Rancho Mesa Care Center (Alta Loma, CA) is rated 5 out of 5 stars overall, with strong quality measures and health inspection results but a low 2-star staffing rating. Reported nurse staffing is 4.08 hours per resident per day, just below the 4.1 federal benchmark, and there were $0 in fines in the last 24 months.
Last inspection: September 18, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.0807.
Staffing detail
Registered nurses
0.42
Licensed practical nurses
1.18
Nurse aides
2.49
Weekend nursing
3.68
Hours per resident per day.
Total staff turnover: 47%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
12.5%Improving
Residents with a fall causing major injury
1%Steady
Residents with pressure ulcers (bedsores)
4.3%Worsening
Residents with a urinary tract infection
0.6%Improving
Residents who lost too much weight
6%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
11.5%Improving
Residents whose ability to walk got worse
10.4%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
29.4%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
7.2%Improving
Residents with depressive symptoms
15.9%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
100%Steady
Short-stay residents given the pneumonia vaccine
94.9%Worsening
What the inspectors found
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited September 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited August 2024 — widespread issue, potential for harm.
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F-Tag 803 — 42 CFR §483.60 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2024 — widespread issue, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: F
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 June 2023 — widespread issue, potential for harm.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to ensure residents received food prepared in a form that met their individual needs. Cited August 2024 — limited pattern, potential for harm.
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F-Tag 805 — 42 CFR §483.60 — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 7 health deficiencies.
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INSPECTION
Health inspection found 1 health deficiency.
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INSPECTION
Health inspection found 8 health deficiencies.
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Operator & ownership
Ownership
For profit - Limited Liability company
Occupancy
57.5 residents on an average day (97% of 59 beds)
Resident voice
Resident & family councils
Medicare history
Certified for 33 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.