Las Colinas Post Acute

CMS star ratings

Overall★★★★★ 2/5

State avg 3.2

Health inspections★★★★★ 2/5

State avg 2.8

Staffing★★★★★ 2/5

State avg 3.3

Quality measures★★★★★ 3/5

State avg 4.1

Long-stay quality★★★★★ 4/5

Short-stay quality★★★★★ 2/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing: 3.92 (state 4.52 · U.S. 3.86)
Registered nurses (RN): 0.25 (state 0.67 · U.S. 0.69)
Licensed practical nurses: 1.36 (state 1.20 · U.S. 0.86)
Nurse aides: 2.30 (state 2.65 · U.S. 2.32)
Weekend total: 3.62 (state 4.09 · U.S. 3.42)
Nursing staff turnover: 22.9 (state 36.7 · U.S. 45.8)%
RN turnover: 44.4 (state 38.1 · U.S. 42.9)%
Administrators who left: 0 in the last year

Inspections

Last standard inspection: August 29, 2025
Health deficiencies (last cycle): 18.0 (state 15.7 · U.S. 9.3)
From complaints: 2
Citations on record (3 years): 46 health · 17 fire safety · includes immediate jeopardy

Date	Citation	Severity	Status
2026-05-05	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 Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2026-05-21
2026-05-05	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2026-05-21
2025-08-29	Have a policy regarding use and storage of foods brought to residents by family and other visitors. F0813 · Nutrition and Dietary Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2025-11-21
2025-08-29	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2025-11-21
2025-08-29	Keep all essential equipment working safely. F0908 · Environmental Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2025-11-21
2025-08-29	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. F0925 · Environmental Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2025-11-21
2025-08-29	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. F0578 · Resident Rights Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-11-21
2025-08-29	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-11-21
2025-08-29	Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. F0636 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-11-21
2025-08-29	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-11-21
2025-08-29	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-11-21
2025-08-29	Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. F0676 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-11-21
2025-08-29	Assist a resident in gaining access to vision and hearing services. F0685 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-11-21
2025-08-29	Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-11-21
2025-08-29	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-11-21
2025-08-29	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 Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-11-21
2025-08-29	Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. F0577 · Resident Rights Deficiencies	B No actual harm, potential for minimal harm	Corrected 2025-11-21
2025-08-29	Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. F0912 · Environmental Deficiencies	B No actual harm, potential for minimal harm	Corrected 2025-11-21
2025-05-28	Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-06-06
2025-03-14	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-04-03
2025-02-13	Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-02-27
2024-12-04	Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-12-13
2024-10-11	Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. F0676 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-10-30
2024-07-18	Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-08-01
2024-06-25	Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-07-09
2024-04-10	Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-04-19
2023-11-02	Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection	J Immediate jeopardy to resident health or safety	Corrected 2023-11-21
2023-09-08	Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. F0691 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2023-09-19
2023-08-30	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2023-09-06
2023-08-30	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 Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2023-09-06
2022-03-18	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2022-04-08
2022-03-18	Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-04-08
2022-03-18	Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. F0646 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-04-08
2022-03-18	Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. F0676 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-04-08
2022-03-18	Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-04-08
2022-03-18	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-04-08
2022-03-18	Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. F0912 · Environmental Deficiencies	B No actual harm, potential for minimal harm	Corrected 2022-04-08
2019-05-23	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. F0801 · Nutrition and Dietary Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2019-06-22
2019-05-23	Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. F0802 · Nutrition and Dietary Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2019-06-22
2019-05-23	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2019-06-22
2019-05-23	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2019-06-22
2019-05-23	Have a policy regarding use and storage of foods brought to residents by family and other visitors. F0813 · Nutrition and Dietary Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2019-06-22
2019-05-23	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 Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2019-06-22
2019-05-23	Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-06-22
2019-05-23	Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-06-22
2019-05-23	Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. F0912 · Environmental Deficiencies	B No actual harm, potential for minimal harm	Corrected 2019-06-22

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years, including $70,925 in fines.

Date	Type	Amount
2023-11-02	Fine	$70,925

Ownership & management

Name	Role	Since
Etemadian, Ali (individual)	Contracted Managing Employee · NOT APPLICABLE
Apt, Frederick (individual)	Corporate Officer · NOT APPLICABLE
Hancock, Mark (individual)	Corporate Officer · NOT APPLICABLE
Jergensen, Joshua (individual)	Corporate Officer · NOT APPLICABLE
Mitchell, John (individual)	Corporate Officer · NOT APPLICABLE
Lords, Trevor (individual)	W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Las Colinas Post Acute?

Las Colinas Post Acute has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in California.

How many beds does Las Colinas Post Acute have?

It has 216 certified beds and cares for about 203 residents per day.

Has Las Colinas Post Acute been fined?

Yes. CMS lists 1 penalty totaling $70,925 in the last three years.

Who owns Las Colinas Post Acute?

It is part of Pacs Group and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Las Colinas Post Acute?

(909) 984-8629. The facility is located at 800 E 5th St, Ontario, CA 91764.

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Contact & location

Facility details