Show Inspection Reports
Total health inspections
12
California average 12.5
Last Health inspection on May 2025
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Heritage Gardens
Nursing Home
Heritage Gardens
Nursing Home
Set in the neighborhood of Loma Linda, CA, Heritage Gardens is a classic senior living community, offering excellent assisted living, skilled nursing, and rehabilitation services. The community features 110 units of carefully designed private and semi-private accommodations to provide residents a comfortable living environment that encourages a restful living environment. With a dependable care team available round-the-clock, residents are guaranteed to enjoy the care and support they need to maintain their overall well-being.
Offering access to physical therapy, occupational therapy, and speech therapy services, the community guarantees residents have the tools they need to maintain their strength, mobility, and functionality. Most of the residents’ chores are also handled to give residents the freedom to do the things they love. Various activities and amenities are also available to help residents maintain an active lifestyle.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
LPN / LVN
Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day.
Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
64
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
87.2%
Residents per day (avg)
94
Occupancy rate
87.2%
Residents per day (avg)
94
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Post-acute recovery
Temporary care
Transitional stays
Breakdown by payment type
Medicare
10% of new residents, usually for short-term rehab.
Typical stay
29 days
Private pay
87% of new residents, often for short stays.
Typical stay
2 - 3 months
Medicaid
3% of new residents, often for long-term daily care.
Typical stay
10 - 11 months
Finances and operations
Proprietary home
Corporation
Home revenue
$12.9M
Profit
$6.4K
Proprietary home
Corporation
Home revenue
$12,942,935.00
Profit
$6,356.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$5.3M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$7.6M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$12.9M
64-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
32 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score: 47 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
How BBB ratings work
About this community
Occupancy Rate
86%
Occupied Beds
55 of 64
Percentage of available beds currently in use by residents.
License Status
LICENSEDFacility Type
RESIDENTIAL CARE ELDERLY
License Date
January 31, 1994
Additional licensing details
County:
SAN BERNARDINO
Ownership & operating entity
Heritage Gardens is legally operated by HERITAGE HEALTH CARE INC.
Care Services
Alzheimer's Certification
What does this home offer?
Accept Medicaid: Yes
Housing Options: Private / Semi-Private Rooms
Building Type: Single-story
Transportation Services
Fitness and Recreation
Parking Available
Three Meals Per Day
Types of Care at Heritage Gardens
Skilled Nursing
Nursing Care
Respite Care
Inspection History
In California, the Department of Social Services (for assisted living facilities) and the Department of Public Health (for nursing homes) conduct inspections to ensure resident safety and regulatory compliance.
24 visits
Breakdown by visit type
21 total complaint visits
3 other visits
Other visits include regulatory visits that are not routine inspections or complaint investigations, such as administrative check-ins, follow-up reviews, or licensing-related visits.
17 complaint investigations
Investigations can have many visits.
4 official inspections
8 total citations
Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.
3 serious citations
A violation that poses an immediate risk to resident health or safety, or represents a substantial failure to comply with licensing requirements.
5 moderate citations
A violation that does not pose an immediate risk to resident health or safety but requires correction to remain in compliance.
Latest inspection
Date:February 25, 2025
Type:Annual Inspection
8 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Inspection Report Summary for Heritage Gardens
Most inspections found no deficiencies, and several complaint investigations were unsubstantiated, indicating many concerns raised were not supported by evidence. The most recent report from February 25, 2025, cited deficiencies related to medication administration practices and incomplete staff files, though no severe enforcement actions or fines were noted. Earlier substantiated issues involved medication errors, missed treatments, and failure to provide appropriate incontinence care, but these were isolated and did not recur frequently. Complaint investigations generally did not confirm allegations, and some improvements were seen as the latest annual inspection still found medication administration problems but no new serious violations. Overall, the facility’s record shows a mix of mostly minor or isolated issues with some areas needing attention, particularly medication management and staff documentation.
Compare Nursing Homes around Loma Linda
The information below is reported by the California Department of Social Services and Department of Public Health.
Heritage Gardens
+87%
+5%
+1%
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IL
Independent Living For self-sufficient seniors seeking community and minimal assistance.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
SNF
Nursing Homes 24/7 care needed
Loma Linda
110
No
A+
47
COTTON FAMILY REVOCABLE TRUST
85.9%
$12,599,262.00
$5,347,556.00
42.4%
93.80
4.4430
45
1
+87%+5%+1%Private / Semi-Private Rooms
Heritage Gardens
Type of care:
AL
IL
MC
SNF
Community:
Loma Linda
Bed Count:
110
Pets Allowed:
No
Operator:
COTTON FAMILY REVOCABLE TRUST
CCN:
55183
Occupancy:
85.9%
Home Revenue:
$12,599,262.00
Payroll Costs:
$5,347,556.00
Payroll %:
42.4%
Avg Residents/Day:
93.80
Overall Rating:
Adj Nurse Hours:
4.4430
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
45
Severe Citations:
1
RN share vs State Avg:
+87%
+87%
Staffing vs State Avg:
+5%
+5%
Occupancy vs State Avg:
+1%
+1%
Bed Options:
Private / Semi-Private Rooms
Places of interest near Heritage Gardens
0.6 miles from city center
25271 Barton Rd, Loma Linda, CA 92354
Calculate Travel Distance to Heritage Gardens
Add your location
Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
238
Total Staff
128
Employees
110
Contractors
43,647
Total Hours (Quarter)
66
Avg Staff/Day
7.3
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 38 | 6.5 | Yes |
