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Nursing Home in San Bernardino

CMS overall rating Info 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.

Arrowhead Healthcare Center

Nursing Home in San Bernardino

CMS overall rating Info 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.

Arrowhead Healthcare Center

4343 N Sierra Way, San Bernardino, CA 92407 View map
Overview of Arrowhead Healthcare Center

Arrowhead Healthcare Center, located in San Bernardino, CA, is a skilled nursing facility with a CMS four-star rating for over two years. This skilled nursing facility is dedicated to providing top quality care for over 40 years, employing well trained and certified staff to ensure the residents physical and psychosocial well being. At Arrowhead, residents may receive care for cardiac rehabilitation, diabetic care, stroke rehabilitation, post surgical recovery, and pain management.

Part of their services also include comfortable rooms featuring smart TV’s, on-site barber and beauty services, as well as a rich array of activities to keep the residents engaged and energized. Their meal selections are also prepared according to the residents dietary needs, to ensure that they receive proper nutrition to heal, as well as live a happy, fulfilling life.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
5/5
California average: 3.6/5
Health Inspection Info 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.
4/5
California average: 3.2/5
Staffing Info 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.
4/5
California average: 3.5/5
Quality Measures Info 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.
5/5
California average: 4.3/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
4h 51m per day

This home provides 11% more nursing time per resident than the California average.

California average: 4h 23m per day

Staffing hours breakdown

Info Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Staff type Facility State avg National avg
Registered Nurse (RN) Info Registered nurse hours per resident per day. 24m per day 39m per day 41m per day
Nurse Aide Info Nurse aide hours per resident per day. 2h 57m per day 2h 39m per day 2h 21m per day
Total Nursing (Weekend) Info Total number of nurse staff hours per resident per day on weekends. 3h 49m per day 4h 5m per day 3h 26m per day
RN (Weekend) Info Registered nurse hours per resident per day on weekends. 13m per day 30m per day 29m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 58

This home is often near full

That suggests steady demand, but availability may be limited.

Higher demand than most homes in California
Occupancy rate 96.5%
Residents per day (avg) 56
Occupancy rate
96.5%
Residents per day (avg)
56

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Might be optimal for
Long-term daily care Ongoing support needs

Breakdown by payment type

Medicare

20% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

31% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

48% of new residents, often for long-term daily care.

Typical stay 2 years

Finances and operations

Privately-owned community
Home revenue
$12.5M
Operating loss
-$1.2M
Privately-owned community
Home revenue
$12,477,770.00
Operating loss
$-1,188,946.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$6.5M
52.2% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$7.2M
Total costs $13.7M
Walk Score
Walk Score: 79 / 100
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Additional Licensing Details

CMS Certification Number555896

Therapy & Rehabilitation

1 service
Rehabilitation Services

Staffing & Medical

1 service
Skilled Nursing

Amenities & Lifestyle

0 amenities
Specific ProgramsIn-house Therapy, Skilled Nursing, Stay Active

Types of Care at Arrowhead Healthcare Center

Skilled Nursing
Contact Arrowhead Healthcare Center

Inspection History

In California, the Department of Social Services (for assisted living facilities) and the Department of Public Health (for nursing homes) conduct inspections to ensure resident safety and regulatory compliance.

Health Inspection History

Inspections
Total health inspections 4

California average 12.5


Last Health inspection on Apr 2025

Total health citations 21

California average 50.2

Citations per inspection
5.25

California average 4.65


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

20 of 21 citations resulted from standard inspections; and 1 of 21 resulted from complaint investigations.

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than California average

California average: 0.4


Serious Health citations More info 0
100% better than California average

California average: 1

0 critical citations More info California average: 0.4

0 serious citations More info California average: 1

18 moderate citations More info California average: 47.2

3 minor citations More info California average: 1.5
Citations history (last 3 years)
Nursing Services moderate citation Info Issues related to the availability and quality of nursing staff and the care they provide. Apr 10, 2025
Corrected

Environmental moderate citation Info Issues related to building safety, cleanliness, maintenance, and overall living conditions. Dec 19, 2024
Corrected

Environmental moderate citation Info Issues related to building safety, cleanliness, maintenance, and overall living conditions. Dec 19, 2024
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Dec 19, 2024
Corrected

Compare Nursing Homes around San Bernardino The information below is reported by the California Department of Social Services and Department of Public Health.

4 facilities compared · CMS & CA Dept. of Health data · Updated Apr 2026

Filter by care type
Arrowhead Healthcare Center
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

San Bernardino (Wildwood Park)
58
96.5%
+14%
4.85
-22%
+15%
0
21
5.3
0
56
-
79
Arrowhead Healthcare Center Llc
$12.4M
$6.5M
52.4%
555896
Haven Post Acute
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

San Bernardino (Del Rosa)
99
93.2%
+10%
4.77
-50%
+13%
3
25
2.5
1
92
-
67
-
$15.8M
$6.1M
38.5%
56053
Waterman Canyon Post Acute
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

San Bernardino
166
93.6%
+11%
3.53
-30%
-16%
0
46
2.4
0
159
A+
63
Jenkins, Nicoletta
$33.6M
$11.3M
33.7%
55565
Del Rosa Villa Post Acute
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

San Bernardino (Pacific)
104
87.8%
+4%
3.15
-68%
-25%
1
31
2.8
1
94
-
74
Eskander, Ashraf
$23.6M
$7.3M
31%
555195

