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.
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.
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.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 309th out of 327 homes 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
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.
| 15m per day | ▼ 61% State avg: 39m per day · National avg: 41m per day |
|
LPN / LVN
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.
| 1h 14m per day | ■ Avg State avg: 1h 13m per day · National avg: 52m per day |
|
Nurse Aide
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.
| 2h 30m per day | ▼ 6% State avg: 2h 39m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
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.
| 3h 49m per day | ▼ 6% State avg: 4h 5m per day · National avg: 3h 26m per day |
|
Physical Therapist
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.
| 2m per day | ▼ 54% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
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.
| 12m per day | ▼ 60% State avg: 30m per day · National avg: 29m per day |
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.
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.
California average 12.5
Last Health inspection on Oct 2024
California average 50.2
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.
100% better than California averageCalifornia average: 0.4
100% better than California averageCalifornia average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
15% fewer staff per resident than California average
8% worse than California average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 7 RN Staff are full-time employees. No contractors work on this role.
7
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursAssists with medical care and medications.
All 32 LPN Staff are full-time employees. No contractors work on this role.
32
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hoursHelps with daily care and mobility.
All 72 CNA Staff are full-time employees. No contractors work on this role.
72
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 72 | 0 | 72 | 20,689 | 92 | 100% | 7.2 |
| Licensed Practical Nurse | 32 | 0 | 32 | 9,194 | 92 | 100% | 7.2 |
| Speech Language Pathologist | 9 | 0 | 9 | 1,919 | 69 | 75% | 6.3 |
| Registered Nurse | 7 | 0 | 7 | 1,580 | 92 | 100% | 7.6 |
| Physical Therapy Aide | 6 | 0 | 6 | 1,036 | 67 | 73% | 5.6 |
| RN Director of Nursing | 2 | 0 | 2 | 1,030 | 83 | 90% | 6.6 |
| Dental Services Staff | 2 | 0 | 2 | 950 | 63 | 68% | 8.1 |
| Nurse Practitioner | 1 | 0 | 1 | 528 | 65 | 71% | 8.1 |
| Dietitian | 1 | 0 | 1 | 485 | 59 | 64% | 8.2 |
| Other Dietary Services Staff | 1 | 0 | 1 | 466 | 60 | 65% | 7.8 |
| Physical Therapy Assistant | 2 | 0 | 2 | 378 | 54 | 59% | 7 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 316 | 71 | 77% | 4.3 |
| Administrator | 1 | 0 | 1 | 256 | 64 | 70% | 4 |
| Qualified Activities Professional | 1 | 0 | 1 | 152 | 19 | 21% | 8 |
| Qualified Social Worker | 1 | 0 | 1 | 34 | 12 | 13% | 2.8 |
| Therapeutic Recreation Specialist | 1 | 0 | 1 | 3 | 1 | 1% | 3 |
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
5.5%
50% better than California averageCalifornia average: 11.1%
Percent of long-stay residents whose ability to move independently worsened
7.7%
36% better than California averageCalifornia average: 12.0%
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%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than California averageCalifornia average: 1.7%
Percent of long-stay high risk residents with pressure ulcers
29.7%
500% worse than California averageCalifornia average: 5.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than California averageCalifornia average: 1.2%
Percent of long-stay residents who lose too much weight
0.9%
80% better than California averageCalifornia average: 4.2%
Percent of long-stay residents who have depressive symptoms
34.0%
407% worse than California averageCalifornia average: 6.7%
Percent of long-stay residents who received an antipsychotic medication
0.0%
100% better than California averageCalifornia average: 10.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with California averageCalifornia average: 98.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with California averageCalifornia average: 98.2%
Number of hospitalizations per 1,000 long-stay resident days.
3.06
36% worse than California averageCalifornia average: 2.25
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.02
36% better than California averageCalifornia average: 1.59
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.7%
6% better than California averageCalifornia average: 94.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than California averageCalifornia average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
7% better than California averageCalifornia average: 93.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
21.4%
8% better than California averageCalifornia average: 23.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
11.9%
6% worse than California averageCalifornia average: 11.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than California averageCalifornia average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
63.1%
17% better than California averageCalifornia average: 53.7%
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.
