Valley Healthcare Center

Name: Valley Healthcare Center
Address: 1680 N Waterman Ave, San Bernardino, CA, 92404, US
Telephone: 9098865291

1680 N Waterman Ave, San Bernardino, CA 92404 · San Bernardino County · 109 certified beds · avg 98 residents/day · certified since Sep 1, 1971

Part of chain: PROGRESSIVE HEALTH CARE CENTERS (5 facilities, chain avg rating 3.8★)

3/5

Health inspection rating (on-site)

Serious findings on record

$37,151

Fines, last 3 years

4.19

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★☆☆3/5 · 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.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, repeated · Mar 7, 2025 · F-0689

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 (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.

Corrected: Apr 7, 2025 (Deficient, Provider has date of correction)

All citations in the current public record (44)

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
Apr 2, 2025	D · Potential for harm, one-off	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
Mar 7, 2025	▲ K · Immediate jeopardy, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Mar 7, 2025	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.
Mar 7, 2025	F · Potential for harm, facility-wide	The facility did not dispose of garbage and refuse properly.
Mar 7, 2025	E · Potential for harm, repeated	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.
Mar 7, 2025	D · Potential for harm, one-off	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
Mar 7, 2025	D · Potential for harm, one-off	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.
Mar 7, 2025	D · Potential for harm, one-off	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.
Mar 7, 2025	D · Potential for harm, one-off	The 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 7, 2025	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Mar 7, 2025	D · Potential for harm, one-off	The facility did not provide each resident with a nourishing, tasty, well-balanced diet that meets their daily nutritional and special dietary needs.
Mar 7, 2025	D · Potential for harm, one-off	The facility did not provide or arrange specialized rehabilitation services — such as physical, occupational, or speech therapy — for residents who needed them.
Mar 7, 2025	D · Potential for harm, one-off	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 25, 2024	D · Potential for harm, one-off	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
Nov 25, 2024	D · Potential for harm, one-off	The facility did not dispose of garbage and refuse properly. · from a complaint
Aug 28, 2024	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Jan 31, 2024	D · Potential for harm, one-off	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
Nov 15, 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. · from a complaint
Aug 31, 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. · from a complaint
Aug 4, 2022	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.
Aug 4, 2022	F · Potential for harm, facility-wide	The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices.
Aug 4, 2022	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Aug 4, 2022	E · Potential for harm, repeated	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.
Aug 4, 2022	E · Potential for harm, repeated	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 4, 2022	D · Potential for harm, one-off	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.
Aug 4, 2022	D · Potential for harm, one-off	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.
Aug 4, 2022	D · Potential for harm, one-off	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.
Aug 4, 2022	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 4, 2022	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.
Aug 4, 2022	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
Aug 4, 2022	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 4, 2022	D · Potential for harm, one-off	The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care.
Aug 4, 2022	D · Potential for harm, one-off	The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life.
Mar 13, 2020	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.
Mar 13, 2020	D · Potential for harm, one-off	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.
Mar 13, 2020	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential.
Mar 13, 2020	D · Potential for harm, one-off	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.
Mar 13, 2020	D · Potential for harm, one-off	The 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.
Mar 13, 2020	D · Potential for harm, one-off	The 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.
Mar 13, 2020	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Mar 13, 2020	D · Potential for harm, one-off	The facility did not make sure the resident's doctor reviewed their care and wrote, signed, and dated progress notes and orders at each required visit.
Mar 13, 2020	D · Potential for harm, one-off	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Mar 13, 2020	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Mar 13, 2020	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.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (14 → 12).

Year	Citations	Serious (G–L)	Worst severity that year
2020	11	0	F
2022	14	0	F
2023	2	0	D
2024	4	0	D
2025	13	1	K ▲

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 $37,151, plus 1 Medicare payment denial period.

Date	Type	Amount / length
Mar 7, 2025	Fine	$37,151
Mar 7, 2025	Payment Denial	17 days from Apr 5, 2025

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)	4.19	4.31	3.95	top 45% in California; top 33% in the U.S.
Registered Nurse hours	0.29	0.61	0.69	bottom 10% in California; bottom 8% in the U.S.
Weekend total nurse staffing	3.88	3.90	3.50	top 40% in California; top 27% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.25	0.51	0.48	bottom 22% in California; bottom 22% in the U.S.
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 4.01, RN 0.27, weekend 3.71. 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 - Corporation

Owner / manager	Type	Role	Stake	Since
Armstrong, John	Individual	5% or Greater Direct Ownership Interest	11%	07/01/1992
Armstrong, Laura	Individual	5% or Greater Direct Ownership Interest	11%	07/01/1992
Cotton Family Revocable Trust	Organization	5% or Greater Direct Ownership Interest	13%	05/20/2016
Goings, Gregory	Individual	5% or Greater Direct Ownership Interest	16%	07/01/1992
Goings, Patricia	Individual	5% or Greater Direct Ownership Interest	16%	07/01/1992
Goings, Verna	Individual	5% or Greater Direct Ownership Interest	16%	07/01/1992
Helen Louise Larson Revocable Trust	Organization	5% or Greater Direct Ownership Interest	6%	10/23/2019
The Larson Family Trust of 2010	Organization	5% or Greater Direct Ownership Interest	6%	11/19/2013
Goings, Gregory	Individual	Corporate Officer	NOT APPLICABLE	01/01/2002
Kilian, James	Individual	Corporate Officer	NOT APPLICABLE	01/08/1998
Steege, Bradley	Individual	W-2 Managing Employee	NOT APPLICABLE	05/26/2015

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?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can I see where garbage is stored and how often it's removed?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
"How soon after admission is a full assessment completed, and how are the findings shared with the family?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"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
Waterman Canyon Post Acute	0.1 mi	San Bernardino, CA	★★★★☆	4/5
Medical Center Convalescent Hospital	0.2 mi	San Bernardino, CA	★★★★☆	4/5
Arrowhead Springs Healthcare	0.4 mi	San Bernardino, CA	★★★★☆	4/5
Haven Post Acute	1.4 mi	San Bernardino, CA	★★★★☆	4/5
Del Rosa Villa	1.7 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
Arrowhead Healthcare Center, LLC	2.7 mi	San Bernardino, CA	★★★★☆	4/5
Sierra Vista	2.9 mi	Highland, CA	★★★☆☆	2/5	abuse
Shandin Hills Behavior Therapy Center	3.3 mi	San Bernardino, CA	★★★★★	5/5
Hillcrest Nursing Home	3.5 mi	San Bernardino, CA	★★★★★	5/5
Highland Palms Healthcare Center	4.1 mi	Highland, CA	★★★★☆	4/5

Compare this facility with the 3 closest →

All facilities in San Bernardino →

Facility data as of CMS processing date 2026-08-01. CCN 056183.

The Care File

Visit checklist — Valley Healthcare Center

1680 N Waterman Ave, San Bernardino, CA 92404 · 9098865291

Health inspection rating 3/5 · CMS overall 4/5· Fines (3y): $37,151

Most serious findings on record:

▲ Mar 7, 2025 (F-0689, Immediate jeopardy, repeated): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can I see where garbage is stored and how often it's removed?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
☐ "How soon after admission is a full assessment completed, and how are the findings shared with the family?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "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 056183 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)