01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-04-09 | 9 | 2026-04-09 | 2 |
| Cycle 2 | 2024-12-19 | 13 | 2024-12-19 | 6 |
| Cycle 3 | 2023-10-18 | 1 | 2023-10-18 | 9 |
CMS CCN 5558962026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Arrowhead Healthcare Center, Llc
4343 N Sierra Way · San Bernardino, CA 92407 · San Bernardino County
Certified beds58CMS provider file
Recent citation rows40current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
40 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 9 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-04-09 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2026-05-052026-04-09 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2026-05-052026-04-09 · HEALTHF0686Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2026-05-052026-04-09 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2026-05-052026-04-09 · HEALTHF0726Severity D · isolated; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Correction field: Deficient, Provider has date of correction · 2026-05-052026-04-09 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2026-05-052026-04-09 · HEALTHF0880Severity F · widespread; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2026-05-052026-04-09 · HEALTHF0912Severity E · pattern; potential for more than minimal harm
Environmental Deficiencies
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Correction field: Deficient, Provider has date of correction · 2026-05-052026-04-09 · HEALTHF0919Severity D · isolated; potential for more than minimal harm
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Correction field: Deficient, Provider has date of correction · 2026-05-052026-04-09 · FIREK0324Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2026-04-292026-04-09 · FIREK0363Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2026-04-292025-04-10 · HEALTHF0727Severity F · widespread; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Correction field: Deficient, Provider has date of correction · 2025-05-08 · complaint2024-12-19 · FIREE0041Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Implement emergency and standby power systems.
Correction field: Deficient, Provider has date of correction · 2025-01-132024-12-19 · HEALTHF0577Severity B · pattern; potential for minimal harm
Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Correction field: Deficient, Provider has date of correction · 2025-01-182024-12-19 · HEALTHF0578Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Correction field: Deficient, Provider has date of correction · 2025-01-182024-12-19 · HEALTHF0582Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Correction field: Deficient, Provider has date of correction · 2025-01-182024-12-19 · HEALTHF0623Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Correction field: Deficient, Provider has date of correction · 2025-01-182024-12-19 · HEALTHF0641Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2025-01-182024-12-19 · HEALTHF0686Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2025-01-182024-12-19 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-01-182024-12-19 · HEALTHF0732Severity C · widespread; potential for minimal harm
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Correction field: Deficient, Provider has date of correction · 2025-01-182024-12-19 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-01-182024-12-19 · HEALTHF0880Severity F · widespread; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-01-182024-12-19 · HEALTHF0912Severity D · isolated; potential for more than minimal harm
Environmental Deficiencies
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Correction field: Deficient, Provider has date of correction · 2025-01-1803 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- AHCST LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST49% · since 06/20/2024
- RENEW HEALTH GROUP LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST51% · since 06/20/2024
- COHEN, RACHELIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST51% · since 06/20/2024
- DIONISIO, PAOLAIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST49% · since 06/20/2024
- RUST, JADENIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 06/20/2024
- COHEN, RACHELIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/01/2015
- MARTINEZ, ADRIENNEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 02/16/2023
- COHEN, RACHELIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/20/2024
- HAGE, JEANIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/01/2018
- MARTINEZ, ADRIENNEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/16/2023
- QUADROS, SYLVIIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/28/2022
- HAGE, JEANIndividual · ADP OF THE SNFNOT APPLICABLE · since 11/01/2018
- MARTINEZ, ADRIENNEIndividual · ADP OF THE SNFNOT APPLICABLE · since 02/16/2023
- QUADROS, SYLVIIndividual · ADP OF THE SNFNOT APPLICABLE · since 02/28/2022
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.65per resident day
RN hours0.33per resident day
Weekend nurse hours3.98per resident day
Staff turnover30.6%CMS reported field
06 / LOCAL RECORDS
Open the San Bernardino ledger →Other published facilities nearby
Arrowhead Springs Healthcare119 beds · CMS overall 4/544 citation rowsCommunity Convalescent Center Of San Bernardino84 beds · CMS overall 5/531 citation rowsCommunity Hospital Of San Bernardino Dp Snf88 beds · CMS overall 2/534 citation rowsDel Rosa Villa104 beds · CMS overall 2/549 citation rowsHaven Post Acute99 beds · CMS overall 4/538 citation rowsHillcrest Nursing Home59 beds · CMS overall 5/536 citation rowsMedical Center Convalescent Hospital99 beds · CMS overall 4/541 citation rowsShandin Hills Behavior Therapy Center78 beds · CMS overall 5/534 citation rows