39% of new residents, usually for short-term rehab.
59% of new residents, often for short stays.
2% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
93Residents 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.
Historical financial and operational data for Highland Palms Healthcare Center from 2011–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #172 / 327Payroll — State benchmarkedThis home is ranked 172nd out of 327 homes in California for Payroll. Shows total annual staff payroll benchmarked to the California average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #313 / 327Payroll % — State benchmarkedThis home is ranked 313th out of 327 homes in California for Payroll %. Shows payroll as a percentage of revenue versus the California average. Well-run California facilities typically land around 56–67% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
No pets allowed
Housing Options: Private Rooms
Building Type: Single-story
Housekeeping Services
Exercise Programs
Health Programs
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Most new residents arrive under private pay (59% of admissions), and a typical private pay stay runs around 3 - 4 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.5 miles from city center
Estimated distance in miles from Highland's city center to Highland Palms Healthcare Center's address, calculated via Google Maps.
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The information below is reported by the California Department of Social Services and Department of Public Health.
| Highland Palms Healthcare Center | NH SNF | Highland (Cypress) | 99
Facility
99
CA AVG
104
Rank
#726 / 1648 |
91.1%
Facility
91.1%
CA AVG
73.8
Rank
#319 / 1496 | +23% | 3.17
Facility
3.17
CA AVG
4.22
Rank
#309 / 327 | -45% | -25% | $0
Facility
$0
CA AVG
$56.5k
Rank
#1 / 334 | - | 33
Facility
33
CA AVG
50.2
Rank
#125 / 327 | 3.7
Facility
3.7
CA AVG
4.6
Rank
#122 / 327 | - | 90 | A+ |
57
Facility
57
CA AVG
57
Rank
#1155 / 2087 | Sivakami Sivapalan | $18.5MFiscal year ending 12/2023
Facility
$18.5MFiscal year ending 12/2023
CA AVG
$17.0M
Rank
#75 / 327 | $8.2MFiscal year ending 12/2023
Facility
$8.2MFiscal year ending 12/2023
CA AVG
$7.0M
Rank
#172 / 327 | 44.2%Fiscal year ending 12/2023
Facility
44.2%Fiscal year ending 12/2023
CA AVG
45.2%
Rank
#313 / 327 | 56024 | ||||
| Arrowhead Springs Healthcare Center | NH MC SNF | San Bernardino (Perris Hills) | 119
Facility
119
CA AVG
104
Rank
#597 / 1648 |
92.1%
Facility
92.1%
CA AVG
73.8
Rank
#289 / 1496 | +25% | 4.56
Facility
4.56
CA AVG
4.22
Rank
#76 / 327 | -21% | +8% | $0
Facility
$0
CA AVG
$56.5k
Rank
#1 / 334 | - | 32
Facility
32
CA AVG
50.2
Rank
#117 / 327 | 3.6
Facility
3.6
CA AVG
4.6
Rank
#111 / 327 | - | 110 | - |
69
Facility
69
CA AVG
57
Rank
#767 / 2087 | Yamaliel Sanchez Gonzalez | $14.4MFiscal year ending 12/2023
Facility
$14.4MFiscal year ending 12/2023
CA AVG
$17.0M
Rank
#130 / 327 | $8.5MFiscal year ending 12/2023
Facility
$8.5MFiscal year ending 12/2023
CA AVG
$7.0M
Rank
#150 / 327 | 58.7%Fiscal year ending 12/2023
Facility
58.7%Fiscal year ending 12/2023
CA AVG
45.2%
Rank
#221 / 327 | 55708 | ||||
