Nursing Care Index

Ontario Healthcare Center

Ontario, San Bernardino County, California · CCN 055707 · For-profit (LLC) · part of Cambridge Healthcare Services (32 facilities, chain average 2.5 stars)

CMS rates Ontario Healthcare Center 5 of 5 overall as of August 2026. 59 certified beds, 55 residents a day on average. 23 citations on record from the current inspection cycles; no fines on record.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★★★★ 5 of 5
Health inspections★★★★★ 5 of 5
Staffing★★★☆☆ 3 of 5
Quality measures★★★★★ 5 of 5
Quality: long-stay / short-stay5 / — of 5

Staffing

Total nurse staffing3.85337 hours per resident per day
Registered nurses0.35267 hours per resident per day
Weekend total3.58682 hours per resident per day
Nursing staff turnover42.2% (registered nurses 50%)
Administrators who left0

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2026-05-19
complaint survey
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · tag F0686
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-06-22
2026-02-20 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · tag F0925
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2026-03-06
2026-02-20 PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · tag F0645
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-03-06
2026-02-20 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · tag F0755
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-03-06
2026-02-20 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-03-06
2026-02-20 Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental Deficiencies · tag F0912
B No actual harm, with potential for minimal harm; pattern Deficient, Provider has date of correction
2026-03-06
2024-10-24 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-11-13
2024-10-24 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · tag F0644
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-11-13
2024-10-24 PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · tag F0645
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-11-13
2024-10-24 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-11-13
2024-10-24 Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental Deficiencies · tag F0912
B No actual harm, with potential for minimal harm; pattern Deficient, Provider has date of correction
2024-11-13
2022-02-14 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2022-03-14
2022-02-14 Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies · tag F0814
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2022-03-14
2022-02-14 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2022-03-14
2022-02-14 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.
Resident Rights Deficiencies · tag F0578
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2022-03-14
2022-02-14 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · tag F0582
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2022-03-14
2022-02-14 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2022-03-14
2022-02-14 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2022-03-14
2022-02-14 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2022-03-14
2022-02-14 Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · tag F0692
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2022-03-14
2022-02-14 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · tag F0842
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2022-03-14
2022-02-14 Perform COVID19 testing on residents and staff.
Infection Control Deficiencies · tag F0886
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2022-03-14
2022-02-14 Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental Deficiencies · tag F0912
B No actual harm, with potential for minimal harm; pattern Deficient, Provider has date of correction
2022-03-14

Fines and payment denials

No fines or payment denials on record since 2023.

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Kirkside Facilities Operations LLC
Organization
5% or greater direct ownership interest2010-01-22
Ksnf LLC
Organization
5% or greater direct ownership interest2010-01-22
Ksnf II LLC
Organization
5% or greater indirect ownership interest20%2017-01-20
1661 South Euclid LLC
Organization
adp of the snf2007-01-25
Cambridge Healthcare Services LLC
Organization
adp of the snf2025-11-04
Cambridge Healthcare Services LLC
Organization
operational/managerial control2014-04-01
Butenko, Julie
Individual
adp of the snf2023-07-24
Capela, Heidi
Individual
adp of the snf2023-04-03
Cardenas, Sonia
Individual
adp of the snf2025-11-04
Hassell, Lance
Individual
adp of the snf2022-04-25
Lutz, Linda
Individual
adp of the snf2012-02-01
Salazar, Paulina
Individual
adp of the snf2020-12-14
Smedra, Ira
Individual
adp of the snf2010-01-22
Vidales, Miguel
Individual
adp of the snf2021-03-01
Wertz, Brittany
Individual
adp of the snf2024-01-15
Wintner, Jacob
Individual
adp of the snf2010-01-22
Smedra, Ira
Individual
indirect ownership interest2010-01-22
Cardenas, Sonia
Individual
managing control - governing body2022-06-27
Vidales, Miguel
Individual
managing control - governing body2021-03-01
Butenko, Julie
Individual
operational/managerial control2023-07-24
Capela, Heidi
Individual
operational/managerial control2023-04-03
Cardenas, Sonia
Individual
operational/managerial control2022-06-27
Hassell, Lance
Individual
operational/managerial control2022-04-25
Lutz, Linda
Individual
operational/managerial control2012-02-01
Quadros, Sylvi
Individual
operational/managerial control2025-03-20
Salazar, Paulina
Individual
operational/managerial control2020-12-14
Smedra, Ira
Individual
operational/managerial control2010-01-22
Vidales, Miguel
Individual
operational/managerial control2021-03-01
Wertz, Brittany
Individual
operational/managerial control2024-01-15
Wintner, Jacob
Individual
operational/managerial control2010-01-22

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in San Bernardino County.