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Riverside County

Citrus Grove Post Acute Complaints, Violations and Inspection Records

Data current as of the August 2026 CMS Care Compare release and the CDPH state enforcement dataset of August 27, 2024. State citation records cover July 1, 1997 through June 30, 2024.

What the public record shows

If you are looking into Citrus Grove Post Acute in Riverside, whether a loved one lives there now or you are considering it, the public record is worth reading before you decide. It includes 3 citations in the state's two most serious classes, class A and class AA.

CMS overall rating 3 of 5 Health inspections 2 of 5
Nursing hours per resident per day 3.87 Compared with the California average below
California state citations 10 $52,700 in penalties
Federal fines $0 No federal fines on record
CMS overall rating
CMS overall rating: 3 out of 5 stars.
Nursing hours per resident per day, against the California average
This facility reports 3.87 nursing hours per resident per day, below the California average of 4.52.
California state citations by year
California state citations by year, between 2000 and 2023: 10 citations on record, including 3 class A and 7 class B.

Here is what the record shows for this facility, drawn from CMS Care Compare and the California Department of Public Health:

  • CMS overall rating: 3 of 5 stars. The health inspection rating, the most independent of the three categories, is 2 of 5.
  • California state citations: 10 on record, including 3 class A and 7 class B, with $52,700 in assessed penalties.
  • Staffing: 3.87 nursing hours per resident per day; registered nurse turnover 60%.
  • Most recent standard inspection: 9 deficiencies cited on December 11, 2025. The most recent inspection since then was on June 25, 2026: 3 deficiencies cited in the complaint inspection.
  • Federal enforcement: no federal fines on record in the reported period.
  • Ownership: Windsor Cypress Gardens Healthcare, LLC, for-profit, part of Windsor (22 facilities nationally).
Entrance of a California skilled nursing facility on a clear morning. Illustration on the page for Citrus Grove Post Acute in Riverside, California.
Illustration. Not a photograph of Citrus Grove Post Acute.

Citrus Grove Post Acute ratings and staffing

Citrus Grove Post Acute is located at 9025 Colorado Avenue in Riverside, Riverside County. It is a for-profit facility operated by Windsor Cypress Gardens Healthcare, LLC, part of Windsor, with 120 certified beds and an average of 110.3 residents a day. It accepts Medicare and Medicaid.

CMS rates every certified nursing home in three separate categories, and the overall star is a blend of them:

  • Health inspections, based on what state surveyors observe in person during unannounced visits. Weight this one most heavily, because it does not rely on data the facility reports about itself.
  • Staffing, drawn from payroll-based records of how much nursing time each resident actually receives.
  • Quality measures, built largely from data the facility submits. Read a high score here with more caution than the other two.

For Citrus Grove Post Acute, those scores are: health inspections 2 of 5, staffing 2 of 5, quality measures 5 of 5.

Staffing. Citrus Grove Post Acute reports 3.87 total nursing hours per resident per day, of which 0.29 are registered nurse hours. Over the reporting year, 39.8% of the nursing staff left. Registered nurses supervise aides, catch medication errors before they reach a resident, and notice when a person's condition is changing. Staffing is the single number that most reliably predicts whether a facility catches a problem early or lets it become a crisis.

How this home compares in the public record

CMS publishes each home's star rating and its payroll-based staffing hours, and it publishes the federal fines it has imposed. The county and California figures beside each number are the averages across those same published records.

CMS overall rating 3 of 5 Riverside County average 3.21 of 5 across 53 rated homes. California average 3.16 of 5 across 1,154 rated homes
Nursing hours per resident per day 3.87 Riverside County average 4.48. California average 4.52
Federal fines $0 Riverside County average $16,218 per home. California average $24,666 per home

These figures are taken from public CMS Care Compare records as of August 2026 (the August 2026 release) and public CDPH records as of June 2024 (the state enforcement dataset of August 27, 2024). They are reported as published and are not a recommendation, endorsement or assessment of any facility by this firm. How these figures were assembled.

Homes in Riverside County with a higher CMS overall rating

CMS rates each of these homes above Citrus Grove Post Acute on the overall star rating it publishes. The rating is one measure of a facility's record, and each page below carries that home's own inspection findings, staffing hours and citation history.

These figures are taken from public CMS Care Compare records as of August 2026 (the August 2026 release) and public CDPH records as of June 2024 (the state enforcement dataset of August 27, 2024). They are reported as published and are not a recommendation, endorsement or assessment of any facility by this firm. How these figures were assembled.

Federal inspection findings and penalties

Scope and severity A to C means no actual harm, with potential for minimal harm. Scope and severity D to F means no actual harm, with potential for more than minimal harm. Scope and severity G to I means actual harm that is not immediate jeopardy. Scope and severity J to L means immediate jeopardy to resident health or safety.

