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Nursing Home in San Bernardino County

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.

Highland Palms Healthcare Center

Nursing Home in San Bernardino County

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.

Highland Palms Healthcare Center

7534 Palm Ave, Highland, CA 92346 View map
Overview of Highland Palms Healthcare Center

Highland Palms Healthcare Center is a trusted community situated near Loma Linda Medical Center in Highland, CA, that offers nursing care and rehabilitation. With top-notch care and assistance around the clock, residents receive personalized care tailored to their needs and preferences. As a Medicare and Medicaid-certified community, the community strives to provide the highest quality of life while staying on a budget.

Families are also welcome to visit their loved ones, especially with the community’s cozy and beautiful communal spaces. Here, residents enjoy delicious and healthy meals that cater to their dietary needs and preferences. The community is 4-star rated by the Centers for Medicaid and Medicare Services, ensuring a trustworthy and exceptional quality of care.

(909) 862-0611

Managed by Daniel Driggs

Administrator

Daniel Driggs serves as the Administrator at Highland Palms Healthcare Center, leading the team dedicated to providing quality care. His leadership ensures residents receive attentive and compassionate support in a welcoming environment.

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.
2/5
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.
3h 10m per day

This home provides 28% less 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. 16m per day 39m per day 41m per day
Nurse Aide Info Nurse aide hours per resident per day. 2h 32m 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
Physical Therapist Info Physical therapist staff hours per resident per day. 2m per day 5m per day 4m per day
RN (Weekend) Info Registered nurse hours per resident per day on weekends. 14m per day 30m per day 29m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 99

This home usually has limited availability

Occupancy is moderate, suggesting balanced demand.

Similar demand to the California average
Occupancy rate 93.2%
Residents per day (avg) 92
Occupancy rate
93.2%
Residents per day (avg)
92

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Breakdown by payment type

Medicare

39% of new residents, usually for short-term rehab.

Typical stay 2 - 3 months

Private pay

59% of new residents, often for short stays.

Typical stay 3 - 4 months

Medicaid

2% of new residents, often for long-term daily care.

Typical stay 9 - 10 months

Finances and operations

Privately-owned community
Home revenue
$26.7M
Profit
$4.5M
Privately-owned community
Home revenue
$26,658,296.00
Profit
$4,506,079.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$7.1M
26.7% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$15.0M
Total costs $22.2M
Walk Score
Walk Score: 57 / 100
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
BBB Rating
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work

About this community

Additional Licensing Details

CMS Certification Number56024
Awards5-Star Medicare Rating

Payment & Insurance

2 services
Accept Medicaid
Accept Medicare

Therapy & Rehabilitation

2 services
Rehabilitation Services
Respite Care

Staffing & Medical

3 services
Doctor on Staff
Skilled Nursing
24-Hour Staffing

Amenities & Lifestyle

2 amenities
Expansive Rehab Gym
Spacious Courtyards & Common Areas
Specific ProgramsShort-Term Rehabilitation, 24-Hour Skilled Nursing, Long-Term Care, Complex Wound Care
Operating HoursMonday – Friday: 8 am – 8 pm, Weekends: 9 am – 6 pm

Pricing & Financial Information

Dining & Nutrition

Food DescriptionHighland Palms Healthcare Center provides personalized rehabilitation and nursing services in a caring environment.

What does this home offer?

Accepts Medicaid icon
Accepts Medicaid icon

Accept Medicaid: Yes

Housing options icon
Housing options icon

Housing Options: Private Rooms

Building type icon
Building type icon

Building Type: Single-story

Dining services icon
Dining services icon

Dining Services

Housekeeping icon
Housekeeping icon

Housekeeping Services

Exercise program icon
Exercise program icon

Exercise Programs

Health Programs icon

Health Programs

Types of Care at Highland Palms Healthcare Center

Nursing Home
Contact Highland Palms Healthcare Center

Access & Eligibility

Ways to qualify for care at this community, including accepted programs and payment options.

Medicaid Accepted

This facility is certified for eligible Medicaid services.

Medicare Accepted

This facility is certified for eligible Medicare services.

Payment & Funding Options

Medicaid Medicare Long-term care insurance

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 9

California average 12.5


Last Health inspection on Oct 2024

Total health citations 33

California average 50.2

Citations per inspection
3.67

California average 4.65


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

27 of 33 citations resulted from standard inspections; and 6 of 33 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

33 moderate citations More info California average: 47.2

0 minor citations More info California average: 1.5
Citations history (last 3 years)
Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Oct 31, 2024
Corrected

Pharmacy moderate citation Info Issues related to medication management, including how drugs are stored, administered, and monitored. Oct 31, 2024
Corrected

Pharmacy moderate citation Info Issues related to medication management, including how drugs are stored, administered, and monitored. Oct 31, 2024
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Oct 31, 2024
Corrected

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

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

Filter by care type
Arrowhead Springs Healthcare Center
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 (Perris Hills)
119
87.3%
+3%
4.56
+1%
+8%
0
32
3.6
0
107
-
69
Sanchez Gonzalez, Yamaliel
$19.7M
$7.4M
37.5%
55708
Private / Semi-Private Rooms
Highland Palms Healthcare Center
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).

