Senior Care Records.

Vista Pacifica Convalescent Hospital

3662 PACIFIC AVENUE, Jurupa Valley, CA, 92509

Nursing home49 licensed beds0 citations on record
6 more within 6 milesOpen in Maps
Has this facility been cited?

Yes. Federal inspectors cited 4 deficiencies against Vista Pacifica Convalescent Hospital in Jurupa Valley, California at its most recent standard inspection on 2025-02-27. 1 finding has been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 1 time, totalling $52,611. Medicare rates it 4 out of 5 overall.

4 / 5Medicare overall rating
49certified beds
4deficiencies at the last inspection
1immediate-jeopardy findings on record
0actual-harm findings on record
1federal fines, $52,611
What the inspectors found

Every deficiency on record, by how serious CMS judged it

CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.

Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.1
Actual harmA resident was harmed, but not placed in immediate danger.0
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.25
Potential for minimal harmThe least serious band.3
Most recent

The last 20 findings, newest first

Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · F0880 · 2025-02-27 · standard survey · No actual harm, potential for more than minimal harm

E

Assess the resident when there is a significant change in condition

Resident Assessment and Care Planning Deficiencies · F0637 · 2025-02-27 · standard survey · No actual harm, potential for more than minimal harm

D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies · F0684 · 2025-02-27 · standard survey · No actual harm, potential for more than minimal harm

D

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Nursing and Physician Services Deficiencies · F0727 · 2025-02-27 · standard survey · No actual harm, potential for more than minimal harm

D

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Environmental Deficiencies · F0912 · 2025-02-27 · standard survey · No actual harm, potential for minimal harm

B

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.

Quality of Life and Care Deficiencies · F0688 · 2024-02-12 · standard survey · Immediate jeopardy to resident health or safety

K

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies · F0656 · 2024-02-12 · standard survey · No actual harm, potential for more than minimal harm

E

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

Nursing and Physician Services Deficiencies · F0710 · 2024-02-12 · standard survey · No actual harm, potential for more than minimal harm

E

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Nursing and Physician Services Deficiencies · F0727 · 2024-02-12 · standard survey · No actual harm, potential for more than minimal harm

E

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies · F0755 · 2024-02-12 · standard survey · No actual harm, potential for more than minimal harm

E

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Pharmacy Service Deficiencies · F0756 · 2024-02-12 · standard survey · No actual harm, potential for more than minimal harm

E

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Pharmacy Service Deficiencies · F0758 · 2024-02-12 · standard survey · No actual harm, potential for more than minimal harm

E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies · F0812 · 2024-02-12 · standard survey · No actual harm, potential for more than minimal harm

E

Have a plan that describes the process for conducting QAPI and QAA activities.

Administration Deficiencies · F0865 · 2024-02-12 · standard survey · No actual harm, potential for more than minimal harm

E

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies · F0695 · 2024-02-12 · standard survey · No actual harm, potential for more than minimal harm

D

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Pharmacy Service Deficiencies · F0757 · 2024-02-12 · standard survey · No actual harm, potential for more than minimal harm

D

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies · F0759 · 2024-02-12 · standard survey · No actual harm, potential for more than minimal harm

D

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · F0880 · 2024-02-12 · standard survey · No actual harm, potential for more than minimal harm

D

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Environmental Deficiencies · F0912 · 2024-02-12 · standard survey · No actual harm, potential for minimal harm

B

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies · F0755 · 2023-10-02 · from a complaint · No actual harm, potential for more than minimal harm

E
Medicare’s own rating

How CMS scores this home

These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.

OverallCombines the three below4 of 5
Health inspectionBased on the last three inspection cycles3 of 5
StaffingNurse hours per resident, adjusted for how sick residents are4 of 5
Quality measuresResident outcomes reported by the home5 of 5
Nurse hours per resident per dayReported by the home to CMS4.55026
Nursing staff turnoverShare of nursing staff who left in a year32.8%
Penalties

What Medicare has fined this home

FinesCivil money penalties imposed by CMS1
Total fined$52,611
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one1
Ownership

Who owns Vista Pacifica Convalescent Hospital

Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.

OwnerRoleShareSince
CHERYL JUMONVILLE LEGACY TRUSTOrganization96%since 12/31/2013
JUMONVILLE, CHERYLIndividualNO PERCENTAGE PROVIDEDsince 12/31/2013
JUMONVILLE, CHERYLIndividualNOT APPLICABLEsince 06/07/1989
JUMONVILLE, CHERYLIndividualNOT APPLICABLEsince 06/07/1989
JUMONVILLE, CHERYLIndividualNOT APPLICABLEsince 12/31/2015
Nearby

Other licensed providers within six miles

Listed by distance. Nobody paid to appear here and the order is not for sale.

Belles Court

Jurupa Valley · 0.7 mi · 4 beds

CitationsNoneSubstantiated0
Contact

Ask Vista Pacifica Convalescent Hospital a question

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What is needed

Vista Pacifica Convalescent Hospital has not claimed this page, so there is nobody here to deliver a message to. We will not take your details and sit on them. Call them on 9516824833 — the number is from their licence record.

Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 055361.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction