Las Colinas Post Acute

    800 E 5th St, Ontario, CA, 91764
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    2.0

    Initially good care, later neglect

    I had a mixed but ultimately alarming experience. At first the place seemed clean, bright and welcoming - reception, CNAs (Grace in particular) and the therapy team were kind, professional and helped with rehab. Over time care declined: meds and catheter changes were delayed, wounds and symptoms were ignored, hygiene and odors worsened, staff were unresponsive or short-staffed, and management didn't follow up. Because of those safety and neglect concerns I cannot recommend this facility for long-term care, despite pockets of excellent staff and therapy.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    3.11 · 133 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.3
    • Staff

      2.7
    • Meals

      2.5
    • Amenities

      2.5
    • Value

      1.0

    Pros

    • Strong rehabilitation department (PT/OT/ST)
    • Compassionate and dedicated CNAs and some nurses
    • Therapy staff frequently praised as professional and effective
    • Active therapeutic programs (occupational garden, cooking/baking classes)
    • Standardized Inter-Disciplinary Team (IDT) approach to care planning
    • Spacious rooms with natural light and patios
    • Some administrations and administrators are responsive and attentive
    • Dietary accommodations and positive reports about food by some reviewers
    • Volunteer involvement and family-inclusive activities in some cases
    • Good skilled nursing and IV medication capability reported by some families
    • Helpful casework/insurance assistance (specific staff named)
    • Clean appearance and professional greeting reported by some visitors
    • Family atmosphere and examples of staff treating residents like family
    • Successful discharges and rehab-to-home recoveries reported
    • Helpful reception/entrance area and active activity/dining rooms (for some)

    Cons

    • Chronic understaffing, especially evenings, nights, and weekends
    • Medication errors, omissions, and frequent delays (including pain meds)
    • Frequent reports of poor communication and unreturned calls
    • Allegations of neglect: residents left soiled, not fed, or not bathed
    • Hygiene and cleanliness issues (odors, bugs/ants/spiders, dried blood)
    • Inadequate wound care and reports of bedsores or worsening wounds
    • Inconsistent meal service; reports of food shortages and poor meals
    • Disorganized discharge processes and missing paperwork/meds
    • Management absent or defensive; some administrators rude or unhelpful
    • Serious safety incidents reported (falls, delayed ambulance response)
    • Accusations of forged documents, misrepresented DNR status, and cover-ups
    • Lack of activities despite promises; social programming often inconsistent
    • No phones in rooms or lack of means to contact residents
    • Overcrowding and multiple-occupancy rooms (3-per-room reports)
    • Theft or missing personal items reported by families
    • Inconsistent quality across staff—wide variability between excellent and negligent care
    • Poor infection control and criticized COVID protocols
    • Maintenance and comfort issues (hot rooms, limited electrical outlets)
    • Weekend or no therapy availability reported
    • Refusal/obstruction of transfers or discharge in some cases

    Summary review

    Overall sentiment in the reviews is highly polarized: many reviewers report exceptionally positive experiences centered on rehabilitation outcomes and compassionate individuals on staff, while an equally large set of reviews describe severe problems including neglect, medication errors, and unsafe conditions. This split suggests the facility has significant strengths in therapy and pockets of dedicated staff, but persistent systemic issues — especially staffing and management lapses — create considerable risk for many residents.

    Care quality and clinical issues: The facility receives consistent praise for its rehab services (physical, occupational, and speech therapy). Multiple families credit therapy staff with meaningful functional improvements and safe transitions home. Several reviewers singled out specific clinicians and therapists as highly competent and reassuring. At the same time, there are numerous and serious clinical complaints: delayed or missed medications (including pain medication), medication management errors, inconsistent wound care with bedsores and infections, mishandled catheters, untreated constipation/dehydration, and cases where residents were rushed to the emergency room due to deterioration. These reports indicate variability in nursing competence and follow-through. The most severe reports describe neglect (residents left in soiled linens, dried blood on faces, not bathed for extended periods) and allegations of abusive or cruel treatment. Families report that errors and neglect are more likely during evenings, nights, weekends, or when staffing is minimal.

    Staffing, responsiveness, and communication: A dominant theme is chronic understaffing. Many reviews describe long waits for assistance, quiet call buttons ignored, inability to reach nurses by phone, and staff who are overworked. Positive reviews acknowledge kind, attentive CNAs and nurses who go above and beyond; negative reviews describe rude or unresponsive staff and even administrators who hang up or are confrontational. Communication breakdowns are repeatedly cited: families report unreturned calls, inconsistent information from staff, conflicting stories about incidents, missing or withheld medications at discharge, and problems reaching residents because many rooms lack phones or video access. Several reviewers noted that management is not regularly on-site or is absent when issues arise, and some families felt their concerns were minimized or dismissed.

