PLYMOUTH VILLAGE
819 SALEM DRIVE
REDLANDS, CA, 92373
9097931233
CCN: 055914
5
Overall4
Health3
Staffing5
QualitySpecial 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
| Name | Role | % |
|---|---|---|
| HUMANGOOD NORCAL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| HUMANGOOD | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% |
| NASSAR, MOHAMED | CONTRACTED MANAGING EMPLOYEE | NOT APPLICABLE |
| BATTISON, WILLIAM | CORPORATE DIRECTOR | NOT APPLICABLE |
| BAKER, JUDITH | CORPORATE DIRECTOR | NOT APPLICABLE |
| BROWN, HERMAN | CORPORATE DIRECTOR | NOT APPLICABLE |
| CHRISTOPHERSON, JOANNE | CORPORATE DIRECTOR | NOT APPLICABLE |
| FELLER, IRENE | CORPORATE DIRECTOR | NOT APPLICABLE |
| GRIFFITH, ALAN | CORPORATE DIRECTOR | NOT APPLICABLE |
| HOLMES, MICHELLE | CORPORATE DIRECTOR | NOT APPLICABLE |
| KELLEY, ALBERT | CORPORATE DIRECTOR | NOT APPLICABLE |
| ROTH, SHARON | CORPORATE DIRECTOR | NOT APPLICABLE |
| COCHRANE, JOHN | CORPORATE OFFICER | NOT APPLICABLE |
| GHASSEMI, BETHANY | CORPORATE OFFICER | NOT APPLICABLE |
| MCDONALD, ANDREW | CORPORATE OFFICER | NOT APPLICABLE |
| OGUS, DANIEL | CORPORATE OFFICER | NOT APPLICABLE |
| NASSAR, MOHAMED | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| HUMANGOOD NORCAL | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| HUMANGOOD SOCAL | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| OGUS, DANIEL | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| COCHRANE, JOHN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| DAVIS, VICTORIA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| DRAKE, BRETT | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| GHASSEMI, BETHANY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| HARRISON, MICHAEL | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| LOPEZ, JESSICA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MCDONALD, ANDREW | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| VANGELISTO, GWEN | W-2 MANAGING EMPLOYEE | NOT 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/Day3.68
4.56
RN Hrs/Resident/Day0.54
0.31
LPN Hrs/Resident/Day0.81
1.45
CNA Hrs/Resident/Day2.33
2.80
PT Hrs/Resident/Day0.12
0.02
Data as of 2026-03-01