Grand Terrace Health Care Center

12000 Mount Vernon Ave · Grand Terrace, CA · 92313 · 9098255221

59 certified beds For profit - Corporation Chain: The Ensign Group

  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 66
Serious harm & abuse 20% 100
Staffing 20% 77
Federal penalties 15% 100
Trend 10% 85
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 5 of 5 Inspections: 5 of 5 Staffing: 3 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day4.483.48 min · 4.1 strong
RN hours / resident-day0.450.55–0.75
Weekend hours / resident-day3.95≈ weekday level
Nursing turnover / year37%median 45%
Fines (3-yr window)none

Inspection citations (27 in the current record)

  • Potential for harm · D March 5, 2026

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected March 26, 2026 · Pharmacy Service

  • Potential for harm · F March 5, 2026

    Provide and implement an infection prevention and control program.

    Corrected March 26, 2026 · Infection Control

  • No harm found · B March 5, 2026

    Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

    Corrected March 26, 2026 · Environmental

  • Potential for harm · D November 22, 2024

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Corrected December 11, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D November 22, 2024

    Ensure each resident receives an accurate assessment.

    Corrected December 17, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D November 22, 2024

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected December 2, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D November 22, 2024

    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.

    Corrected December 3, 2024 · Quality of Life and Care

  • Potential for harm · D November 22, 2024

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected December 2, 2024 · Pharmacy Service

  • Potential for harm · E November 22, 2024

    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.

    Corrected December 2, 2024 · Pharmacy Service

  • Potential for harm · F November 22, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected December 9, 2024 · Nutrition and Dietary

  • Potential for harm · F November 22, 2024

    Provide and implement an infection prevention and control program.

    Corrected December 2, 2024 · Infection Control

  • No harm found · B November 22, 2024

    Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

    Corrected December 9, 2024 · Environmental

  • Potential for harm · D October 14, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected October 18, 2024 · Quality of Life and Care

  • Potential for harm · D April 7, 2023

    Reasonably accommodate the needs and preferences of each resident.

    Corrected May 2, 2023 · Resident Rights

  • Potential for harm · D April 7, 2023

    Ensure each resident receives an accurate assessment.

    Corrected May 2, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D April 7, 2023

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected May 2, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D April 7, 2023

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected May 2, 2023 · Quality of Life and Care

  • Potential for harm · D April 7, 2023

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected May 2, 2023 · Quality of Life and Care

  • Potential for harm · D April 7, 2023

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected May 2, 2023 · Quality of Life and Care

  • Potential for harm · D April 7, 2023

    Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

    Corrected May 2, 2023 · Administration

  • Potential for harm · D April 7, 2023

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected May 2, 2023 · Nutrition and Dietary

  • Potential for harm · D April 7, 2023

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Corrected May 2, 2023 · Nutrition and Dietary

  • Potential for harm · F April 7, 2023

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected May 2, 2023 · Nutrition and Dietary

  • Potential for harm · D April 7, 2023

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected May 2, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D April 7, 2023

    Provide and implement an infection prevention and control program.

    Corrected May 2, 2023 · Infection Control

Showing the 25 most recent. The Safety Report includes every citation with full findings.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 055129 · certified since June 1, 1973. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.