    Facilities, cleanliness, and safety: The facility layout and physical attributes receive mixed feedback. Many reviewers appreciate large, bright rooms, patios, and a welcoming reception area. Conversely, multiple reports describe poor housekeeping and maintenance: odors (urine, general), pests (ants, spiders, small bugs), cracked flooring, unclean bathrooms, and HVAC/temperature problems. Safety concerns are prominent: falls, delayed ambulance response, bedsores, and missed dialysis or medical monitoring were reported. Overcrowding and multi-occupancy rooms (including reports of three-person rooms) added to family concerns about privacy and quality of care.

    Dining, activities, and therapeutic programming: There are clear strengths in activity programming tied to rehab goals — an occupational garden, cooking and baking classes, and an active activity room are cited as meaningful for patient engagement. However, several families said promised activities did not actually occur and complained about lack of social programming and boredom (no bingo or no weekend therapy). Dining reviews are mixed: some families praise fresh, varied meals and good accommodation of dietary needs, while others complained of inconsistent meal delivery, being brought only Jell-O, food shortages in the kitchen, or residents ordering delivery because facility meals were insufficient.

    Management, policies, and administrative concerns: Reviews reflect inconsistent administrative performance. Some reviewers praised an involved and caring administration and named individuals who helped with insurance/casework. Others accused management of being defensive, unresponsive, or even complicit in covering up incidents, including allegations of forged documents and misrepresenting DNR status. Several families reported that interdisciplinary team (IDT) meetings offered hope for improvement, but results were inconsistent. Discharge processes are a recurrent problem — missing paperwork, withheld medications, and delayed transfers. There are also allegations of money-driven practices and poor coordination with external providers (doctors, caseworkers).

    Notable patterns and takeaways: The most common positive pattern is excellent short-term rehabilitation with strong therapists and some compassionate frontline staff. The most common negative patterns are chronic understaffing, inconsistent nursing care, dangerous lapses in hygiene and safety, communication failures, and management variability. Several reviews describe an initial period of good care that deteriorates over time, suggesting that staffing changes or process breakdowns occur during longer stays. Night and weekend coverage and availability of therapy during weekends are frequently flagged as weak points.

    Conclusion and practical implications: Based on the reviews, Las Colinas Post Acute may deliver very good outcomes for patients seeking short-term, intensive rehabilitation when they receive care from the praised therapy teams and supportive nurses. However, families should be aware of considerable risks for long-term stays or for residents who require close medical monitoring. If considering placement, prospective families should (1) verify staffing levels across shifts and weekends, (2) meet the primary nurses/CNAs who will care for the loved one, (3) confirm communication methods (phones, video access) and escalation pathways, (4) document an explicit care and wound/medication plan in writing, and (5) visit at varied times (evening/night/weekend) to observe staffing and responsiveness. Families already with a loved one at the facility who notice problems should escalate to on-site administration, document incidents, request IDT meetings, and, if safety concerns persist, contact local long-term care ombudsman or regulatory authorities. The reviews indicate clear excellence in therapy and pockets of compassionate staff — but also repeated, severe reports of neglect and systemic failures that require vigilance and active advocacy from families.

    Location

    Map showing location of Las Colinas Post Acute

    About Las Colinas Post Acute

    Las Colinas Post Acute sits in Upland, California, and offers skilled nursing and rehabilitation care, focusing on thorough, resident-centered service, and you'll find they have both a front and back lobby for easy access along with semi-private patient rooms set up for skilled nursing and therapy needs, so people get care suited to them, and the team there includes licensed experts who know about admissions and insurance, and they're around every day with front desk help during the week from 8 to 5 and weekends from 9 to 5, so there's always someone there to answer questions, and the place has a rehabilitation center where therapy services help residents regain strength, walk, and work toward being more independent, with staff who treat both residents and families with respect and care. The nursing staff covers 12 to 16 hour shifts, and there's a 24-hour call system with full supervision, so if someone needs help at any time, it's always there, and they help with daily needs like bathing, dressing, and moving between spaces, plus they manage medications and offer mental wellness programs. There's a health library at home for residents, complete with guides and a practitioner search, and there's an emergency service part to the program plus resources for using assistive devices and interactive symptom checkers and learning centers, so people can explore their health and care options. They offer specialized meal choices for needs like diabetes and other diets, and there's housekeeping and laundry, a beauty salon, cable and satellite TV, computer access, a dining room for restaurant-style meals, fitness and wellness centers, and private garden courtyards with their own fountain, all set up to feel comfortable like home. For activities, they've got scheduled daily events, resident-run groups, planned trips out, and a small library and gaming room, and community transportation helps with errands and appointments. Rooms are furnished, with private bathrooms and, for those who want it, a kitchenette, plus phone and Wi-Fi, so people stay connected. The community provides resources tied to elder abuse support, opioid help, fall prevention, disaster mental health, and suicide prevention, so it covers more than physical care. The staff have built a reputation for helping residents recover, go beyond in their work, and make family feel welcome, and the therapy offered has earned good words for helping people with mobility. Las Colinas Post Acute is recognized with the PACS Services Badge and White Medicare Logo for their care standards, and they're members of AHCA and CAHF, showing focus on staying updated and trustworthy. The environment is meant to promote safety, comfort, and healing, with private and outdoor spaces, and the main goal is always good care with dignity.

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