Pomona Valley Hospital Medical Center
An acute care hospital in Pomona, California 91767
1798 N Garey Ave, Pomona, California 91767. (909) 865-9500.
Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.
The short answer
Record last released by CMS on Oct 20, 2026.
- 3of 5 CMS’s overall rating
- 2of 5 patient survey rating
- 1 deficiency cited in the last three years
- 447 beds
Each figure’s source sits beside it, in its section below.
What these words mean3
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
The last inspection on record was on May 31, 2024: a complaint inspection.
1 deficiency cited in the last three years.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
1 deficiency in 1 month of the last 36. Last cited May 2024. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
May 31, 2024: complaint inspection1 deficiency
-
Care Of Patients - Md/Do On Call
The inspectors’ words, 754 words
“CARE OF PATIENTS - MD/DO ON CALL CFR(s): 482.12(c)(3) [ ...the governing body must ensure that the following requirements are met:] A doctor of medicine or osteopathy is on duty or on call at all times. This Standard is not met as evidenced by: 36329 Based on interview and record review the facility failed to ensure there was an on-call medical specialist (physician able to respond to specific patient needs in the emergency department) at all times. Documentation indicated a gastroenterologist (physician specializing in treating patients experiencing intestinal and liver problems) was not available to immediately assess Patient 1 who presented to the hospital with probable hemorrhagic shock (failure of body organs due to bleeding). This deficient practice had the potential to delay treatment and accelerate organ failure. Findings: During a review of the “Emergency Trauma Documentation,” dated 1/22/2024 at 5:30 A.M., this document indicated Patient 1 was brought into the emergency department from home after a syncopal (fainting) episode. According to this report, Patient 1 stated she started bleeding rectally earlier this morning (1/22/2024). Patient 1 also said she had recent ‘abdominal stents’ placed at another hospital about 11 days ago. This document also showed the most recent laboratory results for Patient 1 including Hemoglobin (Hgb, compound in red blood cells allowing transport of oxygen to all parts of the body) level of 7.6 (low level). The ‘Assessment/Plan’ of this document included, not all inclusive: symptomatic anemia (insufficient number of red blood cells), syncope, GI (gastrointestinal) bleed, septic shock (organ damage in response to infection). According to the ‘Medical Decision Making’ section of this report, Patient 1 had received some of her ordered blood transfusion and had not required medication to raise her blood pressure; the emergency department physician conferred with an on-call intensivist (medical doctor with training and experience in treating critically ill patients), a hospitalist (doctor who provides care for patients at a hospital, similar to a primary care provider), but a GI physician was not available in the hospital at this time. This document noted, due to the lack of sufficient medical staff, the emergency department physician determined it was not appropriate to admit Patient 1 to this hospital; the emergency department physician made a subsequent attempt to transfer Patient 1 to another hospital. During a review of the “Discharge/Transfer Documentation” dated 1/23/2021, the document indicated Patient 1 came to the hospital with shock likely due to blood loss anemia, possibly from gastric varices (enlarged blood vessels in the gut), sepsis related to a infected necrotic (dying) part of the pancreas. Patient 1’s respiratory status continued to worsen and Patient 1’s hemoglobin level continued to drop even though Patient 1 was given numerous blood transfusions. Patient 1 was eventually seen by a GI physician but Patient 1 was too ill for an endoscopy (procedure to diagnose and treat problems in the upper GI tract). Patient 1 passed away 1/23/2024 at 4:57 P.M. after she was given comfort measures (treatments used to ease pain and distress when life-prolonging options are not available). During a review of “Pomona Valley Hospital Medical Center Medical Staff Rules and Regulations”, the document indicated the following: ‘Those physicians who are on an Emergency On-Call Panel shall be required to provide inpatient consultation when requested on the day consultation is requested. If there is no On-Call Panel for that specialty, resolution of whom to call shall be resolved by the appropriate Department Chair or Vice Chair.’ During a review of the “GI Lab January 2024” (schedule of available on-call GI physicians), this schedule indicated there were no on-call GI physicians on 1/19/2024, 1/20/2024, 1/21/2024, 1/22/2024, 1/23/2024, and 1/26/2024. During an interview on 5/30/2024 at 9:35 A.M., the Medical Staff VP stated that this hospital has been trying to recruit more GI staff but currently contracted medical staff can terminate their contracts when notice is given by the physician. The Medical Staff VP subsequently verified some GI medical staff terminated their contracts around the time Patient 1 entered the hospital on 1/22/2024. During an interview on 5/30/2024 at 10:20 A.M., the Medical Chairman stated the hospital is not required to receive an immediate consult from GI (on-call physician). The Medical Chairman recalled that he contacted the Medical Staff VP and the Medical Chairman requested the Medical Staff VP to contact every available GI physician and to contact every hospital able to accept Patient 1’s transfer. The Medical Chair then stated the facility was able to find a GI physician who could see Patient 1 the following day, 1/23/2024.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| May 31, 2024 | Complaint inspection | 1 deficiency cited |
How do patients fare?
