CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 0551832026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Heritage Gardens Health Care Center

25271 Barton Rd · Loma Linda, CA 92354 · San Bernardino County

CMS OVERALL RATING★★★★☆4/5CMS field—not our score or recommendation
Certified beds110CMS provider file
Recent citation rows71current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12026-05-07122026-05-077
Cycle 22025-01-16112025-01-165
Cycle 32022-07-15232022-07-1513
02 / CITATION DETAIL

71 rows in the current release

0 rows carry G–L scope/severity codes; 0 carry J–L. 15 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-07-02 · HEALTHF0760Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Correction field: Deficient, Provider has no plan of correction · complaint
2026-05-07 · FIREE0041Severity F · widespread; potential for more than minimal harm

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

Correction field: Deficient, Provider has date of correction · 2026-06-16
2026-05-07 · HEALTHF0550Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Correction field: Deficient, Provider has date of correction · 2026-06-05
2026-05-07 · HEALTHF0577Severity C · widespread; potential for minimal harm

Resident Rights Deficiencies

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Correction field: Deficient, Provider has date of correction · 2026-06-05
2026-05-07 · HEALTHF0578Severity E · pattern; potential for more than minimal harm

Resident Rights Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2026-06-05
2026-05-07 · HEALTHF0600Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Correction field: Deficient, Provider has date of correction · 2026-06-05
2026-05-07 · HEALTHF0637Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Assess the resident when there is a significant change in condition

Correction field: Deficient, Provider has date of correction · 2026-06-05
2026-05-07 · HEALTHF0641Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Correction field: Deficient, Provider has date of correction · 2026-06-05
2026-05-07 · HEALTHF0755Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-06-05
2026-05-07 · HEALTHF0812Severity F · widespread; potential for more than minimal harm

Nutrition and Dietary Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-06-05
2026-05-07 · HEALTHF0880Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2026-06-05
2026-05-07 · HEALTHF0919Severity D · isolated; potential for more than minimal harm

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

Correction field: Deficient, Provider has date of correction · 2026-06-05
2026-05-07 · HEALTHF0925Severity F · widespread; potential for more than minimal harm

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Correction field: Deficient, Provider has date of correction · 2026-06-05
2026-05-07 · FIREK0324Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

Provide properly protected cooking facilities.

Correction field: Deficient, Provider has date of correction · 2026-06-16
2026-05-07 · FIREK0345Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

Correction field: Deficient, Provider has date of correction · 2026-06-16
2026-05-07 · FIREK0363Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Correction field: Deficient, Provider has date of correction · 2026-06-16
2026-05-07 · FIREK0741Severity D · isolated; potential for more than minimal harm

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Correction field: Deficient, Provider has date of correction · 2026-06-16
2026-05-07 · FIREK0923Severity E · pattern; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Correction field: Deficient, Provider has date of correction · 2026-06-16
2026-05-07 · FIREK0932Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

Meet other general requirements.

Correction field: Deficient, Provider has date of correction · 2026-06-16
2025-05-06 · HEALTHF0550Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Correction field: Deficient, Provider has date of correction · 2025-05-23 · complaint
2025-01-16 · FIREE0035Severity D · isolated; potential for more than minimal harm

Emergency Preparedness Deficiencies

Provide family notifications of emergency plan.

Correction field: Deficient, Provider has date of correction · 2025-02-10
2025-01-16 · FIREE0037Severity F · widespread; potential for more than minimal harm

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

Correction field: Deficient, Provider has date of correction · 2025-02-10
2025-01-16 · HEALTHF0637Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Assess the resident when there is a significant change in condition

Correction field: Deficient, Provider has date of correction · 2025-02-11
2025-01-16 · HEALTHF0641Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Correction field: Deficient, Provider has date of correction · 2025-02-11
03 / ENFORCEMENT FILE

Penalties reported by CMS

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
No penalty row appeared in the August 2026 penalties file.
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • COTTON FAMILY REVOCABLE TRUSTOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    13% · since 05/20/2016
  • HELEN LOUISE LARSON REVOCABLE TRUSTOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    6% · since 10/23/2019
  • THE LARSON FAMILY TRUST OF 2010Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    6% · since 11/19/2013
  • ARMSTRONG, JOHNIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    11% · since 03/13/1992
  • ARMSTRONG, LAURAIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    11% · since 03/13/1992
  • GOINGS, GREGORYIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    16% · since 03/13/1992
  • GOINGS, PATRICIAIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    16% · since 03/13/1992
  • GOINGS, VERNAIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    16% · since 03/13/1992
  • GOINGS, SAMUELIndividual · W-2 MANAGING EMPLOYEE
    NOT APPLICABLE · since 02/06/2018
  • GOINGS, GREGORYIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 01/01/2002
  • KILIAN, JAMESIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 01/08/1998

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Reported hours and turnover

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours3.81per resident day
RN hours0.31per resident day
Weekend nurse hours3.48per resident day
Staff turnover100.0%CMS reported field
BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.