Federal inspection record · CMS data as of October 1, 2026
Bear Valley Community Hospital D/P SNF
41870 Garstin Dr, Big Bear Lake, CA · (909) 866-6501
- Certified beds
- 21
- Residents per day
- 21
- Ownership
- Government
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 26, 1991
1
How this home got 3 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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in California.
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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.
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Quality measures
★★★★★−1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among California homes
Bear Valley Community Hospital D/P SNF carries 38 inspection points. That is fewer than 86% 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
26 health citations on record since 2024. 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
Nutrition and Dietary5F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Dispose of garbage and refuse properly.
- F
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights4D
- D
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- 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 a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Assessment and Care Planning4D
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Assure that each resident’s assessment is updated at least once every 3 months.
- D
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Pharmacy Service4D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
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.
- D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- D
Ensure medication error rates are not 5 percent or greater.
Infection Control4D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Quality of Life and Care3D
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Nursing and Physician Services2D
- D
Post nurse staffing information every day.
- C
Post nurse staffing information every day.
Inspection history
2026-06-04
4 health deficiencies · 2 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2025-05-08
13 health deficiencies · 3 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
2024-03-19
9 health deficiencies · 10 fire-safety deficiencies
Top issue: Infection Control (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 6 h 9 min of nursing staff time a day, 54 min of it from a registered nurse.
This home
6 h 9 min
California average
4 h 33 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 51% of nursing staff and 50% 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. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.3 pts better | 100.0% | 98.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.1 pts better | 100.0% | 97.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.3 pts worse | 3.9% | 1.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.9 pts better | 2.7% | 7.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.7 pts better | 1.4% | 4.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.7 pts better | 11.0% | 13.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication22 pts worse | 34.3% | 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 worsened21.5 pts worse | 30.4% | 8.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased20.8 pts worse | 31.0% | 10.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.6 pts worse | 2.3% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection5.4 pts worse | 6.6% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.4 pts worse | 12.2% | 9.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.2 pts better | 4.1% | 4.3% | 4.5% |
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Who owns and runs it
10 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 |
|---|---|---|---|
| Baker, Steven | Corporate Director · Individual | 0% | 1 facilities |
| Bear Valley Community Health Care District | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Boss, Peter | Corporate Director · Individual | 0% | 1 facilities |
| Briner, John | Corporate Director · Individual | 0% | 1 facilities |
| Clarke, Ellen | Corporate Director · Individual | 0% | 1 facilities |
| Hamblin, Garth | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Hamblin, Garth | Corporate Officer · Individual | 0% | 1 facilities |
| Kaliher, Mark | Corporate Director · Individual | 0% | 1 facilities |
| Norman, Mary | Corporate Officer · Individual | 0% | 1 facilities |
| Rayner, Evan | Corporate Officer · Individual | 0% | 1 facilities |
·
Fire safety
15 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke8F
- D
Provide properly protected cooking facilities.
- D
Install corridor and hallway doors that block smoke.
- D
Have properly installed hallway dispensers for alcohol-based hand rub.
- D
Inspect, test, and maintain automatic sprinkler systems.
- F
Properly install and monitor supervisory attachments on automatic sprinkler systems.
- D
Provide properly protected cooking facilities.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems3E
- E
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Meet requirements for the use of electrical equipment.
Emergency Preparedness2D
- D
Establish policies and procedures for medical documentation.
- D
Establish roles under a Waiver declared by secretary.
Construction1D
- D
Use approved construction type or materials.
Egress1D
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
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Other homes nearby
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Mountains Community Hosp DP/SNF
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★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 7 h 34 min
- Fines
- $0
-
Cedar Mountain Post Acute
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★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 4 h 49 min
- Fines
- $0
-
University Post Acute
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★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h 54 min
- Fines
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