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Arrowhead Springs Healthcare
1335 N. Waterman Ave., San Bernardino, CA 92404
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Arrowhead Springs Healthcare is a For-profit, corporation nursing home in San Bernardino, California, certified for 119 beds and caring for about 109 residents a day.
CMS gives it 4 of 5 stars overall, above the California median of 3; the health inspection rating is 4, staffing 4 and quality measures 4.
Inspectors recorded 30 health deficiencies across the three most recent survey cycles (9, 9, 12 by cycle, most recent first), none at the actual-harm level. That is 25.2 per 100 beds, fewer than the state median of 51.1.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 4.6 hours per resident per day (0.3 RN), close to the California median of 4.2; nursing staff turnover is 25.2%.
Compared with county, state and nation
| Measure | This facility | San Bernardino Co. median | California median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 30 | 27 | 44 | 28.7 |
| Citations per 100 beds | 25.2 | 34.3 | 51.1 | 26.8 |
| Total nurse hours per resident day | 4.6 | 4.3 | 4.2 | 3.9 |
| RN hours per resident day | 0.3 | 0.4 | 0.5 | 0.7 |
| Nursing staff turnover | 25.2% | 42.0% | 36.4% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (55 in the county, 1165 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 4 Jun 2026, 24 Apr 2025.
Severity mix: D ×24 E ×4 F ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 4 Jun 2026 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | Standard survey | 25 Jun 2026 |
| 4 Jun 2026 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | Standard survey | 25 Jun 2026 |
| 4 Jun 2026 | F0693 | 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. | E | Standard survey | 25 Jun 2026 |
| 4 Jun 2026 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 25 Jun 2026 |
| 4 Jun 2026 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 25 Jun 2026 |
| 4 Jun 2026 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 25 Jun 2026 |
| 4 Jun 2026 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 25 Jun 2026 |
| 4 Jun 2026 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 25 Jun 2026 |
| 4 Jun 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 25 Jun 2026 |
| 24 Apr 2025 | F0814 | Dispose of garbage and refuse properly. | F | Complaint investigation | 16 May 2025 |
| 24 Apr 2025 | F0584 | 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. | D | Complaint investigation | 16 May 2025 |
| 24 Apr 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 16 May 2025 |
| 24 Apr 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 16 May 2025 |
| 24 Apr 2025 | F0700 | 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. | D | Complaint investigation | 16 May 2025 |
| 24 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 16 May 2025 |
| 7 Mar 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 17 Mar 2025 |
| 12 Feb 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 24 Feb 2025 |
| 6 Nov 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 15 Nov 2024 |
| 24 May 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 6 Jun 2024 |
| 1 Sep 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 14 Sep 2023 |
| 31 Aug 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 14 Sep 2023 |
| 26 May 2022 | F0908 | Keep all essential equipment working safely. | F | Standard survey | 22 Jun 2022 |
| 26 May 2022 | F0578 | 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. | D | Standard survey | 22 Jun 2022 |
| 26 May 2022 | F0688 | 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. | D | Standard survey | 22 Jun 2022 |
| 26 May 2022 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 22 Jun 2022 |
| 26 May 2022 | F0693 | 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. | D | Standard survey | 22 Jun 2022 |
| 26 May 2022 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 22 Jun 2022 |
| 26 May 2022 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 22 Jun 2022 |
| 26 May 2022 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 22 Jun 2022 |
| 26 May 2022 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 22 Jun 2022 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 25.2%, RNs 22.2%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | California median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 8.6% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.6% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.7% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.7% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.7% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 10.2% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.2% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 2.4% | 9.1% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Perris Hills Healthcare Llc. Chain: The Ensign Group (342 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Alvarado Health Holdings LLC | Adp of the snf | NOT APPLICABLE | 01/01/2022 |
| Ensign Services Inc | Adp of the snf | NOT APPLICABLE | 02/01/2022 |
| Standard Bearer Healthcare Op, LP | Adp of the snf | NOT APPLICABLE | 01/01/2022 |
| The Ensign Group Inc | Adp of the snf | NOT APPLICABLE | 01/01/2022 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in San Bernardino County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Apple Valley Care Center | Apple Valley | 99 | 5 | 5 | 3 | 23 | 23.2 | $8K | 12 Mar 2026 |
| Citrus Nursing Center | Fontana | 99 | 5 | 4 | 2 | 22 | 22.2 | $7K | 31 Jul 2025 |
| Community Convalescent Center of San Bernardino | San Bernardino | 84 | 5 | 5 | 4 | 12 | 14.3 | — | 24 Apr 2025 |
| Community Extended Care Hospital of Montclair | Montclair | 140 | 5 | 5 | 3 | 19 | 13.6 | — | 26 Feb 2026 |
| Grand Terrace Health Care Center | Grand Terrace | 59 | 5 | 5 | 4 | 27 | 45.8 | — | 5 Mar 2026 |
| Heritage Park Nursing Center | Upland | 70 | 5 | 5 | 4 | 21 | 30.0 | — | 13 May 2026 |
| Hillcrest Nursing Home | San Bernardino | 59 | 5 | 5 | 3 | 20 | 33.9 | — | 18 Nov 2025 |
| Montclair Manor Care Center | Montclair | 59 | 5 | 4 | 4 | 27 | 45.8 | — | 30 Apr 2025 |
All 55 facilities in San Bernardino County
Questions and answers
How many deficiencies has Arrowhead Springs Healthcare been cited for?
30 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.
Has Arrowhead Springs Healthcare been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Arrowhead Springs Healthcare compare?
Reported total nurse staffing is 4.6 hours per resident per day against a California median of 4.2 and a national average of 3.9.
Who operates Arrowhead Springs Healthcare?
It is part of the The Ensign Group chain. Ownership type is for-profit, corporation. Individual owners and managers are not listed on this site.
When was Arrowhead Springs Healthcare last inspected?
The most recent survey or investigation in the CMS record is dated 4 Jun 2026; the most recent standard health survey was 4 Jun 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.