The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Madison Grove Post Acute
Redlands, CA · Medicare-certified · 243 beds
Needs attention
For-profitChain member
3 of 5 overall
3 of 5 stars overall. Staffing and quality measures are both 2 of 5 stars, while health inspections are 3 of 5; reported nurse staffing is 4.41 hours per resident per day, above the federal benchmark of 4.1, and the facility had $9,110 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
4.4057 hrs/resident/day
Quality measures
Last inspection: March 3, 2026Penalties, last 24 months: $9,110recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.4057.
Staffing detail
- Registered nurses
- 0.34
- Licensed practical nurses
- 1.52
- Nurse aides
- 2.55
- Weekend nursing
- 4.13
Hours per resident per day.
Total staff turnover: 35%
Registered nurse turnover: 63%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
23.2%9.4%Improving
Residents with a fall causing major injury
0.4%0.9%No change
Residents with pressure ulcers (bedsores)
7.8%6.9%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0.9%7.4%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
12.9%7.8%Improving
Residents whose ability to walk got worse
24.1%4.6%Improving
Long-stay residents on antianxiety or sleep medication
13.8%13.5%No change
Short-stay residents newly given an antipsychotic
5.4%2%Improving
Residents with a long-term catheter
0.8%0%Improving
Residents with new or worsening incontinence
11.3%9.6%Improving
Residents with depressive symptoms
3.5%14.7%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—99.6%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
100%98.7%Worsening
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited September 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited April 2022 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to keep essential equipment working safely. Cited February 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 908 — 42 CFR §483.90 — S/S: E
The home failed to post the required contact information for state agencies and advocacy groups, and the notice that residents can file complaints. Cited September 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 575 — 42 CFR §483.10 — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $9,110 was recorded.
Penalties & enforcement
On record with Medicare: 1 fine · $9,110 in total fines · 1 payment denial.
- 3 days
Medicare/Medicaid payment denial
Aug 27, 2025
- $9,110
Federal fine
Aug 27, 2025
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of MADISON CREEK PARTNERS · 13 homes · 3.5 stars avg
- Occupancy
- 230.1 residents on an average day (95% of 243 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 37 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.