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Nursing HomeMedicaid Top Rated

Arrowhead Springs Healthcare

Strong Medicare quality ratings; families often praise professional rehabilitation therapy team. Still worth an in-person visit.

1335 N. Waterman Ave., Perris Hills · San Bernardino, CA 92404119 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
3.8/5

based on 35 Google reviews

5
4
3
2
1
Arrowhead Springs Healthcare Nursing Home in San Bernardino, CA — Street View
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What this means for your family

While this facility has a history of positive rehabilitation outcomes and friendly administration, recent reviews from 2026 indicate a dangerous decline in care standards. If you choose this facility, you must closely monitor hygiene, medication administration, and how quickly staff responds to call buttons during night and weekend shifts.

Google Reviews

Google Reviews

35 reviews on Google
Families should exercise extreme caution, as recent reviews from late 2025 and early 2026 describe severe issues with understaffing, hygiene, and neglect. While some visitors in 2024 and 2025 praised the rehabilitation and nursing staff, a significant number of recent reports highlight overwhelming odors, delayed response to call buttons, and inadequate hygiene care.

Quality Themes

Tap a score for details
Food5.0Staff3.0Clean2.0Activities6.0Meds1.0MemoryN/AComms2.0ValueN/A

Strengths

  • Professional rehabilitation therapy team
  • Friendly and welcoming administrative staff
  • Compassionate nursing staff (noted in older reviews)
  • Cleanliness in certain renovated areas

Concerns

  • Severe understaffing and slow response to call buttons (mentioned by 4 reviewers)
  • Unsanitary conditions and overwhelming odors of urine/feces (mentioned by 4 reviewers)
  • Neglect regarding hygiene and frequent diaper changes (mentioned by 3 reviewers)
  • Medication management and medical equipment failures (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2343.82023(13)3.32024(7)4.82025(13)2.12026(7)

Distribution · 40 analyzed

5
26
4
1
3
0
2
2
1
11

How They Respond to Reviews

27%response rate
Good

The owner provides personalized responses that frequently address the reviewer by name and acknowledge specific details mentioned in the review. While most responses are warm and appreciative, the negative review response relies on a standard professional template.

Questions for Your Tour

  • 1We've heard great things about your rehab team; could you tell us more about how the therapy sessions are integrated into a resident's daily routine?
  • 2How does the nursing team manage call button responses to ensure residents aren't waiting long for assistance?
  • 3What specific protocols are in place to ensure the facility remains clean and fresh-smelling, especially in the resident rooms?
  • 4How do you ensure that medication administration and medical equipment maintenance are monitored closely to prevent any errors?
  • 5We noticed the administrative staff is very welcoming; how do you keep families updated on changes in a resident's care or hygiene needs?
  • 6What kind of daily activities or social outings are available to keep residents engaged and active?

Personalized based on this facility's data


Key Review Excerpts

The healthcare professionals here—nurses, doctors, and support staff—go above and beyond their duties. The environment feels safe, clean, and well-organized, which instantly puts you at ease.

Visitor · 2025★★★★★

I could not be happier with the outcomes of the physical therapy team. The nursing staff was attentive, caring and extremely passionate about my mom’s care.

Rehab patient's family · 2023★★★★★

Two showers a week is inhumane. Keep in mind most patients are wearing diapers and soiling their beds and they’re getting TWO SHOWERS a week !!!

Long-term resident's family · 2026☆☆☆☆
Source: 35 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.32hrs
43%
Registered nurses for medical care
Total Nursing
4.61hrs
OK
All nurses + aides combined
Staff Turnover
27%
Lower is better (< 30% = good)
RN Turnover
22%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

10

measures

Worse Than Avg

2

measures

Mixed Results

4

measures

Similar to Avg

1

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility6.3%
Better than Avg
Here
6.3%
US
19.5%
CA
13.7%
San bernardino
17.1%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility2.6%
Better than Avg
Here
2.6%
US
15.4%
CA
11.6%
San bernardino
9.0%
😔

Residents with depression symptoms

↓ Lower is better
This Facility17.9%
Worse than Avg
Here
17.9%
US
12.1%
CA
7.0%
San bernardino
10.7%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility9.2%
Mixed vs Avgs
Here
9.2%
US
19.4%
CA
10.7%
San bernardino
8.6%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility8.4%
Better than Avg
Here
8.4%
US
15.3%
CA
10.5%
San bernardino
10.7%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility7.7%
Better than Avg
Here
7.7%
US
14.4%
CA
10.4%
San bernardino
11.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility95.1%
Better than Avg
Here
95.1%
US
79.7%
CA
93.2%
San bernardino
94.1%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility93.5%
Mixed vs Avgs
Here
93.5%
US
81.8%
CA
94.2%
San bernardino
97.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.7%
Better than Avg
Here
0.7%
US
1.6%
CA
1.5%
San bernardino
1.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

6deficiencies
Well below state avg (15.4)
12 complaint-triggered

Families filed reports that triggered several inspections, citing concerns about basic resident care, infection control, and safety practices. The facility shows persistent issues with providing appropriate treatment according to care plans, infection prevention programs, and maintaining safe living environments that recur across multiple years. While all 59 deficiencies have correction dates indicating the facility addresses problems when identified, the repeated complaint-driven surveys suggest ongoing care quality challenges families should investigate thoroughly before placement.

Apr 24, 2025Complaint
6
0814Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0700Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Apr 24, 2025Routine
1
0711Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

Mar 7, 2025Complaint
1
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Feb 12, 2025Complaint
1
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Nov 6, 2024Complaint
1
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

May 24, 2024Complaint
1
0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Arrowhead Springs Healthcare

Organization Type

for profit

Chain Affiliation

Chain Name

The Ensign Group

Chain Size

338 facilities nationwide

Chain avg rating: 3.2/5 · Rank 60 of 328 (Best)

Ownership & Management

Key personnel

Burnam, SoonManaging Control - Governing BodyBurnam, SoonOfficer / DirectorKeetch, ChadOfficer / DirectorPort, BarryOfficer / DirectorWillits, AdamOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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