Golden Horizon Senior Care
Ontario · 0.2 mi · 22 beds
Citations3Substantiated3
Ontario Healthcare Center
1661 S Euclid Ave, Ontario, CA, 91762
Nursing home59 licensed beds0 citations on record
6 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 6 deficiencies against Ontario Healthcare Center in Ontario, California at its most recent standard inspection on 2026-02-20, 1 of them arising from complaints. Medicare rates it 5 out of 5 overall.
5 / 5Medicare overall rating
59certified beds
6deficiencies at the last inspection
0immediate-jeopardy findings on record
0actual-harm findings on record
0federal fines
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.0
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.20
Potential for minimal harmThe least serious band.3
Most recentDFDDDBFDDDBFFEDDDDDD
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 appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · F0686 · 2026-05-19 · from a complaint · No actual harm, potential for more than minimal harm
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · F0925 · 2026-02-20 · standard survey · No actual harm, potential for more than minimal harm
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · F0645 · 2026-02-20 · standard survey · No actual harm, potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · F0755 · 2026-02-20 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2026-02-20 · standard survey · No actual harm, potential for more than minimal harm
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 · 2026-02-20 · standard survey · No actual harm, potential for minimal harm
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 · 2024-10-24 · standard survey · No actual harm, potential for more than minimal harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · F0644 · 2024-10-24 · standard survey · No actual harm, potential for more than minimal harm
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · F0645 · 2024-10-24 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2024-10-24 · standard survey · No actual harm, potential for more than minimal harm
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 · 2024-10-24 · standard survey · No actual harm, potential for minimal harm
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 · 2022-02-14 · standard survey · No actual harm, potential for more than minimal harm
Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies · F0814 · 2022-02-14 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2022-02-14 · standard survey · No actual harm, potential for more than minimal harm
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies · F0578 · 2022-02-14 · standard survey · No actual harm, potential for more than minimal harm
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · F0582 · 2022-02-14 · standard survey · No actual harm, potential for more than minimal harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · F0641 · 2022-02-14 · standard survey · No actual harm, potential for more than minimal harm
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 · 2022-02-14 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2022-02-14 · standard survey · No actual harm, potential for more than minimal harm
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · F0692 · 2022-02-14 · standard survey · No actual harm, potential for more than minimal harm
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 below5 of 5
Health inspectionBased on the last three inspection cycles5 of 5
StaffingNurse hours per resident, adjusted for how sick residents are3 of 5
Quality measuresResident outcomes reported by the home5 of 5
Nurse hours per resident per dayReported by the home to CMS3.85337
Nursing staff turnoverShare of nursing staff who left in a year42.2%
Ownership
Who owns Ontario Healthcare Center
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.
| Owner | Role | Share | Since |
|---|---|---|---|
| KIRKSIDE FACILITIES OPERATIONS LLC | Organization | NO PERCENTAGE PROVIDED | since 01/22/2010 |
| KSNF LLC | Organization | NO PERCENTAGE PROVIDED | since 01/22/2010 |
| KSNF II LLC | Organization | 20% | since 01/20/2017 |
| SMEDRA, IRA | Individual | NOT APPLICABLE | since 01/22/2010 |
| CARDENAS, SONIA | Individual | NOT APPLICABLE | since 06/27/2022 |
| VIDALES, MIGUEL | Individual | NOT APPLICABLE | since 03/01/2021 |
| CAMBRIDGE HEALTHCARE SERVICES LLC | Organization | NOT APPLICABLE | since 04/01/2014 |
| BUTENKO, JULIE | Individual | NOT APPLICABLE | since 07/24/2023 |
| CAPELA, HEIDI | Individual | NOT APPLICABLE | since 04/03/2023 |
| CARDENAS, SONIA | Individual | NOT APPLICABLE | since 06/27/2022 |
| HASSELL, LANCE | Individual | NOT APPLICABLE | since 04/25/2022 |
| LUTZ, LINDA | Individual | NOT APPLICABLE | since 02/01/2012 |
Part of the CAMBRIDGE HEALTHCARE SERVICES group.
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Pleasant Board and Care
Ontario · 0.4 mi · 6 beds
CitationsNoneSubstantiated0
Nabih's Care Home
Ontario · 0.7 mi · 4 beds
CitationsNoneSubstantiated0
Manzanita Home
Ontario · 0.7 mi · 6 beds
CitationsNoneSubstantiated0
Holly Land Care Home
Ontario · 0.7 mi · 6 beds
CitationsNoneSubstantiated0
Thelma G. Smith Family Care
Ontario · 0.8 mi · 4 beds
CitationsNoneSubstantiated0
Contact
Ask Ontario Healthcare Center a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 055707.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction