Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Rancho Mesa Care Center during CMS and state inspections, most recent first.
A resident with hemiplegia and moderate cognitive impairment experienced a delay in receiving a requested diaper change due to a lack of communication between CNAs during shift change. The facility did not follow its policy for providing timely ADL assistance, resulting in a three-hour delay.
The facility did not adhere to the prescribed menu for residents on CCHO and regular diets, serving incorrect portions of mashed potatoes and meatloaf. The cook used a larger scoop than specified for mashed potatoes, and the facility lacked a scale to verify meatloaf portions. These actions potentially impacted the nutritional intake of 45 residents.
The facility failed to maintain sanitary conditions in its food storage and preparation areas, with crumbs and dust found under the coffee maker, a build-up of food crumbs and a liquid spill in the dry storage room, and old food and dust under refrigerators in the staff lounge. Additionally, the ice machine had black and yellow discoloration where ice is formed. These conditions were not in line with the facility's sanitation policy or the FDA Federal Food Code, posing a risk of contamination and pest attraction.
The facility failed to provide 26 residents on a mechanical soft diet with the appropriate form of meatloaf, serving them regular diet meatloaf instead of the required mashable and moist version with gravy. This was observed during a kitchen inspection, and both the Dietetic Services Supervisor and Registered Dietitian confirmed the need to follow the prescribed menu to prevent choking and aspiration risks.
A facility failed to complete and transmit an MDS Discharge Assessment for a resident discharged with home health services. The resident's last assessment was an Admission Assessment, and the oversight was confirmed by the LVN/MDS Nurse. The DON acknowledged the failure to adhere to facility policy and federal guidelines.
A resident with cerebral infarction and dysphagia did not receive tube feeding as ordered, leading to potential nutritional deficiencies. The feeding was stopped prematurely, and the required amount was not administered, as confirmed by the LVN and DON. The resident's Nutrition Assessment indicated malnutrition and a BMI of 19, underscoring the need for consistent nutritional support.
A resident with cerebral infarction, aphasia, and dysphagia did not receive the full prescribed dose of enteral tube feeding due to nursing staff's lack of competency in calculating the amount administered. The LVN/MDS was unable to determine the feeding amount from the previous shift, resulting in the resident receiving only 940 ml instead of the prescribed 1200 ml. The DON confirmed the oversight and noted the absence of competency evaluations for such calculations, while the RD highlighted the nurses' responsibility to ensure full dosage and timely bottle changes.
A resident with GERD was given Omeprazole after breakfast instead of before, as per physician's orders. The DON confirmed the error, noting the medication's reduced effectiveness when not administered as directed. Facility policy requires adherence to physician's orders, which was not followed in this instance.
The facility failed to store vaccines under proper temperature control, as two vaccine solutions were found in a medication cart instead of the refrigerator. An LVN admitted to storing an unopened vial of Covid Spikevax 23-24 and an unopened syringe of Afluria Quad 2023-2024 in the cart since the start of his shift. The DON confirmed the improper storage and acknowledged the facility's failure to follow its medication storage policy.
Failure to Provide Timely ADL Assistance
Penalty
Summary
The facility failed to adhere to its policy and procedure for activities of daily living (ADL) by not providing timely care and services to a resident who was unable to perform ADLs independently. The resident, who was admitted with diagnoses of hemiplegia and hemiparesis, had a moderate cognitive impairment and was completely dependent on staff for toileting hygiene. On one occasion, the resident requested a diaper change from a certified nursing assistant (CNA 1), who stated she only performed diaper changes once per shift. As a result, the resident's request was delayed for approximately three hours. The delay occurred because CNA 1 did not communicate the resident's request to the incoming CNA (CNA 2) at the end of her shift. CNA 2, who was unaware of the situation, changed the resident's diaper twice during her shift, but not until several hours after the initial request. The Director of Nursing (DON) acknowledged that the facility's policy, which mandates appropriate care and services for residents unable to carry out ADLs independently, was not followed in this instance.
Failure to Follow Prescribed Menu and Portion Sizes
Penalty
Summary
The facility failed to adhere to the prescribed menu for residents on a carbohydrate-controlled diet (CCHO) and regular diets during lunch on August 5, 2024. Specifically, the cook served 1/2 cup of mashed potatoes instead of the 1/3 cup indicated on the menu for residents on the CCHO diet. This discrepancy was observed during a meal preparation and tray line observation, where the cook used a #8 scoop (4 oz) instead of the #12 scoop (3.25 oz) specified in the Cooks Spreadsheet. The Dietetic Services Supervisor (DSS) and the Registered Dietitian (RD) both confirmed that the menu should be followed as planned. Additionally, the facility did not have a method to ensure that the correct portion size of 4 oz of meat was served to residents on both CCHO and regular diets. During the same observation, the DSS was unable to verify the weight of the meatloaf portion due to the absence of an ounce scale. The RD emphasized the importance of following the menu to ensure correct portion sizes, as indicated in the facility's policy and procedure titled "Menu Planning." These failures potentially affected the nutritional intake and weight maintenance of 45 out of 52 residents.
Sanitation Deficiencies in Food Storage and Preparation Areas
Penalty
Summary
The facility failed to maintain sanitary conditions in its food storage and preparation areas, as observed during a survey. Crumbs and dust were found on the shelf under the coffee maker, which could attract pests and promote microorganism growth. Additionally, the floor under the shelves in the dry storage room had a build-up of food crumbs and a liquid spill, further increasing the risk of pest attraction and microorganism growth. These conditions were not in line with the facility's sanitation policy or the FDA Federal Food Code, which require nonfood contact surfaces to be free of dust, dirt, and food residue. In the staff lounge, old food and dust were found under the refrigerators, which the Dietetic Services Supervisor acknowledged. The Registered Dietitian stated that the area should be kept clean to the same standards as the main kitchen. This failure to maintain cleanliness could potentially contaminate food and attract pests, posing a risk to the residents who consume food prepared in the facility. The ice machine in the facility was also found to have black and yellow discoloration in the area where ice is formed. This was acknowledged by the Maintenance staff and the Registered Dietitian, who stated that the ice machine should be clean and free of discoloration. The facility's policy requires the ice machine to be cleaned and sanitized monthly, but the observed condition indicated a failure to adhere to this policy, potentially leading to contamination of the ice used by residents.
Failure to Serve Appropriate Diet to Residents on Mechanical Soft Diet
Penalty
Summary
The facility failed to ensure that food was prepared in a form designed to meet the individual needs of residents on a mechanical soft diet. Specifically, 26 residents who required a mechanically soft diet due to difficulties with chewing and swallowing were served regular diet meatloaf instead of the mashable and moist meatloaf with gravy as prescribed. This oversight was observed during a kitchen inspection, where a cook served a resident the incorrect form of meatloaf. The facility's documentation, including the Cooks Spreadsheet - Summer Menus, indicated that the meatloaf for mechanical soft diets should be mashable and moist with gravy. Interviews with the Dietetic Services Supervisor and the Registered Dietitian confirmed that the cook should have followed the menu to prevent risks such as choking and aspiration. The facility's policy on Menu Planning also emphasized the importance of adhering to menus that meet the nutritional needs of residents according to physician orders.
Failure to Complete and Transmit MDS Discharge Assessment
Penalty
Summary
The facility failed to complete and transmit a Minimum Data Set (MDS) Discharge Assessment for a resident, identified as Resident 53, in accordance with federal guidelines. Resident 53 was admitted with diagnoses including hyperlipidemia and major depressive disorder. The resident was discharged home with home health services on March 28, 2024, but the discharge assessment was not completed or transmitted. The last MDS assessment for Resident 53 was the Admission Assessment completed on February 15, 2024. This oversight was confirmed by the LVN/MDS Nurse during a review of the resident's clinical record. The Director of Nurses (DON) acknowledged that the discharge assessment should have been completed on the discharge date, March 28, 2024, and confirmed that the facility did not adhere to its policy. The facility's policy, revised in March 2022, mandates that comprehensive assessments be conducted at intervals designated by OBRA and PPS requirements. The DON reviewed the CMS RAI manual, which outlines the federally mandated assessments, including the Discharge Assessment, and confirmed that the facility failed to follow these guidelines.
