Total health inspections
9
California average 12.5
Last Health inspection on Oct 2024
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.
Highland Palms Healthcare Center
Nursing Home
Highland Palms Healthcare Center
Nursing Home
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.
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
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
LPN / LVN
Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day.
Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
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.
Occupancy rate
93.2%
Residents per day (avg)
92
Occupancy rate
93.2%
Residents per day (avg)
92
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
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
Proprietary home
Other
Home revenue
$26.7M
Profit
$4.5M
Proprietary home
Other
Home revenue
$26,658,296.00
Profit
$4,506,079.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$7.1M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$15.0M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$22.2M
Walk Score: 57 / 100
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
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
How BBB ratings work
About this community
Additional licensing details
CMS Certification Number:
56024
Awards:
5-Star Medicare Rating
Care Services
Accepts Medicaid
Accepts Medicare
Doctor on Staff
Nursing Services
Rehabilitation Services
Respite Care
Skilled Nursing
24-Hour Staffing
Amenities & Lifestyle
Programs & Activities
Specific Programs
Short-Term Rehabilitation, 24-Hour Skilled Nursing, Long-Term Care, Complex Wound Care
Operating Hours
Monday – Friday: 8 am – 8 pm, Weekends: 9 am – 6 pm
Pricing & Financial Information
Dining & Nutrition
Food Description
Highland Palms Healthcare Center provides personalized rehabilitation and nursing services in a caring environment.
What does this home offer?
Accept Medicaid: Yes
Housing Options: Private Rooms
Building Type: Single-story
Dining Services
Housekeeping Services
Exercise Programs
Health Programs
Types of Care at Highland Palms Healthcare Center
Nursing Home
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.
Compare Nursing Homes around San Bernardino County
The information below is reported by the California Department of Social Services and Department of Public Health.
Arrowhead Springs Healthcare Center
+1%
+8%
+3%
SNF
Nursing Homes 24/7 care needed
San Bernardino (Perris Hills)
119
No
-
69
SANCHEZ GONZALEZ, YAMALIEL
87.3%
$19,659,991.00
$7,377,247.00
37.5%
106.50
4.5628
32
-
+1%+8%+3%Private / Semi-Private Rooms
Highland Palms Healthcare Center
-32%
-25%
+10%
SNF
Nursing Homes 24/7 care needed
Highland (Cypress)
99
No
A+
57
SIVAPALAN, SIVAKAMI
93.2%
$26,652,256.00
$7,129,881.00
26.8%
91.50
3.1704
33
-
-32%-25%+10%Private Rooms
Grand Terrace Health Care Center
+5%
-3%
+7%
SNF
Nursing Homes 24/7 care needed
Grand Terrace
59
No
-
67
-
90.5%
$10,440,299.00
$4,433,593.00
42.5%
51.30
4.1117
30
1
+5%-3%+7%Private / Semi-Private Rooms
Loma Linda Post Acute
-30%
-9%
-6%
SNF
Nursing Homes 24/7 care needed
Loma Linda
83
No
-
39
CHANCELLOR HEALTH CARE INC
79.7%
$6,389,080.00
$2,358,380.00
36.9%
78.50
3.8491
29
-
-30%-9%-6%Semi-Private Rooms
Valley Healthcare Center
-27%
-1%
-5%
SNF
Nursing Homes 24/7 care needed
San Bernardino
202
No
A+
60
VALE HOLDING COMPANY LLC
80.4%
$30,281,364.00
$10,424,406.00
34.4%
189.90
4.1836
45
-
-27%-1%-5%Private / Semi-Private / 3 Bed Rooms
Arrowhead Springs Healthcare Center
Type of care:
SNF
Community:
San Bernardino (Perris Hills)
Bed Count:
119
Pets Allowed:
No
Operator:
SANCHEZ GONZALEZ, YAMALIEL
CCN:
55708
Occupancy:
87.3%
Home Revenue:
$19,659,991.00
Payroll Costs:
$7,377,247.00
Payroll %:
37.5%
Avg Residents/Day:
106.50
Overall Rating:
Adj Nurse Hours:
4.5628
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
32
RN share vs State Avg:
+1%
+1%
Staffing vs State Avg:
+8%
+8%
Occupancy vs State Avg:
+3%
+3%
Bed Options:
Private / Semi-Private Rooms
Highland Palms Healthcare Center
Type of care:
SNF
Community:
Highland (Cypress)
Bed Count:
99
Pets Allowed:
No
Operator:
SIVAPALAN, SIVAKAMI
CCN:
56024
Occupancy:
93.2%
Home Revenue:
$26,652,256.00