- CMS’s overall CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System. for it is 3 of 5.
- Of the measures behind its CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System., CMS counts against the national value: mortality, 1 better and 0 worse of 8; safety of care, 4 better and 0 worse of 7; readmission, 2 better and 0 worse of 11.
- Patients rate it 2 of 5 in CMS’s patient survey (2,021 surveys completed, Oct 1, 2024 to Sep 30, 2025): 67% rated it 9 or 10 out of 10, and 68% would definitely recommend it.
- Infections, compared by CMS with the national benchmark (Oct 1, 2024 to Sep 30, 2025): central line bloodstream infections (CLABSI), no different than national benchmark; catheter urinary tract infections (CAUTI), better than the national benchmark; surgical site infections after colon surgery, no different than national benchmark; MRSA bloodstream infections, better than the national benchmark; C. diff infections, better than the national benchmark.
- CMS’s patient safety composite for serious complications, PSI 90, Jul 1, 2022 to Jun 30, 2024: better than the national value.
- Deaths within 30 days, as CMS gives them (Jul 1, 2022 to Jun 30, 2025): heart attack 10.5%, heart failure 7.2%, pneumonia 11.5%, COPD 7.1%, stroke 9.7%, heart bypass surgery 2.7%. CMS gives no comparison with the national rate for them in this release.
- Readmissions within 30 days, as CMS gives them (Jul 1, 2023 to Jun 30, 2025): heart attack 13.9%, heart failure 19.8%, pneumonia 16.1%, COPD 19.5%, heart bypass surgery 11.9%, hip or knee replacement 5.7%. CMS gives no comparison with the national rate for them in this release.
- After outpatient care, compared by CMS: unplanned hospital visits after a colonoscopy, no different than the national rate; hospital admissions after outpatient chemotherapy, no different than the national rate; emergency visits after outpatient chemotherapy, no different than the national rate; unplanned hospital visits after outpatient surgery, no different than expected.
- Emergency department patients spent a median of 206 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025), and 1% left before being seen.
- 64% of patients with severe sepsis or septic shock got the care CMS measures, SEP-1 (Oct 1, 2024 to Sep 30, 2025).
- Medicare’s spending per patient here is 0.99 times the national median (Jan 1, 2024 to Dec 31, 2024).
CMS, Hospital General Information, Patient survey (HCAHPS) - Hospital, Healthcare Associated Infections - Hospital, Timely and Effective Care - Hospital and Medicare Spending Per Beneficiary - Hospital. Released Aug 13, 2026. Updated quarterly.
CMS, Complications and Deaths - Hospital and Unplanned Hospital Visits - Hospital. Released Sep 30, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Overall ratingCMS’s overall hospital quality star rating, 1 to 5 | 3 of 5 |
| Patient survey ratingCMS star rating from its survey of the hospital’s patients (HCAHPS), 1 to 5 | 2 of 5 |
Is it certified, and in good standing?
- Medicare-certified acute care hospital since Jul 1, 1966.
- Ownership: voluntary non-profit - private.
- It is accredited by The Joint Commission, whose surveys stand in for the state’s routine inspections.
