Nursing home · Top rated by CMS
Sierra Vista
3455 East Highland Ave, Highland, CA 92346 · Map
For profit - Limited Liability company · 116 certified beds
Sierra Vista is a Medicare-certified nursing home in Highland, California. CMS rates it 5 out of 5 stars overall (4/5 for staffing, 4/5 for health inspections). Nurse staffing is 2.48 hours per resident per day, below the California average of 4.51. Its most recent inspection on Dec 12, 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 Sierra Vista 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) | 2.48 | 4.51 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.38 | 0.65 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.65 | 2.64 | 2.34 | below avg |
| Nursing staff turnover | 29.9% | 38.1% | 46.4% | below 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.
What inspectors found at Sierra Vista
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 · Feb 26, 2026 · 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 · Feb 26, 2026 · Full report (PDF) - Potential for harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Feb 26, 2026 · Full report (PDF) - Potential for harm
Keep all essential equipment working safely.
Environmental Deficiencies · Feb 26, 2026 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Feb 26, 2026 · Full report (PDF)
Show all 12 deficiencies
- 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 · Feb 26, 2026 · Full report (PDF) - Potential for harm
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and Dietary Deficiencies · Feb 26, 2026 · Full report (PDF) - Potential for harm
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Nutrition and Dietary Deficiencies · Feb 26, 2026 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Feb 26, 2026 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Feb 26, 2026 · Full report (PDF) - Potential for harm
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Feb 26, 2026 · Full report (PDF) - Potential for harm
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies · Feb 26, 2026 · 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
- 3455 East Highland Ave
Highland, CA 92346 - CMS certification #
- 05A027
- Ownership
- For profit - Limited Liability company
- Certified beds
- 116
- Avg residents/day
- 115.0
- Provider type
- Medicaid
- First certified
- 1974-03-31
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Sierra Vista using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- St Bernardine Medical Center, San Bernardino. 2.8 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- Del Rosa Villa, San Bernardino. 1.1 miles away, straight line.
- Nearest home health agency office
- All In One Home Health Agency Inc, San Bernardino. 1.7 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 1.6 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 92346 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Highland Ranch Dialysis Center, Highland, 3.3 miles away, straight line (CMS rating 3 of 5 stars)
Davita Redlands Dialysis, Redlands, 4.8 miles away, straight line (CMS rating 3 of 5 stars)
Davita Citrus Valley Dialysis, San Bernardino, 4.8 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 158 Medicare hospices tell CMS they serve ZIP code 92346.
Alta Hospice Of California, office in San Bernardino, 3.4 miles away, straight line
Aviva Hospice Inc, office in Redlands, 4.6 miles away, straight line
Rc Harmony Hospice & Palliative Care Inc, office in Redlands, 4.7 miles away, straight line - Nearest geriatric medicine practice
- Faculty Physicians And Surgeons Of Llusm, Redlands. 5.1 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 moderate. By hazard: inland flooding relatively low, tornado very low, heat wave relatively low, earthquake relatively 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 | Could not read the site |
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Frequently asked questions
Is Sierra Vista a good nursing home?
CMS gives Sierra Vista 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 Sierra Vista staffed?
Sierra Vista reports 2.48 total nurse hours per resident per day, compared with the California average of 4.51.
Has Sierra Vista had inspection problems?
Its most recent CMS inspection cited 6 deficiencies.
How many beds does Sierra Vista have?
Sierra Vista is certified for 116 beds.