CASA #3
ICF/DD-N (Nursing) · 6 licensed beds · Upland, CA
Homes of 4–15 beds for medically fragile people with developmental disabilities who need intermittent skilled nursing.
Address
CASA #31456 N 2ND AVEUpland, CA 91786 · San Bernardino CountyPhone: (909) 985-6043
Last 3 years: 6 federal inspections (4 found problems), 0 State citations or penalties. Last federal inspection: Jul 28, 2025.
State citations & penalties
1
since 1998 · 1 Class AA
Federal inspections
23
since 2018 · 13 found problems
Federal findings
36
since 2018, care and fire safety · 1 of the most serious kind
Last federal inspection
Jul 28, 2025
- Complaints aren't shown here; see this home on CalHealthFind ↗, CDPH's own site.
- Federal inspections after March 19, 2026 may be missing: CMS says its data since then may be incomplete.
Facility details
- Facility type
- ICF/DD-N (Nursing)
- Licensed beds
- 6
- Licensee
- CASA HEALTH CARE, INC. · For-profit company (state label: Profit Corp)
- Administrator
- ORTIZ, MARIO S
- IDs
- CDPH facility ID 240001868 · License #240000837 · Federal ID (CCN) 55G424
- First licensed
- December 20, 2001
- Current license
- Nov 8, 2025 to Nov 7, 2026
- CDPH district office
- San Bernardino
Federal certification (CMS)
- Status in CDPH's listing
- Licensed And Certified
- Program
- Medi-Cal (state label: T19)
- Participating since
- March 6, 2002
- Last certification inspection
- July 16, 2025From CMS's Provider of Services file, which can lag behind the inspections listed below.
- CMS certification status
- Certified
- In compliance (CMS)
- Yes
- Last certification action
- Recertification
- Ownership type (CMS)
- Private (proprietary)
- 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.
State citations and penalties (CDPH)
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
Class AAPatient CareDeath-related
Citation AA (HSC 1424) · Violation Oct 1, 2018 · Penalty #240014596 · Inspection ID GEBL11
Case closed · Not appealed
$25,000
Federal inspections
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").
· Routine inspection (recertification)
3 problems found · Inspection ID V42Z21
· Routine inspection (recertification)
no problems found · Inspection ID V42Z11
· Routine inspection (recertification)
5 problems found · Inspection ID 0NGO21
· Routine inspection (recertification)
5 problems found (1 of the most serious kind) · Inspection ID 0NGO11
· Complaint inspection
no problems found · Inspection ID 03M011
· Complaint inspection
no problems found · Inspection ID JYO111
· Complaint inspection
no problems found · Inspection ID 8VJU11
· Complaint inspection
no problems found · Inspection ID J3JG11
· Routine inspection (recertification)
5 problems found · Inspection ID GKV021
· Routine inspection (recertification)
2 problems found · Inspection ID GKV011
· Complaint inspection
no problems found · Inspection ID BTSX11
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.
Complaints and reported incidents
CDPH doesn't publish complaints or facility-reported incidents as a bulk file, so they aren't on ICFLookup. Its CalHealthFind page for this facility lists them (intake date, allegation category and whether each was substantiated), along with state licensing findings and ownership details.
Federal inspections that came from a complaint or an incident report do appear above, marked "Complaint inspection".
Open this facility on CalHealthFind ↗How to file a complaint with CDPH
Change history
25 events (24 reports, 1 other change), newest first
Dates are the agencies' own (license, federal inspection and citation dates), except changes marked "detected": those we spotted in CDPH's monthly list ourselves, tracked since Oct 26, 2026.
ReportRoutine federal inspection: 3 problems found
See this inspection →ReportRoutine federal inspection: no problems found
See this inspection →ReportFederal complaint inspection: 1 problem found
See this inspection →ReportRoutine federal inspection: 5 problems found
See this inspection →ReportRoutine federal inspection: 5 problems found, 1 of the most serious kind
See this inspection →ReportFederal complaint inspection: no problems found
See this inspection →ReportFederal complaint inspection: no problems found
See this inspection →ReportFederal complaint inspection: no problems found
See this inspection →ReportFederal complaint inspection: no problems found
See this inspection →ReportRoutine federal inspection: 5 problems found
See this inspection →
Sources: CDPH Licensed and Certified Healthcare Facility Listing (data as of Oct 16, 2026), CDPH State Enforcement Actions, and CMS's ICF/IID inspection (CMS-2567) and Provider of Services files. Always confirm with CDPH's CalHealthFind ↗ before making a decision. See How our data works.