June 25, 2026, complaint inspection

3 deficiencies cited. Surveyors cited the facility for provide appropriate treatment and care according to orders, resident’s preferences and goals, ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents, and keep all essential equipment working safely.

  • F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity D)
  • F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity D)
  • F0908Keep all essential equipment working safely. (scope and severity D)

March 19, 2026, complaint inspection

2 deficiencies cited. Surveyors cited the facility for immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident and provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (scope and severity D)
  • F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity D)

March 4, 2026, complaint inspection

1 deficiency cited. Surveyors cited the facility for ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

  • F0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. (scope and severity D)

December 31, 2025, complaint inspection

1 deficiency cited. Surveyors cited the facility for ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

  • F0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. (scope and severity D)

December 17, 2025, complaint inspection

2 deficiencies cited. Surveyors cited the facility for provide care and assistance to perform activities of daily living for any resident who is unable and provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  • F0677Provide care and assistance to perform activities of daily living for any resident who is unable. (scope and severity D)
  • F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (scope and severity D)

December 11, 2025, standard inspection

9 deficiencies cited. Surveyors cited the facility for procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards, honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights, and provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

  • F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity F)
  • F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (scope and severity E)
  • F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. (scope and severity D)
  • F0658Ensure services provided by the nursing facility meet professional standards of quality. (scope and severity D)
  • F0677Provide care and assistance to perform activities of daily living for any resident who is unable. (scope and severity D)
  • F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (scope and severity D)
  • F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (scope and severity D)
  • F0880Provide and implement an infection prevention and control program. (scope and severity D)
  • F0911Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. (scope and severity B)

August 15, 2025, complaint inspection

2 deficiencies cited. Surveyors cited the facility for ensure services provided by the nursing facility meet professional standards of quality and 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.

  • F0658Ensure services provided by the nursing facility meet professional standards of quality. (scope and severity E)
  • F0700Try 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. (scope and severity E)

June 20, 2025, complaint inspection

1 deficiency cited. Surveyors cited the facility for ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

  • F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. (scope and severity D)

May 12, 2025, complaint inspection

1 deficiency cited. Surveyors cited the facility for reasonably accommodate the needs and preferences of each resident.

  • F0558Reasonably accommodate the needs and preferences of each resident. (scope and severity D)

March 4, 2025, complaint inspection

1 deficiency cited. Surveyors cited the facility for 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.

  • F0584Honor 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. (scope and severity D)

February 19, 2025, complaint inspection

2 deficiencies cited. Surveyors cited the facility for provide safe, appropriate dialysis care/services for a resident who requires such services and provide and implement an infection prevention and control program.

  • F0698Provide safe, appropriate dialysis care/services for a resident who requires such services. (scope and severity D)
  • F0880Provide and implement an infection prevention and control program. (scope and severity D)

January 21, 2025, complaint inspection

2 deficiencies cited. Surveyors cited the facility for post nurse staffing information every day and ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

  • F0732Post nurse staffing information every day. (scope and severity D)
  • F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. (scope and severity D)

October 17, 2024, standard inspection

14 deficiencies cited. Surveyors cited the facility for allow residents to self-administer drugs if determined clinically appropriate, 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, and provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

  • F0554Allow residents to self-administer drugs if determined clinically appropriate. (scope and severity E)
  • F0761Ensure 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. (scope and severity E)
  • F0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. (scope and severity E)
  • F0880Provide and implement an infection prevention and control program. (scope and severity E)
  • F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (scope and severity D)
  • F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (scope and severity D)
  • F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (scope and severity D)
  • F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity D)
  • F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity D)
  • F0695Provide safe and appropriate respiratory care for a resident when needed. (scope and severity D)
  • F0813Have a policy regarding use and storage of foods brought to residents by family and other visitors. (scope and severity D)
  • F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (scope and severity D)
  • F0919Make sure that a working call system is available in each resident's bathroom and bathing area. (scope and severity D)
  • F0911Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. (scope and severity B)

July 23, 2024, complaint inspection

2 deficiencies cited. Surveyors cited the facility for give the resident's representative the ability to exercise the resident's rights and arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

  • F0551Give the resident's representative the ability to exercise the resident's rights. (scope and severity D)
  • F0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. (scope and severity D)

January 16, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for provide care and assistance to perform activities of daily living for any resident who is unable.

  • F0677Provide care and assistance to perform activities of daily living for any resident who is unable. (scope and severity D)

November 20, 2023, complaint inspection

1 deficiency cited. Surveyors cited the facility for make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

  • F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (scope and severity E)

November 7, 2023, complaint inspection

1 deficiency cited. Surveyors cited the facility for provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity E)

October 26, 2023, complaint inspection

1 deficiency cited. Surveyors cited the facility for provide and implement an infection prevention and control program.

