Elder Care Record

California › San Bernardino County › San Bernardino

Shandin Hills Behavior Therapy Center

4164 N 4th Ave, San Bernardino, CA 92407

CCN 05A208 · For-profit, limited liability company · 78 certified beds

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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.

Certified for 78 beds, Shandin Hills Behavior Therapy Center serves San Bernardino in San Bernardino County, California and has taken Medicare and Medicaid residents since 1974.

CMS gives it 5 of 5 stars overall, above the California median of 3; the health inspection rating is 5, staffing 3 and quality measures 5.

Inspectors recorded 18 health deficiencies across the three most recent survey cycles (4, 8, 6 by cycle, most recent first), none at the actual-harm level. That is 23.1 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 2.6 hours per resident per day (0.2 RN), below the California median of 4.2; nursing staff turnover is 41.4%.

18health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
2.6nurse hours per resident per daystate median 4.2
101%occupancy (residents ÷ beds)79 residents a day

Compared with county, state and nation

MeasureThis facilitySan Bernardino Co. medianCalifornia medianUS average
Overall star rating5433.0
Health citations, 3 cycles18274428.7
Citations per 100 beds23.134.351.126.8
Total nurse hours per resident day2.64.34.23.9
RN hours per resident day0.20.40.50.7
Nursing staff turnover41.4%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

Cycle 1 (latest)4
Cycle 28
Cycle 36

Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 20 Feb 2026, 15 Nov 2024.

Severity mix: D ×9 E ×2 F ×4 B ×3

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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
20 Feb 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey4 Mar 2026
20 Feb 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey4 Mar 2026
20 Feb 2026F0814Dispose of garbage and refuse properly.DStandard survey4 Mar 2026
20 Feb 2026F0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.BStandard survey4 Mar 2026
25 Feb 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation7 Mar 2025
15 Jan 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation27 Jan 2025
15 Nov 2024F0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.FStandard survey16 Dec 2024
15 Nov 2024F0576Ensure residents have reasonable access to and privacy in their use of communication methods.DStandard survey16 Dec 2024
15 Nov 2024F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.DStandard survey16 Dec 2024
15 Nov 2024F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard survey16 Dec 2024
15 Nov 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard survey16 Dec 2024
15 Nov 2024F0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.BStandard survey16 Dec 2024
3 Nov 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey29 Nov 2023
3 Nov 2023F0880Provide and implement an infection prevention and control program.FStandard survey29 Nov 2023
3 Nov 2023F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey29 Nov 2023
3 Nov 2023F0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.BStandard survey29 Nov 2023
30 Aug 2023F0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.EComplaint investigation14 Sep 2023
28 Aug 2023F0584Honor 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.EComplaint investigation1 Sep 2023

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing2.55 h
Nurse aides1.62 h
LPN0.69 h
RN0.25 h
Weekend total2.38 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 41.4%, RNs 40.0%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityCalifornia medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay0.3%8.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.3%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%0.7%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay0.0%1.3%2.8%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay0.5%8.6%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay0.0%3.6%4.2%

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, limited liability company. Legal business name: Legal Business Name Not Available.

No organisations are listed in the CMS ownership record for this facility.

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

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Apple Valley Care CenterApple Valley995532323.2$8K12 Mar 2026
Citrus Nursing CenterFontana995422222.2$7K31 Jul 2025
Community Convalescent Center of San BernardinoSan Bernardino845541214.3—24 Apr 2025
Community Extended Care Hospital of MontclairMontclair1405531913.6—26 Feb 2026
Grand Terrace Health Care CenterGrand Terrace595542745.8—5 Mar 2026
Heritage Park Nursing CenterUpland705542130.0—13 May 2026
Hillcrest Nursing HomeSan Bernardino595532033.9—18 Nov 2025
Montclair Manor Care CenterMontclair595442745.8—30 Apr 2025

All 55 facilities in San Bernardino County

Questions and answers

How many deficiencies has Shandin Hills Behavior Therapy Center been cited for?

18 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 Shandin Hills Behavior Therapy Center been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Shandin Hills Behavior Therapy Center compare?

Reported total nurse staffing is 2.6 hours per resident per day against a California median of 4.2 and a national average of 3.9.

Who operates Shandin Hills Behavior Therapy Center?

Ownership type is for-profit, limited liability company. Individual owners and managers are not listed on this site.

When was Shandin Hills Behavior Therapy Center last inspected?

The most recent survey or investigation in the CMS record is dated 20 Feb 2026; the most recent standard health survey was 20 Feb 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.