Highland (Cypress)
99
93.2%
+10%
3.17
-32%
-25%
0
33
3.7
0
92
A+
57
Sivapalan, Sivakami
$26.7M
$7.1M
26.8%
56024
Private Rooms
Grand Terrace Health Care Center
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).

Grand Terrace
59
90.5%
+7%
4.11
+5%
-3%
0
30
7.5
1
51
-
67
-
$10.4M
$4.4M
42.5%
55129
Private / Semi-Private Rooms
Loma Linda Post Acute
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).

Loma Linda
83
79.7%
-6%
3.85
-30%
-9%
0
29
3.2
0
79
-
39
Chancellor Health Care Inc
$6.4M
$2.4M
36.9%
55299
Semi-Private Rooms
Valley Healthcare Center
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
202
80.4%
-5%
4.18
-27%
-1%
0
45
5.6
0
21
A+
60
Vale Holding Company Llc
$30.3M
$10.4M
34.4%
56389
Private / Semi-Private / 3 Bed Rooms

Places of interest near Highland Palms Healthcare Center

Address 2.1 miles from city center

Address 7534 Palm Ave, Highland, CA 92346

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Address

Staffing Data (Q2 2025)

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

Total staff 155
Employees 155
Contractors 0
Staff to resident ratio 1.67:1
1666567% better than California average

California average ratio: 0.00:1

Avg staff/day 61
Average shift 7.1 hours
8% worse than California average

California average: 7.7 hours

Total staff hours (quarter) 39,240
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 9
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.3 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 32
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.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 80
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

0%

0 contractor hours this quarter

No contractor roles were reported this quarter.

Staff by category
Certified Nursing Assistant8008020,21291100%7
Licensed Practical Nurse320329,54891100%7.2
Speech Language Pathologist9092,0347582%7
Registered Nurse9091,56991100%7.3
RN Director of Nursing2021,1018593%7.3
Physical Therapy Aide6061,0916470%6.8
Dental Services Staff2021,0186470%8.1
Nurse Practitioner1016967582%9.3
Qualified Activities Professional1015126470%8
Other Dietary Services Staff1014326268%7
Dietitian2023935257%7.6
Respiratory Therapy Technician6063197077%4.1
Administrator1012566470%4
Therapeutic Recreation Specialist101391314%3
Physical Therapy Assistant2022267%3.1
80 Certified Nursing Assistant
% of Days 100%
32 Licensed Practical Nurse
% of Days 100%
9 Speech Language Pathologist
% of Days 82%
9 Registered Nurse
% of Days 100%
2 RN Director of Nursing
% of Days 93%
6 Physical Therapy Aide
% of Days 70%
2 Dental Services Staff
% of Days 70%
1 Nurse Practitioner
% of Days 82%
1 Qualified Activities Professional
% of Days 70%
1 Other Dietary Services Staff
% of Days 68%
2 Dietitian
% of Days 57%
6 Respiratory Therapy Technician
% of Days 77%
1 Administrator
% of Days 70%
1 Therapeutic Recreation Specialist
% of Days 14%
2 Physical Therapy Assistant
% of Days 7%

Facility Characteristics

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

Total census
93 residents
Residents by payment source
Medicare
22 residents (23.7%)
Medicaid
18 residents (19.4%)
Private pay or other
53 residents (57%)
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. 8.8
32% worse 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. 6.0
47% 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 5.5%
50% better than California average

California average: 11.1%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 7.7%
36% 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 4.8%
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 0.0%
100% 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 29.7%
500% worse than California average

California average: 5.0%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than California average

California average: 1.2%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 0.9%
80% better than California average

California average: 4.2%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 34.0%
407% worse than California average

California average: 6.7%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 0.0%
100% 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. 3.06
36% worse 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. 1.02
36% better than California average

California average: 1.59

Short-stay resident measures
Average California avg: 3.5 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.7%
6% better than California average

California average: 94.0%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than California average

California average: 1.5%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
7% better than California average

California average: 93.2%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 21.4%
8% better than California average

California average: 23.2%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 11.9%
6% worse than California average

California average: 11.2%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than California average

California average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 63.1%
17% better than California average

California average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 50.1%
In line with California average

California average: 50.6%

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.