MISSION CARE CENTER
8487 MAGNOLIA AVENUE
RIVERSIDE, CA, 92504
9516882222
CCN: 055542
5
Overall4
Health2
Staffing5
QualitySpecial 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
| Name | Role | % |
|---|---|---|
| BAUMAN, IRVING | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% |
| CHAMBERS, THOMAS | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% |
| JOHNSON, DAVID | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% |
| MARMUR, ELI | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% |
| CASA/SIERRA CALIFORNIA ASSOCIATES LP | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE |
| DEHGHANMANESH, ADRIAN | CORPORATE OFFICER | NOT APPLICABLE |
| JOHNSON, FRANK | CORPORATE OFFICER | NOT APPLICABLE |
| ELLSWORTH, ADAM | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| ESTABAN, FREDERICK | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| KOCHEK, JOSHUA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| RIVERSIDE EQUITIES LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| DEHGHANMANESH, ADRIAN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SUN MAR MANAGEMENT SERVICES | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| GROVES, RODGER | W-2 MANAGING EMPLOYEE | NOT 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/Day3.68
6.44
RN Hrs/Resident/Day0.54
1.39
LPN Hrs/Resident/Day0.81
2.90
CNA Hrs/Resident/Day2.33
2.15
PT Hrs/Resident/Day0.12
0.03
Data as of 2026-03-01