ALM's inspection grade is 93 / 100, an A — 9 points above the California average for CMS-certified facilities (84/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
ALM's inspection grade is 93 / 100, an A — 9 points above the California average for CMS-certified facilities (84/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Arrowhead Healthcare Center offers nursing home, memory care, and skilled nursing care in San Bernardino, CA. Its nursing home and skilled nursing services support short-term rehabilitation and long-term care, with licensed nursing care on site around the clock. In-house therapy gives residents access to rehabilitation services within the community rather than requiring arrangements with an outside therapy provider. The community may be a good fit for someone living with dementia who needs the secured, supervised setting provided by memory care.
With 58 beds, Arrowhead Healthcare Center is a smaller community where staff and residents can get to know each other. Medicare can help cover short-term skilled care after a hospital stay, Medicaid can be relevant when savings may not cover a long stay, and private pay means paying directly. Total nurse staffing is 4h 56m per resident per day, representing the daily hands-on nursing time allocated per resident. A Walk Score of 79 places the area in the very walkable band, so most errands can be done on foot and a resident who no longer drives can still get out independently.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Data period: Q4 2025 (October 1 – December 31, 2025).
This nursing home is ranked 45th out of 290 nursing homes we track in California for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 56mStandout metric: Certified nursing assistant is +19% above California average
3 of 6 metrics below California average
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. All 4 are the facility's own employees; no agency contractors work in this role.
4 staff · 7.2-hour shifts
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. All 14 are the facility's own employees; no agency contractors work in this role.
14 staff · 8-hour shifts
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. All 43 are the facility's own employees; no agency contractors work in this role.
43 staff · 7.1-hour shifts
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
RN + LPN + aide · Sat–Sun
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
Sat–Sun
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
77
68 employees · 9 contractors · 41 on an average day
77 total staff / 54 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
1.43 : 1
↓ 20% · CA 1.79This facility: 1.43 staff per resident, 20% below the California average of 1.79 (among California facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
77 staff ÷ 54 residents
See full California ranking →
Average hours one staff member works on a day they are on shift, across every role.
6.8 h
↓ 12% · CA 7.7 hThis facility: 6.8 h, 12% below the California average of 7.7 h (among California facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
25,718 staff hours this quarter
See full California ranking →97.1% of staff hours were worked by the facility's own employees
California average: 95.3% · Contractors this quarter: Physical Therapy Assistant (1), Speech Language Pathologist (1), Respiratory Therapy Technician (1), Physical Therapy Aide (1), Medical Director (1), Occupational Therapy Assistant (1), Occupational Therapy Aide (1), Dietitian (1), Qualified Social Worker (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
58
Rank #286 / 341Bed count — State benchmarked This nursing home is ranked 286th out of 341 nursing homes we track in California for bed count. Shows this facility's certified or reported bed count compared to other California facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Smaller home · May offer a more intimate, personalized care environment.
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care. This is the number of years in operation under current management.
Rank #70 / 198Years in operation — State benchmarked This nursing home is ranked 70th out of 198 nursing homes we track in California for years in operation. Shows how long this facility has been in operation compared to other California facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Rank #77 / 344Walk Score — State benchmarked This nursing home is ranked 77th out of 344 nursing homes we track in California for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across California facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy between 85% and 95% suggests balanced demand.
Rank #1 / 299Occupancy rate — State benchmarked This nursing home is ranked 1st out of 299 nursing homes we track in California for occupancy. Shows this facility's occupancy rate versus the California average, with its Statewide rank out of 299. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Based on residents per day and 58 beds.
Higher than the California average: 82.2%
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
Source: CMS Provider Information, average daily residents
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
9 points above the California average for CMS-certified facilities (84/100)
Category breakdown
59 severity-weighted points (23 citations) · 38% lower than the typical CMS-certified CA facility (median: 95)
No fines on record · 0 enforcement actions
28 days to fix issues · slower than the typical CMS-certified CA facility (median: 25)
100% corrected
23 of 23 citations corrected Latest inspection: Apr 09, 2026 · 9 citations, all corrected
Most cited category: Resident Rights, 6 of 23 citations · 8 categories in total
Corrected
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Health citations are formal notices following inspections when they fail to comply with safety and care standards.
