MISSION CARE CENTER

8487 MAGNOLIA AVENUE
RIVERSIDE, CA, 92504
9516882222
CCN: 055542
5
Overall
4
Health
2
Staffing
5
Quality
ChainDAVID & FRANK JOHNSON
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (3)
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.
BODY CARE CENTER, CLINIC
1128b4
Excluded 2003-08-20
MISSION HEARING AID CENTER
1128b8
Excluded 2004-10-20
MISSION HEARING AID CENTER
1128b8
Excluded 2004-10-20
Ownership
NameRole%
BAUMAN, IRVING5% OR GREATER DIRECT OWNERSHIP INTEREST20%
CHAMBERS, THOMAS5% OR GREATER DIRECT OWNERSHIP INTEREST20%
JOHNSON, DAVID5% OR GREATER DIRECT OWNERSHIP INTEREST20%
MARMUR, ELI5% OR GREATER DIRECT OWNERSHIP INTEREST20%
CASA/SIERRA CALIFORNIA ASSOCIATES LP5% OR GREATER SECURITY INTERESTNOT APPLICABLE
DEHGHANMANESH, ADRIANCORPORATE OFFICERNOT APPLICABLE
JOHNSON, FRANKCORPORATE OFFICERNOT APPLICABLE
ELLSWORTH, ADAMOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
ESTABAN, FREDERICKOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
KOCHEK, JOSHUAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
RIVERSIDE EQUITIES LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
DEHGHANMANESH, ADRIANOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SUN MAR MANAGEMENT SERVICESOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
GROVES, RODGERW-2 MANAGING EMPLOYEENOT APPLICABLE
Health Deficiencies (21)
2025-04-16 · Health
D
F622 · Resident Rights Deficiencies
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
2025-02-13 · Health
B
F912 · Environmental Deficiencies
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
F
F814 · Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
E
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.
2024-01-11 · Health
B
F912 · Environmental Deficiencies
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
E
F908 · Environmental Deficiencies
Keep all essential equipment working safely.
D
F883 · Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
F
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
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
F808 · Nutrition and Dietary Deficiencies
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
D
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.
E
F700 · Quality of Life and Care Deficiencies
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.
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
F625 · Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
2021-12-03 · Health
B
F912 · Environmental Deficiencies
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
E
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
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
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
6.44
3.68
RN Hrs/Resident/Day
1.39
0.54
LPN Hrs/Resident/Day
2.90
0.81
CNA Hrs/Resident/Day
2.15
2.33
PT Hrs/Resident/Day
0.03
0.12
Data as of 2026-03-01