SNF
Rancho Mesa Care Center
CCN: 555521 · Alta Loma, CA 91701 · San Bernardino County
Overview
- Address
- 9333 La Mesa Dr, Alta Loma, CA 91701
- Phone
- 9099872501
- Certified beds
- 59
- Avg daily residents
- 61 (103% of beds filled)
- Ownership
- For-profit LLC
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1992-07-14
- Setting
- Urban
5 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 3.88 | 4.33 | 3.45 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.24 | 0.76 | 0.21 | ≥ 0.55 | Below floor |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 1.21 | 0.96 | 1.08 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.43 | 2.61 | 2.17 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.45 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.01 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
3.54
hrs / resident / day
RN (weekend)
0.16
hrs / resident / day
Total nurse (adjusted, weekend)
3.16
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
47.2%
annual
RN turnover
Staffing penalized (missing PBJ submission).
Administrators departed
0
last 12 months
Resident acuity
Nursing Case-Mix Index
1.53
higher acuity than avg
Case-Mix Index Ratio
1.11
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-09-18 | 8 | 7 | 1 | 44 | 1 | 44 |
| Cycle 2/3 (prior) | 2024-08-09 | 11 | 8 | 3 | 72 | 1 | 72 |
Total weighted health score
51.0
lower is better
Deficiencies (30)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
30 D/E/F Actual harm — potential for minor
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-09-18 | 2025-10-18 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-09-18 | 2025-10-18 |
| 0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | 2025-09-18 | 2025-10-18 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-09-18 | 2025-10-18 |
| 0759 | Ensure medication error rates are not 5 percent or greater. | D | 2025-09-18 | 2025-10-18 |
| 0761 | 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. | D | 2025-09-18 | 2025-10-18 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2025-09-18 | 2025-10-18 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-03-18 | 2025-03-27 |
| 0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | 2024-08-09 | 2024-09-03 |
| 0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-08-09 | 2024-09-03 |
| 0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | 2024-08-09 | 2024-09-03 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-08-09 | 2024-09-03 |
| 0761 | 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. | D | 2024-08-09 | 2024-09-03 |
| 0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | F | 2024-08-09 | 2024-09-03 |
| 0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | 2024-08-09 | 2024-09-03 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-08-09 | 2024-09-03 |
| 0551 | Give the resident's representative the ability to exercise the resident's rights. | D | 2023-11-14 | 2023-11-28 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-09-21 | 2023-10-18 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-08-31 | 2023-09-11 |
| 0583 | Keep residents' personal and medical records private and confidential. | D | 2023-06-29 | 2023-07-28 |
| 0641 | Ensure each resident receives an accurate assessment. | D | 2023-06-29 | 2023-07-28 |
| 0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2023-06-29 | 2023-07-28 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2023-06-29 | 2023-07-28 |
| 0761 | 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. | D | 2023-06-29 | 2023-07-28 |
| 0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | D | 2023-06-29 | 2023-07-28 |
| 0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | 2023-06-29 | 2023-07-28 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-06-29 | 2023-07-28 |
| 0880 | Provide and implement an infection prevention and control program. | F | 2023-06-29 | 2023-07-28 |
| 0881 | Implement a program that monitors antibiotic use. | D | 2023-06-29 | 2023-07-28 |
| 0908 | Keep all essential equipment working safely. | D | 2023-06-29 | 2023-07-28 |
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 14.1% Medicaid 61.8% Other 24.1%
Operating performance
Operating Margin
6.5%
Total Margin
7.0%
Occupancy Rate
93.9%
Cost per Resident Day
$37
Revenue & costs
Net Patient Revenue
$8.1M
Total Costs
$758K
Net Income
$570K
Balance sheet
Total Assets
$3.3M
Total Liabilities
$4.0M
Fund Balance
-$695K
Current Ratio
0.56
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Owner / manager organizations (2)
| Organization | Role | Association |
|---|---|---|
| P & M MANAGEMENT INC | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2000 |
| RENEW HEALTH CONSULTING SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | since 08/17/2023 |
Owner / manager individuals (11)
| Name | Role | Association |
|---|---|---|
| MAHAN, MARYLYNN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 08/17/2023 |
| WEINBERGER, PHILIP | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 08/17/2023 |
| SHARMA, VATSALA | OPERATIONAL/MANAGERIAL CONTROL | since 08/17/2023 |
| SINGH, JHUJHAR | OPERATIONAL/MANAGERIAL CONTROL | since 12/17/2024 |
| MAHAN, MARYLYNN | CORPORATE DIRECTOR | since 08/17/2023 |
| WEINBERGER, PHILIP | CORPORATE DIRECTOR | since 08/17/2023 |
| MAHAN, MARYLYNN | CORPORATE OFFICER | since 08/17/2023 |
| WEINBERGER, PHILIP | CORPORATE OFFICER | since 08/17/2023 |
| PETTERSON, CHERYL | CONTRACTED MANAGING EMPLOYEE | since 08/17/2023 |
| CALDWELL, RHONDA | W-2 MANAGING EMPLOYEE | since 07/19/2012 |
| MAHAN, MARYLYNN | W-2 MANAGING EMPLOYEE | since 01/01/2013 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Both
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $37 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 0.56 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 61.8% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 14.1% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $570,154 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $8,103,147 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 93.9% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | 6.5% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $3,322,318 | metrics.total_assets |
| Cost Report | Total Costs ($) | $758,210 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $-695,447 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $4,017,765 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 7.0% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 1.07711 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.16530 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.21193 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.45433 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 3.15760 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 60.5 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.96135 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.61274 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.75776 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 4.33185 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.81806 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | — | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | — | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | — | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | — | Chain Average Staffing Rating |
| Provider Information | Chain ID | — | Chain ID |
| Provider Information | Chain Name | — | Chain Name |
| Provider Information | City/Town | Alta Loma | City/Town |
| Provider Information | CMS Certification Number (CCN) | 555521 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | San Bernardino | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1992-07-14 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 4 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 34.1235 | Latitude |
| Provider Information | Legal Business Name | P & M HEALTHCARE HOLDINGS INC | Legal Business Name |
| Provider Information | Location | 9333 La Mesa Dr,Alta Loma,CA,91701 | Location |
| Provider Information | Long-Stay QM Rating | 5 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -117.6 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 0 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 59 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | — | Number of Facilities in Chain |
| Provider Information | Number of Fines | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.53458 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 1.11391 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 5 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Limited Liability company | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 9333 La Mesa Dr | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | Rancho Mesa Care Center | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 460 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 5 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 44 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 1 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 7 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-09-18 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 44 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 8 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 8 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2024-08-09 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 72 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 3 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 72 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 11 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.16190 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | — | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | 27 | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.44626 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 1.20849 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.42940 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.00611 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.23777 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 3.87566 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 5 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 2 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | CA | State |
| Provider Information | Telephone Number | 9099872501 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.54274 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 47.2 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 51.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Both | With a Resident and Family Council |
| Provider Information | ZIP Code | 91701 | ZIP Code |