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency on record in the last three years.
- Voluntary non-profit - Private.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Has it been penalized?
- CMS doesn’t publish fines or other penalties for hospitals.
- Not among the hospitals whose Medicare payments CMS cut under the Hospital-Acquired Condition Reduction Program for fiscal year 2026.
- 1 deficiency cited in the last three years came from an inspection that included a complaint investigation.
CMS, Hospital-Acquired Condition (HAC) Reduction Program. Released Aug 13, 2026. Updated yearly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
What do patients say about their care?
- CMS doesn’t publish staffing levels for hospitals.
- In CMS’s patient survey, patients rate how well its nurses communicated 2 of 5.
- 65% of its health care workers got a flu shot (Oct 1, 2024 to Mar 31, 2025).
CMS, Patient survey (HCAHPS) - Hospital and Timely and Effective Care - Hospital. Released Aug 13, 2026. Updated quarterly.
Who owns it?
- 22 owners or officers are people: Gordon Descombes (corporate director); John Todd (corporate director); Ronald Vera (corporate director); Jan Brown (corporate director); Richard Yochum (corporate officer); Richard Yochum (managing employee (on the payroll)); William C Mccollum (corporate director); George Sapp (corporate director); Richard Crean (corporate director); Juli Hester (corporate officer); Juli Hester (managing employee (on the payroll)); Wesley A Curry (corporate director); Kenneth Brown (corporate director); Edward Landherr (corporate director); Rosanne M Bader (corporate director); Stig Lanesskog (corporate director); Stephen Morgan (corporate director); Kevin Mccarthy (corporate director); Darlene Scafiddi (corporate officer); Darlene Scafiddi (managing employee (on the payroll)); Curtis Morris (corporate director); Richard A Fass (corporate director).
- CMS’s Provider of Services file records no change of ownership.
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospital All Owners and Hospital Enrollments. Released Sep 29, 2026. Updated monthly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
How does it compare nearby?
- Of the 88 hospitals CMS lists in Los Angeles County, 69 have an overall star rating from CMS: 7 rated 5 of 5, 19 rated 4 of 5, 21 rated 3 of 5, 13 rated 2 of 5, 9 rated 1 of 5.
- CMS rates this one 3 of 5.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for hospitals, so none are shown. The one payment cut CMS publishes for each hospital, under its Hospital-Acquired Condition Reduction Program, is shown where it applies.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- Most hospitals are accredited by a private organisation (The Joint Commission, DNV and others) whose routine inspections stand in for the state’s; those reports aren’t public, and QCOR holds only the state’s surveys: no inspection on record here doesn’t mean none took place.
- QCOR says its hospital inspection data are complete only through September 17, 2026, while it moves to a new system.
- CMS doesn’t publish staffing levels for hospitals.
- In its September 2026 release CMS gives no comparison with the national rate for death and readmission rates, though it gives the rates.
Sources
-
Centers for Medicare & Medicaid Services, Hospital General Information (xubh-q36u).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Patient survey (HCAHPS) - Hospital.
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Healthcare Associated Infections - Hospital (77hc-ibv8).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Complications and Deaths - Hospital (ynj2-r877).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Unplanned Hospital Visits - Hospital (632h-zaca).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Timely and Effective Care - Hospital (yv7e-xc69).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Medicare Spending Per Beneficiary - Hospital (rrqw-56er).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Hospital-Acquired Condition (HAC) Reduction Program (yq43-i98g).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated yearly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Provider of Services File - Hospital & Non-Hospital Facilities (Hospital_and_other.DATA.Q3_2026.csv).
Released Oct 14, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, QCOR Hospital 2567 statements of deficiencies (Hospital_2567s_2010_to_2026YTD.xlsx).
Released Oct 20, 2026 and checked Oct 27, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Hospital All Owners (Hospital_All_Owners_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Hospital Enrollments (Hospital_Enrollments_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the hospital
The public record above comes first. Anything the hospital adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the hospital will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospital”, and paying will never change a finding, a rating or the order of results.