Deficiency Index

Arrowhead Springs Healthcare

San Bernardino, California · CCN 055708

45 surveys since 2011, 4 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
160
Surveys
45
Harm or worse
4
Immediate jeopardy
0
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse4

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file35/45

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
119
Ownership
For profit - Corporation
Chain
THE ENSIGN GROUP
County
San Bernardino
Medicare-certified since
1971

CMS ratings

Overall
4
Health inspection
4
Staffing
4
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded fewer weighted findings than most of its peer group.

Weighted by harm level, against 110 for-profit facilities of 100–127 beds in California.

Last survey on record

Jun 4, 2026

158 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day4.614.16
Registered-nurse hours per resident day0.32—
Annual nurse turnover25.2%37.6%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD3278.0%E717.1%F24.9%
No harm, potential for minimalA—B—C—
CMS’s current file: 41 of the 160 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8805×

    Provide and implement an infection prevention and control program.

  • F6843×

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

  • F5842×

    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.

  • F6562×

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

  • F6772×

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

In the surveyor’s words

From the most serious findings on record at Arrowhead Springs Healthcare, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF814Apr 24, 2025

    Based on observation, interviews, and record reviews, the facility failed to ensure proper disposal of garbage when one of two lids in the outside recycling receptacles was not closed and overflowing with trash. This failure had the potential to attract pests. Findings: During a concurrent observation and interview on April 22, 2025, at 7:45 AM, with the Registered Dietician (RD), in the garbage storage area, located outside the facility, there were three garbage containers. One container (the recycling container- a large container for holding or transporting waste or items for recycling) was not closed and it was overflowing with open cardboard boxes. The RD stated the recycling container should be close and should not be overflowing. […]

  • No harm, potential for more than minimal, widespreadF908May 26, 2022

    Based on observation, interview, and record review, the facility failed to do maintenance on the stove in the kitchen on an annual basis per their policy , when two of the burners were not lit because the gas lines were clogged with grease/corrosion and five out of eight dials that function to turn on the burners and adjust gas flow were missing. This failure had the potential to cause a grease fire and put staff and 91 residents at risk. Findings: 1. During an observation and concurrent interview with the Dietary Services Supervisor (DSS) on May 23, 2022,at 10:10 AM, the six burner industrial stove was missing five plastic knobs that were used to turn on the burners and adjust the gas flow. […]

  • No harm, potential for more than minimal, widespreadF880Sep 17, 2021

    Based on observation, interview, and record review the facility failed to provide appropriate infection prevention and control surveillance when: 1. There was no visible signage posted indicating the facility's Covid-19 protocol ( wear a mask, social distance, wash hands, use hand sanitizer) for individuals entering the facility. 2. There was no monitoring of the facility's Covid-19 screening processes for individuals entering the facility. 3. There was no process for monitoring or verifying Covid-19 vaccination status or negative Covid-19 test result for individuals entering the facility. 4. […]

  • No harm, potential for more than minimal, patternF582Jun 4, 2026

    Based on interview and record review, the facility failed to inform residents, in writing, of services available and the charges for those services, including charges for items and services not covered by Medicare or Medicaid for three of four sampled residents (Resident 120, 121, and 122) when Resident 120, 121, and 122 did not receive written notification of their estimated out of pocket cost on the required Skill Nursing Facility Advance Beneficiary Notice of Non-coverage form (a form a facility gives a resident to let them know Medicare may stop paying for their stay or certain services).These failures had the potential to prevent residents from receiving the information necessary to understand their potential financial liability and make informed decisions regarding continued… […]

  • No harm, potential for more than minimal, patternF644Jun 4, 2026

    Based on interview and record review, the facility failed to update Pre-admission Screening and Resident Review (PASARR - a federally mandated program that requires all individuals seeking admission to a Medicaid-certified nursing facility to be screened to ensure individuals who are identified to have a significant mental illness (SMI), intellectual or developmental disability (I/DD)) are not inappropriately placed in nursing homes for long term care) for two of five sampled residents (Resident 17 and 76) for PASARR when: 1. […]

Read 24 findings in full →The most serious and the most recent: 24 of 160 on record.

Every survey on record

FindingsAt actual harm or above

  • Jun 4, 2026Standard9 findings
  • Apr 24, 2025Standard6 findings
  • Mar 7, 2025Complaint1 finding
  • Feb 12, 2025Complaint1 finding
  • Nov 6, 2024Complaint1 finding
  • May 24, 2024Complaint1 finding
  • Sep 1, 2023Complaint1 finding
  • Aug 31, 2023Complaint1 finding
Show the 37 earlier surveys
  • Sep 27, 2022Complaint1 finding
  • May 26, 2022Standard9 findings
  • Sep 23, 2021Complaint1 finding
  • Sep 17, 2021Infection control2 findings
  • May 10, 2021Complaint2 findings
  • Dec 9, 2020Infection control1 finding
  • Sep 16, 2020Complaint1 finding
  • Sep 2, 2020Infection control1 finding
  • Aug 4, 2020Complaint1 finding
  • Mar 4, 2020Complaint1 finding
  • Oct 18, 2019Standard11 findings
  • Oct 15, 2018Standard7 findings
  • Oct 23, 2017Standard3 findings
  • Oct 28, 2016Standard7 findings
  • Oct 26, 2016Complaint2 findings
  • Sep 9, 2016Complaint1 finding · 1 harm
  • Aug 25, 2016Complaint2 findings
  • Mar 24, 2016Complaint1 finding · 1 harm
  • Feb 1, 2016Complaint1 finding · 1 harm
  • Dec 24, 2015Complaint2 findings
  • Oct 30, 2015Standard4 findings
  • Apr 6, 2015Complaint1 finding
  • Oct 17, 2014Standard11 findings
  • Dec 23, 2013—8 findings
  • Nov 8, 2013—3 findings
  • Oct 25, 2013—2 findings
  • Sep 26, 2013—1 finding
  • Aug 28, 2013—1 finding
  • Jul 29, 2013—1 finding
  • Jun 7, 2013—2 findings
  • Mar 8, 2013—2 findings
  • Feb 21, 2013—1 finding
  • Jan 11, 2013—13 findings
  • Dec 6, 2012—1 finding
  • Jun 13, 2012—2 findings
  • Mar 12, 2012—13 findings · 1 harm
  • Feb 28, 2011—16 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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