| Citrus Grove Post Acute | |
| 9025 Colorado Avenue, Riverside, California 92503 | |
| (951) 688-3643 | |
| Name | Citrus Grove Post Acute |
|---|---|
| Location | 9025 Colorado Avenue, Riverside, California |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 120 |
| Occupancy Rate | 91.92% |
| Medicare ID (CCN) | 056315 |
| Legal Business Name | Windsor Cypress Gardens Healthcare, LLC |
| Ownership Type | For Profit - Limited Liability Company |
| Chain | Windsor (22 nursing homes) |
| Chain Average Overall Rating | 2.4 out of 5 |
| NPI Number | 1831748714 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Windsor Cypress Gardens Healthcare, LLC |
| Doing Business As | Windsor Cypress Gardens |
| Address | 9025 Colorado Ave, Riverside, CA 92503 |
| Phone Number | 951-688-3636 |
| NPI Number | 1366643603 |
| Match | Possible same name, address or phone number |
| Organization Name | Mutual Care Management, Inc. |
| Doing Business As | Same |
| Address | 9025 Colorado Ave, Riverside, CA 92503 |
| Phone Number | 951-688-3636 |
| NPI Number | 1770884868 |
| Match | Possible same name, address or phone number |
| Organization Name | 9025 Colorado Avenue LLC |
| Doing Business As | Cypress Gardens Care Center |
| Address | 9025 Colorado Ave, Riverside, CA 92503 |
| Phone Number | 951-688-3636 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.87 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.29 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.13 | 0.86 |
| Nurse aide hours per resident per day | 2.45 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.62 | 3.42 |
| RN hours per resident per day on the weekend | 0.24 | 0.48 |
| Physical therapist hours per resident per day | 0.05 | 0.07 |
| Total nursing staff turnover | 39.8% | 45.8% |
| Registered nurse turnover | 60% | 42.9% |
| Number of administrators who have left the nursing home | 2 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Jun 25, 2026 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | No plan of correction |
| Jun 25, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | No plan of correction |
| Jun 25, 2026 | Keep all essential equipment working safely. F0908, Environmental, Complaint inspection | Potential for harm, isolated | No plan of correction |
| Mar 19, 2026 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Mar 23, 2026 |
| Mar 19, 2026 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Mar 23, 2026 |
| Mar 4, 2026 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. F0627, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Mar 10, 2026 |
| Dec 31, 2025 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. F0627, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Jan 15, 2026 |
| Dec 17, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Dec 19, 2025 |
| Dec 17, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Complaint inspection | Potential for harm, isolated | Corrected by Dec 19, 2025 |
| Dec 11, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Dec 26, 2025 |
| Dec 11, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Dec 26, 2025 |
| Dec 11, 2025 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. F0628, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Dec 26, 2025 |
| Dec 11, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Dec 26, 2025 |
| Dec 11, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Dec 26, 2025 |
| Dec 11, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Dec 26, 2025 |
| Dec 11, 2025 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Dec 26, 2025 |
| Dec 11, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Dec 26, 2025 |
| Dec 11, 2025 | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. F0911, Environmental, Standard inspection | Minimal harm potential, pattern | Corrected by Dec 26, 2025 |
| Aug 15, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, pattern | Corrected by Aug 29, 2025 |
| Aug 15, 2025 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. F0700, Quality of Life and Care, Complaint inspection | Potential for harm, pattern | Corrected by Aug 29, 2025 |
| Jun 20, 2025 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. F0805, Nutrition and Dietary, Complaint inspection | Potential for harm, isolated | Corrected by Jun 26, 2025 |
| May 12, 2025 | Reasonably accommodate the needs and preferences of each resident. F0558, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by May 17, 2025 |
| Mar 4, 2025 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. F0584, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Mar 5, 2025 |
| Feb 19, 2025 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Feb 21, 2025 |
| Feb 19, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Complaint inspection | Potential for harm, isolated | Corrected by Feb 21, 2025 |
| Jan 21, 2025 | Post nurse staffing information every day. F0732, Nursing and Physician Services, Complaint inspection | Potential for harm, isolated | Corrected by Jan 27, 2025 |
| Jan 21, 2025 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. F0806, Nutrition and Dietary, Complaint inspection | Potential for harm, isolated | Corrected by Jan 27, 2025 |
| Oct 17, 2024 | Allow residents to self-administer drugs if determined clinically appropriate. F0554, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Oct 21, 2024 |
| Oct 17, 2024 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Oct 31, 2024 |
| Oct 17, 2024 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. F0802, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Oct 17, 2024 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 5.26 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 6.47 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0.54 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 8.92 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 88.19 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 68.05 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 3.02 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.39 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 58.82 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 33.66 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 3.62 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 3.49 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 4.59 | 15.38 |
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