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Arrowhead Springs Healthcare
1335 N. Waterman Ave., San Bernardino, CA 92404 (opens Google Maps) · San Bernardino County · (909) 885-0268· 119 certified beds · avg 109 residents/day · certified since Jan 1, 1971 · 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: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)
4/5
Health inspection rating (on-site)
inspected Jun 4, 2026
0
Serious findings on record
$0
Fines, last 3 years
4.73
Nurse hours/resident/day (adjusted)
Every record stays on this page.
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 30 inspection findings. Open the full record below to read every finding.
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. F-0582
The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. F-0644
The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. F-0693
View all 30 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.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jun 4, 2026 | E · Potential for more than minimal harm, pattern | 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. · F-0582 |
| Jun 4, 2026 | E · Potential for more than minimal harm, pattern | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. · F-0644 |
| Jun 4, 2026 | E · Potential for more than minimal harm, pattern | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. · F-0693 |
| Jun 4, 2026 | D · Potential for more than minimal harm, isolated | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. · F-0554 |
| Jun 4, 2026 | D · Potential for more than minimal harm, isolated | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. · F-0636 |
| Jun 4, 2026 | D · Potential for more than minimal harm, isolated | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. · F-0645 |
| Jun 4, 2026 | D · Potential for more than minimal harm, isolated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · F-0759 |
| Jun 4, 2026 | D · Potential for more than minimal harm, isolated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761 |
| Jun 4, 2026 | D · Potential for more than minimal harm, isolated | 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 |
| Apr 24, 2025 | F · Potential for more than minimal harm, widespread | The facility did not dispose of garbage and refuse properly. · from a complaint · F-0814 |
| Apr 24, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint · F-0584 |
| Apr 24, 2025 | D · Potential for more than minimal harm, isolated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint · F-0656 |
| Apr 24, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint · F-0677 |
| Apr 24, 2025 | D · Potential for more than minimal harm, isolated | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. · from a complaint · F-0700 |
| Apr 24, 2025 | D · Potential for more than minimal harm, isolated | 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. · from a complaint · F-0880 |
| Mar 7, 2025 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689 |
| Feb 12, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684 |
| Nov 6, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684 |
| May 24, 2024 | D · Potential for more than minimal harm, isolated | 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. · from a complaint · F-0880 |
| Sep 1, 2023 | D · Potential for more than minimal harm, isolated | 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. · from a complaint · F-0686 |
| Aug 31, 2023 | E · Potential for more than minimal harm, pattern | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684 |
| May 26, 2022 | F · Potential for more than minimal harm, widespread | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · F-0908 |
| May 26, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0578 |
| May 26, 2022 | D · Potential for more than minimal harm, isolated | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. · F-0688 |
| May 26, 2022 | D · Potential for more than minimal harm, isolated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692 |
| May 26, 2022 | D · Potential for more than minimal harm, isolated | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. · F-0693 |
| May 26, 2022 | D · Potential for more than minimal harm, isolated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755 |
| May 26, 2022 | D · Potential for more than minimal harm, isolated | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. · F-0756 |
| May 26, 2022 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842 |
| May 26, 2022 | D · Potential for more than minimal harm, isolated | 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 |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (6 → 9).