Places of interest near Arrowhead Healthcare Center

Address 4.4 miles from city center — 2.33 miles to nearest hospital (St. Bernardine Medical Center)

Address 4343 N Sierra Way, San Bernardino, CA 92407

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 90
Employees 80
Contractors 10
Staff to resident ratio 1.58:1
1578847% better than California average

California average ratio: 0.00:1

Avg staff/day 39
Average shift 7 hours
9% worse than California average

California average: 7.7 hours

Total staff hours (quarter) 24,672
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 6
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.4 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 15
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.8 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 48
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.2 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

2.6%

632 contractor hours this quarter

Respiratory Therapy Technician: 2 Physical Therapy Assistant: 1 Speech Language Pathologist: 1 Physical Therapy Aide: 1 Qualified Social Worker: 1 Medical Director: 1 Occupational Therapy Assistant: 1 Occupational Therapy Aide: 1 Dietitian: 1
Staff by category
Certified Nursing Assistant4804815,26891100%7.2
Licensed Practical Nurse150154,84691100%7.8
Registered Nurse6061,0897380%7.4
RN Director of Nursing2028287077%7.5
Other Dietary Services Staff4047757785%6.1
Nurse Practitioner2025376673%8
Administrator2024495257%8.1
Dental Services Staff1012516268%4
Physical Therapy Aide0112196571%3.4
Speech Language Pathologist0111706369%2.7
Physical Therapy Assistant011614752%1.3
Qualified Social Worker011552022%2.8
Respiratory Therapy Technician022493842%1.3
Occupational Therapy Aide01140910%4.4
Occupational Therapy Assistant0112033%6.7
Medical Director011151516%1
Dietitian011311%3
48 Certified Nursing Assistant
% of Days 100%
15 Licensed Practical Nurse
% of Days 100%
6 Registered Nurse
% of Days 80%
2 RN Director of Nursing
% of Days 77%
4 Other Dietary Services Staff
% of Days 85%
2 Nurse Practitioner
% of Days 73%
2 Administrator
% of Days 57%
1 Dental Services Staff
% of Days 68%
1 Physical Therapy Aide
% of Days 71%
1 Speech Language Pathologist
% of Days 69%
1 Physical Therapy Assistant
% of Days 52%
1 Qualified Social Worker
% of Days 22%
2 Respiratory Therapy Technician
% of Days 42%
1 Occupational Therapy Aide
% of Days 10%
1 Occupational Therapy Assistant
% of Days 3%
1 Medical Director
% of Days 16%
1 Dietitian
% of Days 1%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
57 residents
Residents by payment source
Medicaid
55 residents (96.5%)
Private pay or other
2 residents (3.5%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 5.1
23% better than California average

California average: 6.6

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 8.0
30% better than California average

California average: 11.3

Long-stay resident measures
Significantly above average California avg: 4.3 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 9.6%
13% better than California average

California average: 11.1%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 9.5%
21% better than California average

California average: 12.0%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 4.9%
57% better than California average

California average: 11.3%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 0.4%
74% better than California average

California average: 1.7%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 3.6%
27% better than California average

California average: 5.0%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.4%
15% worse than California average

California average: 1.2%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 2.5%
41% better than California average

California average: 4.2%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 5.7%
15% better than California average

California average: 6.7%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 9.4%
7% better than California average

California average: 10.1%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
In line with California average

California average: 98.5%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with California average

California average: 98.2%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.00
56% better than California average

California average: 2.25

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.29
19% better than California average

California average: 1.59

Guides for Better Senior Living

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Multipurpose Senior Services Program

MSSP (Medi-Cal Waiver)

Age 65+, California resident, Medi-Cal eligible, nursing home risk.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

County-managed; waitlists possible.

In-Home Supportive Services (IHSS)

California IHSS

Age 65+, California resident, Medicaid-eligible or low-income.

~$1,732/month (individual, Medi-Cal threshold).

$2,000 (individual).

Can hire family as caregivers.

Multipurpose Senior Services Program (MSSP)

CA MSSP

Age 65+, California resident, Medi-Cal-eligible, nursing home-eligible but community-capable.

~$2,829/month (300% FBR, individual).

$2,000 (individual).

Available in 38 counties; waitlists common.

Property Tax Postponement Program (PTP)

CA PTP

Age 62+, California resident, own and live in home, 40% equity.

~$51,500/year (household, adjusted annually).

Equity-based; no strict asset cap.

Deferred taxes accrue interest (5% as of 2024); repaid upon sale/death.

Assisted Living Waiver (ALW)

CA ALW

Age 65+ or disabled, California resident, Medi-Cal-eligible, nursing home-eligible.

~$2,829/month (300% FBR, individual).

$2,000 (individual).

Available in 15 counties (e.g., LA, Sacramento); waitlists common.

California CARES Program

CA CARES

Caregivers of California residents 60+ needing help with 3+ daily activities; no caregiver age limit.

No strict limit; cost-sharing above ~$2,500/month threshold.

Not applicable; need-based.

High demand in urban areas; complements IHSS respite.

Low-Income Home Energy Assistance Program (LIHEAP)

CA LIHEAP

Age 60+ priority, California resident, low-income, utility/heating need.

~$2,510/month (200% of poverty level, individual).

Not applicable; income-focused.

High demand in inland/coastal extremes; weatherization capped at $5,000/home.

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