Vista Pacifica Convalescent Hospital — nursing home in Jurupa Valley, CA

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 49 CMS-certified beds (not state-licensed beds)
Licensed beds: 49 state-licensed beds · California Department of Public Health
State license: 250000116 active · licensee VISTA PACIFICA ENTERPRISES, INC.
Average residents per day: 47.6 CMS, MDS-derived
CMS Certification Number: 055361
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Dec 31, 1971
Ownership type: For profit - Corporation
Operator (legal business name): Vista Pacifica Enterprises Inc
CMS chain: Not part of a CMS-reported chain
Phone: (951) 682-4833
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

State enforcement · CA (historical)

Historical

State actions

6

2008–2014

Class AA / A

1

no class AA

Since 2019

0

$34k final penalties

California CDPH state citations and administrative penalties, 1997 to early 2024 (archived dataset). Separate from federal CMS deficiencies.

Inspection record · CMS window

Verified

Inspections

7

latest Feb 27, 2025

Citations

39

28 health · 11 fire

Harm or worse

1

1 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K1	L·
Actual harm	G·	H·	I·
Potential harm	D19	E15	F1
Minimal	A·	B3	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

1

$52,611

Payment denials

0

Latest

Feb 12, 2024

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 055361
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 49
First approved: Dec 31, 1971
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 16, 2026
Evidence: Verified

State license

Authority: California Department of Public Health (CDPH), Licensing & Certification
License number: 250000116
State facility ID: 250000154
License type: Skilled Nursing Facility
License status: active
Licensed beds: 49
Licensee: VISTA PACIFICA ENTERPRISES, INC. · Profit Corp
Initially licensed: Nov 6, 1963
Current license: Jan 1, 2026 → Dec 31, 2026
Certification (per state): Licensed and Certified
Federal programs (per state): Medicare (and possibly Medicaid)
As of: Oct 16, 2026
Evidence: Verified source ↗

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Feb 27, 2025	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Feb 27, 2025	Health	Health Standard	5	Potential harm	—	Open →
Feb 12, 2024	Fire safety	Fire Safety Standard	6	Potential harm	—	Open →
Feb 12, 2024	Health	Health Standard	14	Immediate jeopardy	—	Open →
Oct 2, 2023	Health	Health Complaint	1	Potential harm	—	Open →
Feb 11, 2022	Fire safety	Fire Safety Standard	5	Potential harm	—	Open →
Feb 11, 2022	Health	Health Standard	8	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Feb 12, 2024	Civil money penalty (fine)	$52,611	—	055361\|Fine\|130113

State citations & penalties · historical

State enforcement · California

California CDPH state citations and administrative penalties, 1997 to early 2024 (archived dataset). Separate from federal CMS deficiencies.

Issued	Class	Type	Category	Final amount	Flags	Record
Feb 28, 2014 violation Sep 27, 2011	Class B	Citation Citation B (HSC 1424)	Other · Abuse	$1,000	Closed	250010506
Feb 28, 2014 violation Sep 27, 2011	Class B	Citation Citation B (HSC 1424)	Abuse/Facility Not Self Reported	$1,000	Closed	250010505
Feb 4, 2014 violation Jan 24, 2013	AP NHPPD	Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	$15,000	Appealed Closed	250010323
Jun 20, 2011 violation Feb 21, 2010	Class A	Citation Citation A (HSC 1424)	Patient Care	$15,000	Appealed Closed	250008314
Aug 28, 2008 violation Oct 17, 2007	Class B	Citation Citation B (HSC 1424)	Patient Care	$1,000	Closed	250005327
Jul 31, 2008 violation Dec 22, 2007	Class B	Citation Citation B (HSC 1424)	Patient Rights	$1,000	Closed	250005255