  • F0880Provide and implement an infection prevention and control program. (scope and severity E)

October 4, 2023, complaint inspection

1 deficiency cited. Surveyors cited the facility for reasonably accommodate the needs and preferences of each resident.

  • F0558Reasonably accommodate the needs and preferences of each resident. (scope and severity E)

July 12, 2023, standard inspection

14 deficiencies cited. Surveyors cited the facility for procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards, ensure medication error rates are not 5 percent or greater, and provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

  • F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity F)
  • F0759Ensure medication error rates are not 5 percent or greater. (scope and severity E)
  • F0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. (scope and severity E)
  • F0803Ensure 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. (scope and severity E)
  • F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (scope and severity E)
  • F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (scope and severity D)
  • F0558Reasonably accommodate the needs and preferences of each resident. (scope and severity D)
  • F0658Ensure services provided by the nursing facility meet professional standards of quality. (scope and severity D)
  • F0679Provide activities to meet all resident's needs. (scope and severity D)
  • F0697Provide safe, appropriate pain management for a resident who requires such services. (scope and severity D)
  • F0814Dispose of garbage and refuse properly. (scope and severity D)
  • F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (scope and severity D)
  • F0880Provide and implement an infection prevention and control program. (scope and severity D)
  • F0911Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. (scope and severity D)

Penalties. CMS records show no federal fines for Citrus Grove Post Acute in the reported period.

California state citations

California inspects and cites nursing homes separately from the federal government. The Department of Public Health issues three classes of citation. A class AA citation is a class A violation that the Department of Public Health determined was a direct proximate cause of a resident's death. A class A citation is a violation the Department determined presented an imminent danger of death or serious harm to residents, or a substantial probability that death or serious physical harm would result. A class B citation is a violation the Department determined had a direct or immediate relationship to residents' health, safety or security, other than a class AA or A violation.

State records show 10 citations against Citrus Grove Post Acute between March 27, 2000 and May 11, 2023: 3 class A and 7 class B, with $52,700 in assessed penalties.

  • May 11, 2023, class B, Patient Care. $3,000 penalty.
  • May 11, 2023, class B, Patient Care. $3,000 penalty.
  • May 11, 2023, class B, Patient Care. $3,000 penalty.
  • July 11, 2019, class B, Patient Care. $2,700 penalty.
  • June 19, 2017, class B, Abuse/Facility Not Self Reported. $1,500 penalty. Appealed.
  • July 8, 2011, class B, Abuse/Facility Not Self Reported. $1,000 penalty.
  • June 10, 2008, class A, Patient Care. $20,000 penalty. Appealed.
  • March 20, 2008, class A, Patient Care. $10,000 penalty.
  • June 12, 2003, class B, Medication. $500 penalty.
  • March 27, 2000, class A, Patient Care. $8,000 penalty. Appealed.

Across Riverside County's 54 certified facilities, the average is about 8.4 state citations per facility. Citrus Grove Post Acute's 10 is close to that average.

A citation marked "Appealed." is under appeal, so it is not a final determination. A citation records a determination by state surveyors. A citation does not by itself establish that any particular resident was injured or that the facility is liable to anyone.

Other nursing homes in Riverside

Families comparing options in Riverside often look at these facilities as well. Each link opens that facility's full public record:

See every facility in the Riverside County nursing home directory.

Other nursing homes in Riverside County

These are other nursing homes in Riverside County, listed by how close each home's ZIP code is to the ZIP code for Citrus Grove Post Acute. The public record gives a street address but no coordinates, so distance is not measured; homes in the same ZIP code appear first. No rating or inspection figure is used to order this list.

This list is drawn from public CMS Care Compare records as of August 2026 (the August 2026 release) and public CDPH records as of June 2024 (the state enforcement dataset of August 27, 2024). It is ordered by location only and is not a recommendation, endorsement or assessment of any facility by this firm. How these figures were assembled.

Couple reading a nursing home inspection report together at home. Illustration on the page for Citrus Grove Post Acute in Riverside, California.
Couple reading a nursing home inspection report together at home

What to do if you are worried about care at this facility

You will usually notice something is wrong before anyone official does, and you do not need proof before you act. If you are concerned about care at Citrus Grove Post Acute, you can take these steps:

Write down what you see. Note dates, times, and specific concerns, and photograph anything relevant. A clear, contemporaneous record matters if an investigation follows.

File a complaint with the California Department of Public Health. CDPH licenses and inspects skilled nursing facilities and investigates complaints, and a serious complaint can trigger an on-site inspection. You can file online through CDPH's Cal Health Find system, which routes your complaint to the Riverside County licensing district office.

Contact the Long-Term Care Ombudsman. The ombudsman is a free advocate who will visit your loved one, look into your concerns, and press the facility on their behalf. Riverside County's ombudsman program can be reached at (833) 772-6624. This is often the fastest first step when the issue is care quality rather than an emergency.

