Heritage Gardens Health Care Center
Heritage Gardens Health Care Center
3.1 (48 reviews)
Skilled Nursing Facility • 110 Licensed Beds
25271 Barton Road, Loma Linda, CA
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
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Heritage Gardens Health Care Center

Skilled Nursing Facility • 110 Licensed Beds
25271 Barton Road,
Loma Linda, CA
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
View details →
About

Heritage Gardens Health Care Center – Medicare Certified Since 1967

Heritage Gardens Health Care Center is a Medicare and Medicaid certified skilled nursing facility located in Loma Linda, California. This facility has been serving the community for 59 years. A Medicare-certified skilled nursing facility provides 24-hour nursing care, rehabilitation services, and assistance with activities of daily living for patients who need skilled nursing or rehabilitation services on a daily basis.

This facility has 110 certified beds with a current occupancy rate of 85% (averaging 94 residents per day), which is high. Skilled nursing facilities provide 24-hour nursing care for patients who need rehabilitation services after a hospital stay or ongoing care for chronic conditions. Services include skilled nursing, physical therapy, occupational therapy, speech therapy, and assistance with daily activities.

Staffing Levels: Based on CMS payroll data, this facility provides approximately 4.39 hours of total nursing care per resident per day (2.72 hours from CNAs, 1.35 hours from LPNs, 0.32 hours from RNs). Physical therapy staffing is 0.02 hours per resident per day. This staffing level meets research-recommended quality thresholds.

Medicare Quality Ratings: According to CMS, Heritage Gardens Health Care Center has an overall quality rating of 4 out of 5 stars, which is above average compared to other nursing homes nationwide. Individual category ratings are: health inspection: 3 stars, staffing: 3 stars, quality measures: 5 stars.

Medicare Coverage: Medicare covers skilled nursing facility care for up to 100 days following a qualifying hospital stay of at least 3 days. Days 1-20 are fully covered by Medicare, days 21-100 require a daily coinsurance payment. Many residents also use Medicaid, private insurance, or pay privately for long-term stays.

Questions to Ask: When visiting a nursing home, ask about: staff-to-resident ratios and RN coverage around the clock, how they handle medical emergencies, activities and therapy programs, how they communicate with families, their approach to falls prevention, and policies for managing resident complaints.

Visit Medicare Care Compare to view detailed ratings, inspection reports, staffing data, and compare this facility with others in the area.

Quality ratings and facility data are updated periodically by CMS. We recommend verifying current information at Medicare Care Compare.

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Local Comparison Snapshot

How Heritage Gardens Health Car... compares to 108 facilities in Riverside-San Bernardino-Ontario, CA

Click a measure name to jump to details • Hover over for definitions

Measure
This Facility
Area Avg
Comparison
Overall Rating
Medicare 5-star rating
4
3.4
Quality Measures
Clinical outcomes & safety
5
4
Health Inspections
State survey results
3
3.2
Staffing
Nurse-to-resident ratio
3
2.7
Staffing Hours (per resident/day)
RN Hours
Registered nurses
0.32 hrs
0.52 hrs
LPN/LVN Hours
Licensed practical nurses
1.35 hrs
1.41 hrs
CNA Hours
Certified nursing assistants
2.72 hrs
2.56 hrs
Total Nursing Hours
CNA + LPN + RN combined
4.39 hrs
4.49 hrs
Agency/Contractor Usage
Lower agency use often indicates more stable, consistent care
RN Agency Use
% of RN hours from contractors
12.1 %
1.4 %
LPN/LVN Agency Use
% of LPN hours from contractors
3.3 %
1.5 %
CNA Agency Use
% of CNA hours from contractors
2.3 %
2.4 %
Staff Stability & Occupancy
Staff Turnover
Annual nursing staff turnover
47 %
39 %
Occupancy Rate
Percentage of beds filled
85 %
90 %
Financial Estimate
Based on CMS Cost Report data (for reference only)
Est. Daily Rate
Average cost per day
$360
$559
Estimate Only: This figure is calculated from cost reports and is for informational purposes only. Actual rates vary significantly. See details or contact the facility.
Better than Area
Near Average
Below Area Average

Data from CMS Medicare Compare and Payroll-Based Journal. Area averages based on 108 facilities in Riverside-San Bernardino-Ontario, CA.
Ratings and staffing data typically reflect the most recent quarterly reporting period available.

