Mount San Antonio Gardens
900 E. Harrison Ave, Pomona, CA 91767
Mount San Antonio Gardens is a nursing home in Pomona, California. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
CMS star ratings
- 5 of 5CMS overall star rating
- 5 of 5CMS health inspection star rating
- 3 of 5CMS staffing star rating
- 5 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (909) 624-5061
- Last standard health inspection
- June 24, 2026 (4 months ago)
- Certified beds
- 64
- Residents per day, on average
- 38.9
- Ownership type
- Non profit - Corporation
- Legal business name
- Congregational Homes
- Chain
- Not listed by CMS
- Takes part in
- Medicare
Fewer health citations than the California average (14 vs 50).
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
5 citations
Health inspection on June 24, 2026
CMS lists this as a standard inspection.
Citation F0689. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on July 14, 2026.
CMS has cited this home for F0689 2 times since 2026.
Citation F0695. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on July 14, 2026.
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on July 14, 2026.
CMS has cited this home for F0880 2 times since 2024.
Citation F0655. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
CMS lists it as corrected on July 14, 2026.
Citation F0925. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
CMS lists it as corrected on July 13, 2026.
3 citations
Fire safety inspection on June 24, 2026
CMS lists this as a standard inspection.
Citation K0345. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on July 1, 2026.
CMS has cited this home for K0345 2 times since 2025.
Citation K0353. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on June 25, 2026.
CMS has cited this home for K0353 2 times since 2025.
Citation K0923. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have proper medical gas storage and administration areas.
CMS lists it as corrected on July 14, 2026.
CMS update of April 29, 2026
Star rating
The CMS staffing star rating changed from 1 of 5 to 3 of 5.
CMS update of February 25, 2026
Star rating
The CMS staffing star rating changed from 5 of 5 to 1 of 5.
1 citation
Health inspection on January 22, 2026
CMS lists this as a complaint inspection.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on February 11, 2026.
4 citations
Health inspection on May 30, 2025
CMS lists this as a standard inspection.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on June 18, 2025.
CMS has cited this home for F0684 2 times since 2024.
Citation F0690. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS lists it as corrected on June 18, 2025.
Citation F0700. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on June 18, 2025.
Citation F0842. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS lists it as corrected on June 18, 2025.
4 citations
Fire safety inspection on May 30, 2025
CMS lists this as a standard inspection.
Citation K0345. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on June 2, 2025.
Citation K0353. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on June 2, 2025.
Citation K0355. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Properly select, install, inspect, or maintain portable fire extinguishes.
CMS lists it as corrected on June 2, 2025.
Citation K0363. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on June 2, 2025.
CMS update of February 26, 2025
Star rating
The CMS staffing star rating changed from 4 of 5 to 5 of 5.
CMS update of August 29, 2024
Star rating
The CMS health inspection star rating changed from 4 of 5 to 5 of 5.
4 citations
Health inspection on May 16, 2024
CMS lists this as a standard inspection.
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on June 5, 2024.
Citation F0641. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives an accurate assessment.
CMS lists it as corrected on June 3, 2024.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on June 5, 2024.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on June 6, 2024.
4 citations
Fire safety inspection on May 16, 2024
CMS lists this as a standard inspection.
Citation E0041. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Implement emergency and standby power systems.
CMS lists it as corrected on June 10, 2024.
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on June 10, 2024.
Citation K0920. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure proper usage of power strips and extension cords.
CMS lists it as corrected on June 10, 2024.
Citation K0753. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have restrictions on the use of highly flammable decorations.
CMS lists it as corrected on June 10, 2024.
CMS update of April 25, 2024
Star rating
The CMS staffing star rating changed from 5 of 5 to 4 of 5.
CMS update of January 31, 2024
Staffing
Total nurse staffing reported to CMS went from 6.9 to 5.8 hours per resident per day.
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- CONGREGATIONAL HOMES5% or greater direct ownership interest · 100% · since 06/09/2007
- CITRUS PHARMACYOperational/managerial control · not applicable · since 08/01/2025
- CONGREGATIONAL HOMESOperational/managerial control · not applicable · since 06/09/2007
- ROBERT MARRIOTT MEDICAL CORPOperational/managerial control · not applicable · since 01/01/2024
- WIPFLI LLPOperational/managerial control · not applicable · since 01/01/2025
- ABRAMS, LISEOperational/managerial control · not applicable · since 01/01/2023
- ASPINALL, ROBINOperational/managerial control · not applicable · since 01/01/2023
- ATILANO, LISAOperational/managerial control · not applicable · since 07/25/2024
- BROWN, ELEANOROperational/managerial control · not applicable · since 01/01/2021
- BROWN, EVELYNOperational/managerial control · not applicable · since 01/06/2022
- BUSH, JANOperational/managerial control · not applicable · since 01/01/2023
- CUARESMA, ROLANDOOperational/managerial control · not applicable · since 02/03/2025
- DINA, LINAOperational/managerial control · not applicable · since 09/13/2021
- GERARD, NEILOperational/managerial control · not applicable · since 01/01/2023
- GRIGSBY, JILLOperational/managerial control · not applicable · since 01/01/2023
- HARPOLE, JOHNOperational/managerial control · not applicable · since 01/01/2021
- LEE, CAMILLEOperational/managerial control · not applicable · since 01/01/2025
- MENEFEE LIBEY, DAVIDOperational/managerial control · not applicable · since 01/01/2021
- MURPHY, RACHELLEOperational/managerial control · not applicable · since 01/01/2023
- NEAULT, MARYOperational/managerial control · not applicable · since 01/01/2023
- NEGRITTO, LESLIEOperational/managerial control · not applicable · since 01/23/2020
- PEZDEK, KATHYOperational/managerial control · not applicable · since 01/01/2022
- QUAY, MARY ANNOperational/managerial control · not applicable · since 01/01/2021
- SMITH, DARYLOperational/managerial control · not applicable · since 01/06/2022
- STARK, JEFFREYOperational/managerial control · not applicable · since 01/06/2018
- STIELSTRA, DIANEOperational/managerial control · not applicable · since 01/06/2022
- STODDARD, MICHELLEOperational/managerial control · not applicable · since 01/01/2023
- STRANGE, MICHAELOperational/managerial control · not applicable · since 01/01/2023
- TAKHAR, DALJINDEROperational/managerial control · not applicable · since 01/01/2022
- VESTINO, MICHAELOperational/managerial control · not applicable · since 01/06/2022
- WEEKES, NICOLEOperational/managerial control · not applicable · since 01/01/2024
- WELLS, WILLIAMOperational/managerial control · not applicable · since 01/01/2024
- WHITING, JOHNOperational/managerial control · not applicable · since 01/01/2022
- WILLIAMS, PATRICIAOperational/managerial control · not applicable · since 01/20/2015
- ZIMMERMAN, RYANOperational/managerial control · not applicable · since 01/07/2021
Questions
When was Mount San Antonio Gardens last inspected?
CMS lists June 24, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Mount San Antonio Gardens have?
CMS lists 14 health citations since May 16, 2024. CMS also calls these deficiencies.
Has Mount San Antonio Gardens been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Mount San Antonio Gardens?
Its CMS overall star rating is 5 of 5.
Is Mount San Antonio Gardens a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.