Nursing HomeInspections

Shandin Hills Behavior Therapy Center

Nursing home in San Bernardino, CA

Medicaid-certified5★ overall (CMS)

Call (909) 886-6786Send a messageMap ↗

Public-record details

Address
4164 N 4th Ave, San Bernardino, CA 92407
Phone
(909) 886-6786
Listed under
For-profit, 4–5 star overall rating, No fines in 3 years
Medicare CCN
05A208
Overall star rating
5 of 5 ★★★★★
Health inspection rating
5 of 5
Staffing rating
3 of 5
Quality measures rating
5 of 5
Certified beds
78
Average residents per day
79
Ownership
For-profit, limited Liability company
Legal business name
Legal Business Name Not Available
Certified for
Medicaid
First approved by Medicare/Medicaid
Jul 1, 1974
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 05A208. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Feb 20, 2026. CMS lists 18 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 28, 2023 to Feb 20, 2026): 4 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Feb 20, 2026Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental
B
Potential for minimal harm, pattern
Feb 20, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Feb 20, 2026Dispose of garbage and refuse properly.
Nutrition and Dietary
D
Potential for more than minimal harm, isolated
Feb 20, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary
F
Potential for more than minimal harm, widespread
Feb 25, 2025Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
D
Potential for more than minimal harm, isolated
Jan 15, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Nov 15, 2024Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental
B
Potential for minimal harm, pattern
Nov 15, 2024Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Rights
D
Potential for more than minimal harm, isolated
Nov 15, 2024Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary
D
Potential for more than minimal harm, isolated
Nov 15, 2024Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary
D
Potential for more than minimal harm, isolated
Nov 15, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary
D
Potential for more than minimal harm, isolated
Nov 15, 2024Ensure 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.
Nutrition and Dietary
F
Potential for more than minimal harm, widespread

Showing the 12 most recent of 18. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
2.55 hours
Registered nurse (RN) time per resident per day
0.25 hours
Nurse aide time per resident per day
1.62 hours
Total nurse staffing on weekends
2.38 hours
Nursing staff turnover (yearly)
41%
RN turnover (yearly)
40%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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