California ›San Bernardino

Arrowhead Healthcare Center, LLC

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4343 N Sierra Way, San Bernardino, CA 92407 (opens Google Maps) · San Bernardino County · (909) 886-4731· 58 certified beds · avg 54 residents/day · certified since Aug 13, 2015 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

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

4/5
Health inspection rating (on-site)
inspected Apr 9, 2026
0
Serious findings on record
$0
Fines, last 3 years
5.01
Nurse hours/resident/day (adjusted)

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

New to these records? How to read an inspection report →

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Inspection findings in the public record

Showing the latest 3 of 23 inspection findings. Open the full record below to read every finding.

  1. F · Potential for more than minimal harm, widespread

    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. F-0880

  2. E · Potential for more than minimal harm, pattern

    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. F-0912

  3. D · Potential for more than minimal harm, isolated

    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. F-0550

View all 23 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Apr 9, 2026F · Potential for more than minimal harm, widespreadThe 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. · F-0880
Apr 9, 2026E · Potential for more than minimal harm, patternThe facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms. · F-0912
Apr 9, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0550
Apr 9, 2026D · Potential for more than minimal harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Apr 9, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0686
Apr 9, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0690
Apr 9, 2026D · Potential for more than minimal harm, isolatedThe facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · F-0726
Apr 9, 2026D · Potential for more than minimal harm, isolatedThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755
Apr 9, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0919
Apr 10, 2025F · Potential for more than minimal harm, widespreadThe 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 · F-0727
Dec 19, 2024F · Potential for more than minimal harm, widespreadThe 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. · F-0880
Dec 19, 2024E · Potential for more than minimal harm, patternThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Dec 19, 2024E · Potential for more than minimal harm, patternThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Dec 19, 2024E · Potential for more than minimal harm, patternThe facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · F-0925
Dec 19, 2024D · Potential for more than minimal harm, isolatedThe 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. · F-0578
Dec 19, 2024D · Potential for more than minimal harm, isolatedThe 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. · F-0582
Dec 19, 2024D · Potential for more than minimal harm, isolatedThe 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. · F-0623
Dec 19, 2024D · Potential for more than minimal harm, isolatedThe 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. · F-0686
Dec 19, 2024D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Dec 19, 2024D · Potential for more than minimal harm, isolatedThe facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms. · F-0912
Dec 19, 2024C · Potential for minimal harm, widespreadThe 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. · F-0732
Dec 19, 2024B · Potential for minimal harm, patternThe 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. · F-0577
Oct 18, 2023B · Potential for minimal harm, patternThe 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. · F-0582

Inspection trend by year

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

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 1
Serious citations (G–L): 0
2024
All citations: 12
Serious citations (G–L): 0
2025
All citations: 1
Serious citations (G–L): 0
2026
All citations: 9
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202310B
2024120F
202510F
202690F

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)

How to file a complaint about care →

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

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

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityCalifornia averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 5.01
California average: 4.31
U.S. average: 3.95
Registered Nurse hours
This facility: 0.35
California average: 0.61
U.S. average: 0.69
Weekend total nurse staffing
This facility: 4.29
California average: 3.90
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityCalifornia avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)5.014.313.95top 14% in California; top 13% in the U.S.
Registered Nurse hours0.350.610.69bottom 22% in California; bottom 16% in the U.S.
Weekend total nurse staffing4.293.903.50top 21% in California; top 16% in the U.S.
Weekend RN hours (not acuity-adjusted)0.200.510.48bottom 10% in California; bottom 12% in the U.S.
Total nursing staff turnover (%)30.636.745.8top 31% in California; top 15% in the U.S.
RN turnover (%)50.038.142.9bottom 29% in California; bottom 39% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.65 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

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

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Arrowhead Healthcare Center, LLC. CMS inspection and staffing records do not tell us what this home will charge you.

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Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Limited Liability company

Owner / managerTypeRoleStakeSince
Ahcst LLCOrganization5% or Greater Direct Ownership Interest49%06/20/2024
Cohen, RachelIndividual5% or Greater Indirect Ownership Interest51%06/20/2024
Dionisio, PaolaIndividual5% or Greater Indirect Ownership Interest49%06/20/2024
Renew Health Group LLCOrganization5% or Greater Direct Ownership Interest51%06/20/2024
Rust, JadenIndividualIndirect Ownership InterestNOT APPLICABLE06/20/2024
Cohen, RachelIndividualCorporate OfficerNOT APPLICABLE04/01/2015
Cohen, RachelIndividualOperational/Managerial ControlNOT APPLICABLE06/20/2024
Hage, JeanIndividualOperational/Managerial ControlNOT APPLICABLE11/01/2018
Hage, JeanIndividualADP of the SNFNOT APPLICABLE11/01/2018
Martinez, AdrienneIndividualCorporate OfficerNOT APPLICABLE02/16/2023
Martinez, AdrienneIndividualOperational/Managerial ControlNOT APPLICABLE02/16/2023
Martinez, AdrienneIndividualADP of the SNFNOT APPLICABLE02/16/2023
Quadros, SylviIndividualOperational/Managerial ControlNOT APPLICABLE02/28/2022
Quadros, SylviIndividualADP of the SNFNOT APPLICABLE02/28/2022

All 14 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain Crystal Solorzano — 9 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"

Also worth asking anywhere

  • "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 31% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 14 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (12 closest of 52 within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Shandin Hills Behavior Therapy Center1.2 miSan Bernardino, CA★★★★★5/5
Hillcrest Nursing Home1.2 miSan Bernardino, CA★★★★★5/5
Haven Post Acute2.5 miSan Bernardino, CA★★★★☆4/5
Waterman Canyon Post Acute2.6 miSan Bernardino, CA★★★★☆4/5
Valley Healthcare Center2.7 miSan Bernardino, CA★★★★☆3/5
Medical Center Convalescent Hospital2.9 miSan Bernardino, CA★★★★☆4/5
Arrowhead Springs Healthcare3.1 miSan Bernardino, CA★★★★☆4/5
Del Rosa Villa3.3 miSan Bernardino, CA★★☆☆☆2/5abuse
Community Convalescent Center of San Bernardino3.5 miSan Bernardino, CA★★★★★5/5
Community Hospital of San Bernardino DP SNF3.5 miSan Bernardino, CA★★☆☆☆3/5
Sierra Vista4.1 miHighland, CA★★★☆☆2/5abuse
Highland Palms Healthcare Center5.8 miHighland, CA★★★★☆4/5

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in San Bernardino, CA — 55 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in San Bernardino →

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

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