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Medicare Star Ratings

Official CMS ratings based on health inspections, staffing, and quality measures

Data as of December 2025

What do Medicare star ratings measure?
Medicare rates nursing homes on a 1-5 star scale based on three key areas: health inspection results, staffing levels, and quality measures like falls and infections.
How often are ratings updated?
CMS updates nursing home ratings monthly. Ratings can change based on new inspection results, staffing data from payroll records, and clinical quality outcomes.
Overall Rating
4/5
Quality Measures
5/5
Health Inspections
3/5
Staffing
3/5

Star Ratings History

Quarterly performance from 2013-2026

View on Medicare.gov
Overall
Health Inspections
Quality
Staffing
Source: Centers for Medicare & Medicaid Services

How Does This Facility Compare?

Compared to 108 other nursing homes in Riverside-San Bernardino-Ontario, CA

Why compare to local facilities?
Local comparisons account for regional staffing markets and demographics. A facility performing above local averages often indicates strong management and quality care relative to area standards.
Heritage Gardens Health Car...
Riverside-San Bernardino-Ontario, CA Average

Based on CMS Medicare star ratings. Higher ratings indicate better performance.

Staffing Hours per Resident Day

Heritage Gardens Health Car...
Riverside-San Bernardino-Ontario, CA Average

Staffing data from CMS Payroll-Based Journal. Higher hours generally indicate more direct care time.

Staff Turnover Rate

Heritage Gardens Health Car...
Riverside-San Bernardino-Ontario, CA Average

Lower turnover rates generally indicate a more stable workforce and better continuity of care.

Agency/Contract Staff Usage

Heritage Gardens Health Car...
Riverside-San Bernardino-Ontario, CA Average

Lower agency usage often indicates better staff retention. High agency rates (>30%) may suggest staffing challenges.

Agency Staff Trends

Historical agency/contract staff usage by role

What does agency usage indicate?
Agency/contract staff fill temporary staffing gaps. Lower percentages typically indicate a stable, permanent workforce. Facilities with consistently high agency usage (>30%) may face staff retention challenges, though temporary spikes can occur during seasonal illness or transitions.
CNA
LPN
RN

Data from CMS Payroll-Based Journal (PBJ). Agency % = contractor hours / total hours.

Direct Care Staffing

Average minutes of direct nursing care per resident per day

Data as of December 2025

Understanding staffing levels: Higher staffing is associated with better quality outcomes. Research suggests around 4.1 hours of total nursing care per resident per day as a quality benchmark. Compare this facility's staffing to local averages to assess relative care levels.
163
minutes/day
CNAs
Certified Nursing Assistants
81
minutes/day
LVNs
Licensed Vocational Nurses
19
minutes/day
RNs
Registered Nurses
1
minutes/day
PTs
Physical Therapists

Staffing Trends

Direct care minutes per resident per day

CNAs
LVNs
RNs
PTs
Source: Centers for Medicare & Medicaid Services

Occupancy Rate History

Average daily residents as a percentage of certified beds

Understanding occupancy: Higher occupancy can indicate strong community reputation and demand. Very low occupancy may affect financial stability, while extremely high occupancy could mean limited bed availability.
Heritage Gardens Health Car...
Riverside-San Bernardino-Ontario, CA Average (89.7%)

Data from CMS Provider Info files. Occupancy = Average Residents per Day / Certified Beds.

Staff Turnover History

Annual percentage of nursing staff who left the facility

Data as of December 2025

Understanding turnover: Lower turnover rates generally indicate a more stable workforce and better continuity of care. High turnover can affect care quality and resident relationships. The national average for nursing homes is around 50-60%.
All Nursing Staff
Registered Nurses (RN)
Area Average

Data from CMS Payroll-Based Journal. Turnover = staff who left during the year / total staff.

