nursing home in Grand Terrace, CA

Grand Terrace Health Care Center

12000 Mount Vernon Ave, Grand Terrace, CA 92313 · (909) 825-5221

★★★★★5
Much above average
CMS overall star rating
  • Health inspections★★★★★5
  • Staffing★★★★★4
  • Quality measures★★★★★5
  • CMS high performer

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Grand Terrace Health Care Center at a glance

Grand Terrace Health Care Center is a 59-bed for-profit nursing home in Grand Terrace, California (San Bernardino County).

CMS gives it 5 out of 5 stars on its overall star rating, better than the California average of 3.2.

Residents receive about 4.7 hours of nursing care per day (0.5 of them from registered nurses), close to the state average of 4.5 hours.

Its most recent standard health inspection (March 5, 2026) found 3 health citations. The California average is 15.5.

It has not received a federal fine in the past three years.

Nursing staff turnover is 32.4% per year (state average 36.7%).

Facility details

Type
Nursing home
Ownership
For Profit - Corporation
Beds
59
Certified for
Medicare and Medicaid
Chain / affiliated entity
The Ensign Group
Medicare-certified since
June 1, 1973
Resident/family council
Resident
County
San Bernardino County
CMS Certification Number
055129

Ratings

MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)5 / 53.2 / 53 / 5Better
Health inspection rating ⓘ (higher is better)5 / 52.8 / 52.8 / 5Better
Staffing rating ⓘ (higher is better)4 / 53.3 / 52.9 / 5Better
Quality measures rating ⓘ (higher is better)5 / 54.1 / 53.6 / 5Better
Long-stay quality rating (higher is better)5 / 54.4 / 53.8 / 5Better
Short-stay (rehab) quality rating (higher is better)4 / 53.6 / 53.3 / 5Better

Staffing

This facility4.69 hrsCalifornia average4.52 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. California and U.S. averages
MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)4.69 hrs4.52 hrs3.86 hrsBetter
Registered nurse hours per resident per day (higher is better)0.48 hrs0.67 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)2.75 hrs2.65 hrs2.32 hrsBetter
Weekend nurse staff hours per resident per day (higher is better)4.16 hrs4.09 hrs3.42 hrsBetter
Nursing staff turnover (yearly) (lower is better)32.4%36.7%45.8%Better
Registered nurse turnover (yearly) (lower is better)28.6%38.1%42.9%Better
Administrators who left in the past year (lower is better)001Better

Inspections

This facility3California average16U.S. average9
Health citations in the most recent inspection: this facility vs. California and U.S. averages
MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)3169Better
Citations from complaint investigations (latest cycle) (lower is better)043Better
Weighted health inspection score ⓘ (lower is better)31105.880.6Better

Penalties

This facility0California average1U.S. average1
Fines in the past 3 years: this facility vs. California and U.S. averages
MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)011Better
Total fines in the past 3 years (lower is better)$0$23,986$30,972Better
All federal penalties in the past 3 years (lower is better)011Better

Size

MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Certified beds5999107
Average residents per day528886
Occupancy87.3%88.4%80.9%

Long-stay residents

This facility2.1%California average1.6%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. California and U.S. averages
MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)2.1%1.6%3.2%Better
Long-stay residents with pressure ulcers (lower is better)3.6%4.3%4.6%Better
Long-stay residents given antipsychotic medication (lower is better)8.7%12%15.4%Better
Long-stay residents with a urinary tract infection (lower is better)0%1.2%1.6%Better
Long-stay residents with a catheter left in the bladder (lower is better)0.8%0.8%0.8%Better
Long-stay residents needing more help with daily activities (lower is better)13.5%10.2%13.9%Average
Long-stay residents whose walking worsened (lower is better)27.4%9.8%14.1%Worse
Long-stay residents who lose too much weight (lower is better)6.6%4%5.2%Worse
Long-stay residents with depressive symptoms (lower is better)50.6%7.3%12.8%Worse
Long-stay residents who were physically restrained (lower is better)0%0.4%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)13.8%13.7%19.5%Better
Long-stay residents with new or worse incontinence (lower is better)3.3%10.2%19%Better
Long-stay residents given a flu vaccine (higher is better)100%98.2%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)100%98.6%93.6%Better

Short-stay residents

This facility1.8%California average1.5%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. California and U.S. averages
MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)1.8%1.5%1.6%Worse
Short-stay residents given a flu vaccine (higher is better)96.7%93.2%79.8%Better
Short-stay residents given a pneumonia vaccine (higher is better)96%94.4%82%Better

Inspection citations

State inspectors cited this home for 27 health deficiencies and 11 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.

