Nursing home · Top rated by CMS
Arrowhead Springs Healthcare
1335 N. Waterman Ave., San Bernardino, CA 92404 · Map
For profit - Corporation · Part of The Ensign Group (329 facilities) · 119 certified beds
Arrowhead Springs Healthcare is a Medicare-certified nursing home in San Bernardino, California. CMS rates it 5 out of 5 stars overall (4/5 for staffing, 4/5 for health inspections). Nurse staffing is 4.78 hours per resident per day, above the California average of 4.51. Its most recent inspection on Apr 24, 2025 cited 7 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Arrowhead Springs Healthcare compares
This facility vs. the California and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | California avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.78 | 4.51 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.31 | 0.65 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.86 | 2.64 | 2.34 | above avg |
| Nursing staff turnover | 34.1% | 38.1% | 46.4% | below avg |
| Deficiencies cited, last inspection | 7.0 | 15.4 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Arrowhead Springs Healthcare
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies · Apr 24, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Apr 24, 2025 · Full report (PDF) - Potential for harm
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.
Quality of Life and Care Deficiencies · Apr 24, 2025 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Apr 24, 2025 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Apr 24, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
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.
Resident Rights Deficiencies · Apr 24, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Mar 7, 2025 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Feb 12, 2025 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Nov 6, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · May 24, 2024 · Full report (PDF) - Potential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Sep 1, 2023 - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Aug 31, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1335 N. Waterman Ave.
San Bernardino, CA 92404 - CMS certification #
- 055708
- Ownership
- For profit - Corporation
- Certified beds
- 119
- Avg residents/day
- 107.7
- Provider type
- Medicare and Medicaid
- First certified
- 1971-01-01
- Chain
- The Ensign Group (329 facilities)
- Setting
- Urban
Part of The Ensign Group
The Ensign Group operates 329 nursing facilities across the United States. View all The Ensign Group facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Arrowhead Springs Healthcare using Google Maps.
Other public records
- Website says Nurse 24 hours a day
Full public records, with dates and sources
Care and services
From the community’s website
What Arrowhead Springs Healthcare says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Nurse on site: 24 hours a day.
We leave the critical decisions to those who know best: the Caregivers, Doctors, and Nurses who work with our patients 24-hours a day, 7-days a week.
(page, checked Oct 15, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- St Bernardine Medical Center, San Bernardino. 0.7 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- Medical Center Convalescent Hospital, San Bernardino. 0.2 miles away, straight line.
- Nearest home health agency office
- Team Nurses Home Health Services, Inc., San Bernardino. 0.9 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Don's Drugs - Good Neighbor Pharmacy. 2.1 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 92404 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Serrano Dialysis, San Bernardino, 2.5 miles away, straight line (CMS rating 3 of 5 stars)
Davita Citrus Valley Dialysis, San Bernardino, 3.7 miles away, straight line (CMS rating 3 of 5 stars)
Fmc Dialysis Services Of San Bernardino, San Bernardino, 3.7 miles away, straight line (CMS rating 4 of 5 stars) - Hospice
- 223 Medicare hospices tell CMS they serve ZIP code 92404.
Alta Hospice Of California, office in San Bernardino, 0.8 miles away, straight line
All Lives Matter Hospice, office in San Bernardino, 3.1 miles away, straight line
Roze Room Healthcare, office in San Bernardino, 3.8 miles away, straight line - Nearest geriatric medicine practice
- Faculty Physicians And Surgeons Of Llusm, Redlands. 4.8 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: very high. By hazard: inland flooding very high, tornado very low, heat wave relatively moderate, earthquake very high. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: no FEMA wildfire rating of moderate or higher here |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Arrowhead Springs Healthcare a good nursing home?
CMS gives Arrowhead Springs Healthcare an overall rating of 5 out of 5 stars, including 4/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Arrowhead Springs Healthcare staffed?
Arrowhead Springs Healthcare reports 4.78 total nurse hours per resident per day, compared with the California average of 4.51.
Has Arrowhead Springs Healthcare had inspection problems?
Its most recent CMS inspection cited 7 deficiencies.
How many beds does Arrowhead Springs Healthcare have?
Arrowhead Springs Healthcare is certified for 119 beds.