LaterStages
Living & care after 55

Nursing home · Medicare certified

Citrus Grove Post Acute

9025 Colorado Avenue, Riverside, CA 92503

(951) 688-3643 Compare Map
Overall2★★☆☆☆
Inspections2★★☆☆☆
Staffing1★☆☆☆☆
Quality5★★★★★
Federal finesNoneon record

Inspection citations

66 shown

DateSeverityWhat inspectors foundVisit
Aug 4, 2026 D · potential Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Complaint
Aug 4, 2026 D · potential Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Complaint
Aug 4, 2026 D · potential Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Complaint
Jul 8, 2026 E · potential Provide appropriate foot care. Complaint
Jun 25, 2026 D · potential Provide appropriate treatment and care according to orders, resident’s preferences and goals. Complaint
Jun 25, 2026 D · potential Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Complaint
Jun 25, 2026 D · potential Keep all essential equipment working safely. Complaint
Mar 19, 2026 D · potential Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Complaint
Mar 19, 2026 D · potential Provide appropriate treatment and care according to orders, resident’s preferences and goals. Complaint
Mar 4, 2026 D · potential Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Complaint
Dec 31, 2025 D · potential Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Complaint
Dec 17, 2025 D · potential Provide care and assistance to perform activities of daily living for any resident who is unable. Complaint
Dec 17, 2025 D · potential Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Complaint
Dec 11, 2025 E · potential Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Routine
Dec 11, 2025 D · potential Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Routine
Dec 11, 2025 D · potential Ensure services provided by the nursing facility meet professional standards of quality. Routine
Dec 11, 2025 D · potential Provide care and assistance to perform activities of daily living for any resident who is unable. Routine
Dec 11, 2025 D · potential Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Routine
Dec 11, 2025 D · potential Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Routine
Dec 11, 2025 F · potential Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Routine
Dec 11, 2025 D · potential Provide and implement an infection prevention and control program. Routine
Dec 11, 2025 B · minimal Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. Routine
Aug 15, 2025 E · potential Ensure services provided by the nursing facility meet professional standards of quality. Complaint
Aug 15, 2025 E · potential 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. Complaint
Jun 20, 2025 D · potential Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Complaint
May 12, 2025 D · potential Reasonably accommodate the needs and preferences of each resident. Complaint
Mar 4, 2025 D · potential 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. Complaint
Feb 19, 2025 D · potential Provide safe, appropriate dialysis care/services for a resident who requires such services. Complaint
Feb 19, 2025 D · potential Provide and implement an infection prevention and control program. Complaint
Jan 21, 2025 D · potential Post nurse staffing information every day. Complaint
Jan 21, 2025 D · potential Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Complaint
Oct 17, 2024 D · potential Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Routine
Oct 17, 2024 E · potential Allow residents to self-administer drugs if determined clinically appropriate. Routine
Oct 17, 2024 D · potential Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Routine
Oct 17, 2024 D · potential Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Routine
Oct 17, 2024 D · potential Provide appropriate treatment and care according to orders, resident’s preferences and goals. Routine
Oct 17, 2024 D · potential Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Routine
Oct 17, 2024 D · potential Provide safe and appropriate respiratory care for a resident when needed. Routine
Oct 17, 2024 E · potential 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. Routine
Oct 17, 2024 E · potential Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Routine
Oct 17, 2024 D · potential Have a policy regarding use and storage of foods brought to residents by family and other visitors. Routine
Oct 17, 2024 D · potential Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Routine
Oct 17, 2024 E · potential Provide and implement an infection prevention and control program. Routine
Oct 17, 2024 B · minimal Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. Routine
Oct 17, 2024 D · potential Make sure that a working call system is available in each resident's bathroom and bathing area. Routine
Jul 23, 2024 D · potential Give the resident's representative the ability to exercise the resident's rights. Complaint
Jul 23, 2024 D · potential Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Complaint
Jan 16, 2024 D · potential Provide care and assistance to perform activities of daily living for any resident who is unable. Complaint
Nov 20, 2023 E · potential Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Complaint
Nov 7, 2023 E · potential Provide appropriate treatment and care according to orders, resident’s preferences and goals. Complaint
Oct 26, 2023 E · potential Provide and implement an infection prevention and control program. Complaint
Oct 4, 2023 E · potential Reasonably accommodate the needs and preferences of each resident. Complaint
Jul 12, 2023 D · potential Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Routine
Jul 12, 2023 D · potential Reasonably accommodate the needs and preferences of each resident. Routine
Jul 12, 2023 D · potential Ensure services provided by the nursing facility meet professional standards of quality. Routine
Jul 12, 2023 D · potential Provide activities to meet all resident's needs. Routine
Jul 12, 2023 D · potential Provide safe, appropriate pain management for a resident who requires such services. Routine
Jul 12, 2023 E · potential Ensure medication error rates are not 5 percent or greater. Routine
Jul 12, 2023 E · potential Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Routine
Jul 12, 2023 E · potential 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. Routine
Jul 12, 2023 E · potential Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Routine
Jul 12, 2023 F · potential Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Routine
Jul 12, 2023 D · potential Dispose of garbage and refuse properly. Routine
Jul 12, 2023 D · potential Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Routine
Jul 12, 2023 D · potential Provide and implement an infection prevention and control program. Routine
Jul 12, 2023 D · potential Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. Routine

Medicare's severity letters: A–C minimal harm, D–F potential for more than minimal harm, G–L actual harm or immediate danger. Source: CMS health deficiencies file, processed October 1, 2026.

Questions to ask on a visit

Record on file

Certification
Medicare and Medi-Cal certified skilled nursing facility
Medicare number (CCN)
056315
Certified beds
120
Legal owner
Windsor Cypress Gardens Healthcare, LLC
Part of
Windsor

Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.

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