| Redlands Healthcare Center | NH AL HOS IL MC PC RC SNF | Redlands (South Redlands) | 78
Facility
78
CA AVG
104
Rank
#935 / 1648 |
92.3%
Facility
92.3%
CA AVG
73.8
Rank
#286 / 1496 | +25% | 3.11
Facility
3.11
CA AVG
4.22
Rank
#318 / 327 | -49% | -26% | $0
Facility
$0
CA AVG
$56.5k
Rank
#1 / 334 | - | 17
Facility
17
CA AVG
50.2
Rank
#26 / 327 | 4.3
Facility
4.3
CA AVG
4.6
Rank
#178 / 327 | - | 72 | - |
26
Facility
26
CA AVG
57
Rank
#1771 / 2087 | Shuang Bai | $14.9MFiscal year ending 10/2023
Facility
$14.9MFiscal year ending 10/2023
CA AVG
$17.0M
Rank
#151 / 327 | $6.8MFiscal year ending 10/2023
Facility
$6.8MFiscal year ending 10/2023
CA AVG
$7.0M
Rank
#219 / 327 | 45.8%Fiscal year ending 10/2023
Facility
45.8%Fiscal year ending 10/2023
CA AVG
45.2%
Rank
#270 / 327 | 55001 | ||||
| Grand Terrace Health Care Center | NH SNF | Grand Terrace | 59
Facility
59
CA AVG
104
Rank
#1086 / 1648 |
86.6%
Facility
86.6%
CA AVG
73.8
Rank
#424 / 1496 | +17% | 4.11
Facility
4.11
CA AVG
4.22
Rank
#152 / 327 | +12% | -3% | $0
Facility
$0
CA AVG
$56.5k
Rank
#1 / 334 | - | 30
Facility
30
CA AVG
50.2
Rank
#106 / 327 | 7.5
Facility
7.5
CA AVG
4.6
Rank
#309 / 327 | 1 | 51 | - |
67
Facility
67
CA AVG
57
Rank
#829 / 2087 | - | $10.2M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
$10.2M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
CA AVG
$17.0M
Rank
#201 / 327 | $4.3M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
$4.3M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
CA AVG
$7.0M
Rank
#301 / 327 | 42%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
42%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
CA AVG
45.2%
Rank
#319 / 327 | 55129 | ||||
| Valley Healthcare Center | NH AL HOS IL RC SNF | San Bernardino | 202
Facility
202
CA AVG
104
Rank
#149 / 1648 |
92.4%
Facility
92.4%
CA AVG
73.8
Rank
#281 / 1496 | +25% | 4.18
Facility
4.18
CA AVG
4.22
Rank
#131 / 327 | -16% | -1% | $0
Facility
$0
CA AVG
$56.5k
Rank
#1 / 334 | - | 45
Facility
45
CA AVG
50.2
Rank
#184 / 327 | 5.6
Facility
5.6
CA AVG
4.6
Rank
#259 / 327 | - | 187 | A+ |
60
Facility
60
CA AVG
57
Rank
#1048 / 2087 | Vale Holding Company LLC | $21.0MFiscal year ending 12/2023
Facility
$21.0MFiscal year ending 12/2023
CA AVG
$17.0M
Rank
#52 / 327 | $12.4MFiscal year ending 12/2023
Facility
$12.4MFiscal year ending 12/2023
CA AVG
$7.0M
Rank
#29 / 327 | 59.1%Fiscal year ending 12/2023
Facility
59.1%Fiscal year ending 12/2023
CA AVG
45.2%
Rank
#186 / 327 | 56389 |
Highland Palms Healthcare Center is located in Highland, California.
Here are the financial assistance programs available to residents in California.
Highland Palms Healthcare Center is in the Cypress neighborhood of Highland.
Highland Palms Healthcare Center has a walk score of 57. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Highland Palms Healthcare Center's occupancy is 93.2%.
No, Highland Palms Healthcare Center has a no-pet policy.
Highland Palms Healthcare Center is registered as a for-profit in CA.
Yes — there are 12 photos of Highland Palms Healthcare Center in the photo gallery on this page.
Highland Palms Healthcare Center is located at 7534 Palm Ave, Highland, CA 92346.
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