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Nursing HomeMedicaid

Sierra Vista

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

3455 East Highland Ave, San Andreas · Highland, CA 92346116 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
2.4/5

based on 9 Google reviews

5
4
3
2
1
Sierra Vista Nursing Home in Highland, CA — Street View
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What this means for your family

This facility presents significant red flags, including multiple serious allegations of physical abuse and extreme difficulty in communicating with staff regarding resident whereabouts. While one recent review is positive, the historical pattern of safety concerns and management failures is too severe to ignore; families should conduct an unannounced visit and contact state regulators before placement.

Google Reviews

Google Reviews

9 reviews on Google
Families should exercise extreme caution when considering Sierra Vista due to severe, recurring allegations of physical abuse and patient neglect. While one recent reviewer praised the professionalism of specific social work and nursing staff, the majority of reviews describe a pattern of incompetent management, lack of transparency regarding resident locations, and dangerous staff behavior.

Quality Themes

Tap a score for details
FoodN/AStaff1.0CleanN/AActivitiesN/AMedsN/AMemoryN/AComms2.0ValueN/A

Strengths

  • Professionalism in Social Work Department
  • Effective communication from specific points of contact

Concerns

  • Allegations of physical abuse by nursing staff (mentioned by 2 reviewers)
  • Incompetent or unprofessional management and office staff (mentioned by 3 reviewers)
  • Lack of transparency regarding resident status and location

Rating Trends

Tap a year to see what changed

2343.02017(2)3.02022(2)1.32023(3)1.02024(1)5.02025(1)

Distribution · 9 analyzed

5
3
4
0
3
0
2
1
1
5

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1We were really impressed to see the high praise for your Social Work Department; how does that team help families stay connected to their loved ones' emotional well-being?
  • 2Since we value clear updates, what is your specific process for ensuring family members are notified immediately if there is a change in a resident's health or location?
  • 3Can you walk us through your protocols for monitoring resident safety and how you ensure all nursing staff are following the highest standards of care?
  • 4How does the management team work to maintain consistent, professional communication with families regarding day-to-day care updates?
  • 5What does a typical day of social activities and engagement look like for the residents here at Sierra Vista?
  • 6In the event of a medical emergency during the night, what is the immediate procedure for notifying the family and coordinating with doctors?

Personalized based on this facility's data


Key Review Excerpts

The facility is very well managed and supported by a caring, professional team. Ify, Tiffany, and Genevieve were all exceptional.

Recent visitor/client · 2025★★★★★

My Uncle has now been missing for almost 2 years and my family is at wits end as we don't know where to begin to look for him.

Long-term resident's family · 2023★★☆☆☆

The nurses in this facility abuse their patients I witnessed the elderly get hit as well as other patients and I was abused here also

Former patient · 2023☆☆☆☆
Source: 9 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.39hrs
52%
Registered nurses for medical care
Total Nursing
2.45hrs
60%
All nurses + aides combined
Staff Turnover
31%
Lower is better (< 30% = good)
RN Turnover
43%
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

10

measures

Worse Than Avg

1

measures

Mixed Results

3

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility0.2%
Better than Avg
Here
0.2%
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 Facility0.2%
Better than Avg
Here
0.2%
US
14.4%
CA
10.4%
San bernardino
11.5%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.4%
Better than Avg
Here
0.4%
US
12.1%
CA
7.0%
San bernardino
10.9%

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

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility24.2%
Worse than Avg
Here
24.2%
US
19.5%
CA
13.7%
San bernardino
16.6%
🩹

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 Facility96.0%
Mixed vs Avgs
Here
96.0%
US
81.8%
CA
94.2%
San bernardino
97.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

15deficiencies
Near state avg (15.4)
8 complaint-triggered

Sierra Vista has recurring problems with fire safety systems, food handling, and medication management that persist across multiple years, with families filing complaints about restraint use and abuse protection. The facility has repeated deficiencies in the same areas - sprinkler systems and cooking facilities cited three times each, and food procurement issues spanning from 2020 to 2024. While all deficiencies show correction dates, the pattern of repeated violations in critical safety areas suggests ongoing operational challenges families should carefully consider.

Feb 26, 2026Routine
18
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0814Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0565Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

0583Potential for harm · PatternCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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.

0800Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

0802Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

0803Potential for harm · PatternCorrected

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.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0908Potential for harm · PatternCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0921Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0325Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have properly installed hallway dispensers for alcohol-based hand rub.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Jul 9, 2025Complaint
1
0604Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Dec 12, 2024Complaint
5
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0761Potential for harm · IsolatedCorrected

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.

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.

0908Potential for harm · IsolatedCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

Dec 12, 2024Routine
7
0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0711Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0741Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0161Potential for harm · IsolatedCorrected

Construction Deficiencies

Use approved construction type or materials.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0345Potential for harm · IsolatedCorrected

Smoke Deficiencies

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

Dec 4, 2024Complaint
1
0600Potential for 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 24, 2023Complaint
1
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Ownership & Operations

Who Operates This Facility

Owner / Operator

Sierra Vista

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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