The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
COMMUNITY HOSPITAL OF SAN BERNARDINO DP SNF
SAN BERNARDINO, CA · Medicare-certified · 88 beds
Needs attention
Non-profitChain member
3 of 5 overall
3 out of 5 stars overall. Health inspections are 3 stars and quality measures are 4 stars, but staffing is lower at 2 stars; reported nurse staffing is 6.93 hours per resident day versus the 4.1-hour federal benchmark, and the facility has $9,110 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
6.9301 hrs/resident/day
Quality measures
Last inspection: November 20, 2025Penalties, last 24 months: $9,110recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 6.9301.
Staffing detail
- Registered nurses
- 0.88
- Licensed practical nurses
- 3.49
- Nurse aides
- 2.56
- Weekend nursing
- 6.37
Hours per resident per day.
Total staff turnover: 31%
Registered nurse turnover: 19%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
9.7%Worsening
Residents with a fall causing major injury
0%Steady
Residents with pressure ulcers (bedsores)
13%Improving
Residents with a urinary tract infection
0.6%Worsening
Residents who lost too much weight
0.6%Steady
Residents who were physically restrained
9%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
30.7%Improving
Residents with a long-term catheter
4.8%Improving
Residents with new or worsening incontinence
0%Steady
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
99.4%Worsening
Short-stay residents given the pneumonia vaccine
96.2%Steady
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited August 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The nursing home failed to ensure a qualified person was assigned to oversee infection prevention and control. Cited August 2024 — widespread issue, potential for harm.
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F-Tag 882 — 42 CFR §483.80 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to make sure feeding tubes were used only when medically needed and that residents with feeding tubes received proper care. Cited June 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 693 — 42 CFR §483.25 — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- PENALTY
A federal fine of $9,110 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $9,110 in total fines.
- $9,110
Federal fine
Nov 20, 2025
Operator & ownership
- Ownership
- Non profit - Other
- Chain
- Part of COMMONSPIRIT HEALTH · 19 homes · 2.8 stars avg
- Occupancy
- 83.4 residents on an average day (95% of 88 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 33 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.