For the full walkthrough, see How to report nursing home abuse in California.

Injuries that most often signal neglect

The injuries below are the ones most often at issue in California nursing home cases. Any one of them at Citrus Grove Post Acute is a reason to ask what the facility's own records show:

Nursing home abuse claims in Riverside County

If a loved one was harmed at Citrus Grove Post Acute, these pages explain how Riverside County families pursue the most common nursing home claims, each with local facility data and the county long-term care ombudsman:

You can also compare every home in the Riverside County nursing home directory.

Are There Lawsuits Against Citrus Grove Post Acute?

This page reports federal and state inspection, complaint and enforcement records for Citrus Grove Post Acute. Those records are separate from civil lawsuits: a government citation is not a lawsuit, and a facility can be sued without ever being cited. This site does not track civil court filings. Civil cases against California skilled nursing facilities are usually filed in the Superior Court of the county where the facility is located; records for Riverside County are searchable through the Riverside County Superior Court's online case records. If your family member was injured at Citrus Grove Post Acute, the records that matter most are usually the resident's own: nursing notes, care plans, fall-risk assessments, wound records, medication administration records, physician orders and incident reports. Talk to us about what happened.

Family touring a California nursing home and asking staff questions. Illustration on the page for Citrus Grove Post Acute in Riverside, California.
Family touring a California nursing home and asking staff questions

Frequently asked questions

Is Citrus Grove Post Acute a good nursing home?
CMS gives Citrus Grove Post Acute an overall rating of 3 of 5 stars, with a health inspection rating of 2 of 5 based on in-person state surveys. California has issued 10 state citations against the facility, including 3 in the state's two most serious classes, class A and class AA. A rating is a starting point, not a verdict. Read it alongside the inspection dates and what you see for yourself.
What should I do if my loved one was injured at Citrus Grove Post Acute?
Document the injury with dated photos, request the care plan and treatment records, and report your concern to the California Department of Public Health and the Riverside County Long-Term Care Ombudsman. If the injury is serious, such as a bedsore, a fall, or an untreated infection, you can also speak with a nursing home attorney about whether you have a claim.
Has Citrus Grove Post Acute been fined or cited for serious violations?
Public records show 10 California state citations with $52,700 in state penalties, including 3 class A citations.
How many state citations does Citrus Grove Post Acute have?
The California Department of Public Health has issued 10 citations against Citrus Grove Post Acute in Riverside between March 27, 2000 and May 11, 2023: 3 class A and 7 class B, with $52,700 in assessed penalties.
How do I report a problem at Citrus Grove Post Acute?
File a complaint with CDPH through its Cal Health Find system, or contact the Riverside County Long-Term Care Ombudsman at (833) 772-6624. In an emergency, call Adult Protective Services or 911.

If your loved one was harmed

We came to this work from the other side. We spent years defending nursing homes, which means we know how a facility builds a file to protect itself and where the gaps in that file tend to be. Under California's Elder Abuse Act (Welfare and Institutions Code sections 15600 to 15675), a family that proves, by clear and convincing evidence, that neglect was committed with recklessness, oppression, fraud or malice can recover remedies beyond an ordinary injury claim, including attorney's fees (section 15657).

If your loved one was harmed at Citrus Grove Post Acute, talk to our Riverside County nursing home abuse lawyers. We handle cases in Riverside and across California. The consultation is free and confidential, we are available around the clock, and you owe nothing unless we recover for you.

Call (888) 999-0169. Available 24/7. Free consultation. No fee unless we win.

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Sources

  • Centers for Medicare & Medicaid Services, Care Compare: Citrus Grove Post Acute provider record, CCN 056315. Ratings, staffing, and federal deficiency data processed August 1, 2026.
  • CMS Provider Data Catalog: Provider Information, Penalties, and Health Deficiencies datasets.
  • California Department of Public Health, Cal Health Find: Citrus Grove Post Acute state license record, FACID 250000057, license 250000135.
  • California Department of Public Health, Health Facilities State Enforcement Actions dataset (CHHS Open Data), citations July 1, 1997 through June 30, 2024.

Disclaimer

The inspection data, ratings, citations, staffing figures, and ownership information on this page come from public sources, including the Centers for Medicare & Medicaid Services (medicare.gov) and the California Department of Public Health. This information is reported as published by those sources and may not reflect the most current findings or conditions at the facility. Deficiencies and citations listed may have been corrected or appealed since the date shown. Inclusion of Citrus Grove Post Acute in this directory is not a statement, allegation, or suggestion that the facility has committed abuse, neglect, or any wrongdoing. This page is attorney advertising and an information resource. It is not legal advice, and using this site does not create an attorney-client relationship. Young & Wallin is not affiliated with Citrus Grove Post Acute, and neither the facility nor any government agency endorses this page.

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