22 of 23 citations resulted from standard inspections; and 1 of 23 resulted from complaint investigations.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Show Inspection Reports
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database · Data as of Aug 2026
No penalties in the past 3 years
No civil money penalties or payment denials on record since Aug 2023.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
How residents at this home fare on health outcomes and preventive care, compared with the California average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
5
/ 5
Significantly above average
↑ 18% · CA 4.2This facility: 5.0, 18% above the CA average of 4.2 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
6.7
Score · lower is better
↑ 14% · CA 5.9This facility: 6.7, 14% above the CA average of 5.9 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
11.3
Score · lower is better
↑ 13% · CA 10.0This facility: 11.3, 13% above the CA average of 10.0 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.13 long-stay measures: 5 better, 6 worse, 2 near CA average
1 short-stay measure: 1 worse
People who live at the home · 13 measures
Percent of long-stay residents whose need for help with daily activities has increased
11.0%
↑ 8% · CA 10.2This facility: 11.0, 8% above the CA average of 10.2 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
15.2%
↑ 55% · CA 9.8This facility: 15.2, 55% above the CA average of 9.8 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
7.7%
↓ 25% · CA 10.2This facility: 7.7, 25% below the CA average of 10.2 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
1.9%
↑ 55% · CA 1.2This facility: 1.9, 55% above the CA average of 1.2 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
1.4%
↓ 15% · CA 1.6This facility: 1.4, 15% below the CA average of 1.6 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
1.7%
↓ 61% · CA 4.3This facility: 1.7, 61% below the CA average of 4.3 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
4.4%
↑ 10% · CA 4.0This facility: 4.4, 10% above the CA average of 4.0 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
8.3%
↑ 14% · CA 7.3This facility: 8.3, 14% above the CA average of 7.3 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
24.6%
↑ 105% · CA 12.0This facility: 24.6, 105% above the CA average of 12.0 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.1%
≈ 0% · CA 98.6This facility: 99.1, level with the CA average of 98.6 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 2% · CA 98.2This facility: 100.0, 2% above the CA average of 98.2 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of hospitalizations per 1,000 long-stay resident days.
1.00
↓ 56% · CA 2.25This facility: 1.00, 56% below the CA average of 2.25 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.29
↓ 19% · CA 1.59This facility: 1.29, 19% below the CA average of 1.59 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Rehab and recovery after a hospital stay · 1 measures
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
88.0%
↓ 7% · CA 94.4This facility: 88.0, 7% below the CA average of 94.4 (among CA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
10% of new residents, usually for short-term rehab.
25% of new residents, often for short stays.
65% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jun 2026)
Total residents
54Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Arrowhead Healthcare Center’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 288 California nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
Is it financially stable?
Losing money on care, and more than last year
−13.8% operating margin
−3.1 pts vs prior year
An operating loss in 7 of the last 8 reported years. Other income ($0.1M) trims the net loss to −$1.0M. Watch for cost-cutting that reaches staffing.
Does it invest in staff?
Spends more on payroll than most California homes
68.3% payroll share of revenue
CA average 61.4%Rank #38 / 288Payroll % of net patient revenue — State benchmarked This nursing home is ranked 38th out of 288 nursing homes we track in California for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the California average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll fell $2.5M while revenue fell $3.9M. Check hours per resident in the staffing section to confirm it reaches the floor.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with California homes.
Losing money on care
| Metric | FY 2024 | vs prior year | Trend 2016 → 2024Trend | CA median | Compared with CA homesRank in CA | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $7.7M | −$3.9M | Trend 20162024 | CA median $15.3M | Rank in CA Rank #268 / 288Net patient revenue — State benchmarked This nursing home is ranked 268th out of 288 nursing homes we track in California for net patient revenue. Shows this facility's net patient revenue compared to the California average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 7% of homes | Below CA median Higher net patient revenue than 7% of CA homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $8.8M | −$4.1M | Trend 20162024 | CA median — | Rank in CA Not ranked | Exceeds revenue Operating expenses are higher than net patient revenue, so resident care runs at a loss. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | −$1.1M | +$0.2M | Trend 20162024 | CA median — | Rank in CA Not ranked | Loss, narrowing Resident care lost money this year, less than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | −13.8% | −3.1 pts | Trend 20162024 | CA median — | Rank in CA Not ranked | Loss A negative margin means resident care costs more than it earns. |
| Other income Money not from resident care: investments, grants, services. | $0.1M | — | Trend — | CA median — | Rank in CA Not ranked | Offsets part of the loss Income from outside resident care covers part of the loss on care. |
| Net income The bottom line after other income. | −$1.0M | +$0.2M | Trend — | CA median — | Rank in CA Not ranked | Loss The bottom line is below zero even after other income. |
Spends more of revenue on staff than most California homes
| Metric | FY 2024 | vs prior year | Trend 2016 → 2024Trend | CA median | Compared with CA homesRank in CA | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $5.3M | −$2.5M | Trend 20162024 | CA median $8.8M | Rank in CA Rank #251 / 288Payroll costs — State benchmarked This nursing home is ranked 251st out of 288 nursing homes we track in California for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the California average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 13% of homes | Below CA median Higher payroll than 13% of CA homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 68.3% | +1.3 pts | Trend 20162024 | CA median 53.8% | Rank in CA Rank #38 / 288Payroll % of net patient revenue — State benchmarked This nursing home is ranked 38th out of 288 nursing homes we track in California for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the California average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 87% of homes | 6.9 pts over CA average The CA average is 61.4% of revenue. Within 3 points of it reads as near the average. |
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income No report
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the California payroll average.
