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ICF/DD-H (Habilitative)License activeMedi-Cal certified

BENTLEY HOUSE

ICF/DD-H (Habilitative) · 6 licensed beds · Riverside, CA

Homes of 4–15 beds for people with developmental disabilities whose nursing needs are intermittent and predictable.

Address

BENTLEY HOUSE11350 BENTLEY STRiverside, CA 92505 · Riverside County

Phone: (951) 343-1107

Facility details

CDPH listing, data as of Oct 16, 2026
Facility type
ICF/DD-H (Habilitative)
Licensed beds
6
Licensee
Not named in CDPH's listing (Individual). CalHealthFind shows ownership.
Administrator
SAMPSON, HEATHER
CDPH facility ID
250001663
License number
250000728
First licensed
February 26, 1998
Current license
Feb 26, 2026 to Feb 25, 2027
CDPH district office
Riverside

Federal certification (CMS)

CMS Provider of Services file
CMS Certification Number (CCN)
55G192
Status in CDPH's listing
Licensed And Certified
Program
Medi-Cal (Medicaid, Title XIX)
Participating since
May 29, 1998
Last certification survey
April 22, 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 6 · all employees 7

State citations and penalties (CDPH)

2 penalties, newest first

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

  • Class BPatient Rights

    Citation B (HSC 1424) · Violation Oct 22, 2014 · Penalty #250011693 · Survey ZLGU11

    Status: Closed · Not appealed

    $1,000

  • Class BAbuse/Facility Not Self Reported

    Citation B (HSC 1424) · Violation Sep 17, 2008 · Penalty #250009594 · Survey 2IHE11

    Status: Closed · Not appealed

    $1,000

Federal inspections (CMS-2567)

27 surveys since 2018 · CMS data through Oct 12, 2026

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").

  1. · Recertification

    Event RT1421 · 3 deficiencies

    Official 2567 ↗
  2. · Complaint, Recertification

    Event RT1411 · 4 deficiencies

    Official 2567 ↗
  3. · Complaint

    Event I32811 · no deficiencies cited

    Official 2567 ↗
  4. · Complaint

    Event 84F911 · no deficiencies cited

    Official 2567 ↗
  5. · Recertification

    Event WMBR21 · 3 deficiencies

    Official 2567 ↗
  6. · Complaint, Recertification

    Event WMBR11 · 4 deficiencies

    Official 2567 ↗
  7. · Complaint

    Event CM0O11 · no deficiencies cited

    Official 2567 ↗
  8. · Complaint

    Event 4ZCR11 · no deficiencies cited

    Official 2567 ↗
  9. · Recertification

    Event 18TC21 · 1 deficiency

    Official 2567 ↗
  10. · Recertification

    Event 18TC11 · 2 deficiencies

    Official 2567 ↗
  11. · Complaint

    Event SR0V11 · no deficiencies cited

    Official 2567 ↗
  12. · Complaint

    Event 3AU611 · no deficiencies cited

    Official 2567 ↗

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

30 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.

  1. ReportFederal survey (recertification): 3 deficiencies(state record)

  2. ReportFederal survey (complaint, recertification): 4 deficiencies(state record)

  3. ReportFederal survey (complaint): no deficiencies(state record)

  4. ReportFederal survey (complaint): no deficiencies(state record)

  5. ReportFederal survey (recertification): 3 deficiencies(state record)

  6. ReportFederal survey (complaint, recertification): 4 deficiencies(state record)

  7. ReportFederal survey (complaint): no deficiencies(state record)

  8. ReportFederal survey (complaint): no deficiencies(state record)

  9. ReportFederal survey (recertification): 1 deficiency(state record)

  10. ReportFederal survey (recertification): 2 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.