HERITAGE GARDENS HEALTH CARE CENTER
25271 BARTON ROAD
LOMA LINDA, CA, 92354
9097960216
CCN: 055183
3
Overall3
Health1
Staffing5
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (16)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
ALTOS CARE, INC
1128a2
Excluded 2009-06-18
BACK TO HEALTH, INC
1128b8
Excluded 2004-08-19
CAL-MED HEALTH PLAN, INC
1128a1
Excluded 2010-04-20
CENTURION HEALTHCARE, INC
1128a1
Excluded 2013-04-18
COASTAL INDUSTRIAL HEALTH CARE
1128b8
Excluded 1999-12-20
FINE GOLD HEALTH CENTER, INC
1128a1
Excluded 2002-07-18
GENE'S HEALTH CARE PHARMACY, I
1128a1
Excluded 2007-07-19
HEALTH PLUS CONSULTING, INC
1128a1
Excluded 2013-11-20
HEAVENLY HOME HEALTH, INC.
1128a1
Excluded 2019-02-20
IDEAL CARE AND HEALTH SERVICES
1128a1
Excluded 2018-03-20
PRIORITY HEALTH CARE SERVICES,
1128a1
Excluded 2017-07-20
PROVIDENT HOME HEALTH CARE SER
1128b7
Excluded 2005-06-01
SAINT JOSEPH HEALTH CENTER
1128b8
Excluded 2000-04-20
SOUTHGATE HEALTH CENTER
1128b8
Excluded 2000-04-20
TLC HOME HEALTH CARE CORP
1128b8
Excluded 1993-11-30
TRI-REGIONAL HOME HEALTH CARE
1128b7
Excluded 2005-06-01
Ownership
| Name | Role | % |
|---|---|---|
| COTTON FAMILY REVOCABLE TRUST | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 13% |
| HELEN LOUISE LARSON REVOCABLE TRUST | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 6% |
| THE LARSON FAMILY TRUST OF 2010 | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 6% |
| ARMSTRONG, JOHN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 11% |
| ARMSTRONG, LAURA | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 11% |
| GOINGS, GREGORY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 16% |
| GOINGS, PATRICIA | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 16% |
| GOINGS, VERNA | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 16% |
| GOINGS, GREGORY | CORPORATE OFFICER | NOT APPLICABLE |
| KILIAN, JAMES | CORPORATE OFFICER | NOT APPLICABLE |
| GOINGS, SAMUEL | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
Health Deficiencies (45)
2025-05-06 · Health
D
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2025-01-16 · Health
F
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F839 · Administration Deficiencies
Employ staff that are licensed, certified, or registered in accordance with state laws.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F688 · Quality of Life and Care Deficiencies
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.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
D
F637 · Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
2024-12-12 · Health
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2024-09-05 · Health
D
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
2024-05-03 · Health
D
F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
2023-12-19 · Health
D
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2023-11-04 · Health
D
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
2023-09-29 · Health
D
F761 · Pharmacy Service Deficiencies
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.
2023-09-24 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
2023-09-10 · Health
D
F725 · Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
2022-07-15 · Health
D
F908 · Environmental Deficiencies
Keep all essential equipment working safely.
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F842 · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
F805 · Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
D
F802 · Nutrition and Dietary Deficiencies
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
D
F761 · Pharmacy Service Deficiencies
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.
D
F759 · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
E
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
F698 · Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F693 · Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
D
F692 · Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
D
F583 · Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
D
F558 · Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
2019-11-25 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F814 · Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
F804 · Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
D
F802 · Nutrition and Dietary Deficiencies
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
D
F761 · Pharmacy Service Deficiencies
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.
D
F697 · Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
E
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
K
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
F580 · Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
0.16
RN Hrs/Resident/Day0.54
0.08
LPN Hrs/Resident/Day0.81
0.04
CNA Hrs/Resident/Day2.33
0.03
PT Hrs/Resident/Day0.12
0.02
Data as of 2026-03-01