Shandin Hills Behavior Therapy Center

Name: Shandin Hills Behavior Therapy Center
Address: 4164 N 4th Ave, San Bernardino, CA, 92407, US
Telephone: 9098866786

4164 N 4th Ave, San Bernardino, CA 92407 · San Bernardino County · 78 certified beds · avg 79 residents/day · certified since Jul 1, 1974

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.85

Nurse hours/resident/day (adjusted)

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

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

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 (18)

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
Feb 20, 2026	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.
Feb 20, 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.
Feb 20, 2026	D · Potential for harm, one-off	The facility did not dispose of garbage and refuse properly.
Feb 20, 2026	B · Minimal risk, 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.
Feb 25, 2025	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Jan 15, 2025	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 15, 2024	F · Potential for harm, facility-wide	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
Nov 15, 2024	D · Potential for harm, one-off	The facility did not give residents reasonable access to and privacy in using ways to communicate, such as phones, mail, and email. Residents have the right to stay in touch with the outside world privately.
Nov 15, 2024	D · Potential for harm, one-off	The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems.
Nov 15, 2024	D · Potential for harm, one-off	The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives.
Nov 15, 2024	D · Potential for harm, one-off	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.
Nov 15, 2024	B · Minimal risk, 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.
Nov 3, 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.
Nov 3, 2023	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.
Nov 3, 2023	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Nov 3, 2023	B · Minimal risk, 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.
Aug 30, 2023	E · Potential for harm, repeated	The facility did not develop, carry out, or maintain an effective training program for all new and existing staff members. · from a complaint
Aug 28, 2023	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (6 → 4).

Year	Citations	Worst severity that year
2023	6	F
2024	6	F
2025	2	D
2026	4	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)	3.85	4.31	3.95	bottom 30% in California; top 46% in the U.S.
Registered Nurse hours	0.37	0.61	0.69	bottom 26% in California; bottom 18% in the U.S.
Weekend total nurse staffing	3.58	3.90	3.50	bottom 37% in California; top 38% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.20	0.51	0.48	bottom 11% in California; bottom 13% in the U.S.
Total nursing staff turnover (%)	41.4	36.7	45.8	bottom 34% in California; top 40% in the U.S.
RN turnover (%)	40.0	38.1	42.9	bottom 47% in California; top 46% 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 2.55, RN 0.25, weekend 2.38. Staffing rating: 3/5.

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: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
		Ownership Data Not Available

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 did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Can I see where garbage is stored and how often it's removed?"
"Can I see the actual room my family member would live in before we decide?"
"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
"How can my family member make private phone or video calls, and can we see where?"
"How do you handle residents who need modified food textures, and how do you make those meals appetizing?"
"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
Hillcrest Nursing Home	0.3 mi	San Bernardino, CA	★★★★★	5/5
Arrowhead Healthcare Center, LLC	1.2 mi	San Bernardino, CA	★★★★☆	4/5
Waterman Canyon Post Acute	3.2 mi	San Bernardino, CA	★★★★☆	4/5
Community Convalescent Center of San Bernardino	3.3 mi	San Bernardino, CA	★★★★★	5/5
Community Hospital of San Bernardino DP SNF	3.3 mi	San Bernardino, CA	★★☆☆☆	3/5
Valley Healthcare Center	3.3 mi	San Bernardino, CA	★★★★☆	3/5
Medical Center Convalescent Hospital	3.5 mi	San Bernardino, CA	★★★★☆	4/5
Haven Post Acute	3.5 mi	San Bernardino, CA	★★★★☆	4/5
Arrowhead Springs Healthcare	3.7 mi	San Bernardino, CA	★★★★☆	4/5
Del Rosa Villa	4.3 mi	San Bernardino, CA	★★☆☆☆	2/5	abuse
Sierra Vista	5.2 mi	Highland, CA	★★★☆☆	2/5	abuse
Laurel Convalescent Hospital	6.8 mi	Fontana, CA	★★★☆☆	3/5

Compare this facility with the 3 closest →

All facilities in San Bernardino →

Facility data as of CMS processing date 2026-08-01. CCN 05A208.

The Care File

Visit checklist — Shandin Hills Behavior Therapy Center

4164 N 4th Ave, San Bernardino, CA 92407 · 9098866786

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

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Can I see where garbage is stored and how often it's removed?"
☐ "Can I see the actual room my family member would live in before we decide?"
☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
☐ "How can my family member make private phone or video calls, and can we see where?"
☐ "How do you handle residents who need modified food textures, and how do you make those meals appetizing?"
☐ "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 05A208 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)