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K1	L·
Actual harm	G·	H·	I·
Potential harm	D19	E15	F1
Minimal	A·	B3	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Feb 27, 2025	F-0637	Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 14, 2025
Feb 27, 2025	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 21, 2025
Feb 27, 2025	F-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. Nursing and Physician Services Deficiencies · Staffing & supervision	D · Potential harm Isolated	Corrected Feb 27, 2025
Feb 27, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Mar 26, 2025
Feb 27, 2025	F-0912	Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Environment & life safety	B · Minimal Pattern	Waiver granted Feb 27, 2025
Feb 12, 2024	F-0688	Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Clinical care	K · Immediate jeopardy Pattern	Corrected Feb 12, 2024
Feb 12, 2024	K-0161	Use approved construction type or materials. Construction Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 28, 2024
Feb 12, 2024	K-0352	Properly install and monitor supervisory attachments on automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 28, 2024
Feb 12, 2024	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 28, 2024
Feb 12, 2024	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 28, 2024
Feb 12, 2024	K-0711	Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 28, 2024
Feb 12, 2024	K-0753	Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 28, 2024
Feb 12, 2024	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Feb 28, 2024
Feb 12, 2024	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 1, 2024
Feb 12, 2024	F-0710	Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. Nursing and Physician Services Deficiencies · Staffing & supervision	E · Potential harm Pattern	Corrected Feb 29, 2024
Feb 12, 2024	F-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. Nursing and Physician Services Deficiencies · Staffing & supervision	E · Potential harm Pattern	Corrected Feb 27, 2024
Feb 12, 2024	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Mar 1, 2024
Feb 12, 2024	F-0756	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Mar 1, 2024
Feb 12, 2024	F-0757	Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Mar 1, 2024
Feb 12, 2024	F-0758	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Mar 1, 2024
Feb 12, 2024	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Mar 1, 2024
Feb 12, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Mar 4, 2024
Feb 12, 2024	F-0865	Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Administration & records	E · Potential harm Pattern	Corrected Feb 28, 2024
Feb 12, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Mar 1, 2024
Feb 12, 2024	F-0912	Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Environment & life safety	B · Minimal Pattern	Waiver granted Feb 12, 2024
Oct 2, 2023	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Oct 12, 2023	Complaint
Feb 11, 2022	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 25, 2022
Feb 11, 2022	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 25, 2022
Feb 11, 2022	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 25, 2022
Feb 11, 2022	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 25, 2022
Feb 11, 2022	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 25, 2022
Feb 11, 2022	F-0658	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 9, 2022
Feb 11, 2022	F-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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Mar 9, 2022
Feb 11, 2022	F-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. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Mar 9, 2022
Feb 11, 2022	F-0806	Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Mar 9, 2022
Feb 11, 2022	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Mar 9, 2022
Feb 11, 2022	F-0814	Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Mar 9, 2022
Feb 11, 2022	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Mar 9, 2022
Feb 11, 2022	F-0912	Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Environment & life safety	B · Minimal Pattern	Corrected Mar 9, 2022

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.2

Health inspectionsstate 2.8

Staffingstate 3.3

Quality measuresstate 4.2

Long-stay QM

Short-stay QMNot rated

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing4.75

State avg 4.54US avg 3.90

Registered nurse (RN)0.34

State avg 0.68US avg 0.69

Licensed practical nurse1.27

State avg 1.20US avg 0.86

Nurse aide3.14

State avg 2.66US avg 2.35

Weekend total nurse4.11

State avg 4.10US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 6.10 (case-mix index 1.09).

Staff turnover

Total nursing staff turnover35.6%

State avg 36.6%US avg 45.3%

Registered nurse turnoverNot reported

State avg 37.8%US avg 42.5%

Administrators who left0

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: Feb 27, 2025
Cycle 1 health score: 20
Total weighted score: 68.25

Operating entity

Vista Pacifica Enterprises Inc

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

5

Organizations

1

Individuals

4

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Cheryl Jumonville Legacy Trust	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	96%	Dec 31, 2013
Cheryl Jumonville	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	not provided	Dec 31, 2013

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Cheryl Jumonville Legacy Trust	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	96%	Dec 31, 2013
Cheryl Jumonville	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	not provided	Dec 31, 2013
Cheryl Jumonville	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Dec 31, 2015
Cheryl Jumonville	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jun 7, 1989
Cheryl Jumonville	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Jun 7, 1989

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 3662 Pacific Avenue, Jurupa Valley, CA 92509
ZIP: 92509
County: Riverside County FIPS 06065
State: California
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Vista Pacifica Center 3674 Pacific Avenue, Jurupa Valley, CA 92509 CCN 05A264	0 km	108	Jun 17, 2026	45	—
Jurupa Hills Post Acute 6401 33rd Street., Riverside, CA 92509 CCN 055581	0.7 km	143	Aug 4, 2026	701 IJ3 harm1 open	$61k
Riverside Behavioral Healthcare Center 4580 Palm Avenue, Riverside, CA 92501 CCN 05A263	4.2 km	120	Nov 6, 2025	59	—
Community Care on Palm 4768 Palm Avenue, Riverside, CA 92501 CCN 555711	4.4 km	51	Apr 16, 2026	493 harm	$34k
The Grove Care and Wellness 3401 Lemon Street, Riverside, CA 92501 CCN 5556131 state class AA/A	5.2 km	38	Jul 9, 2026	29	—
Community Care and Rehabilitation Center 4070 Jurupa Avenue, Riverside, CA 92506 CCN 055409	5.3 km	162	Jul 28, 2026	761 harm	—
Riverside Heights Healthcare Center, LLC 8951 Granite Hill Drive, Riverside, CA 92509 CCN 5558843 state class AA/A	5.7 km	70	Jun 20, 2025	52	—
Valencia Gardens Health Care Center 4301 Caroline Court, Riverside, CA 92506 CCN 5553311 state class AA/A	6.4 km	50	Jun 24, 2026	471 open	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	055361	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	055361	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026
California CDPH Licensed Facility Listing CA	250000154	state_license, licensed_beds, licensee Linked to the CMS record by exact CCN.	Verified	Oct 16, 2026	Nov 7, 2026

Record-level source links for CCN 055361

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction