Starfile

Starfile / California

Waterman Canyon Post Acute

1850 N. Waterman Ave., San Bernardino, CA 92404 · CCN 055565

Ratings

Overall
★★★★☆ 4
Health inspection
★★★★☆ 4
Quality measures
★★★★☆ 4
Staffing
★★☆☆☆ 2

Facility

Ownership type
For profit - Limited Liability company
Certified beds
166
Avg residents/day
158.6
Phone
9098821215

Inspection history vs California & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityCalifornia avgNational avgvs state
12025-03-21515.69.5-10.6 better
22023-06-092217.49.8+4.6 worse
32021-05-241717.19.3-0.1 better

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation1
Quality of life and care1
Resident rights2
Environmental1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.9343.4%
RN staffing (reported)0.2522.2%
Total nurse staffing (adjusted)3.46

Fines & penalties

Total fines
$0
Number of fines
0
Number of penalties
0
Payment denials
0

Chain

Chain
PACS GROUP
Facilities in chain
264
Chain avg overall
2.90 / 5

Inspection citations (44)

  1. DF0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.2025-09-23 · Health · corrected 2025-10-23

    Potential for more than minimal harm

  2. DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-05-13 · Health · corrected 2025-06-13

    Potential for more than minimal harm

  3. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-03-21 · Health · corrected 2025-04-14

    Potential for more than minimal harm

  4. DF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2025-03-21 · Health · corrected 2025-04-14

    Potential for more than minimal harm

  5. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2025-03-06 · Health · corrected 2025-04-06

    Potential for more than minimal harm

  6. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-01-21 · Health · corrected 2025-02-21

    Potential for more than minimal harm

  7. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-04-13 · Health · corrected 2024-05-07

    Potential for more than minimal harm

  8. DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2024-04-02 · Health · corrected 2024-04-12

    Potential for more than minimal harm

  9. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-03-11 · Health · corrected 2024-03-25

    Potential for more than minimal harm

  10. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-01-24 · Health · corrected 2024-02-14

    Potential for more than minimal harm

  11. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-12-15 · Health · corrected 2024-01-02

    Potential for more than minimal harm

  12. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-10-10 · Health · corrected 2023-10-24

    Potential for more than minimal harm

  13. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-06-21 · Health · corrected 2023-06-29

    Potential for more than minimal harm

  14. DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2023-06-09 · Health · corrected 2023-06-30

    Potential for more than minimal harm

  15. DF0641Ensure each resident receives an accurate assessment.2023-06-09 · Health · corrected 2023-06-30

    Potential for more than minimal harm

  16. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-06-09 · Health · corrected 2023-06-30

    Potential for more than minimal harm

  17. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-06-09 · Health · corrected 2023-06-30

    Potential for more than minimal harm

  18. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-06-09 · Health · corrected 2023-06-30

    Potential for more than minimal harm

  19. DF0692Provide enough food/fluids to maintain a resident's health.2023-06-09 · Health · corrected 2023-06-30

    Potential for more than minimal harm

  20. DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2023-06-09 · Health · corrected 2023-06-30

    Potential for more than minimal harm

  21. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-06-09 · Health · corrected 2023-06-30

    Potential for more than minimal harm

  22. DF0761Ensure 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.2023-06-09 · Health · corrected 2023-06-30

    Potential for more than minimal harm

  23. DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-06-09 · Health · corrected 2023-06-30

    Potential for more than minimal harm

  24. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-06-09 · Health · corrected 2023-06-30

    Potential for more than minimal harm

  25. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-06-09 · Health · corrected 2023-06-30

    Potential for more than minimal harm

  26. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2023-06-09 · Health · corrected 2023-06-30

    Potential for more than minimal harm

  27. DF0880Provide and implement an infection prevention and control program.2023-06-09 · Health · corrected 2023-06-30

    Potential for more than minimal harm

  28. EF0908Keep all essential equipment working safely.2023-06-09 · Health · corrected 2023-06-30

    Potential for more than minimal harm

  29. BF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2023-06-09 · Health · corrected 2023-06-30

    Potential for minimal harm

  30. EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2023-06-09 · Health · corrected 2023-06-30

    Potential for more than minimal harm

  31. DF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2023-06-09 · Health · corrected 2023-06-30

    Potential for more than minimal harm

  32. EF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2023-06-05 · Health · corrected 2023-06-16

    Potential for more than minimal harm

  33. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-04-27 · Health · corrected 2023-05-09

    Potential for more than minimal harm

  34. DF0880Provide and implement an infection prevention and control program.2023-04-24 · Health · corrected 2023-05-09

    Potential for more than minimal harm

  35. DF0641Ensure each resident receives an accurate assessment.2021-05-24 · Health · corrected 2021-06-18

    Potential for more than minimal harm

  36. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2021-05-24 · Health · corrected 2021-06-18

    Potential for more than minimal harm

  37. DF0692Provide enough food/fluids to maintain a resident's health.2021-05-24 · Health · corrected 2021-06-18

    Potential for more than minimal harm

  38. DF0697Provide safe, appropriate pain management for a resident who requires such services.2021-05-24 · Health · corrected 2021-06-18

    Potential for more than minimal harm

  39. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2021-05-24 · Health · corrected 2021-06-18

    Potential for more than minimal harm

  40. EF0759Ensure medication error rates are not 5 percent or greater.2021-05-24 · Health · corrected 2021-06-18

    Potential for more than minimal harm

  41. EF0761Ensure 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.2021-05-24 · Health · corrected 2021-06-18

    Potential for more than minimal harm

  42. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2021-05-24 · Health · corrected 2021-06-18

    Potential for more than minimal harm

  43. EF0880Provide and implement an infection prevention and control program.2021-05-24 · Health · corrected 2021-06-18

    Potential for more than minimal harm

  44. BF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2021-05-24 · Health · corrected 2021-06-18

    Potential for minimal harm

Ownership

OwnerTypeRolePercentSince
PROVIDENCE GROUP NH, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2023-06-30
PACS GROUP, INC.Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST2023-06-30
PACS HOLDINGS, LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2023-06-30
HANCOCK, MARKIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST2024-04-15
JENKINS, NICOLETTAIndividualOPERATIONAL/MANAGERIAL CONTROL2022-05-01
APT, FREDERICKIndividualCORPORATE OFFICER2024-01-01
HANCOCK, MARKIndividualCORPORATE OFFICER2024-01-01
JERGENSEN, JOSHUAIndividualCORPORATE OFFICER2024-01-01
MITCHELL, JOHNIndividualCORPORATE OFFICER2024-01-01
GOLBOO, SEPEHRIndividualCONTRACTED MANAGING EMPLOYEE2022-09-01
MURRAY, JASONIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST2024-04-15
JENKINS, NICOLETTAIndividualW-2 MANAGING EMPLOYEE2022-05-01

Other facilities in San Bernardino

NameOverallBeds
Shandin Hills Behavior Therapy Center★★★★★78
Hillcrest Nursing Home★★★★★59
Arrowhead Healthcare Center, LLC★★★★★58
Medical Center Convalescent Hospital★★★★★99
Arrowhead Springs Healthcare★★★★★119

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.