Payroll Costs:
$7,129,881.00
Payroll %:
26.8%
Avg Residents/Day:
91.50
Overall Rating:
Adj Nurse Hours:
3.1704
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
33
RN share vs State Avg:
-32%
-32%
Staffing vs State Avg:
-25%
-25%
Occupancy vs State Avg:
+10%
+10%
Bed Options:
Private Rooms
Grand Terrace Health Care Center
Type of care:
SNF
Community:
Grand Terrace
Bed Count:
59
Pets Allowed:
No
CCN:
55129
Occupancy:
90.5%
Home Revenue:
$10,440,299.00
Payroll Costs:
$4,433,593.00
Payroll %:
42.5%
Avg Residents/Day:
51.30
Overall Rating:
Adj Nurse Hours:
4.1117
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
30
Severe Citations:
1
RN share vs State Avg:
+5%
+5%
Staffing vs State Avg:
-3%
-3%
Occupancy vs State Avg:
+7%
+7%
Bed Options:
Private / Semi-Private Rooms
Loma Linda Post Acute
Type of care:
SNF
Community:
Loma Linda
Bed Count:
83
Pets Allowed:
No
Operator:
CHANCELLOR HEALTH CARE INC
CCN:
55299
Occupancy:
79.7%
Home Revenue:
$6,389,080.00
Payroll Costs:
$2,358,380.00
Payroll %:
36.9%
Avg Residents/Day:
78.50
Overall Rating:
Adj Nurse Hours:
3.8491
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
29
RN share vs State Avg:
-30%
-30%
Staffing vs State Avg:
-9%
-9%
Occupancy vs State Avg:
-6%
-6%
Bed Options:
Semi-Private Rooms
Valley Healthcare Center
Type of care:
SNF
Community:
San Bernardino
Bed Count:
202
Pets Allowed:
No
Operator:
VALE HOLDING COMPANY LLC
CCN:
56389
Occupancy:
80.4%
Home Revenue:
$30,281,364.00
Payroll Costs:
$10,424,406.00
Payroll %:
34.4%
Avg Residents/Day:
189.90
Overall Rating:
Adj Nurse Hours:
4.1836
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
45
RN share vs State Avg:
-27%
-27%
Staffing vs State Avg:
-1%
-1%
Occupancy vs State Avg:
-5%
-5%
Bed Options:
Private / Semi-Private / 3 Bed Rooms
Places of interest near Highland Palms Healthcare Center
2.1 miles from city center
7534 Palm Ave, Highland, CA 92346
Calculate Travel Distance to Highland Palms Healthcare Center
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
155
Total Staff
155
Employees
0
Contractors
39,240
Total Hours (Quarter)
61
Avg Staff/Day
7.1
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 9 | 7.3 | No |
| Licensed Practical Nurse | 32 | 7.2 | No |
| Certified Nursing Assistant | 80 | 7 | No |
Staff by Category
Administration ⓘ
1 staff
4hs shift avg
Nursing Staff ⓘ
123 staff
7.1hs shift avg
Physicians & Practitioners ⓘ
1 staff
9.3hs shift avg
Therapy Services ⓘ
23 staff
6.5hs shift avg
Activities & Recreation ⓘ
2 staff
7.2hs shift avg
Social Services ⓘ
0 staff
0hs shift avg
Dietary Services ⓘ
3 staff
7.2hs shift avg
Other Services ⓘ
2 staff
8.1hs shift avg
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 80 | 0 | 80 | 20,212 | 91 | 100% | 7 |
| Licensed Practical Nurse | 32 | 0 | 32 | 9,548 | 91 | 100% | 7.2 |
| Speech Language Pathologist | 9 | 0 | 9 | 2,034 | 75 | 82% | 7 |
| Registered Nurse | 9 | 0 | 9 | 1,569 | 91 | 100% | 7.3 |
| RN Director of Nursing | 2 | 0 | 2 | 1,101 | 85 | 93% | 7.3 |
| Physical Therapy Aide | 6 | 0 | 6 | 1,091 | 64 | 70% | 6.8 |
| Dental Services Staff | 2 | 0 | 2 | 1,018 | 64 | 70% | 8.1 |
| Nurse Practitioner | 1 | 0 | 1 | 696 | 75 | 82% | 9.3 |
| Qualified Activities Professional | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 432 | 62 | 68% | 7 |
| Dietitian | 2 | 0 | 2 | 393 | 52 | 57% | 7.6 |
| Respiratory Therapy Technician | 6 | 0 | 6 | 319 | 70 | 77% | 4.1 |
| Administrator | 1 | 0 | 1 | 256 | 64 | 70% | 4 |
| Therapeutic Recreation Specialist | 1 | 0 | 1 | 39 | 13 | 14% | 3 |
| Physical Therapy Assistant | 2 | 0 | 2 | 22 | 6 | 7% | 3.1 |
Health Inspection History
Inspections
Total health citations
33
Citations per inspection
3.67
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
0
0
100% better than California averageCalifornia average: 0.4
Serious Health citations
0
0
100% better than California averageCalifornia average: 1
0 critical citations
0 serious citations
33 moderate citations
0 minor citations
Citations history (last 3 years)
Infection Control moderate citation
Oct 31, 2024
Corrected
Pharmacy moderate citation
Oct 31, 2024
Corrected
Pharmacy moderate citation
Oct 31, 2024
Corrected
Quality of Care moderate citation
Oct 31, 2024