Average Daily Rate

Average daily charge for care at this facility

Based on CMS Cost Report data (inpatient revenue ÷ total patient days)

FY 2023 Daily Rate
$360
per resident per day
Compared to 108 facilities in your area
Below local median ($559)
Daily Rate Trend (2018-2023)
Contact Facility for Actual Rates
This figure is an average calculated from cost reports and is for informational purposes only. Actual rates vary significantly based on level of care needed, room type, payer source (Medicare, Medicaid, private pay), and other factors. Please contact the facility directly for current pricing and availability.
How This Is Calculated
This average daily rate is calculated from CMS Cost Reports by dividing total inpatient revenue by total patient days. It represents an average across all payers and care levels. Higher rates may indicate more intensive care, specialized services, or regional cost factors.

Data Source: Financial data from CMS Skilled Nursing Facility Cost Reports. Data typically lags 1-2 years. This information is for educational purposes only and should not be the sole basis for financial or care decisions. CareListings does not guarantee accuracy.

Financial Health

Comprehensive financial indicators from CMS Cost Reports

Data from fiscal year 2023 (most recent available - cost report data lags ~2 years)

For-Profit Facility

Financial Summary

Metric This Facility Local Median Comparison
Operating Margin
Profitability ratio
-3% 1% Below
Net Income
Annual profit or loss
$6,356 $418,089 Below
Staff Cost per Resident
Daily salary expense per resident
$153/day $211/day Lower
Occupancy Rate
Bed utilization percentage
85% 92% Lower
Est. Daily Rate
Average revenue per patient day
$360/day $559/day Lower
Total Beds
Licensed bed capacity
110 99 Larger

Local comparisons based on 108 skilled nursing facilities in the Riverside-San Bernardino-Ontario, CA metro area

Revenue & Expenses

Net Patient Revenue
After adjustments & allowances
$12,263,036
Operating Expenses
Total operating costs
$12,600,352
Total Salaries
Staff compensation
$5,347,556
Contract Labor
Agency & temp staff
$465,799

Payer Mix

Medicare
4%
Medicaid
12%
Private Pay & Other
84%

Operating Margin Trend (2018-2023)

Understanding Financial Health
Operating Margin: Percentage of revenue remaining after operating costs. Positive = profitable operations.
Staff Investment: Higher spending per resident often correlates with better care quality.
Payer Mix: Shows revenue sources. Higher Medicare % typically means more post-acute/rehab care; higher Medicaid % indicates more long-term care residents.
Nonprofit/Government: May operate with lower margins while still providing quality care due to community mission.

Data Source: All financial data on this page comes from CMS Skilled Nursing Facility Cost Reports submitted by the facility to the Centers for Medicare & Medicaid Services. This information is provided for educational purposes only and should not be the sole basis for any financial or care decisions. Cost report data typically lags 1-2 years. CareListings does not guarantee the accuracy of this data.

Who Stays Here

Breakdown of residents by payment type

Based on fiscal year 2023 cost report data

Total Days
35,022
Medicare
Short-term skilled nursing
4%
Medicaid
Long-term care residents
12%
Private Pay / Other
Self-pay, insurance, VA
84%
Higher Medicare %
Indicates more short-term rehabilitation residents. Medicare typically covers up to 100 days of skilled nursing care after a hospital stay.
Higher Medicaid %
Indicates more long-term care residents. Medicaid covers nursing home care for those who qualify financially.

Average Length of Stay

How long residents typically stay at this facility

Based on fiscal year 2023 cost report data

Overall Average
77.00
days
Medicare Stays
37.00
days
Medicaid Stays
184.00
days
Total Admissions
462
Total Discharges
456
Medicare (Short-Term)
Medicare covers skilled nursing for rehabilitation after a hospital stay. Typical stays are 20-30 days for recovery from surgery, stroke, or illness.
Medicaid (Long-Term)
Medicaid covers long-term nursing home care for those who qualify. Many residents stay months or years, receiving ongoing daily care and support.

Services

Comprehensive skilled nursing services, rehabilitation programs, and medical care in LOMA LINDA

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Reviews

3.1 (48 reviews)
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Ron Dijcks's profile photo
Ron Dijcks 4 months ago

