Oak Glen Post Acute
9246 Avenida Miravilla · Cherry Valley, CA · 92223 · 9518453194
59 certified beds For profit - Limited Liability company Chain: Pacs Group
- Inspection results have improved across recent cycles.
The composite number cleared 71 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
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.
Red flags
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
RN staffing in the bottom 10% nationally
0.30 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.27 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.30 | 0.55–0.75 |
| Weekend hours / resident-day | 3.73 | ≈ weekday level |
| Nursing turnover / year | 30% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (37 in the current record)
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Potential for harm · D August 15, 2025 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected August 16, 2025 · Environmental
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Potential for harm · D May 22, 2025
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.
Corrected June 9, 2025 · Resident Rights
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Potential for harm · D May 22, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 9, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 22, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected June 9, 2025 · Quality of Life and Care
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Potential for harm · D May 22, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected June 9, 2025 · Quality of Life and Care
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Potential for harm · E May 22, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected June 9, 2025 · Pharmacy Service
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Potential for harm · F May 22, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 9, 2025 · Nutrition and Dietary
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Potential for harm · E May 22, 2025
Provide and implement an infection prevention and control program.
Corrected June 9, 2025 · Infection Control
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Potential for harm · E December 9, 2024 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected December 20, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 4, 2024 · found via complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected September 26, 2024 · Resident Rights
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Potential for harm · D July 30, 2024 · found via complaint
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.
Corrected August 12, 2024 · Resident Rights
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Potential for harm · D April 12, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected April 16, 2024 · Resident Rights
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Potential for harm · D April 12, 2024
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.
Corrected April 16, 2024 · Resident Rights
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Potential for harm · D April 12, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected April 16, 2024 · Resident Assessment and Care Planning
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Potential for harm · D April 12, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 16, 2024 · Quality of Life and Care
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Potential for harm · E April 12, 2024
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected April 16, 2024 · Nutrition and Dietary
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Potential for harm · D April 12, 2024
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected April 16, 2024 · Nutrition and Dietary
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Potential for harm · D April 12, 2024
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected April 16, 2024 · Nutrition and Dietary
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Potential for harm · F April 12, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 16, 2024 · Nutrition and Dietary
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Potential for harm · D April 12, 2024
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected April 16, 2024 · Nutrition and Dietary
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Potential for harm · D April 12, 2024
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected April 16, 2024 · Infection Control
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Actual harm · H March 20, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 12, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 22, 2024
Provide and implement an infection prevention and control program.
Corrected February 21, 2024 · Infection Control
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Potential for harm · D November 10, 2022
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 7, 2022 · Resident Rights
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Potential for harm · D November 10, 2022
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected December 7, 2022 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 22, 2024 | Payment Denial | 11 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555492 · certified since November 22, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.