Nursing homeActive

Shandin Hills Behavior Therapy Center

4164 N 4th Ave, San Bernardino, CA 92407909886678678 certified beds · 79 residentsFor profit - Limited Liability companyMedicaid
Surveys on file
7
since 2023
Deficiencies
18
3150
Penalties · 3 yrs
none on file
Last survey
2026-02-20
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 5
Staffing 3
Quality 5
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · California Department of Public Health · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-02-20Standard130CMS-2567 (Care Compare)
2025-02-25Complaint010CMS-2567 (Care Compare)
2025-01-15Complaint010CMS-2567 (Care Compare)
2024-11-15Standard150CMS-2567 (Care Compare)
2023-11-03Standard130CMS-2567 (Care Compare)
2023-08-30Complaint010CMS-2567 (Care Compare)
2023-08-28Complaint010CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · California Department of Public Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-02-20Standard survey · 4 deficienciesOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-04Record 05A208-20260220-F689
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-03-04Record 05A208-20260220-F812
F814Dispose of garbage and refuse properly.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-04Record 05A208-20260220-F814
F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.Scope/severity BPaperwork
Environment
Pattern; potential for minimal harm.Corrected 2026-03-04Record 05A208-20260220-F912
2025-02-25Complaint survey · 1 deficiencyOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-07Record 05A208-20250225-F600
2025-01-15Complaint survey · 1 deficiencyOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-27Record 05A208-20250115-F689
2024-11-15Standard survey · 6 deficienciesOfficial report
F576Ensure residents have reasonable access to and privacy in their use of communication methods.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-16Record 05A208-20241115-F576
F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-12-16Record 05A208-20241115-F803
F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-16Record 05A208-20241115-F805
F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-16Record 05A208-20241115-F806
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-16Record 05A208-20241115-F812
F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.Scope/severity BPaperwork
Environment
Pattern; potential for minimal harm.Corrected 2024-12-16Record 05A208-20241115-F912
2023-11-03Standard survey · 4 deficienciesOfficial report
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-11-29Record 05A208-20231103-F812
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-29Record 05A208-20231103-F842
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-11-29Record 05A208-20231103-F880
F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.Scope/severity BPaperwork
Environment
Pattern; potential for minimal harm.Corrected 2023-11-29Record 05A208-20231103-F912
2023-08-30Complaint survey · 1 deficiencyOfficial report
F940Develop, implement, and/or maintain an effective training program for all new and existing staff members.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-14Record 05A208-20230830-F940
2023-08-28Complaint survey · 1 deficiencyOfficial report
F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-01Record 05A208-20230828-F584

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.25
Facility
California
National
California 0.67 · National 0.69
Total nurse hours per resident day2.55
Facility
California
National
California 4.52 · National 3.86
Weekend total nurse hours2.38
Facility
California
National
California 4.09 · National 3.42
Total nursing staff turnover41%
Facility
California
National
California 37% · National 46%
Registered nurse turnover40%
Facility
California
National
California 38% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityCaliforniaNational
Percentage of long-stay residents with pressure ulcers
lower is better
0.0%4.3%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
0.0%1.6%3.2%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.0%1.2%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.4%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
0.3%10.2%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
0.7%4.0%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
43.1%13.7%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)

No ownership records in the data we hold from CMS (Provider Enrollment).

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or California.

No county cost figures on file for San Bernardino.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Hillcrest Nursing Home
San Bernardino
0.2 mi2025-11-18270
Arrowhead Healthcare Center, LLC
San Bernardino
1.2 mi2026-04-093200
Community Hospital Of San Bernardino Dp SNF
San Bernardino
3.3 mi2026-05-040122
Community Convalescent Center Of San Bernardino
San Bernardino
3.3 mi2025-04-24060
Waterman Canyon Post Acute
San Bernardino
3.2 mi2026-02-250130
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01