Arrowhead Healthcare Center, LLC

Name: Arrowhead Healthcare Center, LLC
Address: 4343 N Sierra Way, San Bernardino, CA, 92407, US
Telephone: 9098864731

4343 N Sierra Way, San Bernardino, CA 92407 · San Bernardino County · 58 certified beds · avg 54 residents/day · certified since Aug 13, 2015

Part of chain: CRYSTAL SOLORZANO (9 facilities, chain avg rating 2.0★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

5.01

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (23)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Apr 9, 2026	F · Potential for harm, facility-wide	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Apr 9, 2026	E · Potential for harm, repeated	The facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms.
Apr 9, 2026	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Apr 9, 2026	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Apr 9, 2026	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Apr 9, 2026	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Apr 9, 2026	D · Potential for harm, one-off	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Apr 9, 2026	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Apr 9, 2026	D · Potential for harm, one-off	The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area.
Apr 10, 2025	F · Potential for harm, facility-wide	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. · from a complaint
Dec 19, 2024	F · Potential for harm, facility-wide	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Dec 19, 2024	E · Potential for harm, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Dec 19, 2024	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Dec 19, 2024	E · Potential for harm, repeated	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests.
Dec 19, 2024	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Dec 19, 2024	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Dec 19, 2024	D · Potential for harm, one-off	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Dec 19, 2024	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Dec 19, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Dec 19, 2024	D · Potential for harm, one-off	The facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms.
Dec 19, 2024	C · Minimal risk, facility-wide	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Dec 19, 2024	B · Minimal risk, repeated	The facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman.
Oct 18, 2023	B · Minimal risk, repeated	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (12 → 9).

Year	Citations	Worst severity that year
2023	1	B
2024	12	F
2025	1	F
2026	9	F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	California avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	5.01	4.31	3.95	top 14% in California; top 13% in the U.S.
Registered Nurse hours	0.35	0.61	0.69	bottom 22% in California; bottom 16% in the U.S.
Weekend total nurse staffing	4.29	3.90	3.50	top 21% in California; top 16% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.20	0.51	0.48	bottom 10% in California; bottom 12% in the U.S.
Total nursing staff turnover (%)	30.6	36.7	45.8	top 31% in California; top 15% in the U.S.
RN turnover (%)	50.0	38.1	42.9	bottom 29% in California; bottom 39% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.65, RN 0.33, weekend 3.98. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Ahcst LLC	Organization	5% or Greater Direct Ownership Interest	49%	06/20/2024
Cohen, Rachel	Individual	5% or Greater Indirect Ownership Interest	51%	06/20/2024
Dionisio, Paola	Individual	5% or Greater Indirect Ownership Interest	49%	06/20/2024
Renew Health Group LLC	Organization	5% or Greater Direct Ownership Interest	51%	06/20/2024
Rust, Jaden	Individual	Indirect Ownership Interest	NOT APPLICABLE	06/20/2024
Cohen, Rachel	Individual	Corporate Officer	NOT APPLICABLE	04/01/2015
Cohen, Rachel	Individual	Operational/Managerial Control	NOT APPLICABLE	06/20/2024
Hage, Jean	Individual	Operational/Managerial Control	NOT APPLICABLE	11/01/2018
Hage, Jean	Individual	ADP of the SNF	NOT APPLICABLE	11/01/2018
Martinez, Adrienne	Individual	Corporate Officer	NOT APPLICABLE	02/16/2023
Martinez, Adrienne	Individual	Operational/Managerial Control	NOT APPLICABLE	02/16/2023
Martinez, Adrienne	Individual	ADP of the SNF	NOT APPLICABLE	02/16/2023
Quadros, Sylvi	Individual	Operational/Managerial Control	NOT APPLICABLE	02/28/2022
Quadros, Sylvi	Individual	ADP of the SNF	NOT APPLICABLE	02/28/2022

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Can I see the actual room my family member would live in before we decide?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Shandin Hills Behavior Therapy Center	1.2 mi	San Bernardino, CA	★★★★★	5/5
Hillcrest Nursing Home	1.2 mi	San Bernardino, CA	★★★★★	5/5
Haven Post Acute	2.5 mi	San Bernardino, CA	★★★★☆	4/5
Waterman Canyon Post Acute	2.6 mi	San Bernardino, CA	★★★★☆	4/5
Valley Healthcare Center	2.7 mi	San Bernardino, CA	★★★★☆	3/5
Medical Center Convalescent Hospital	2.9 mi	San Bernardino, CA	★★★★☆	4/5
Arrowhead Springs Healthcare	3.1 mi	San Bernardino, CA	★★★★☆	4/5
Del Rosa Villa	3.3 mi	San Bernardino, CA	★★☆☆☆	2/5	abuse
Community Convalescent Center of San Bernardino	3.5 mi	San Bernardino, CA	★★★★★	5/5
Community Hospital of San Bernardino DP SNF	3.5 mi	San Bernardino, CA	★★☆☆☆	3/5
Sierra Vista	4.1 mi	Highland, CA	★★★☆☆	2/5	abuse
Highland Palms Healthcare Center	5.8 mi	Highland, CA	★★★★☆	4/5

Compare this facility with the 3 closest →

All facilities in San Bernardino →

Facility data as of CMS processing date 2026-08-01. CCN 555896.

The Care File

Visit checklist — Arrowhead Healthcare Center, LLC

4343 N Sierra Way, San Bernardino, CA 92407 · 9098864731

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Can I see the actual room my family member would live in before we decide?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 555896 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)