California › San Bernardino County › Redlands
Madison Grove Post Acute
1618 Laurel Ave, Redlands, CA 92373
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Madison Grove Post Acute is a For-profit, limited liability company nursing home in Redlands, California, certified for 243 beds and caring for about 229 residents a day.
CMS gives it 3 of 5 stars overall, equal to the California median; the health inspection rating is 3, staffing 2 and quality measures 2.
Inspectors recorded 42 health deficiencies across the three most recent survey cycles (12, 12, 18 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 17.3 per 100 beds, fewer than the state median of 51.1.
CMS lists 2 penalties in the period covered: fines totalling $9K and 1 payment denial.
Reported nurse staffing is 4.8 hours per resident per day (0.3 RN), close to the California median of 4.2; nursing staff turnover is 31.5%.
Compared with county, state and nation
| Measure | This facility | San Bernardino Co. median | California median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 42 | 27 | 44 | 28.7 |
| Citations per 100 beds | 17.3 | 34.3 | 51.1 | 26.8 |
| Total nurse hours per resident day | 4.8 | 4.3 | 4.2 | 3.9 |
| RN hours per resident day | 0.3 | 0.4 | 0.5 | 0.7 |
| Nursing staff turnover | 31.5% | 42.0% | 36.4% | 45.8% |
| Fines listed | $9,110 | $0 | $0 | — |
County and state figures are medians across facilities (55 in the county, 1165 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 17 Sep 2025, 25 Apr 2022.
Severity mix: G ×1 D ×31 E ×8 F ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 3 Mar 2026 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Complaint investigation | 13 Mar 2026 |
| 9 Feb 2026 | F0908 | Keep all essential equipment working safely. | E | Complaint investigation | 7 Mar 2026 |
| 17 Sep 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 30 Sep 2025 |
| 17 Sep 2025 | F0575 | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | E | Standard survey | 30 Sep 2025 |
| 17 Sep 2025 | F0761 | 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. | E | Standard survey | 30 Sep 2025 |
| 17 Sep 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 30 Sep 2025 |
| 17 Sep 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 30 Sep 2025 |
| 17 Sep 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 30 Sep 2025 |
| 17 Sep 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 30 Sep 2025 |
| 17 Sep 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 30 Sep 2025 |
| 17 Sep 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard survey | 30 Sep 2025 |
| 27 Aug 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 27 Sep 2025 |
| 19 Mar 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 16 May 2025 |
| 28 Aug 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 19 Sep 2024 |
| 27 Aug 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 31 Aug 2024 |
| 5 Jun 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 28 Jun 2024 |
| 25 Apr 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 19 May 2022 |
| 25 Apr 2022 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 19 May 2022 |
| 25 Apr 2022 | F0646 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | D | Standard survey | 19 May 2022 |
| 25 Apr 2022 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 19 May 2022 |
| 25 Apr 2022 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 19 May 2022 |
| 25 Apr 2022 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 19 May 2022 |
| 25 Apr 2022 | F0693 | 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. | D | Standard survey | 19 May 2022 |
| 25 Apr 2022 | F0710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | D | Standard survey | 19 May 2022 |
| 25 Apr 2022 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 19 May 2022 |
| 19 Oct 2021 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | E | Standard survey | 30 Nov 2021 |
| 19 Oct 2021 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 30 Nov 2021 |
| 19 Oct 2021 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 30 Nov 2021 |
| 19 Oct 2021 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 30 Nov 2021 |
| 19 Oct 2021 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 30 Nov 2021 |
| 19 Oct 2021 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 30 Nov 2021 |
| 19 Oct 2021 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 30 Nov 2021 |
| 19 Oct 2021 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Standard survey | 30 Nov 2021 |
| 19 Oct 2021 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 30 Nov 2021 |
| 19 Oct 2021 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 30 Nov 2021 |
| 19 Oct 2021 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 30 Nov 2021 |
| 19 Oct 2021 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 30 Nov 2021 |
| 19 Oct 2021 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 30 Nov 2021 |
| 19 Oct 2021 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 30 Nov 2021 |
| 19 Oct 2021 | F0814 | Dispose of garbage and refuse properly. | D | Standard survey | 30 Nov 2021 |
| 19 Oct 2021 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | D | Standard survey | 30 Nov 2021 |
| 19 Oct 2021 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Standard survey | 30 Nov 2021 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 27 Aug 2025 | Payment denial | — | 3 days |
| 27 Aug 2025 | Fine | $9,110 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 31.5%, RNs 52.6%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | California median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 7.6% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.4% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.9% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.0% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 10.8% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.6% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 10.2% | 9.1% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Laurel Avenue Llc. Chain: Madison Creek Partners (13 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Laurel Avenue LLC | 5% or greater direct ownership interest | 100% | 04/05/2015 |
| Madison Creek Partners LLC | 5% or greater indirect ownership interest | 100% | 04/05/2015 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in San Bernardino County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Apple Valley Care Center | Apple Valley | 99 | 5 | 5 | 3 | 23 | 23.2 | $8K | 12 Mar 2026 |
| Citrus Nursing Center | Fontana | 99 | 5 | 4 | 2 | 22 | 22.2 | $7K | 31 Jul 2025 |
| Community Convalescent Center of San Bernardino | San Bernardino | 84 | 5 | 5 | 4 | 12 | 14.3 | — | 24 Apr 2025 |
| Community Extended Care Hospital of Montclair | Montclair | 140 | 5 | 5 | 3 | 19 | 13.6 | — | 26 Feb 2026 |
| Grand Terrace Health Care Center | Grand Terrace | 59 | 5 | 5 | 4 | 27 | 45.8 | — | 5 Mar 2026 |
| Heritage Park Nursing Center | Upland | 70 | 5 | 5 | 4 | 21 | 30.0 | — | 13 May 2026 |
| Hillcrest Nursing Home | San Bernardino | 59 | 5 | 5 | 3 | 20 | 33.9 | — | 18 Nov 2025 |
| Montclair Manor Care Center | Montclair | 59 | 5 | 4 | 4 | 27 | 45.8 | — | 30 Apr 2025 |
All 55 facilities in San Bernardino County
Questions and answers
How many deficiencies has Madison Grove Post Acute been cited for?
42 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.
Has Madison Grove Post Acute been fined?
Yes. CMS lists fines totalling $9K in the period covered, plus 1 payment denial.
How does staffing at Madison Grove Post Acute compare?
Reported total nurse staffing is 4.8 hours per resident per day against a California median of 4.2 and a national average of 3.9.
Who operates Madison Grove Post Acute?
It is part of the Madison Creek Partners chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Laurel Avenue LLC and Madison Creek Partners LLC. Individual owners and managers are not listed on this site.
When was Madison Grove Post Acute last inspected?
The most recent survey or investigation in the CMS record is dated 3 Mar 2026; the most recent standard health survey was 17 Sep 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.