Community Hospital of San Bernardino DP SNF
1805 Medical Ctr Dr., San Bernardino, CA 92411 · San Bernardino County · 88 certified beds · avg 83 residents/day · certified since Sep 8, 1992
Part of chain: COMMONSPIRIT HEALTH (18 facilities, chain avg rating 2.7★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Nov 20, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Dec 14, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Oct 10, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Oct 31, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (21)
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 |
|---|---|---|
| May 4, 2026 | 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. · from a complaint |
| Nov 20, 2025 | ▲ G · Actual 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. · from a complaint |
| Oct 10, 2025 | ▲ G · Actual 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. · from a complaint |
| Aug 27, 2025 | 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. |
| Aug 27, 2025 | D · Potential for harm, one-off | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. |
| Aug 27, 2025 | 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. |
| Aug 27, 2025 | D · Potential for harm, one-off | 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. |
| Aug 27, 2025 | D · Potential for harm, one-off | 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. |
| Aug 27, 2025 | D · Potential for harm, one-off | The facility's bedrooms did not give residents visual privacy — such as curtains or dividers — when privacy is needed. |
| Aug 16, 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. |
| Aug 16, 2024 | F · Potential for harm, facility-wide | The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. |
| Aug 16, 2024 | D · Potential for harm, one-off | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. |
| Aug 16, 2024 | D · Potential for harm, one-off | 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. |
| Aug 16, 2024 | D · Potential for harm, one-off | 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. |
| Jun 8, 2023 | F · Potential for harm, facility-wide | 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. |
| Jun 8, 2023 | E · Potential for harm, repeated | 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. |
| Jun 8, 2023 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Jun 8, 2023 | 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. |
| Jun 8, 2023 | 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. |
| Jun 8, 2023 | D · Potential for harm, one-off | The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. |
| Jun 8, 2023 | D · Potential for harm, one-off | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 7 | 0 | F |
| 2024 | 5 | 0 | F |
| 2025 | 8 | 2 | G ▲ |
| 2026 | 1 | 0 | D |
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)
1 fine totaling $9,110.
| Date | Type | Amount / length |
|---|---|---|
| Nov 20, 2025 | Fine | $9,110 |
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) | 0.00 | 4.31 | 3.95 | — |
| Registered Nurse hours | 0.00 | 0.61 | 0.69 | — |
| Weekend total nurse staffing | 0.00 | 3.90 | 3.50 | — |
| Weekend RN hours (not acuity-adjusted) | 0.00 | 0.51 | 0.48 | — |
| Total nursing staff turnover (%) | 0.0 | 36.7 | 45.8 | — |
| RN turnover (%) | 0.0 | 38.1 | 42.9 | — |
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 0.00, RN 0.00, weekend 0.00. Staffing rating: 1/5.
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
Non profit - Other
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Community Hospital of San Bernardino | Organization | 5% or Greater Direct Ownership Interest | — | 08/13/1998 |
| Dignity Community Care | Organization | 5% or Greater Direct Ownership Interest | — | 02/01/2019 |
| Dignity Health | Organization | 5% or Greater Direct Ownership Interest | — | 08/13/1998 |
| Collison, June | Individual | W-2 Managing Employee | NOT APPLICABLE | 04/25/2012 |
| Collison, June | Individual | Corporate Officer | NOT APPLICABLE | 04/25/2012 |
| Commonspirit Health | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/01/2019 |
| Daly, Gail | Individual | Corporate Director | NOT APPLICABLE | 01/01/2018 |
| Davis, Claudia | Individual | Corporate Director | NOT APPLICABLE | 02/01/2015 |
| Evans, David | Individual | W-2 Managing Employee | NOT APPLICABLE | 02/01/2015 |
| Evans, David | Individual | Corporate Officer | NOT APPLICABLE | 02/15/2015 |
| Gonzalez, Richard | Individual | Corporate Director | NOT APPLICABLE | 04/01/2012 |
| Henley, Nicole | Individual | Corporate Director | NOT APPLICABLE | 09/01/2019 |
| Lee, Vicki | Individual | Corporate Director | NOT APPLICABLE | 02/01/2015 |
| Mawad, Joseph | Individual | Corporate Director | NOT APPLICABLE | 02/01/2015 |
| Myrell, Antonio | Individual | Corporate Director | NOT APPLICABLE | 10/01/2012 |
| Negusse, Johnny | Individual | Corporate Director | NOT APPLICABLE | 01/01/2018 |
| O'Quinn, Marvin | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2021 |
| Petersdorf, John | Individual | Corporate Officer | NOT APPLICABLE | 02/01/2019 |
| Ramirez, Gabriel | Individual | Corporate Director | NOT APPLICABLE | 01/01/2016 |
| Scharmann, Steven | Individual | Corporate Officer | NOT APPLICABLE | 02/01/2019 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What is your policy on physical restraints, and what alternatives do you try first?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How do you ensure privacy for residents in shared rooms during dressing and personal care?"
- "Who is your infection preventionist, and what training do they have?"
- "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 |
|---|---|---|---|---|---|
| Community Convalescent Center of San Bernardino | 0.0 mi | San Bernardino, CA | ★★★★★ | 5/5 | |
| Arrowhead Springs Healthcare | 2.3 mi | San Bernardino, CA | ★★★★☆ | 4/5 | |
| Medical Center Convalescent Hospital | 2.3 mi | San Bernardino, CA | ★★★★☆ | 4/5 | |
| Valley Healthcare Center | 2.3 mi | San Bernardino, CA | ★★★★☆ | 3/5 | |
| Waterman Canyon Post Acute | 2.4 mi | San Bernardino, CA | ★★★★☆ | 4/5 | |
| Shandin Hills Behavior Therapy Center | 3.3 mi | San Bernardino, CA | ★★★★★ | 5/5 | |
| Arrowhead Healthcare Center, LLC | 3.5 mi | San Bernardino, CA | ★★★★☆ | 4/5 | |
| Hillcrest Nursing Home | 3.5 mi | San Bernardino, CA | ★★★★★ | 5/5 | |
| Haven Post Acute | 3.6 mi | San Bernardino, CA | ★★★★☆ | 4/5 | |
| Del Rosa Villa | 4.1 mi | San Bernardino, CA | ★★☆☆☆ | 2/5 | abuse |
| Rialto Post Acute Center | 4.5 mi | Rialto, CA | ★★☆☆☆ | 2/5 | |
| Laurel Convalescent Hospital | 5.2 mi | Fontana, CA | ★★★☆☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 555522.