Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-11-25 | 7 | 2025-11-25 | 5 |
| Cycle 2 | 2023-03-16 | 12 | 2023-03-16 | 17 |
| Cycle 3 | 2019-12-06 | 4 | 2019-12-06 | 13 |
NURSING HOME PUBLIC RECORD
11970 4Th St · Yucaipa, CA 92399 · San Bernardino County
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.
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-11-25 | 7 | 2025-11-25 | 5 |
| Cycle 2 | 2023-03-16 | 12 | 2023-03-16 | 17 |
| Cycle 3 | 2019-12-06 | 4 | 2019-12-06 | 13 |
0 rows carry G–L scope/severity codes; 0 carry J–L. 15 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
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 · 2026-05-06 · complaintEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Correction field: Deficient, Provider has date of correction · 2026-02-08 · complaintEnsure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2025-12-04Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2025-12-04Ensure 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 · 2025-12-04Provide routine and 24-hour emergency dental care for each resident.
Correction field: Deficient, Provider has date of correction · 2025-12-04Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-12-04Use approved construction type or materials.
Correction field: Deficient, Provider has date of correction · 2025-10-22Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Correction field: Deficient, Provider has date of correction · 2025-10-22Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2025-10-22Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Correction field: Deficient, Provider has date of correction · 2025-10-22Have proper medical gas storage and administration areas.
Correction field: Deficient, Provider has date of correction · 2025-10-22Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Deficient, Provider has date of correction · 2023-10-27 · complaintConduct risk assessment and an All-Hazards approach.
Correction field: Deficient, Provider has date of correction · 2023-04-20Establish policies and procedures for medical documentation.
Correction field: Deficient, Provider has date of correction · 2023-04-20Provide primary/alternate means for communication.
Correction field: Deficient, Provider has date of correction · 2023-04-20Conduct testing and exercise requirements.
Correction field: Deficient, Provider has date of correction · 2023-04-20Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2023-04-13Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Correction field: Deficient, Provider has date of correction · 2023-04-13PASARR screening for Mental disorders or Intellectual Disabilities
Correction field: Deficient, Provider has date of correction · 2023-04-13Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Correction field: Deficient, Provider has date of correction · 2023-04-13Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2023-04-13Ensure 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 · 2023-04-13Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2023-04-13Fine 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. | |||
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.
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.