SHADY BEND HOUSE
ICF/DD-H (Habilitative) · 6 licensed beds · Moreno Valley, CA
Homes of 4–15 beds for people with developmental disabilities whose nursing needs are intermittent and predictable.
Address
SHADY BEND HOUSE12581 SHADYBEND DRMoreno Valley, CA 92553 · Riverside CountyPhone: (951) 243-3837
State penalties
0
none on record since 1998
Federal surveys
33
since 2018 · 16 with deficiencies
Federal deficiencies
48
none condition-level
Last federal survey
Sep 22, 2026
survey date
Facility details
- Facility type
- ICF/DD-H (Habilitative)
- Licensed beds
- 6
- Licensee
- DEVELOPMENTAL CLIENT CARE INDUSTRIES, INC. · Profit Corp
- CDPH facility ID
- 250000574
- License number
- 250000279
- First licensed
- December 20, 1989
- Current license
- Dec 20, 2025 to Dec 19, 2026
- CDPH district office
- Riverside
Federal certification (CMS)
- CMS Certification Number (CCN)
- 05G423
- Status in CDPH's listing
- Licensed And Certified
- Program
- Medi-Cal (Medicaid, Title XIX)
- Participating since
- December 22, 1989
- Last certification survey
- November 18, 2025
- 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
- RN 1 · LVN/LPN 0 · direct care 7 · all employees 8
State citations and penalties (CDPH)
CDPH issues citations under Health and Safety Code §1424: Class AA (a violation that was a substantial factor in a resident's death), Class A (imminent danger or a substantial probability of death or serious harm) and Class B (a direct relationship to residents' health, safety or security). State citations explained
No state citations or penalties on record for this facility in CDPH's enforcement data (July 1998 to date).
Federal inspections (CMS-2567)
CDPH surveys certified ICFs for CMS. Each deficiency is a W-tag (a federal ICF/IID requirement), an E-tag (emergency preparedness) or a K-tag (Life Safety Code), cited at the standard level or, more seriously, the condition level. 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").
· Complaint
Event 3C5770-H1 · no deficiencies cited
· Complaint
Event 230C5A-H1 · no deficiencies cited
· Complaint
Event 22F8F4-H1 · no deficiencies cited
· Complaint
Event 9RKQ11 · no deficiencies cited
· Complaint
Event KCIG11 · no deficiencies cited
· Complaint
Event RWPU11 · no deficiencies cited
· Complaint
Event UZ5J11 · no deficiencies cited
· Complaint
Event 1P3L11 · no deficiencies cited
From CMS's QCOR ICF/IID statement-of-deficiency download, saved Oct 26, 2026. CMS notes that ICF/IID data after March 19, 2026 may be incomplete while its systems migrate. Plans of correction and state-only (licensing) deficiencies aren't in that file; the official 2567 documents 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 deficiencies and ownership details.
Federal surveys that came from a complaint or an incident report do appear above, marked "Complaint" as the survey type.
Open this facility on CalHealthFind ↗How to file a complaint with CDPH
Change history
34 events, newest first
Dates marked "state record" are the agencies' own: the license date, federal survey dates and penalty issue dates. "Detected" changes are ones we noticed by comparing CDPH's monthly facility listing with the one before it, tracked since Oct 26, 2026.
ReportFederal survey (complaint): no deficiencies(state record)
ReportFederal survey (complaint): 2 deficiencies(state record)
ReportFederal survey (complaint): 1 deficiency(state record)
ReportFederal survey (complaint): no deficiencies(state record)
ReportFederal survey (complaint): no deficiencies(state record)
ReportFederal survey (complaint): no deficiencies(state record)
ReportFederal survey (recertification): 3 deficiencies(state record)
ReportFederal survey (recertification): 3 deficiencies(state record)
ReportFederal survey (complaint): no deficiencies(state record)
ReportFederal survey (complaint): no deficiencies(state record)
Sources: CDPH Licensed and Certified Healthcare Facility Listing (data as of Oct 16, 2026), CDPH State Enforcement Actions, and CMS's ICF/IID statement-of-deficiency (CMS-2567) and Provider of Services files. ICFLookup is not affiliated with CDPH or CMS; always confirm with CDPH's CalHealthFind ↗ before making a decision. See How our data works.