MOUNTAIN SHADOWS COMMUNITY HOMES - ELM

Facility type

ICF/DD-H (Habilitative)

Licensed beds

6

Licensee

MOUNTAIN SHADOWS SUPPORT GROUP · Nonprofit (state label: Nonprofit Corp)

Administrator

RENDON, TAYLOR A

IDs

CDPH facility ID 090001342 · License #090000547 · Federal ID (CCN) 55G000

First licensed

May 28, 1996

Current license

Dec 9, 2025 to Dec 8, 2026

CDPH district office

San Diego

Status in CDPH's listing

Licensed And Certified

Pays through

Medi-Cal

Participating since

August 13, 1996

Last certification inspection

November 20, 2025From CMS's Provider of Services file, which can lag behind the inspections listed below.

CMS certification status

Certified

Meets federal requirements (CMS)

Yes

Last CMS certification step

Recertification

Ownership change (CMS)

October 1, 2002

Ownership type (CMS)

Private (non-profit)

Certified beds (CMS)

6

Staffing reported to CMS (full-time equivalents)

RN 0.22 · LVN/LPN 1.4 · direct care 5.6 · all employees 7.58Staff hours counted as full-time jobs: 1 is one full-time job; 0.25 is about 10 hours a week.

CDPH's citations come in three classes: AA (a substantial factor in a resident's death), A (imminent danger or a substantial probability of death or serious harm) and B (a direct relationship to residents' health, safety or security). Care homes licensed by Social Services use Type A/B instead: a different agency and scale. State citations explained

• Sep 20, 2000

  Class BPatient CareAbout the care residents received.

  Violation Jul 6, 2000 · Penalty #090002757

  Case closed · Not appealed

  $650

CDPH inspects Medi-Cal certified ICFs for CMS (the federal agency calls these "surveys"). Each finding has a code: W for a care or rights rule, E for emergency preparedness, K for fire safety. A "condition-level" finding is the most serious kind: a whole area of care failed. How to read an ICF inspection

Content note: these federal findings describe residents' care and can include abuse, neglect, injuries and medical details. They're shown as CMS published them; residents are identified only by number (such as "Client 1").

1. Nov 25, 2025 · Routine inspection (recertification)

   no problems found · Inspection ID QCVB21

   Official federal report ↗Read inspection note

2. Nov 20, 2025 · Routine inspection (recertification)

   8 problems found · Inspection ID QCVB11

   • W116Residents' records(CMS: Client Records)
   • W323Doctor's care (physician services)(CMS: Physician Services)
   • W325Doctor's care (physician services)(CMS: Physician Services)
   • W326Doctor's care (physician services)(CMS: Physician Services)
   • W327Doctor's care (physician services)(CMS: Physician Services)
   • W352Dental checkups(CMS: Comprehensive Dental Diagnostic Service)
   • W389Medication labels(CMS: Drug Labeling)
   • W463Food and nutrition(CMS: Food And Nutrition Services)

   Official federal report ↗Read findings

3. Oct 23, 2025 · Complaint inspection

   no problems found · Inspection ID 9BBG11

   Official federal report ↗Read inspection note

4. Oct 14, 2024 · Routine inspection (recertification)

   2 problems found · Inspection ID 5MBJ21

   • KS222Exit doors(CMS: Egress Doors)
   • KS353Sprinkler testing and upkeep(CMS: Sprinkler System - Maintenance And Testing)

   Official federal report ↗Read findings

5. Oct 10, 2024 · Routine inspection (recertification)

   3 problems found · Inspection ID 5MBJ11

   • W331Nursing care(CMS: Nursing Services)
   • W388Medication labels(CMS: Drug Labeling)
   • W454Infection control(CMS: Infection Control)

   Official federal report ↗Read findings

6. Jun 10, 2024 · Complaint inspection

   no problems found · Inspection ID 7UFD11

   Official federal report ↗Read inspection note

7. Apr 17, 2024 · Complaint inspection

   no problems found · Inspection ID 0YFS11

   Official federal report ↗Read inspection note

8. Apr 17, 2024 · Complaint inspection

   no problems found · Inspection ID D8NE11

   Official federal report ↗Read inspection note

9. Apr 17, 2024 · Complaint inspection

   no problems found · Inspection ID EUZQ11

   Official federal report ↗Read inspection note

10. Oct 23, 2023 · Routine inspection (recertification)

    1 problem found · Inspection ID OPDQ21

    • KS222Exit doors(CMS: Egress Doors)

    Official federal report ↗Read findings

11. Oct 18, 2023 · Routine inspection (recertification)

    6 problems found · Inspection ID OPDQ11

    • W325Doctor's care (physician services)(CMS: Physician Services)
    • W352Dental checkups(CMS: Comprehensive Dental Diagnostic Service)
    • W389Medication labels(CMS: Drug Labeling)
    • W440Evacuation drills(CMS: Evacuation Drills)
    • W454Infection control(CMS: Infection Control)
    • W469Meals(CMS: Meal Services)

    Official federal report ↗Read findings

12. Sep 27, 2022 · Complaint inspection

    no problems found · Inspection ID YKCF11

    Official federal report ↗Read inspection note

From CMS's inspection data, saved Oct 26, 2026; data after March 19, 2026 may be incomplete while CMS's systems migrate. Plans of correction and State-only (licensing) findings aren't in CMS's file; the official federal reports (form CMS-2567) on CalHealthFind have them.