| Licensed Practical Nurse | 52 | 7.7 | Yes |
| Certified Nursing Assistant | 101 | 7.5 | Yes |
Staff by Category
Administration ⓘ
2 staff
7hs shift avg
Nursing Staff ⓘ
198 staff
7.5hs shift avg
Physicians & Practitioners ⓘ
5 staff
5.1hs shift avg
Therapy Services ⓘ
23 staff
4.9hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
1 staff
1.3hs shift avg
Dietary Services ⓘ
7 staff
7.5hs shift avg
Other Services ⓘ
2 staff
8.1hs shift avg
Contractor Analysis
8.8%
of total hours from contractors
3,843 contractor hours this quarter
Respiratory Therapy Technician: 3
Certified Nursing Assistant: 26
Physical Therapy Aide: 7
Licensed Practical Nurse: 24
Speech Language Pathologist: 6
Registered Nurse: 31
Qualified Social Worker: 1
Physical Therapy Assistant: 2
Other Physician: 2
Occupational Therapy Aide: 4
Medical Director: 1
Occupational Therapy Assistant: 1
Physician Assistant: 2
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 75 | 26 | 101 | 23,229 | 91 | 100% | 7.5 |
| Licensed Practical Nurse | 28 | 24 | 52 | 8,577 | 91 | 100% | 7.7 |
| RN Director of Nursing | 7 | 0 | 7 | 2,922 | 80 | 88% | 8.5 |
| Registered Nurse | 7 | 31 | 38 | 2,255 | 91 | 100% | 6.5 |
| Other Dietary Services Staff | 7 | 0 | 7 | 2,009 | 91 | 100% | 7.5 |
| Physical Therapy Aide | 0 | 7 | 7 | 1,042 | 68 | 75% | 5.7 |
| Speech Language Pathologist | 0 | 6 | 6 | 965 | 77 | 85% | 6 |
| Dental Services Staff | 2 | 0 | 2 | 936 | 63 | 69% | 8.1 |
| Nurse Practitioner | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Administrator | 1 | 0 | 1 | 496 | 62 | 68% | 8 |
| Occupational Therapy Aide | 0 | 4 | 4 | 197 | 44 | 48% | 4.2 |
| Physical Therapy Assistant | 0 | 2 | 2 | 193 | 65 | 71% | 2.9 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 150 | 60 | 66% | 2.1 |
| Other Physician | 0 | 2 | 2 | 48 | 41 | 45% | 1.1 |
| Qualified Social Worker | 0 | 1 | 1 | 34 | 26 | 29% | 1.3 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 31 | 3 | 3% | 10.3 |
| Medical Director | 0 | 1 | 1 | 26 | 13 | 14% | 2 |
| Physician Assistant | 0 | 2 | 2 | 17 | 7 | 8% | 2.4 |
Health Inspection History
Inspections
Total health citations
45
Citations per inspection
3.75
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
35 of 45 citations resulted from standard inspections; 9 of 45 resulted from complaint investigations; and 1 of 45 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
1
1
150% worse than California averageCalifornia average: 0.4
Serious Health citations
0
0
100% better than California averageCalifornia average: 1
1 critical citation
0 serious citations
44 moderate citations
0 minor citations
Citations history (last 3 years)
Resident Rights moderate citation
May 06, 2025
Corrected
Administration moderate citation
Jan 16, 2025
Corrected
Infection Control moderate citation
Jan 16, 2025
Corrected
Nutrition moderate citation
Jan 16, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit Corporation
Resident Census by Payment Source
101
Total Residents
Medicare
5
(5%)
ⓘ
Medicaid
11
(10.9%)
ⓘ
Private Pay/Other
85
(84.2%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.1
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.1
53% worse than California averageCalifornia average: 6.6
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.8
21% worse than California averageCalifornia average: 11.3
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
12.6%
Percent of long-stay residents whose need for help with daily activities has increased
12.6%
14% worse than California averageCalifornia average: 11.1%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
23.7%
Percent of long-stay residents whose ability to move independently worsened
23.7%
98% worse than California averageCalifornia average: 12.0%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
5.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
5.0%
56% better than California averageCalifornia average: 11.3%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
1.4%
Percent of long-stay residents experiencing one or more falls with major injury
1.4%
15% better than California averageCalifornia average: 1.7%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.9%
Percent of long-stay high risk residents with pressure ulcers
5.9%
18% worse than California averageCalifornia average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.1%
Percent of long-stay residents with a urinary tract infection
1.1%
12% better than California averageCalifornia average: 1.2%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
7.1%
Percent of long-stay residents who lose too much weight
7.1%
69% worse than California averageCalifornia average: 4.2%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.2%
Percent of long-stay residents who have depressive symptoms
1.2%
82% better than California averageCalifornia average: 6.7%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
4.3%
Percent of long-stay residents who received an antipsychotic medication
4.3%
57% better than California averageCalifornia average: 10.1%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with California averageCalifornia average: 98.5%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with California averageCalifornia average: 98.2%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.71
Number of hospitalizations per 1,000 long-stay resident days.
1.71
24% better than California averageCalifornia average: 2.25
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.83
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.83
15% worse than California averageCalifornia average: 1.59
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
6% better than California averageCalifornia average: 94.0%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.6%
Percent of short-stay residents who newly received an antipsychotic medication
0.6%
61% better than California averageCalifornia average: 1.5%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
99.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
99.2%
6% better than California averageCalifornia average: 93.2%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
60.4%
Rate of successful return to home or community from a skilled nursing facility.
60.4%
19% better than California averageCalifornia average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Heritage Gardens based on CMS SNF Cost Reports.
Occupancy Rate
87.2%
↑ 6.9pp vs 2022
Net Income
$6,356
↑ ~$1.5M vs 2022
Total Payroll
$6,720,030
↑ ~$117K vs 2022
Profit Margin
0.1%
↑ 13.2pp vs 2022
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