. (2024f, October 10). https://www.medicare.gov/care-compare/inspections/pdf/nursing-home/056431/health/complaint-inspection?date=2024-10-10
- Fact-Checked
This content has been legally reviewed and approved by nursing home abuse attorney, Anthony Lanzone. Anthony holds notable memberships with professional organizations including the American Association for Justice and Consumer Attorneys of California.
VIEW SOURCES
- Find health care providers: Compare care near you | Medicare. (n.d.). https://www.medicare.gov/care-compare/details/nursing-home/056431?id=d32d8a46-74b5-41bd-b94e-d67916bd9393&city=Pomona&state=CA&zipcode=&measure=nursing-home-health-inspections
- Find health care providers: Compare care near you | Medicare. (2024, July 15). https://www.medicare.gov/care-compare/inspections/pdf/nursing-home/056431/health/complaint-inspection?date=2024-07-15
- Find health care providers: Compare care near you | Medicare. (2024b, August 30). https://www.medicare.gov/care-compare/inspections/pdf/nursing-home/056431/health/health-inspection?date=2024-08-30
- Find health care providers: Compare care near you | Medicare. (n.d.-b). https://www.medicare.gov/care-compare/details/nursing-home/056431?id=d32d8a46-74b5-41bd-b94e-d67916bd9393&city=Pomona&state=CA&zipcode=
- Talbot, R., Groeger, L. V., & Ornstein, C. (2012, August 14). Inland Valley Care and Rehabilitation Center in California | Nursing Home records | ProPublica – Nursing Home inspect. ProPublica. https://projects.propublica.org/nursing-homes/homes/h-056431
- DEPARTMENT OF HEALTH & HUMAN SERVICES & Center for Clinical Standards and Quality/Quality Safety & Oversight Group. (2023). Special Focus Facility (SFF) program. In Centers for Medicare & Medicaid Services [Report]. https://www.cms.gov/files/document/sff-posting-candidate-list-march-2025.pdf
- Google review of Inland Valley Rehabilitation Center by The Reviewer From the stars. (n.d.). Google Review of Inland Valley Rehabilitation Center by the Reviewer From the Stars. https://g.co/kgs/r6mi9Ze
- Google review of Inland Valley Rehabilitation Center by Theresa Gonzales. (n.d.). Google Review of Inland Valley Rehabilitation Center by Theresa Gonzales. https://g.co/kgs/B2h59b5
- Google review of Inland Valley Rehabilitation Center by Martin Prado. (n.d.). Google Review of Inland Valley Rehabilitation Center by Martin Prado. https://g.co/kgs/mKHJQr6
- Google review of Inland Valley Rehabilitation Center by Karon. (n.d.). Google Review of Inland Valley Rehabilitation Center by Karon. https://g.co/kgs/1oUhsGm
- Find health care providers: Compare care near you | Medicare. (2024b, August 9). https://www.medicare.gov/care-compare/inspections/pdf/nursing-home/056431/health/complaint-inspection?date=2024-08-09
- Find health care providers: Compare care near you | Medicare. (2024a, June 28). https://www.medicare.gov/care-compare/inspections/pdf/nursing-home/056431/health/complaint-inspection?date=2024-06-28
- Find health care providers: Compare care near you | Medicare. (2024a, May 7). https://www.medicare.gov/care-compare/inspections/pdf/nursing-home/056431/health/complaint-inspection?date=2024-05-07
- Find health care providers: Compare care near you | Medicare. (2024f, October 10). https://www.medicare.gov/care-compare/inspections/pdf/nursing-home/056431/health/complaint-inspection?date=2024-10-10