% of net patient revenue
Payroll share Operating margin CA payroll average No report
| Metric | 2016 | 2017 | 2018 | 2019no report | 2020 | 2021 | 2022 | 2023 | 2024 |
|---|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $3.9M | $4.4M | $4.3M | $5.8M | $5.0M | $5.8M | $11.6M | $7.7M | |
| Operating expenses | $4.3M | $5.8M | $5.9M | $5.3M | $6.0M | $6.3M | $12.9M | $8.8M | |
| Net patient income | −$0.4M | −$1.4M | −$1.5M | $0.5M | −$1.0M | −$0.5M | −$1.2M | −$1.1M | |
| Operating margin | −10.5% | −30.6% | −34.9% | 8.5% | −20.3% | −8.2% | −10.7% | −13.8% | |
| Net income | −$0.2M | −$1.3M | −$1.5M | $0.5M | −$1.0M | −$0.5M | −$1.2M | −$1.0M | |
| Payroll costs | $2.1M | $3.1M | $3.0M | $3.2M | $3.8M | $3.8M | $7.8M | $5.3M | |
| Payroll share of revenue | 53.3% | 69.5% | 68.4% | 55.1% | 75.9% | 65.9% | 67.0% | 68.3% | |
| Beds | 58 | 58 | 58 | 58 | 58 | 58 | 58 | 58 | |
| Gross revenue | $4.0M | $4.6M | $4.6M | $5.5M | $5.5M | $6.0M | $12.4M | $8.8M | |
| Salaries | $1.8M | $2.5M | $2.6M | $2.7M | $3.1M | $3.2M | $6.5M | $4.4M | |
| Wage-related costs | $0.3M | $0.5M | $0.4M | $0.5M | $0.7M | $0.6M | $1.3M | $0.8M | |
| Contract labor | — | $0.4M | $0.3M | $0.2M | — | $0.2M | $0.3M | $0.2M | |
| Other operating costs | $2.2M | $2.7M | $2.9M | $2.1M | $2.2M | $2.5M | $5.1M | $3.5M | |
| Net patient revenue per day | $189 | $226 | $225 | $296 | $273 | $294 | $568 | $379 | |
| Cost per day | $209 | $295 | $303 | $271 | $328 | $318 | $629 | $431 | |
| Average length of stay | 310.3 days | 109.2 days | 123.2 days | 194.9 days | 338.3 days | 310.2 days | 305.0 days | 254.7 days |
Showing 2024–2022 · scroll sideways for 6 earlier years
Most residents stay for extended periods and receive ongoing daily care.
Most new residents arrive under Medicaid (65% of admissions), and a typical Medicaid stay runs around 9 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
4.4 miles from city center
Estimated distance in miles from San Bernardino's city center to Arrowhead Healthcare Center's address, calculated via Google Maps.
