California ›Big Bear Lake

Bear Valley Community Hospital D/P SNF

41870 Garstin Rd, Big Bear Lake, CA 92315 · San Bernardino County · 21 certified beds · avg 20 residents/day · certified since Jun 26, 1991

4/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
7.48
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 (26)

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

DateSeverityWhat the facility was cited for
Jun 4, 2026F · Potential for harm, facility-wideThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jun 4, 2026D · Potential for harm, one-offThe 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.
Jun 4, 2026D · Potential for harm, one-offThe 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.
Jun 4, 2026D · Potential for harm, one-offThe facility did not dispose of garbage and refuse properly.
Jul 7, 2025D · Potential for harm, one-offThe 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. · from a complaint
May 8, 2025F · Potential for harm, facility-wideThe facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
May 8, 2025E · Potential for harm, repeatedThe facility did not provide special eating equipment and utensils — like adaptive cups or easy-grip silverware — for residents who need them, along with appropriate help at meals.
May 8, 2025D · Potential for harm, one-offThe 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.
May 8, 2025D · Potential for harm, one-offThe facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand.
May 8, 2025D · Potential for harm, one-offThe 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.
May 8, 2025D · Potential for harm, one-offThe facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition.
May 8, 2025D · Potential for harm, one-offThe facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require.
May 8, 2025D · Potential for harm, one-offThe 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.
May 8, 2025D · Potential for harm, one-offThe facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
May 8, 2025D · Potential for harm, one-offThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
May 8, 2025D · Potential for harm, one-offThe 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.
May 8, 2025D · Potential for harm, one-offThe 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.
Mar 19, 2024D · Potential for harm, one-offThe 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.
Mar 19, 2024D · Potential for harm, one-offThe facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Mar 19, 2024D · Potential for harm, one-offThe facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Mar 19, 2024D · Potential for harm, one-offThe 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.
Mar 19, 2024D · Potential for harm, one-offThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Mar 19, 2024D · Potential for harm, one-offThe 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.
Mar 19, 2024D · Potential for harm, one-offThe facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Mar 19, 2024D · Potential for harm, one-offThe facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status.
Mar 19, 2024C · Minimal risk, facility-wideThe 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.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (12 → 4).

YearCitationsSerious (G–L)Worst severity that year
202490D
2025130F
202640F

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)

MeasureThis facilityCalifornia avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)7.484.313.95top 1% in California; top 1% in the U.S.
Registered Nurse hours0.840.610.69top 16% in California; top 25% in the U.S.
Weekend total nurse staffing6.123.903.50top 2% in California; top 2% in the U.S.
Weekend RN hours (not acuity-adjusted)0.390.510.48top 47% in California; bottom 50% in the U.S.
Total nursing staff turnover (%)63.036.745.8bottom 2% in California; bottom 12% in the U.S.
RN turnover (%)75.038.142.9bottom 5% in California; bottom 9% 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 6.62, RN 0.74, weekend 5.42. 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: 2/5 · long-stay residents: 2/5 · short-stay residents: —/5

Who owns this facility

Government - Hospital district

Owner / managerTypeRoleStakeSince
Baker, StevenIndividualCorporate DirectorNOT APPLICABLE12/01/2020
Bear Valley Community Health Care DistrictOrganizationOperational/Managerial ControlNOT APPLICABLE01/19/1988
Boss, PeterIndividualCorporate DirectorNOT APPLICABLE12/01/2018
Briner, JohnIndividualCorporate DirectorNOT APPLICABLE03/01/2021
Clarke, EllenIndividualCorporate DirectorNOT APPLICABLE09/01/2021
Hamblin, GarthIndividualW-2 Managing EmployeeNOT APPLICABLE07/01/2015
Hamblin, GarthIndividualCorporate OfficerNOT APPLICABLE07/01/2015
Kaliher, MarkIndividualCorporate DirectorNOT APPLICABLE12/01/2020
Norman, MaryIndividualCorporate OfficerNOT APPLICABLE03/23/2004
Rayner, EvanIndividualCorporate OfficerNOT APPLICABLE11/15/2021

Questions to ask on your visit

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

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Mountains Community Hosp DP/SNF16.1 miLake Arrowhead, CA★★★★☆5/5
Cedar Mountain Post Acute17.1 miYucaipa, CA★★★★☆4/5
University Post Acute17.7 miMentone, CA★★★★★5/5
Oak Glen Post Acute18.4 miCherry Valley, CA★★★☆☆3/5
Creekside Post Acute18.4 miYucaipa, CA★★★☆☆3/5
Yucaipa Hills Post Acute18.6 miYucaipa, CA★★★★☆4/5

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Facility data as of CMS processing date 2026-08-01. CCN 555468.