When I leave a review, I try hard to leave emotion out of the narrative but if you/loved-one need(s) 24/7 Skilled Nursing Care, this is not the place to go (at least not in my experience). Patients who are in need of regular attention, Elderly, diabetic, incontinent, recovering from surgery, may want to look elsewhere for care. Like most such facilities, The bad will be what you remember when witnessing negligence, complacency and slow unprofessional care, particularly with elderly loved ones. I try to remember that several patients need care/help and so things don't always get done quickly. But when a recovering bedridden patient lays in their own waste for several hours contaminating their surgical wound and medical needs persistently ignored, it's hard not to feel contempt. I found it incomprehensible that the staff who work with patients in this facility had absolutely no knowledge of wound care and how to care for older, limited strength/endurance patients. No bedside commodes for those, who are bedridden. My mother was discharged against doctor orders with Absolutely no plan for home care visits, no follow up, and a surgical wound that was so corrupted that she was forced in to another hospitalization. I feel that there are staff there that care, but overall they are either not trained for how to care for certain cases, or they are not Skilled Nurses. There are some staff who do make the effort to help patients, but in the end, that cannot make up for the overall shortage of professional doctoring and caregiving. I wanted to "love" this place, after all, my mother was sent here by the hospital with no option for a closer and better suited place for her benefit. REMEMBER, I learned the hard way that you do have a choice when a loved one or yourself is placed far from home, or in a facility that may not be best for all concerned. And if you have a choice, look to a better rated, better caring overall outfit.

Natasha S.'s profile photo
Natasha S. a month ago

On the date of discharge, my mother was released from this rehabilitation facility despite being physically unable to walk safely or manage stairs. She lacked sufficient leg strength to climb the ramp of the transport van, yet the discharge proceeded. During transport, she attempted to use her walker and fell from the ramp while the driver laughed instead of assisting her. Upon arriving home, she was unable to climb the stairs as she had previously warned the facility’s administrator multiple times. We were forced to contact the local fire department to help carry her safely into the home. My mother had informed the administrator on November 6, 2025, that returning home would be dangerous because she had only practiced stair climbing three times during her stay—all within the last eight days. Despite these clear safety concerns, staff told her there was “nothing medically wrong” with her and that she “needed to go.” This discharge violated basic patient safety and dignity standards. The facility’s actions demonstrated gross negligence, lack of compassion, and a failure to ensure a safe transition of care.

Ron Dijcks's profile photo
Ron Dijcks 6 months ago

So, this is an early review as my mother’s son, who accompanied my mom to this facility. I won’t lie, when I first entered, I was very disappointed. The place looks/looked like it hadn’t been redone for 50 years. Brown/Orange curtains on windows, Orange walls, that appear to have been painted a LONG time ago, etc., you get the picture. It’s NOT very inviting, when thinking about a hospital/care facility setting. That said, the paperwork and initial check in was lengthy, but they were thorough, making sure she was properly situated, both with her belongings, and her physical self. They examined her entire body for any sores, rashes, etc., in order to fast track any possible issues, but also to document her condition upon her entry to the facility. The rooms appear to be Double Occupancy. She was placed in a room that had a patient from hell. This “neighbor” was up ALL night, hacking, coughing, and carrying on. One of the nurses warned my mother that this goes on every night. I immediately made a video recording of the situation, in case this became a situation that caused my mother to become ill, …which she did/does NOT Need right now. Not in her condition. She had just come out of Hip Repair Surgery, where the first trip to the operating room was a failure. She had to go back for a 2nd surgery, which changed the outlook for her. She must be bedridden for SIX weeks. No weight on her hips, and minimal Physical Therapy. Getting back the the review: This place does NOT bring an initial feeling of wow. It’s old, BUT, as of this very short experience, they know what they are doing, and put a great deal of effort to helping their patients. As well, the manager and other leaders are very knowledgeable of the system, and do seem to know what they are doing. My mother reported that the food so far is not bad, and that’s another plus. As time goes by, I will make changes to the review, particularly if there are important things to know! Right now, the coin’s in the air. No Heads , No Tails!

Audra's profile photo
Audra 7 months ago

My mom was sent here after multiple falls at home for rehab. Her stay here was wonderful. They worked on getting her stronger as well as keeping her active in activities like bingo, which she enjoyed and we did too! The staff was attentive and kind. They know all the patients and take extra care to know what they like or don’t like. It gave us a lot of peace knowing she was in good hands. We are grateful she was ready to come home today .

Tracie Flores's profile photo
Tracie Flores 4 months ago

The staff took amazing care of Emily - mom to me. Samantha, Carla, Peter, Joseph, and many more. The staff cares - much respect to the staff and thank you.

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