Welcome to the State of California

QUICK SEARCH


OR

OR


Select a category



Advanced Search

Facility Information

Facility ID: 240001021

Register Complaint

Edgemont House

26219 Edgemont Dr
Highland, Ca   92346

County:San Bernardino

Phone:(909) 425-0860

Fax:(909) 944-1931

Managing District Office

Please contact the following Licensing and Certification office for any questions and/or concerns:

San Bernardino District Office
464 W. Fourth Street, Suite 529
San Bernardino, CA. 92401
Phone Number: (909) 383-4777

License Information

Licensee: Rockcreek, Inc.
10221 C Trademark Street
Rancho Cucamonga , Ca 91730

Licensee Type: Profit Corp

License Number: 240000438

License Status: Active

License Category: Intermediate Care Facility/Developmentally Disabled - Habilitative

License Effective Date: 11/15/2013

Expiration Date: 11/14/2014

Total License Capacity: 6

Bed Classification/Services:

Certification Information
Title 18 = Medicare
Title 19 = Medi-Cal (Medicaid)

Provider Category:ICF/IID

Last Certification Inspection Status:In Compliance

Certification Status:Eligible to Participate

Approval Date:12/4/2013

Complaints/Facility Self-Reported Incidents/Inspection Results Summary

Year: 2014

2Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

0Survey DeficienciesSurvey Deficiencies

Year: 2013

2Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

4Survey DeficienciesSurvey Deficiencies

Year: 2012

1Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

19Survey DeficienciesSurvey Deficiencies

Year: 2011

5Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

9Survey DeficienciesSurvey Deficiencies

Year: 2010

2Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

13Survey DeficienciesSurvey Deficiencies

Year: 2009

0Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

24Survey DeficienciesSurvey Deficiencies

Year: 2008

0Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

7Survey DeficienciesSurvey Deficiencies

Year: 2004

0Facility Self-Reported IncidentsFacility Self-Reported Incidents

0State Enforcement ActionsEnforcement Actions

2Survey DeficienciesSurvey Deficiencies

Administration Information

11/15/1991
to Present

Rockcreek, Inc.
Relationship to Facility: Licensee

4/12/2007
to Present

Ochoa, Richard
Relationship to Facility: Administrator

Ownership Information

To request additional ownership information about this facility, please click the ownership name below.

11/15/1991
to Present

Levin, Randolph L
Relationship to Facility: Property Owner
Percentage of Ownership: 0

11/15/1991
to Present

Levin, Suzanne R
Relationship to Facility: Property Owner
Percentage of Ownership: 0

Operating Entities

None found