Arrowhead Springs Healthcare

1335 N. Waterman Ave. · San Bernardino, CA · 92404 · 9098850268

119 certified beds For profit - Corporation Chain: The Ensign Group

  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 58
Serious harm & abuse 20% 100
Staffing 20% 74
Federal penalties 15% 100
Trend 10% 79
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 5 of 5 Inspections: 4 of 5 Staffing: 4 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day4.613.48 min · 4.1 strong
RN hours / resident-day0.320.55–0.75
Weekend hours / resident-day3.95≈ weekday level
Nursing turnover / year27%median 45%
Fines (3-yr window)none

Inspection citations (32 in the current record)

  • Potential for harm · D April 24, 2025 · found via complaint

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected May 16, 2025 · Resident Rights

  • Potential for harm · D April 24, 2025 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected May 16, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D April 24, 2025 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected May 16, 2025 · Quality of Life and Care

  • Potential for harm · D April 24, 2025 · found via complaint

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    Corrected May 16, 2025 · Quality of Life and Care

  • Potential for harm · F April 24, 2025 · found via complaint

    Dispose of garbage and refuse properly.

    Corrected May 16, 2025 · Nutrition and Dietary

  • Potential for harm · D April 24, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected May 16, 2025 · Infection Control

  • Potential for harm · D March 7, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected March 17, 2025 · Quality of Life and Care

  • Potential for harm · D February 12, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected February 24, 2025 · Quality of Life and Care

  • Potential for harm · D November 6, 2024 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected November 15, 2024 · Quality of Life and Care

  • Potential for harm · D May 24, 2024 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected June 6, 2024 · Infection Control

  • Potential for harm · D September 1, 2023 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected September 14, 2023 · Quality of Life and Care

  • Potential for harm · E August 31, 2023 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected September 14, 2023 · Quality of Life and Care

  • Potential for harm · D May 26, 2022

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Corrected June 22, 2022 · Resident Rights

  • Potential for harm · D May 26, 2022

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Corrected June 22, 2022 · Quality of Life and Care

  • Potential for harm · D May 26, 2022

    Provide enough food/fluids to maintain a resident's health.

    Corrected June 22, 2022 · Quality of Life and Care

  • Potential for harm · D May 26, 2022

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Corrected June 22, 2022 · Quality of Life and Care

  • Potential for harm · D May 26, 2022

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected June 22, 2022 · Pharmacy Service

  • Potential for harm · D May 26, 2022

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected June 22, 2022 · Pharmacy Service

  • Potential for harm · D May 26, 2022

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected June 22, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D May 26, 2022

    Provide and implement an infection prevention and control program.

    Corrected June 22, 2022 · Infection Control

  • Potential for harm · F May 26, 2022

    Keep all essential equipment working safely.

    Corrected June 22, 2022 · Environmental

  • Potential for harm · D October 18, 2019

    Reasonably accommodate the needs and preferences of each resident.

    Corrected November 12, 2019 · Resident Rights

  • Potential for harm · E October 18, 2019

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected November 12, 2019 · Resident Rights

  • Potential for harm · D October 18, 2019

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected November 12, 2019 · Resident Assessment and Care Planning

  • Potential for harm · D October 18, 2019

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected November 12, 2019 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 055708 · certified since January 1, 1971. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.