COUNTRY OAKS CARE CENTER
COUNTRY OAKS CARE CENTER, in POMONA, California, holds 81 certified beds and has been certified for Medicare and Medicaid since 1971-11-01, averaging 72.3 residents a day.
Has COUNTRY OAKS CARE CENTER been cited for violations?
CMS lists 70 health-inspection deficiencies for COUNTRY OAKS CARE CENTER, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is E; the most recent health inspection was 2026-05-08.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-05-08 | F0689, F0812, F0880, F0919 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. / Make sure that a working call system is available in each resident's bathroom and bathing area. | E |
| 2026-05-08 | F0656, F0684, F0686, F0700 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D |
| 2026-04-16 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2026-03-24 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2025-07-17 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E |
| 2025-07-17 | F0656, F0684 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2025-04-16 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E |
| 2025-04-16 | F0689, F0880 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide and implement an infection prevention and control program. | D |
| 2025-03-06 | F0584, F0693, F0694, F0755, F0880, F0921 | 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. / 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. / Provide for the safe, appropriate administration of IV fluids for a resident when needed. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Provide and implement an infection prevention and control program. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E |
| 2025-03-06 | F0558, F0578, F0641, F0656, F0689, F0690, F0695, F0726, F0758, F0812 | Reasonably accommodate the needs and preferences of each resident. / 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. / Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D |
| 2025-03-06 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B |
| 2025-02-19 | F0656, F0921 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D |
| 2024-10-29 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| 2024-10-23 | F0776 | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | D |
| 2024-09-25 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E |
| 2024-08-28 | F0690, F0725 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E |
| 2024-08-28 | F0732 | Post nurse staffing information every day. | D |
| 2024-08-12 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E |
| 2024-08-01 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D |
| 2024-07-27 | F0880 | Provide and implement an infection prevention and control program. | D |
| 2024-07-15 | 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. | E |
| 2024-07-15 | F0550, F0558 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Reasonably accommodate the needs and preferences of each resident. | D |
| 2024-06-11 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| 2024-05-07 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2024-04-17 | 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. | E |
| 2024-04-17 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D |
| 2024-03-19 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E |
| 2024-03-19 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2024-03-07 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E |
| 2024-02-23 | F0656, F0684, F0686, F0692, F0838, F0880 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide enough food/fluids to maintain a resident's health. / Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. / Provide and implement an infection prevention and control program. | E |
| 2024-02-23 | F0550, F0690, F0695, F0756, F0758, F0919, F0921 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. / Make sure that a working call system is available in each resident's bathroom and bathing area. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D |
| 2024-02-23 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B |
| 2023-12-26 | F0808, F0812 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D |
How is COUNTRY OAKS CARE CENTER staffed relative to the CA average?
| Measure | This facility | CA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 4.39639 | 4.51570 |
| Total nursing staff turnover (%) | 52.5 | 36.7 |
| Average number of residents per day | 72.3 | 87.9 |
Who owns COUNTRY OAKS CARE CENTER, and what chain is it in?
COUNTRY OAKS CARE CENTER is registered with CMS as For profit - Limited Liability company, operates under the legal business name COUNTRY OAKS PARTNERS LLC and belongs to the DAVID JOHNSON chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | COUNTRY OAKS PARTNERS LLC | since 11/05/2008 |
| INDIRECT OWNERSHIP INTEREST | CHAMBERS, THOMAS, JOHNSON, DAVID, JOHNSON, FRANK, MARMUR, ELI | since 06/10/2008 |
| 5% OR GREATER SECURITY INTEREST | WEST PEARL STREET, LP | since 02/11/2025 |
| MANAGING CONTROL - GOVERNING BODY | JOHNSON, FRANK | since 06/10/2008 |
| CORPORATE OFFICER | OXFORD, MICHEAL | since 01/03/2022 |
| OPERATIONAL/MANAGERIAL CONTROL | COUNTRY OAKS PARTNERS LLC, DEHGHANMANESH, ADRIAN, JOHNSON, FRANK, KOCHEK, JOSHUA, MANZON, EDWIN, OXFORD, MICHEAL, SANDHU, GARY, SELVIG, KYLE | since 01/01/2016 |
| ADP OF THE SNF | COUNTRY OAKS PARTNERS LLC, SUN MAR MANAGEMENT SERVICES, WEST PEARL STREET, LP, DEHGHANMANESH, ADRIAN, FARRALES, MARY, KOCHEK, JOSHUA, MANZON, EDWIN, OXFORD, MICHEAL, SANDHU, GARY, SELVIG, KYLE | since 01/01/2016 |
Were you or a family member harmed at COUNTRY OAKS CARE CENTER?