ROGER RESIDENCE
ICF/DD-N (Nursing) · 6 licensed beds · Corona, CA
Homes of 4–15 beds for medically fragile people with developmental disabilities who need intermittent skilled nursing.
Address
ROGER RESIDENCE825 MAGNOLIA AVECorona, CA 92879 · Riverside CountyPhone: (951) 808-7995
State penalties
2
Class 2 B
Federal surveys
53
since 2018 · 14 with deficiencies
Federal deficiencies
34
none condition-level
Last federal survey
Jul 9, 2026
survey date
Facility details
- Facility type
- ICF/DD-N (Nursing)
- Licensed beds
- 6
- Licensee
- PEPPERMINT RIDGE · Nonprofit Corp
- Administrator
- WILLIS, DANA
- CDPH facility ID
- 250001769
- License number
- 250000773
- First licensed
- March 11, 2002
- Current license
- Mar 11, 2026 to Mar 10, 2027
- CDPH district office
- Riverside
Federal certification (CMS)
- CMS Certification Number (CCN)
- 55G428
- Status in CDPH's listing
- Licensed And Certified
- Program
- Medi-Cal (Medicaid, Title XIX)
- Participating since
- May 28, 2002
- Last certification survey
- September 23, 2025
- CMS certification status
- Certified
- In compliance (CMS)
- Yes
- Last certification action
- Recertification
- Ownership type (CMS)
- Private (non-profit)
- Certified beds (CMS)
- 6
- Staffing reported to CMS
- RN 1 · LVN/LPN 1 · direct care 4 · all employees 6
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
Class BMedication
Citation B (HSC 1424) · Violation Apr 4, 2017 · Penalty #250014013 · Survey ZKOU11
Status: Closed · Not appealed
$1,000
Class BAdministration
Citation B (HSC 1424) · Violation May 15, 2005 · Penalty #250001558
Status: Closed · Not appealed
$600
initially $500
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 2372E5-H1 · no deficiencies cited
· Complaint
Event 25C740-H1 · no deficiencies cited
· Complaint
Event 22BB6F-H1 · no deficiencies cited
· Complaint
Event S1H411 · no deficiencies cited
· Complaint
Event JHN311 · no deficiencies cited
· Complaint
Event URHS11 · no deficiencies cited
· Complaint
Event LM6711 · no deficiencies cited
· Complaint
Event 1I0E11 · no deficiencies cited
· Complaint
Event G22011 · no deficiencies cited
· Complaint
Event A0FP11 · 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
56 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): no deficiencies(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 (complaint): no deficiencies(state record)
ReportFederal survey (recertification): 3 deficiencies(state record)
ReportFederal survey (recertification): 5 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.