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Nursing HomeMedicaid Top Rated

Shandin Hills Behavior Therapy Center

Strong Medicare quality ratings; families often praise personal connections with certain staff members. Still worth an in-person visit.

4164 N 4th Ave, Arrowhead Farms · San Bernardino, CA 9240778 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
2.6/5

based on 11 Google reviews

5
4
3
2
1
Shandin Hills Behavior Therapy Center Nursing Home in San Bernardino, CA — Street View
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What this means for your family

Extreme caution is advised when considering this facility. Multiple reviews from former residents describe severe physical and psychological trauma, including allegations of physical abuse and inadequate staff training for mental health care.

Google Reviews

Google Reviews

11 reviews analyzed
Reviewers describe a deeply troubling environment characterized by historical trauma, physical injury, and inadequate care for mental health needs. While a few former residents express nostalgic affection for specific staff members, others report severe issues including physical abuse, lack of proper staff training, and unsafe facility conditions.

Quality Themes

Tap a score for details
FoodN/AStaff2.0CleanN/AActivities1.0Meds1.0MemoryN/ACommsN/AValueN/A

Strengths

  • Personal connections with certain staff members

Concerns

  • Inadequate staff training for mental health needs
  • Physical safety and abuse concerns
  • Poor facility maintenance and safety hazards

Rating Trends

Tap a year to see what changed

2341.02016(1)5.02017(2)1.02018(1)3.02019(2)3.02022(3)1.02024(2)5.02026(1)

Distribution

5
3
4
1
3
0
2
0
1
4

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1We've heard wonderful things about the personal connections some of your staff members build with residents; how do you foster those meaningful relationships within the care team?
  • 2Since this center focuses on behavior therapy, what specific specialized training does your staff undergo to manage complex mental health and behavioral needs?
  • 3Could you walk us through your protocols for medication management to ensure everything is handled accurately and safely for every resident?
  • 4What kind of daily activities or social events are planned to keep residents engaged and active throughout the week?
  • 5How does the facility handle maintenance and safety checks to ensure the living environment remains secure and hazard-free for everyone?
  • 6In the event of a medical emergency after hours, what is the immediate process for coordinating care and communicating with the family?

Personalized based on this facility's data


Key Review Excerpts

Not a good place for a love one who suffers from mental illness Some of the staff have little or no education to help mental illness people.

Former resident/Family perspective · 2019☆☆☆☆

the nurse smashed my nose on a trash can and almost broke it !

Former resident · 2024☆☆☆☆

I have bad ugly memoriea of this place its a lot. I have bad ugly memoriea of this achievement... rather than helping me with my mental illness i ended up with another trauma

Former resident · 2022☆☆☆☆
Source: 11 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.24hrs
32%
Registered nurses for medical care
Total Nursing
2.53hrs
62%
All nurses + aides combined
Staff Turnover
42%
Lower is better (< 30% = good)
RN Turnover
40%
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 · 14 measures

Medicare Rating
5/ 5
Better Than Avg

11

measures

Worse Than Avg

2

measures

Mixed Results

1

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility42.9%
Worse than Avg
Here
42.9%
US
19.5%
CA
13.7%
San bernardino
16.3%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility0.5%
Better than Avg
Here
0.5%
US
19.4%
CA
10.7%
San bernardino
8.7%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
15.3%
CA
10.5%
San bernardino
10.8%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility0.3%
Better than Avg
Here
0.3%
US
14.4%
CA
10.4%
San bernardino
11.4%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
CA
7.0%
San bernardino
10.9%
🩹

Residents with pressure sores (bedsores)

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
4.9%
CA
4.5%
San bernardino
5.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility56.4%
Worse than Avg
Here
56.4%
US
81.8%
CA
94.2%
San bernardino
97.9%
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)
5 complaint-triggered

This facility has a concerning pattern of complaints from families triggering inspections, with 6 complaint-driven deficiencies including recent issues with resident protection from abuse and accident hazards. The most recurring problems involve fire safety systems, food service quality, and maintaining adequate room sizes, with many safety issues persisting across multiple surveys from 2022 through 2024, suggesting ongoing compliance challenges despite reported corrections.

Feb 20, 2026Routine
7
0345ModerateCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353ModerateCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

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

0363ModerateCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0689MinorCorrected

Quality of Life and Care Deficiencies

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

0814MinorCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0912MinorCorrected

Environmental Deficiencies

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Feb 25, 2025Complaint
1
0600MinorCorrected

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.

Jan 15, 2025Complaint
1
0689MinorCorrected

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 15, 2024Routine
13
0345ModerateCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353ModerateCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0511ModerateCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0918ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0803ModerateCorrected

Nutrition and Dietary Deficiencies

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.

0161MinorCorrected

Construction Deficiencies

Use approved construction type or materials.

0363MinorCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0920MinorCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0576MinorCorrected

Resident Rights Deficiencies

Ensure residents have reasonable access to and privacy in their use of communication methods.

0805MinorCorrected

Nutrition and Dietary Deficiencies

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

0806MinorCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

0812MinorCorrected

Nutrition and Dietary Deficiencies

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

0912MinorCorrected

Environmental Deficiencies

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Sep 25, 2024Complaint
1
0918ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

Nov 3, 2023Routine
9
0345ModerateCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353ModerateCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0918Moderate

Gas, Vacuum, and Electrical Systems Deficiencies

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

0812ModerateCorrected

Nutrition and Dietary Deficiencies

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

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0343ModerateCorrected

Smoke Deficiencies

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

0161MinorCorrected

Construction Deficiencies

Use approved construction type or materials.

0842MinorCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0912MinorCorrected

Environmental Deficiencies

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Shandin Hills Behavior Therapy Center

Organization Type

for profit

Ownership & Management

Owners

Undisclosed

Ownership Data Not Available · Organization

Source: Medicare provider data

Contact

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References & Resources

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