Federal inspection record · CMS data as of October 1, 2026
Arrowhead Healthcare Center, LLC
4343 N Sierra Way, San Bernardino, CA · (909) 886-4731
- Certified beds
- 58
- Residents per day
- 55
- Ownership
- For-Profit
- Chain
- Crystal Solorzano
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 13, 2015
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in California.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among California homes
Arrowhead Healthcare Center, LLC carries 59 inspection points. That is fewer than 72% of California's 1,154 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in California: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–33 pts
- 4★ 33–66 pts
- 3★ 66–96 pts
- 2★ 96–146 pts
- 1★ over 146 pts
Bars show every rated home in California by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
23 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Rights6D
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- B
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- B
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Quality of Life and Care5D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Environmental4E
- E
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
- E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- D
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Nursing and Physician Services3F
- D
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- F
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- C
Post nurse staffing information every day.
Infection Control2F
- F
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
Pharmacy Service1D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Resident Assessment and Care Planning1E
- E
Ensure each resident receives an accurate assessment.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspection history
2026-04-09
9 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2024-12-19
13 health deficiencies · 6 fire-safety deficiencies
Top issue: Resident Rights (4 deficiencies)
2023-10-18
1 health deficiencies · 9 fire-safety deficiencies
Top issue: Resident Rights (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 4 h 38 min of nursing staff time a day, 25 min of it from a registered nurse.
This home
4 h 38 min
California average
4 h 33 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 31% of nursing staff and 40% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.8 pts better | 1.4 | 2.2 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.9 pts better | 0.6 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.1 pts worse | 98.6% | 98.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.4 pts better | 98.3% | 97.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.7 pts worse | 2.3% | 1.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.2 pts worse | 10.8% | 7.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.3 pts worse | 5.4% | 4.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.6 pts worse | 16.3% | 13.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication9.2 pts worse | 21.5% | 12.3% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.3 pts better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened8.1 pts worse | 17.0% | 8.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.2 pts worse | 11.4% | 10.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better | 0.0% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.1 pts worse | 2.3% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.9 pts better | 8.9% | 9.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2 pts better | 2.3% | 4.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine15.3 pts worse | 79.3% | 94.6% | 82.3% |
·
Who owns and runs it
14 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Cohen, Rachel | 5% Or Greater Indirect Ownership Interest · Individual | 51% | 9 facilities |
| Renew Health Group LLC | 5% Or Greater Direct Ownership Interest · Organization | 51% | 4 facilities |
| Ahcst LLC | 5% Or Greater Direct Ownership Interest · Organization | 49% | 1 facilities |
| Dionisio, Paola | 5% Or Greater Indirect Ownership Interest · Individual | 49% | 10 facilities |
| Cohen, Rachel | Corporate Officer · Individual | 0% | 9 facilities |
| Cohen, Rachel | Operational/Managerial Control · Individual | 0% | 9 facilities |
| Hage, Jean | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Hage, Jean | Adp Of The SNF · Individual | 0% | 6 facilities |
| Martinez, Adrienne | Corporate Officer · Individual | 0% | 1 facilities |
| Martinez, Adrienne | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Martinez, Adrienne | Adp Of The SNF · Individual | 0% | 1 facilities |
| Quadros, Sylvi | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Quadros, Sylvi | Adp Of The SNF · Individual | 0% | 2 facilities |
| Rust, Jaden | Indirect Ownership Interest · Individual | 0% | 5 facilities |
·
Fire safety
17 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems6F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have proper medical gas storage and administration areas.
- D
Ensure proper usage of power strips and extension cords.
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure proper usage of power strips and extension cords.
- D
Have proper medical gas storage and administration areas.
Smoke5D
- D
Provide properly protected cooking facilities.
- D
Install corridor and hallway doors that block smoke.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Install corridor and hallway doors that block smoke.
Emergency Preparedness3F
- F
Implement emergency and standby power systems.
- D
Develop and maintain an Emergency Preparedness Program (EP).
- D
Conduct risk assessment and an All-Hazards approach.
Construction2F
- D
Use approved construction type or materials.
- F
Use approved construction type or materials.
Egress1F
- F
Have properly located and lighted "Exit" signs.
·
Other homes nearby
-
Shandin Hills Behavior Therapy Center
San Bernardino, CA
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 2 h 38 min
- Fines
- $0
-
Hillcrest Nursing Home
San Bernardino, CA
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 42 min
- Fines
- $0
-
Haven Post Acute
San Bernardino, CA · Bvhc, LLC
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 10 min
- Fines
- $37,557