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Nursing homeFAID #874

Arrowhead Springs Healthcare

1335 N. Waterman Ave., SAN BERNARDINO, CA, 92404

(909) 885-0268

ensignservices.net

119 licensed beds

★★★★★4/5CMS Five-Star overall4/5 health inspections4/5 staffing4/5 quality measuresSource: CMS Care Compare

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Photo via Google · Alejandra Lucatero

Address

1335 N. Waterman Ave.

San Bernardino, CA 92404

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Public record summary

What we can show you for free.

Bed capacity

119

CMS facility ID

055708

Care type

Nursing home

County

San Bernardino

Facility name

Arrowhead Springs Healthcare

Street address

1335 N. Waterman Ave.

City / state / ZIP

San Bernardino, CA 92404

Phone

(909) 885-0268

Website

ensignservices.net

About this facility — Arrowhead Springs Healthcare

Arrowhead Springs Healthcare is a Medicare/Medicaid-certified skilled nursing facility in San Bernardino, California. It is licensed for 119 beds — above the median for skilled nursing facilities in California (98 beds).

It is one of 48 senior care facilities in San Bernardino and 1,165 skilled nursing facilities across California. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Arrowhead Springs Healthcare 44 times across 13 inspections in the last three years, including 1 food-safety citation; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

The Ensign Group

Ownership type

For profit - Corporation

Registered owners & officers

Alvarado Health Holdings Llc

Additional disclosable party — since 2022

Burnam, Soon

Governing body · Officer — since 2022

Ensign Services Inc

Additional disclosable party — since 2022

Keetch, Chad

Officer — since 2014

Mangoba, Luther

Operational control · Additional disclosable party — since 2022

Port, Barry

Officer — since 2019

Sanchez Gonzalez, Yamaliel

Operational control · Additional disclosable party — since 2022

Standard Bearer Healthcare Op, Lp

Additional disclosable party — since 2022

The Ensign Group Inc

Additional disclosable party — since 2022

Willits, Adam

Officer — since 2021

Regulatory standing

Federal court records

11 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1971-01-01

CMS overall rating

4 of 5 stars

Health deficiencies

9 at the last standard inspection

Federal fines

None on record

Last standard inspection

2026-06-04

Nurse staffing

4.6 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$519 per day (≈ $15,780/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

72% Medicaid · 9% Medicare · 19% private/other

Occupancy

87% (fiscal year 2023)

Vs. state median

1% above the CA median of $514/day — full state cost breakdown

Services & coverage

Licensed beds

119

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.

2026-06-04Health inspection9 citations

F-0554

D · No harm found

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2026-06-25

F-0582

E · No harm found

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2026-06-25

F-0636

D · No harm found

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2026-06-25

F-0644

E · No harm found

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2026-06-25

F-0645

D · No harm found

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2026-06-25

F-0693

E · No harm found

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2026-06-25

F-0759

D · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2026-06-25

F-0761

D · No harm found

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2026-06-25

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-06-25

2025-04-24Health inspectionComplaint-triggered6 citations

F-0584

D · No harm foundFrom a complaint

Honor 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.

Corrected 2025-05-16

F-0656

D · No harm foundFrom a complaint

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-05-16

F-0677

D · No harm foundFrom a complaint

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-05-16

F-0700

D · No harm foundFrom a complaint

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Corrected 2025-05-16

F-0814

F · No harm foundFood safetyFrom a complaint

Dispose of garbage and refuse properly.

Corrected 2025-05-16

F-0880

D · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2025-05-16

10 earlier / fire-safety inspections (29 citations)

2025-03-07Health inspectionComplaint-triggered1 citation

F-0689

D · No harm foundFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-03-17

2025-02-12Health inspectionComplaint-triggered1 citation

F-0684

D · No harm foundFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-02-24

2024-11-06Health inspectionComplaint-triggered1 citation

F-0684

D · No harm foundFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-11-15

2024-05-24Health inspectionComplaint-triggered1 citation

F-0880

D · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2024-06-06

2023-09-01Health inspectionComplaint-triggered1 citation

F-0686

D · No harm foundFrom a complaint

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-09-14

2023-08-31Health inspectionComplaint-triggered1 citation

F-0684

E · No harm foundFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-09-14

2022-05-26Health inspection9 citations

F-0578

D · No harm found

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.

Corrected 2022-06-22

F-0688

D · No harm found

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2022-06-22

F-0692

D · No harm found

Provide enough food/fluids to maintain a resident's health.

Corrected 2022-06-22

F-0693

D · No harm found

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2022-06-22

F-0755

D · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2022-06-22

F-0756

D · No harm found

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2022-06-22

F-0842

D · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2022-06-22

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2022-06-22

F-0908

F · No harm found

Keep all essential equipment working safely.

Corrected 2022-06-22

2026-06-04Fire-safety inspection3 citations

K-0325

D · No harm found

Have properly installed hallway dispensers for alcohol-based hand rub.

Corrected 2026-06-19

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2026-06-19

K-0353

D · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-06-19

2025-04-24Fire-safety inspection1 citation

K-0711

D · No harm found

Provide a written emergency evacuation plan.

Corrected 2025-05-07

2022-05-26Fire-safety inspection10 citations

E-0031

D · No harm found

Provide emergency officials' contact information.

Corrected 2022-07-06

E-0039

D · No harm found

Conduct testing and exercise requirements.

Corrected 2022-07-06

K-0161

D · No harm found

Use approved construction type or materials.

Corrected 2022-07-06

K-0343

D · No harm found

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

Corrected 2022-07-06

K-0353

D · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-07-06

K-0355

D · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2022-07-06

K-0521

D · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2022-07-06

K-0712

D · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2022-07-06

K-0916

D · No harm found

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2022-07-06

K-0920

D · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2022-07-06

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 055708.

Visitor reviews

What people say on Google.

3.734 ratings on Google

★★★★★penny estrada · 2026-05-05 · via Google
“The staff here is amazing. The director is approachable to both family members and to resident. I am so glad we chose to go to arrowhead Springs rehab rehabilitation, and skilled nursing. It was one of the best decisions we’ve made during this tough time.”

★★★★★mira bella · 2025-12-04 · via Google
“I recommend this healthcare located in San Bernardino California, their building is neat when you enter it is clean, all the medical staff, directors are kind, almost all of them will greet you when you meet them, they also treat their patients like family, I am so happy because I found this healthcare.. if you are looking for this, try it because I and my family have tried Arrowhead Springs Healt…”

★Meg C · 2026-02-22 · via Google
“This place should be investigated and bring in staff who actually wants to do this kind of job. Two showers a week is inhumane. Keep in mind most patients are wearing diapers and soiling their beds and they’re getting TWO SHOWERS a week !!! My grandmothers health declined drastically staying here for only 12 days before we took her out. My grandmother is now on hospice care. This place is terribly…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 44 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-08-31

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered