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Nursing HomeMedicaid Investigative

Highland Springs Care Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1441 Michigan Avenue, Beaumont, CA 9222387 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.0/5

based on 21 Google reviews

5
4
3
2
1
Highland Springs Care Center Nursing Home in Beaumont, CA — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Above-median deficiencies (16 vs median 13.0)
  • High RN turnover (56%)

Below average in CA · Critically understaffed (RN) · $76,615 in fines

Source: Medicare data

What this means for your family

This facility shows exceptional skill in wound care and maintains a very clean environment. However, you must exercise extreme caution and verify staffing levels and medical oversight, as there are documented reports of serious neglect and failure to respond to medical emergencies.

Google Reviews

Google Reviews

21 reviews on Google
Families may find high-quality clinical care and a professional staff, particularly for wound management and rehabilitation. However, there are extremely serious allegations regarding neglect, lack of medical oversight, and failure to manage infectious diseases like C-diff.

Quality Themes

Tap a score for details
FoodN/AStaff7.0Clean9.0ActivitiesN/AMedsN/AMemoryN/AComms3.0ValueN/A

Strengths

  • Professional and compassionate nursing staff
  • Effective wound care and pressure sore management
  • Clean and well-maintained facility
  • Respectful and knowledgeable rehabilitation team

Concerns

  • Allegations of medical neglect and failure to provide timely doctor visits (mentioned by 2 reviewers)
  • Inadequate monitoring of infectious diseases or skin conditions (mentioned by 2 reviewers)
  • Poor communication regarding resident health and records (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2344.62022(24)2.32023(8)3.72024(6)5.02025(4)

Distribution · 42 analyzed

5
30
4
2
3
0
2
2
1
8
18 reviews posted between Apr 21, 2022Apr 22, 2022 · 18 were 5-star

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1We've heard great things about the professionalism of your nursing and rehab teams; how do you ensure that level of care remains consistent across all shifts?
  • 2How do you handle communication with families to ensure we are always kept up-to-date on any changes in our loved one's health or medical records?
  • 3With the focus on wound care being a strength here, what specific protocols are in place to monitor and prevent skin conditions or pressure sores?
  • 4How quickly are physicians or specialists brought in when a resident needs a medical evaluation or a change in their treatment plan?
  • 5What kind of daily activities or social programs do you have available to keep residents engaged and active within the community?
  • 6In the event of a medical emergency after hours, what is the immediate process for notifying the family and coordinating care?

Personalized based on this facility's data


Key Review Excerpts

They took my mom who had stage 4 pressure sores, from the hospital, down to presenting as a 2. I recommend them.

Long-term resident's family · 2024★★★★★

The Director, Director of Nursing, Nurses, Social Workers and other supportive staff members where the Professional, Caring, Attentive, and Compassionate.

Long-term resident's family · 2022★★★★★

They let my mom rot ignored her, failed to communicate and now she’s gone. We got her records and wow what a work of fiction. Medicare is investigating!!

Deceased resident's family · 2023☆☆☆☆
Source: 21 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.34hrs
45%
Registered nurses for medical care
Total Nursing
3.94hrs
96%
All nurses + aides combined
Staff Turnover
45%
Lower is better (< 30% = good)
RN Turnover
56%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

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

Medicare Rating
2/ 5
Better Than Avg

8

measures

Worse Than Avg

4

measures

Mixed Results

5

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility3.6%
Better than Avg
Here
3.6%
US
15.3%
CA
10.5%
Riverside
8.3%
😔

Residents with depression symptoms

↓ Lower is better
This Facility3.8%
Better than Avg
Here
3.8%
US
12.1%
CA
7.0%
Riverside
6.3%

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 Facility11.2%
Mixed vs Avgs
Here
11.2%
US
19.4%
CA
10.7%
Riverside
9.1%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility11.9%
Better than Avg
Here
11.9%
US
19.5%
CA
13.7%
Riverside
15.6%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility8.5%
Mixed vs Avgs
Here
8.5%
US
14.4%
CA
10.4%
Riverside
8.3%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.3%
Better than Avg
Here
99.3%
US
93.4%
CA
98.6%
Riverside
99.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility47.3%
Worse than Avg
Here
47.3%
US
79.7%
CA
93.2%
Riverside
94.4%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility56.0%
Worse than Avg
Here
56.0%
US
81.8%
CA
94.2%
Riverside
95.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility6.2%
Worse than Avg
Here
6.2%
US
1.6%
CA
1.5%
Riverside
1.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

16deficiencies
4penalties
Above state avg (15.4)
16 complaint-triggered
$76,615 in fines

Highland Springs Care Center has a concerning pattern with 17 complaint-triggered deficiencies from families reporting problems. The facility shows recurring issues with accident prevention and safety hazards, medication management and pharmacy services, and food service and nutrition. Most problematic are repeated deficiencies in the same areas - accident hazards appear in multiple complaint reports, and medication errors have persisted across surveys, suggesting ongoing safety challenges despite corrections.

Aug 29, 2025Routine
18
0692Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0605Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0908Potential for harm · PatternCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0925Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

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.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0790Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide routine and 24-hour emergency dental care for each resident.

0805Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0041Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

0161Potential for harm · IsolatedCorrected

Construction Deficiencies

Use approved construction type or materials.

0223Potential for harm · IsolatedCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Jul 22, 2025Complaint
2
0742Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

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.

Nov 14, 2024Complaint
1
0880Immediate jeopardy · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Oct 2, 2024Complaint
1
0600Actual harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Aug 22, 2024Complaint
1
0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

Jul 25, 2024Complaint
1
0689Actual 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.

Federal Penalties

Fine

Aug 29, 2025

$32,312

Fine

Nov 14, 2024

$21,739

Fine

Oct 2, 2024

$23,140

Payment Denial

Jul 17, 2023

51-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Highland Springs Care Center

Organization Type

for profit

Chain Affiliation

Chain Name

Longwood Management Corporation

Chain Size

38 facilities nationwide

Chain avg rating: 2.2/5 · Rank 22 of 38

Ownership & Management

Owners

Friedman Family Trust

Owner · Organization

15%

Ira D Friedman 1991 Trust

Owner · Organization

15%

Lehmann Family 1991 Trust

Owner · Organization

15%

The Klavan Family Trust

Owner · Organization

15%

The Tzippy Friedman Notis 1990 Trust

Owner · Organization

15%

Devorah Danziger Group a Business Assets Trust

Owner · Organization

Elka Kaplan Group a Business Assets Trust

Owner · Organization

Esther Hoff Group a Business Assets Trust

Owner · Organization

Mordechai Notis Group a Business Assets Trust

Owner · Organization

Rachel Notis Group a Business Assets Trust

Owner · Organization

Sarah Dunner Group a Business Assets Trust

Owner · Organization

Yehoshua Notis Group a Business Assets Trust

Owner · Organization

Yisroel Notis Group a Business Assets Trust

Owner · Organization

Lehmann, Libby

Owner (parent company)

20%

Notis, Shmuel

Owner (parent company)

15%

Key personnel

Johnson, WacyW-2 Managing EmployeeFriedman, IraOfficer / DirectorCastillo, MelissaManagerKlavan, JoshuaManagerMangoba, MelanchtonManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

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.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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