Corrected
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.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit LLC
Resident Census by Payment Source
93
Total Residents
Medicare
22
(23.7%)
ⓘ
Medicaid
18
(19.4%)
ⓘ
Private Pay/Other
53
(57%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.8
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 averageCalifornia average: 6.6
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
6.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
6.0
47% better than California averageCalifornia average: 11.3
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
5.5%
Percent of long-stay residents whose need for help with daily activities has increased
5.5%
50% better than California averageCalifornia average: 11.1%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
7.7%
Percent of long-stay residents whose ability to move independently worsened
7.7%
36% better than California averageCalifornia average: 12.0%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
4.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
4.8%
57% better than California averageCalifornia average: 11.3%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than California averageCalifornia average: 1.7%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
29.7%
Percent of long-stay high risk residents with pressure ulcers
29.7%
500% worse than California averageCalifornia average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than California averageCalifornia average: 1.2%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
0.9%
Percent of long-stay residents who lose too much weight
0.9%
80% better than California averageCalifornia average: 4.2%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
34.0%
Percent of long-stay residents who have depressive symptoms
34.0%
407% worse than California averageCalifornia average: 6.7%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
0.0%
Percent of long-stay residents who received an antipsychotic medication
0.0%
100% better than California averageCalifornia average: 10.1%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with California averageCalifornia average: 98.5%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with California averageCalifornia average: 98.2%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
3.06
Number of hospitalizations per 1,000 long-stay resident days.
3.06
36% worse than California averageCalifornia average: 2.25
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.02
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.02
36% better than California averageCalifornia average: 1.59
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.7%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.7%
6% better than California averageCalifornia average: 94.0%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than California averageCalifornia average: 1.5%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
7% better than California averageCalifornia average: 93.2%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
21.4%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
21.4%
8% better than California averageCalifornia average: 23.2%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
11.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
11.9%
6% worse than California averageCalifornia average: 11.2%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than California averageCalifornia average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
63.1%
Percentage of residents at or above expected ability to care for themselves at discharge.
63.1%
17% better than California averageCalifornia average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
50.1%
Rate of successful return to home or community from a skilled nursing facility.
50.1%
In line with California averageCalifornia average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Highland Palms Healthcare Center based on CMS SNF Cost Reports.
Occupancy Rate
93.2%
↑ 0.9pp vs 2022
Net Income
$4,506,079
↑ ~$567K vs 2022
Total Payroll
$8,193,225
↑ ~$463K vs 2022
Profit Margin
16.9%
↓ 6.8pp vs 2022
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