DateCitationSeverityStatus
March 5, 2026
Fire safety
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies · Tag K0712
F
Potential harm, widespread
Corrected April 9, 2026
March 5, 2026
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
D
Potential harm, isolated
Corrected April 9, 2026
March 5, 2026
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
F
Potential harm, widespread
Corrected March 26, 2026
March 5, 2026
Standard
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
D
Potential harm, isolated
Corrected March 26, 2026
March 5, 2026
Standard
Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
Environmental Deficiencies · Tag F0911
B
No harm, pattern
Corrected March 26, 2026
November 22, 2024
Fire safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Miscellaneous Deficiencies · Tag K0761
F
Potential harm, widespread
Corrected December 5, 2024
November 22, 2024
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
F
Potential harm, widespread
Corrected December 17, 2024
November 22, 2024
Fire safety
Implement emergency and standby power systems.
Emergency Preparedness Deficiencies · Tag E0041
F
Potential harm, widespread
Corrected December 3, 2024
November 22, 2024
Fire safety
Have properly installed electrical wiring and gas equipment.
Services Deficiencies · Tag K0511
D
Potential harm, isolated
Corrected December 4, 2024
November 22, 2024
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
F
Potential harm, widespread
Corrected December 2, 2024
November 22, 2024
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected December 9, 2024
November 22, 2024
Standard
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · Tag F0761
E
Potential harm, pattern
Corrected December 2, 2024
November 22, 2024
Standard
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies · Tag F0693
D
Potential harm, isolated
Corrected December 3, 2024
November 22, 2024
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
D
Potential harm, isolated
Corrected December 17, 2024
November 22, 2024
Standard
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies · Tag F0636
D
Potential harm, isolated
Corrected December 11, 2024
November 22, 2024
Standard
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Tag F0757
D
Potential harm, isolated
Corrected December 2, 2024
November 22, 2024
Standard
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Tag F0655
D
Potential harm, isolated
Corrected December 2, 2024
November 22, 2024
Standard
Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
Environmental Deficiencies · Tag F0911
B
No harm, pattern
Corrected December 9, 2024
October 14, 2024
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected October 18, 2024
April 7, 2023
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
E
Potential harm, pattern
Corrected May 15, 2023
April 7, 2023
Fire safety
Implement emergency and standby power systems.
Emergency Preparedness Deficiencies · Tag E0041
D
Potential harm, isolated
Corrected May 15, 2023
April 7, 2023
Fire safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies · Tag K0521
D
Potential harm, isolated
Corrected May 15, 2023
April 7, 2023
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
D
Potential harm, isolated
Corrected May 15, 2023
April 7, 2023
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
D
Potential harm, isolated
Corrected May 15, 2023
April 7, 2023
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected May 2, 2023
April 7, 2023
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected May 2, 2023
April 7, 2023
Standard
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected May 2, 2023
April 7, 2023
Standard
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Tag F0558
D
Potential harm, isolated
Corrected May 2, 2023
April 7, 2023
Standard
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Tag F0921
D
Potential harm, isolated
Corrected May 2, 2023
April 7, 2023
Standard
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · Tag F0806
D
Potential harm, isolated
Corrected May 2, 2023
April 7, 2023
Standard
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Tag F0804
D
Potential harm, isolated
Corrected May 2, 2023
April 7, 2023
Standard
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Administration Deficiencies · Tag F0773
D
Potential harm, isolated
Corrected May 2, 2023
April 7, 2023
Standard
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Tag F0698
D
Potential harm, isolated
Corrected May 2, 2023
April 7, 2023
Standard
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Tag F0690
D
Potential harm, isolated
Corrected May 2, 2023
April 7, 2023
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected May 2, 2023
April 7, 2023
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected May 2, 2023
April 7, 2023
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
D
Potential harm, isolated
Corrected May 2, 2023
April 7, 2023
Standard
Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
Environmental Deficiencies · Tag F0911
B
No harm, pattern
Corrected May 2, 2023

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports no federal fines or payment denials in the past three years.

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
SHAROBIEM, ANDRO
Individual
adp of the snfNOT APPLICABLE10/02/2024
WILLITS, ADAM
Individual
corporate directorNOT APPLICABLE02/01/2023
BURNAM, SOON
Individual
corporate officerNOT APPLICABLE11/08/2022
FITCH, CRAIG
Individual
corporate officerNOT APPLICABLE11/08/2022
SATO, AMI
Individual
corporate officerNOT APPLICABLE09/09/2024
SCOTT, MATTHEW
Individual
corporate officerNOT APPLICABLE02/01/2023
THE ENSIGN GROUP INC
Organization
limited partnership interestNOT APPLICABLE02/01/2023
HAROLDSEN, BRIAN
Individual
operational/managerial controlNOT APPLICABLE02/01/2023

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  5. Rialto Post Acute Center

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Frequently asked questions

What is Grand Terrace Health Care Center's rating?

Grand Terrace Health Care Center has 5 out of 5 stars on the CMS overall star rating. The average for California nursing homes is 3.2 stars.

How many inspection citations did Grand Terrace Health Care Center receive?

Its most recent standard health inspection found 3 citations, compared with a California average of 15.5. Every citation is listed on this page with its severity.

Does Grand Terrace Health Care Center accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Grand Terrace Health Care Center?

It is for profit - corporation and part of The Ensign Group. The ownership section on this page lists the owners and managers reported to CMS.

Where is Grand Terrace Health Care Center and how do I contact it?

Grand Terrace Health Care Center is at 12000 Mount Vernon Ave, Grand Terrace, CA 92313. Phone: (909) 825-5221.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.