Mount San Antonio Gardens

900 E. Harrison Ave · Pomona, CA · 91767 · 9096245061

64 certified beds Non profit - Corporation

  • Staffing hours comfortably above national benchmarks.
  • No federal fines or payment denials in CMS’s 3-year window.

The complete Safety Report — $19

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 73
Serious harm & abuse 20% 100
Staffing 20% 88
Federal penalties 15% 100
Trend 10% 60
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: 5 of 5

Total nurse hours / resident-day6.453.48 min · 4.1 strong
RN hours / resident-day0.740.55–0.75
Weekend hours / resident-day5.28≈ weekday level
Nursing turnover / yearmedian 45%
Fines (3-yr window)none

Inspection citations (17 in the current record)

  • Potential for harm · D January 22, 2026 · found via complaint

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

    Corrected February 11, 2026 · Quality of Life and Care

  • Potential for harm · D May 30, 2025

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected June 18, 2025 · Quality of Life and Care

  • Potential for harm · D May 30, 2025

    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 June 18, 2025 · Quality of Life and Care

  • Potential for harm · D May 30, 2025

    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.

    Corrected June 18, 2025 · Quality of Life and Care

  • Potential for harm · D May 30, 2025

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

    Corrected June 18, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 16, 2024

    Ensure each resident receives an accurate assessment.

    Corrected June 3, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D May 16, 2024

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected June 5, 2024 · Quality of Life and Care

  • Potential for harm · E May 16, 2024

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

    Corrected June 5, 2024 · Nutrition and Dietary

  • Potential for harm · D May 16, 2024

    Provide and implement an infection prevention and control program.

    Corrected June 6, 2024 · Infection Control

  • Potential for harm · D May 26, 2023

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected June 16, 2023 · Resident Rights

  • Potential for harm · D May 26, 2023

    Reasonably accommodate the needs and preferences of each resident.

    Corrected June 16, 2023 · Resident Rights

  • Potential for harm · D May 26, 2023

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected June 16, 2023 · Quality of Life and Care

  • Potential for harm · E May 26, 2023

    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.

    Corrected June 16, 2023 · Quality of Life and Care

  • Potential for harm · D May 26, 2023

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected June 16, 2023 · Quality of Life and Care

  • Potential for harm · D May 26, 2023

    Ensure medication error rates are not 5 percent or greater.

    Corrected June 16, 2023 · Pharmacy Service

  • Potential for harm · D May 26, 2023

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Corrected June 16, 2023 · Nutrition and Dietary

  • Potential for harm · E May 26, 2023

    Provide and implement an infection prevention and control program.

    Corrected June 16, 2023 · Infection Control

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 055016 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.