All citationsSerious citations (G–L)
2022
All citations: 9
Serious citations (G–L): 0
2023
All citations: 2
Serious citations (G–L): 0
2024
All citations: 2
Serious citations (G–L): 0
2025
All citations: 8
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.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 9 | 0 | F |
| 2023 | 2 | 0 | E |
| 2024 | 2 | 0 | D |
| 2025 | 8 | 0 | F |
| 2026 | 9 | 0 | E |
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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityCalifornia averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.73
California average: 4.31
U.S. average: 3.95
Registered Nurse hours
This facility: 0.32
California average: 0.61
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.99
California average: 3.90
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | California avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.73 | 4.31 | 3.95 | top 20% in California; top 18% in the U.S. |
| Registered Nurse hours | 0.32 | 0.61 | 0.69 | bottom 16% in California; bottom 12% in the U.S. |
| Weekend total nurse staffing | 3.99 | 3.90 | 3.50 | top 34% in California; top 23% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.21 | 0.51 | 0.48 | bottom 12% in California; bottom 13% in the U.S. |
| Total nursing staff turnover (%) | 25.2 | 36.7 | 45.8 | top 17% in California; top 7% in the U.S. |
| RN turnover (%) | 22.2 | 38.1 | 42.9 | top 23% in California; top 17% 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 4.61, RN 0.32, weekend 3.88.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.61 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: 5/5 · short-stay residents: 3/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Arrowhead Springs Healthcare. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
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 - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Alvarado Health Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2022 |
| Burnam, Soon | Individual | Managing Control - Governing Body | NOT APPLICABLE | 02/01/2022 |
| Burnam, Soon | Individual | Corporate Officer | NOT APPLICABLE | 02/01/2022 |
| Ensign Services INC | Organization | ADP of the SNF | NOT APPLICABLE | 02/01/2022 |
| Keetch, Chad | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2014 |
| Mangoba, Luther | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2022 |
| Mangoba, Luther | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2022 |
| Port, Barry | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2019 |
| Sanchez Gonzalez, Yamaliel | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2022 |
| Sanchez Gonzalez, Yamaliel | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2022 |
| Standard Bearer Healthcare Op, LP | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2022 |
| The Ensign Group INC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2022 |
| Willits, Adam | Individual | Corporate Officer | NOT APPLICABLE | 03/29/2021 |
All 13 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 The Ensign Group — 342 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.
- Arroyo Vista Nursing Center — San Diego, CA · overall 5/5
- Atlantic Memorial Healthcare Center — Long Beach, CA · overall 5/5
- Beachside Nursing Center — Huntington Beach, CA · overall 4/5
- Broadway by the Sea — Long Beach, CA · overall 1/5
- Broadway Villa Post Acute — Sonoma, CA · overall 5/5
- Brookfield Healthcare Center — Downey, CA · overall 5/5
- Brookside Healthcare Center — Redlands, CA · overall 3/5
- Camarillo Healthcare Center — Camarillo, CA · overall 5/5
Listed by state, then facility name — not a ranking. Showing 8 of the 341 others, continuing from this facility's own place in that list.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
- "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
- "How soon after admission is a full assessment completed, and how are the findings shared with the family?"
- "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
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 25% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 13 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 55 within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Medical Center Convalescent Hospital | 0.2 mi | San Bernardino, CA | ★★★★☆ | 4/5 | |
| Valley Healthcare Center | 0.4 mi | San Bernardino, CA | ★★★★☆ | 3/5 | |
| Waterman Canyon Post Acute | 0.5 mi | San Bernardino, CA | ★★★★☆ | 4/5 | |
| Haven Post Acute | 1.6 mi | San Bernardino, CA | ★★★★☆ | 4/5 | |
| Del Rosa Villa | 1.9 mi | San Bernardino, CA | ★★☆☆☆ | 2/5 | abuse |
| Community Convalescent Center of San Bernardino | 2.3 mi | San Bernardino, CA | ★★★★★ | 5/5 | |
| Community Hospital of San Bernardino DP SNF | 2.3 mi | San Bernardino, CA | ★★☆☆☆ | 3/5 | |
| Sierra Vista | 3.0 mi | Highland, CA | ★★★☆☆ | 2/5 | abuse |
| Arrowhead Healthcare Center, LLC | 3.1 mi | San Bernardino, CA | ★★★★☆ | 4/5 | |
| Shandin Hills Behavior Therapy Center | 3.7 mi | San Bernardino, CA | ★★★★★ | 5/5 | |
| Hillcrest Nursing Home | 3.9 mi | San Bernardino, CA | ★★★★★ | 5/5 | |
| Highland Palms Healthcare Center | 4.0 mi | Highland, 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.
- Asistencia Villa Healthcare Center — Redlands, CA · overall 2/5
- Bear Valley Community Hospital D/P SNF — Big Bear Lake, CA · overall 4/5
- Brookside Healthcare Center — Redlands, CA · overall 3/5
- Cedar Mountain Post Acute — Yucaipa, CA · overall 4/5
- Citrus Nursing Center — Fontana, CA · overall 5/5
- Community Extended Care Hospital of Montclair — Montclair, CA · overall 5/5
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 055708.