— 2.33 miles to nearest hospital (St. Bernardine Medical Center)
Add your location
Info below is compiled from CMS reports & the CA Dept. of Social Services (CDSS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The California average is: 61.4% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Waterman Canyon Post Acute | NH HOS SNF | San Bernardino | 166
Facility
166
CA AVG
161
Rank
#93 / 341 | A+ |
95.0%
Facility
95.0%
CA AVG
82.2%
Rank
#89 / 299 | +16% | 3.59
Facility
3.59
CA AVG
4.33
Rank
#238 / 290 | -38% | -17% | $0
Facility
$0
CA AVG
$60.5k
Rank
#1 / 295 | 41
Facility
41
CA AVG
49.9
Rank
#150 / 293 | 2.9
Facility
2.9
CA AVG
4.7
Rank
#44 / 293 | - | 158 | A+ |
63
Facility
63
CA AVG
60
Rank
#175 / 344 | Nicoletta Jenkins | $30.0MFiscal year ending 12/2024
Facility
$30.0MFiscal year ending 12/2024
CA AVG
$17.3M
Rank
#22 / 288 | $14.1MFiscal year ending 12/2024
Facility
$14.1MFiscal year ending 12/2024
CA AVG
$9.8M
Rank
#44 / 288 | 47%Fiscal year ending 12/2024
Facility
47%Fiscal year ending 12/2024
CA AVG
61.4%
Rank
#238 / 288 | 055565 | ||||
| Arrowhead Healthcare Center | NH MC SNF | San Bernardino (Wildwood Park) | 58
Facility
58
CA AVG
161
Rank
#286 / 341 | A |
94.1%
Facility
94.1%
CA AVG
82.2%
Rank
#1 / 299 | +14% | 4.93
Facility
4.93
CA AVG
4.33
Rank
#45 / 290 | -42% | +14% | $0
Facility
$0
CA AVG
$60.5k
Rank
#1 / 295 | 23
Facility
23
CA AVG
49.9
Rank
#55 / 293 | 5.8
Facility
5.8
CA AVG
4.7
Rank
#221 / 293 | - | 55 | - |
79
Facility
79
CA AVG
60
Rank
#77 / 344 | Arrowhead Healthcare Center LLC | $7.7MFiscal year ending 12/2024
Facility
$7.7MFiscal year ending 12/2024
CA AVG
$17.3M
Rank
#268 / 288 | $5.3MFiscal year ending 12/2024
Facility
$5.3MFiscal year ending 12/2024
CA AVG
$9.8M
Rank
#251 / 288 | 68.3%Fiscal year ending 12/2024
Facility
68.3%Fiscal year ending 12/2024
CA AVG
61.4%
Rank
#38 / 288 | 555896 | ||||
| Haven Post Acute | NH SNF | San Bernardino (Del Rosa) | 99
Facility
99
CA AVG
161
Rank
#176 / 341 | B+ |
94.5%
Facility
94.5%
CA AVG
82.2%
Rank
#68 / 299 | +15% | 4.45
Facility
4.45
CA AVG
4.33
Rank
#77 / 290 | -39% | +3% | $37.6k
Facility
$37.6k
CA AVG
$60.5k
Rank
#243 / 295 | 22
Facility
22
CA AVG
49.9
Rank
#49 / 293 | 2.8
Facility
2.8
CA AVG
4.7
Rank
#39 / 293 | 1 | 94 | - |
67
Facility
67
CA AVG
60
Rank
#149 / 344 | - | $12.2MFiscal year ending 12/2024
Facility
$12.2MFiscal year ending 12/2024
CA AVG
$17.3M
Rank
#197 / 288 | $8.2MFiscal year ending 12/2024
Facility
$8.2MFiscal year ending 12/2024
CA AVG
$9.8M
Rank
#162 / 288 | 67.2%Fiscal year ending 12/2024
Facility
67.2%Fiscal year ending 12/2024
CA AVG
61.4%
Rank
#40 / 288 | 056053 | ||||
| Del Rosa Villa Post Acute | NH HOS MC PC RC SNF | San Bernardino (Pacific) | 104
Facility
104
CA AVG
161
Rank
#172 / 341 | C- |
88.9%
Facility
88.9%
CA AVG
82.2%
Rank
#153 / 299 | +8% | 3.63
Facility
3.63
CA AVG
4.33
Rank
#258 / 290 | -31% | -16% | $43.9k
Facility
$43.9k
CA AVG
$60.5k
Rank
#254 / 295 | 34
Facility
34
CA AVG
49.9
Rank
#114 / 293 | 3.1
Facility
3.1
CA AVG
4.7
Rank
#53 / 293 | 1 | 93 | - |
74
Facility
74
CA AVG
60
Rank
#108 / 344 | Ashraf Eskander | $18.7MFiscal year ending 12/2024
Facility
$18.7MFiscal year ending 12/2024
CA AVG
$17.3M
Rank
#99 / 288 | $8.5MFiscal year ending 12/2024
Facility
$8.5MFiscal year ending 12/2024
CA AVG
$9.8M
Rank
#157 / 288 | 45.3%Fiscal year ending 12/2024
Facility
45.3%Fiscal year ending 12/2024
CA AVG
61.4%
Rank
#250 / 288 | 555195 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other CA nursing home we track that reports that metric, not just the 4 on this page. See how we rank facilities
Arrowhead Healthcare Center is located in San Bernardino, California.
Here are the financial assistance programs available to residents in California.
Arrowhead Healthcare Center is in the Wildwood Park neighborhood of San Bernardino.
Arrowhead Healthcare Center has a walk score of 79. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Arrowhead Healthcare Center's occupancy is 94.1%.
Arrowhead Healthcare Center has been operating for approximately 30 years, based on available licensing and registration records.
No, Arrowhead Healthcare Center has a no-pet policy.
The team at Arrowhead Healthcare Center can be reached at contact-arrowheadsprings@ensignservices.net.
Arrowhead Healthcare Center is registered as a for-profit in CA.
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