PLYMOUTH VILLAGE

819 SALEM DRIVE
REDLANDS, CA, 92373
9097931233
CCN: 055914
5
Overall
4
Health
3
Staffing
5
Quality
ChainHUMANGOOD
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (1)
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.
VILLAGE DRUG PHARMACY
1128b8
Excluded 1994-12-04
Ownership
NameRole%
HUMANGOOD NORCAL5% OR GREATER DIRECT OWNERSHIP INTEREST100%
HUMANGOOD5% OR GREATER INDIRECT OWNERSHIP INTEREST100%
NASSAR, MOHAMEDCONTRACTED MANAGING EMPLOYEENOT APPLICABLE
BATTISON, WILLIAMCORPORATE DIRECTORNOT APPLICABLE
BAKER, JUDITHCORPORATE DIRECTORNOT APPLICABLE
BROWN, HERMANCORPORATE DIRECTORNOT APPLICABLE
CHRISTOPHERSON, JOANNECORPORATE DIRECTORNOT APPLICABLE
FELLER, IRENECORPORATE DIRECTORNOT APPLICABLE
GRIFFITH, ALANCORPORATE DIRECTORNOT APPLICABLE
HOLMES, MICHELLECORPORATE DIRECTORNOT APPLICABLE
KELLEY, ALBERTCORPORATE DIRECTORNOT APPLICABLE
ROTH, SHARONCORPORATE DIRECTORNOT APPLICABLE
COCHRANE, JOHNCORPORATE OFFICERNOT APPLICABLE
GHASSEMI, BETHANYCORPORATE OFFICERNOT APPLICABLE
MCDONALD, ANDREWCORPORATE OFFICERNOT APPLICABLE
OGUS, DANIELCORPORATE OFFICERNOT APPLICABLE
NASSAR, MOHAMEDOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HUMANGOOD NORCALOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HUMANGOOD SOCALOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
OGUS, DANIELOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
COCHRANE, JOHNOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
DAVIS, VICTORIAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
DRAKE, BRETTOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
GHASSEMI, BETHANYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HARRISON, MICHAELOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
LOPEZ, JESSICAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MCDONALD, ANDREWOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
VANGELISTO, GWENW-2 MANAGING EMPLOYEENOT APPLICABLE
Health Deficiencies (22)
2025-06-19 · Health
F
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.
D
F759 · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2024-04-26 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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
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
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F
F726 · Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
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.
2023-03-10 · Health
D
F921 · Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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
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
F690 · Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
D
F584 · Resident Rights Deficiencies
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.
D
F558 · Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
4.56
3.68
RN Hrs/Resident/Day
0.31
0.54
LPN Hrs/Resident/Day
1.45
0.81
CNA Hrs/Resident/Day
2.80
2.33
PT Hrs/Resident/Day
0.02
0.12
Data as of 2026-03-01