Failure to Administer Tube Feeding as Ordered
Penalty
Summary
The facility failed to maintain acceptable parameters of nutritional status for Resident 58, who was dependent on tube feeding due to conditions such as cerebral infarction, aphasia, dysphagia, and debility. On August 6, 2024, it was observed that Resident 58's tube feeding was not connected, and the machine was off, contrary to the physician's order which specified that the feeding should be administered at 60 ml/hr for 20 hours daily. The Licensed Vocational Nurse/Minimum Data Set (LVN/MDS) confirmed that the tube feeding was stopped at 9:40 AM, and the feeding bottle was discarded without calculating the total amount administered. The Director of Nurses (DON) confirmed that the tube feeding should have been on from 2:00 PM to 10:00 AM, and a new bag should have been hung at 6:00 AM to ensure the resident received the full 1200 ml as ordered. The Registered Dietitian (RD) noted that without the tube feeding running, the resident was not receiving necessary nutrition, increasing the risk of weight loss. Resident 58's Nutrition Assessment indicated malnutrition related to dysphagia, severe muscle wasting, and a BMI of 19, with a goal weight range of 160-170 pounds, highlighting the critical need for consistent nutritional support.
Inadequate Tube Feeding Administration Due to Staff Competency Issues
Penalty
Summary
The facility failed to ensure that nursing staff had the appropriate competencies to provide adequate tube feeding to a resident, identified as Resident 58. The resident, who was admitted with diagnoses including cerebral infarction, aphasia, and dysphagia, was prescribed 1200 ml of Osmolite 1.5 enteral tube feeding formula per day. However, the resident only received 940 ml due to the tube feeding being stopped prematurely. The Licensed Vocational Nurse/Minimum Data Set (LVN/MDS) was unable to calculate the total amount of feeding administered during the previous shift, leading to an incomplete dose. The Director of Nurses (DON) confirmed that the tube feeding was not administered as per the physician's orders, and a new bag should have been hung at 6:00 AM. The DON acknowledged that there was no competency evaluation for licensed nursing staff on calculating the amount of feeding administered per shift. The Registered Dietitian (RD) emphasized that licensed nurses are responsible for ensuring the full dose is given and knowing when to change the feeding bottle. The facility's policy indicated that inservice training on monitoring enteral solutions should be provided, but this was not effectively implemented.
Medication Administration Error for GERD Treatment
Penalty
Summary
The facility failed to administer medication according to the physician's orders for a resident diagnosed with hepatic encephalopathy, morbid obesity, and phantom limb syndrome. The resident was prescribed Omeprazole, a delayed-release medication intended to manage gastroesophageal reflux disease (GERD), to be taken before breakfast. However, during an observation, a Licensed Vocational Nurse (LVN) administered the medication after the resident had already eaten breakfast, contrary to the physician's instructions. The Director of Nurses (DON) confirmed that the medication should have been given before breakfast to ensure its effectiveness. The facility's policy and procedure manual also stipulates that medications must be administered in accordance with the attending physician's written orders. The failure to follow these orders and the facility's policy was acknowledged by the DON, who noted that the medication would not have the same effect if given after a meal.
Improper Storage of Vaccines in Medication Cart
Penalty
Summary
The facility failed to store medications under proper temperature control, as specified by the manufacturer, when two vaccine solutions were found inside the medication cart instead of the refrigerator. During an observation and interview, a Licensed Vocational Nurse (LVN) was found to have stored an unopened vial of Covid Spikevax 23-24 and an unopened syringe of Afluria Quad 2023-2024 in the medication cart since the start of his shift. Both vaccines were labeled to be kept in the refrigerator, and the LVN acknowledged that they should not have been in the medication cart. The Director of Nurses (DON) confirmed the improper storage of the vaccines and acknowledged that the facility did not follow its policy on medication storage. The facility's policy, effective since November 2020, requires medications and biologicals to be stored safely and properly, following the manufacturer's recommendations. The manufacturer's guidelines for Spikevax and the CDC's guidelines for influenza vaccines both specify that these vaccines should be refrigerated between 2°C and 8°C. The failure to adhere to these guidelines had the potential to decrease the efficacy of the vaccines administered to residents.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 1,187 citations issued within 25 miles in the last 12 months — including the 4 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Alta Loma
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Villa Mesa Care Center | 2.7 mi | — | 19 | 0 |
| Upland Rehabilitation And Care Center | 2.8 mi | — | 1 | 0 |
| Heritage Park Nursing Center | 3.4 mi | — | 0 | 0 |
| Ontario Grove Healthcare & Wellness Centre, Lp | 3.4 mi | — | 1 | 0 |
| Las Colinas Post Acute | 3.7 mi | — | 3 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Rancho Mesa Care Center.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.