Home›Browse›California›San Bernardino›Shandin Hills Behavior Therapy Center

Nursing homeFAID #1237

Shandin Hills Behavior Therapy Center

4164 N 4th Ave, SAN BERNARDINO, CA, 92407

(909) 886-6786

78 licensed beds

CMS rates Shandin Hills Behavior Therapy Center 5 out of 5 overall. Federal inspectors issued 32 citations across 10 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★5/5CMS Five-Star overall5/5 health inspections4/5 staffing5/5 quality measuresSource: CMS Care Compare

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Address

4164 N 4th Ave

San Bernardino, CA 92407

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

05A208

Care type

Nursing home

County

San Bernardino

Facility name

Shandin Hills Behavior Therapy Center

Street address

4164 N 4th Ave

City / state / ZIP

San Bernardino, CA 92407

Phone

(909) 886-6786

About this facility — Shandin Hills Behavior Therapy Center

Shandin Hills Behavior Therapy Center is a Medicare/Medicaid-certified skilled nursing facility in San Bernardino, California. It is licensed for 78 beds — below the median for skilled nursing facilities in California (98 beds).

It is one of 53 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 Shandin Hills Behavior Therapy Center 32 times across 10 inspections in the last three years, including 7 food-safety citations; 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 November 6, 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

Ownership type

For profit - Limited Liability company

Regulatory standing

Licensed / certified since

1974-07-01

CMS overall rating

5 of 5 stars

Health deficiencies

4 at the last standard inspection

Federal fines

None on record

Last standard inspection

2026-02-20

Nurse staffing

2.6 hours per resident per day

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare · last verified 2026-11-06. 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 7 food-safety citations on its three-year record — flagged below among the inspections.

2026-02-20Health inspection4 citations

F-0689

D · No harm found

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

Corrected 2026-03-04

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2026-03-04

F-0814

D · No harm foundFood safety

Dispose of garbage and refuse properly.

Corrected 2026-03-04

F-0912

B · No harm found

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Corrected 2026-03-04

2025-02-25Health inspectionComplaint-triggered1 citation

F-0600

D · No harm foundFrom a complaint

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-03-07

7 earlier / fire-safety inspections (27 citations)

2025-01-15Health 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 2025-01-27

2024-11-15Health inspection6 citations

F-0576

D · No harm found

Ensure residents have reasonable access to and privacy in their use of communication methods.

Corrected 2024-12-16

F-0803

F · No harm foundFood safety

Ensure 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.

Corrected 2024-12-16

F-0805

D · No harm foundFood safety

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2024-12-16

F-0806

D · No harm foundFood safety

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2024-12-16

F-0812

D · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-12-16

F-0912

B · No harm found

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Corrected 2024-12-16

2023-11-03Health inspection4 citations

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-11-29

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 2023-11-29

F-0880

F · No harm found

Provide and implement an infection prevention and control program.

Corrected 2023-11-29

F-0912

B · No harm found

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Corrected 2023-11-29

2026-02-20Fire-safety inspection3 citations

K-0345

F · No harm found

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

Corrected 2026-03-18

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-03-30

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2026-03-18

2024-11-15Fire-safety inspection7 citations

K-0161

D · No harm found

Use approved construction type or materials.

Corrected 2024-12-20

K-0345

F · No harm found

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

Corrected 2024-12-20

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-01-03

K-0363

D · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2024-12-20

K-0511

F · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2024-12-20

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-12-20

K-0920

D · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2024-12-20

2024-09-25Fire-safety inspectionComplaint-triggered1 citation

K-0918

F · No harm foundFrom a complaint

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-10-02

2023-11-03Fire-safety inspection5 citations

K-0161

D · No harm found

Use approved construction type or materials.

Corrected 2023-11-30

K-0343

E · 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 2023-11-30

K-0345

F · No harm found

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

Corrected 2023-11-30

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-11-30

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-11-30

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 05A208.

Quality of care & staffing

How it compares in California.

Inspection citations, 3 years

More than 8% of nursing homes in the state

State median: 65

Federal fines, 3 years

No federal fines on record

State median: $0

Nurse staffing, hours per resident per day

2.6

Among the lowest of nursing homes in the state

State median: 4.3

Nursing staff turnover, annual

39%

Higher than 59% of nursing homes in the state

State median: 36%

Resident outcomes

On 16 federal quality measures, this facility does better than the California average on 12 and worse on 3. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	0.0%	10.2%	13.5%	Better than state
Lose too much weight	0.3%	4.1%	5.1%	Better than state
With a catheter inserted and left in their bladder	0.0%	0.7%	0.7%	Better than state
With a urinary tract infection	0.0%	1.2%	1.5%	Better than state
Have depressive symptoms	0.0%	7.6%	13.5%	Better than state
Were physically restrained	0.0%	0.3%	0.1%	Better than state
Experiencing one or more falls with major injury	0.0%	1.6%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	94.4%	98.7%	93.7%	Near state average
Ability to walk independently worsened	0.5%	8.9%	12.7%	Better than state
Received an antianxiety or hypnotic medication	42.8%	13.7%	19.5%	Worse than state
Assessed and appropriately given the seasonal influenza vaccine	83.7%	97.9%	95.3%	Worse than state
With pressure ulcers	0.0%	4.3%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	0.3%	9.8%	18.3%	Better than state
Hospitalizations per 1000 long-stay resident days	0.00	2.21	1.81	Better than state
Outpatient emergency department visits per 1000 long-stay resident days	0.41	1.50	1.69	Better than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	27.9%	94.6%	82.3%	Worse than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0812 3 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F-0912 3 inspections. Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
K-0345 3 inspections. Have approved installation, maintenance and testing program for fire alarm systems.
K-0353 3 inspections. Inspect, test, and maintain automatic sprinkler systems.
K-0918 3 inspections. Have generator or other power source capable of supplying service within 10 seconds.
F-0689 2 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Verify & compare

Where to check, and what's nearby.

Who to contact in California

Licensing: California Department of Public Health, Center for Health Care Quality, Licensing and Certification
File a complaint: 844-538-8766 · Online
Long-Term Care Ombudsman: 800-231-4024. A free advocate for residents and families.
Adult Protective Services: 833-401-0832. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Community Hospital of San Bernardino, about 2.8 miles. CMS rating 3 of 5.
St Bernardine Medical Center, about 3.1 miles. CMS rating 2 of 5.
Arrowhead Regional Medical Center, about 7.0 miles. CMS rating 2 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Hillcrest Nursing Home, San Bernardino, about 0.2 miles. CMS rating 5 of 5.
Arrowhead Healthcare Center, San Bernardino, about 1.2 miles. CMS rating 5 of 5.
Bmorenterprise, San Bernardino, about 1.5 miles. 0 state visits on record.
La Posada Ii, San Bernardin, about 1.9 miles. 5 state visits on record.
Broadmoor Assisted Living, San Bernardin, about 2.0 miles. 1 state visits on record.

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 32 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 2026-11-06

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