Nursing home · Top rated by CMS
Shandin Hills Behavior Therapy Center
4164 N 4Th Ave, San Bernardino, CA 92407 · Map
For profit - Limited Liability company · 78 certified beds
Shandin Hills Behavior Therapy Center is a Medicare-certified nursing home in San Bernardino, California. CMS rates it 5 out of 5 stars overall (3/5 for staffing, 4/5 for health inspections). Nurse staffing is 2.53 hours per resident per day, below the California average of 4.51. Its most recent inspection on Nov 15, 2024 cited 6 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Shandin Hills Behavior Therapy Center 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) | 2.53 | 4.51 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.24 | 0.65 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.58 | 2.64 | 2.34 | below avg |
| Nursing staff turnover | 42.4% | 38.1% | 46.4% | above avg |
| Deficiencies cited, last inspection | 6.0 | 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.
- Every deficiency from the February 20, 2026 inspection was corrected by March 4, 2026
What inspectors found at Shandin Hills Behavior Therapy Center
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
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Feb 20, 2026 · Full report (PDF) - Potential for harm
Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies · Feb 20, 2026 · 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 · Feb 20, 2026 · Full report (PDF) - Minimal
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental Deficiencies · Feb 20, 2026 · Full report (PDF) - Potential for harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Feb 25, 2025 · Full report (PDF)
Show all 12 deficiencies
- 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 · Jan 15, 2025 · Full report (PDF) - Potential for harm
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.
Nutrition and Dietary Deficiencies · Nov 15, 2024 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Nov 15, 2024 · Full report (PDF) - Potential for harm
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · Nov 15, 2024 · Full report (PDF) - Potential for harm
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies · Nov 15, 2024 · Full report (PDF) - Potential for harm
Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Rights Deficiencies · Nov 15, 2024 · Full report (PDF) - Minimal
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental Deficiencies · Nov 15, 2024 · Full report (PDF)
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
- 4164 N 4Th Ave
San Bernardino, CA 92407 - CMS certification #
- 05A208
- Ownership
- For profit - Limited Liability company
- Certified beds
- 78
- Avg residents/day
- 77.8
- Provider type
- Medicaid
- First certified
- 1974-07-01
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Shandin Hills Behavior Therapy Center using Google Maps.
Other public records
Full public records, with dates and sources
Care and services
From the community’s website
What Shandin Hills Behavior Therapy Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
Location and nearby care
- Nearest hospital with an emergency room
- Community Hospital Of San Bernardino, San Bernardino. 2.8 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Hillcrest Nursing Home, San Bernardino. 0.2 miles away, straight line.
- Nearest home health agency office
- Rda Home Health Services, Inc, San Bernardino. 2.8 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Don's Drugs - Good Neighbor Pharmacy. 4.3 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 92407 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Mountain Vista Dialysis Center, San Bernardino, 1.4 miles away, straight line (CMS rating 2 of 5 stars)
Davita Serrano Dialysis, San Bernardino, 2.9 miles away, straight line (CMS rating 3 of 5 stars)
Rai - North Riverside - Rialto, Rialto, 4.3 miles away, straight line (CMS rating 2 of 5 stars) - Hospice
- 167 Medicare hospices tell CMS they serve ZIP code 92407.
Alta Hospice Of California, office in San Bernardino, 2.9 miles away, straight line
7 Star Hospice Care Inc, office in San Bernardino, 6.6 miles away, straight line
Roze Room Healthcare, office in San Bernardino, 7.3 miles away, straight line - Nearest geriatric medicine practice
- Faculty Physicians And Surgeons Of Llusm, Redlands. 8.4 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
- Zone X: 0.2% annual chance (500-year) flood area (moderate risk). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: inland flooding relatively high, wildfire very low, 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: FEMA rates wildfire risk here very low |
| 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 Shandin Hills Behavior Therapy Center a good nursing home?
CMS gives Shandin Hills Behavior Therapy Center an overall rating of 5 out of 5 stars, including 3/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Shandin Hills Behavior Therapy Center staffed?
Shandin Hills Behavior Therapy Center reports 2.53 total nurse hours per resident per day, compared with the California average of 4.51.
Has Shandin Hills Behavior Therapy Center had inspection problems?
Its most recent CMS inspection cited 6 deficiencies.
How many beds does Shandin Hills Behavior Therapy Center have?
Shandin Hills Behavior Therapy Center is certified for 78 beds.