Deficiency Index

Sierra Vista

Highland, California · CCN 05A027

37 surveys since 2011, 5 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
122
Surveys
37
Harm or worse
5
Immediate jeopardy
3
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy3

Findings at the most serious level CMS records.

Beyond CMS’s monthly file30/37

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

The facility

Certified beds
116
Ownership
For profit - Limited Liability company
Chain
Independent
County
San Bernardino
Medicare-certified since
1974

CMS ratings

Overall
3
Health inspection
2
Staffing
4
Quality measures
5

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 25, 2026

137 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 day2.464.16
Registered-nurse hours per resident day0.37—
Annual nurse turnover29.5%37.6%

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

Enforcement

Abuse icon
Flagged by CMS on Care Compare

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

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 minimalD1754.8%E1032.3%F412.9%
No harm, potential for minimalA—B—C—
CMS’s current file: 31 of the 122 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8123×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F6002×

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  • F6042×

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

  • F6842×

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

  • F7552×

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

In the surveyor’s words

From the most serious findings on record at Sierra Vista, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812Feb 26, 2026

    Based on observation, interview, and record review, the facility failed to ensure safe and sanitary food preparation and storage practices in the kitchen when: 1. The sink in the cook area which food service workers use to get tap water for residents, did not have an air gap (a vertical space between the end of a pipe and the top of a nearby sink that prevents the backflow of contaminated water). 2. The storage shelves in the walk-in refrigerator had a fuzzy white material and grime build-up. 3. Dust was found in several areas in the kitchen and equipment. 4. Chipped off/peeling paint found in janitor room and dry storage room. 5. Two frying pans were found with part of their black interior coating scraped off. 6. Two plastic scraping spatulas were found to have damage on their tips. 7. […]

  • No harm, potential for more than minimal, widespreadF814Feb 26, 2026

    Based on observation, interview, and record review, the facility failed to dispose of garbage and refuse properly when three dumpsters on the side of facility outside of the hallway that leads to the facility's kitchen were filled beyond the brim with trash, and the lids of all three dumpsters were not closed properly. This failure had the potential to attract pests and rodents and comprise the health and safety of 116 residents who reside in the facility.Findings: During an observation on February 23, 2026, at 7:55 AM, on the side of the facility outside of the hallway that leads to the facility kitchen, all three dumpsters were filled above the brim with trash bags and the lids of the dumpsters were unable to fully close. […]

  • No harm, potential for more than minimal, widespreadF812Dec 12, 2024

    Based on observation, interview, and record review, the facility failed to store and prepare food in accordance with professional standards for food safety when: 1. A toaster was stored in the dry storage, and it had an accumulation of food residue. 2. On the floor under the industrial mixer, there was black grime, food crumbs, and paint splashes. 3. The shelf under the cook's preparation area that was storing clean pans had crusted food and debris. 4. In the Unit 2 kitchen area where food is served to the residents, the refrigerator door handle had crusted food and smudges. Under the steam table, there was a storage compartment that had black grime and food debris. […]

  • No harm, potential for more than minimal, widespreadF812Mar 10, 2023

    Based on observation, interview, and record review, the facility failed to store, prepare, and serve food in accordance with professional standards for food service safety when: 1. Three plastic pitchers and three lids were stored wet. It was placed on a rack where clean and dried cookware and serviceware (containers, bowls, plates, trays, cups, utensils) were stored. 2. An unlabeled large plastic container with red liquid was found inside the fridge. 3. The kitchen floors were observed with build-up of dirt, sticky residue, and crumbs. Behind the stove, the floors had buildup of crumbs and one food thermometer. 4. The metal shelf, above the stove, had grease build-up. 5. […]

  • No harm, potential for more than minimal, patternF565Feb 26, 2026

    Based on interview, and record review, the facility failed to respond to and act upon the grievances and recommendations of the Resident Council (a group of residents that acts as a formal body to improve quality of life, discuss concerns, and make recommendations to facility's administrator to improve the quality of daily living and care in the facility) regarding dietary services for seven sampled residents (Residents 12, 34, 45, 55, 60, 88, and 113) when the Resident Council requested to increase the frequency of snacks from once daily to three times daily and provide a greater variety of snacks, including more nutritious options, to address resident hunger; however, the facility failed to provide a written response or implement these requested changes. […]

Read 25 findings in full →The most serious and the most recent: 25 of 122 on record.

Every survey on record

FindingsAt actual harm or above

  • Jun 25, 2026Complaint1 finding
  • Feb 26, 2026Standard14 findings
  • Jul 9, 2025Complaint1 finding
  • Dec 12, 2024Standard and complaint5 findings
  • Dec 4, 2024Complaint1 finding
  • Aug 24, 2023Complaint1 finding
  • Mar 10, 2023Standard and complaint8 findings
  • Feb 13, 2020Standard5 findings
Show the 29 earlier surveys
  • Dec 24, 2018Complaint1 finding · 1 harm
  • Dec 14, 2018Standard6 findings
  • May 30, 2018Complaint1 finding · 1 harm
  • Dec 22, 2017Standard5 findings
  • Oct 30, 2017Complaint1 finding
  • Oct 27, 2017Complaint1 finding
  • Dec 16, 2016Standard7 findings
  • Dec 18, 2015Standard2 findings
  • Nov 4, 2015Complaint1 finding
  • Apr 16, 2015Complaint1 finding
  • Apr 8, 2015Complaint4 findings
  • Mar 24, 2015Complaint1 finding
  • Mar 5, 2015Complaint1 finding
  • Jan 9, 2015Standard4 findings · 1 harm
  • Dec 29, 2014Complaint1 finding
  • Dec 2, 2014Complaint2 findings · 2 harm
  • Aug 13, 2014Complaint1 finding
  • Jul 9, 2014Complaint1 finding
  • Feb 24, 2014Standard6 findings
  • Nov 16, 2013—2 findings
  • Nov 14, 2013—1 finding
  • Nov 1, 2013—2 findings
  • Oct 31, 2013—1 finding
  • Jul 15, 2013Complaint1 finding
  • Mar 15, 2013—7 findings
  • Feb 20, 2013—1 finding
  • May 3, 2012—1 finding
  • Apr 6, 2012—9 findings
  • May 9, 2011—14 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.

Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction