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Inspection reports on Medicare Care Compare →

Nursing home

Sierra Vista

Highland, California · San Bernardino County

  • 3455 East Highland Ave, Highland, CA 92346 · Directions
  • (909) 862‑6454
  • Medicare overall rating: 3 of 5 starsMedicare overall rating
  • Ownership: For profit – limited liability company
  • 30 health citations in its last 3 inspection cycles (most serious: level F). See the inspection record

Summary

Sierra Vista is a Medicare-certified nursing home in Highland, California, with 116 certified beds. Medicare overall rating: 3 of 5 stars. Most recent standard health inspection: 2026-02-26, with 15 health deficiencies. Ownership: for profit – limited liability company. Source: Medicare (CMS) Provider Information, data updated 2026-10-01.

What is a nursing home?

A nursing home (skilled nursing facility) gives 24-hour nursing care and help with daily activities. Some people stay for a short time to recover after a hospital stay (rehabilitation); others live there long term. The homes listed here are certified by Medicare and/or Medicaid and inspected by the state.

Official Medicare data

Everything on this page comes from Medicare (CMS) data updated 2026-10-01. It is information, not a recommendation. Call the nursing home and visit before you decide, and talk with your doctor.

In a medical emergency, call 911.

At a glance

Medicare overall rating: 3 of 5 starsMedicare overall rating
116Certified beds
Health inspections: 2 of 5 starsHealth inspections

Quick answers

Where is Sierra Vista?
3455 East Highland Ave, Highland, CA 92346, in San Bernardino County, California.
What is the phone number of Sierra Vista?
(909) 862-6454, as listed by Medicare (CMS).
What is the Medicare star rating of Sierra Vista?
Medicare overall rating: 3 out of 5 stars (CMS data updated 2026-10-01).
Has Sierra Vista been fined?
Medicare lists no fines for Sierra Vista.
What did inspectors find at Sierra Vista?
In its last three inspection cycles (March 10, 2023 to June 25, 2026), Medicare lists 30 health citations; the most serious was level F. See the list below (CMS data updated 2026-10-01).

Medicare ratings, explained

Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.

Overall rating
Overall rating: 3 of 5 stars
Medicare’s summary of the three ratings below, from 1 star (much below average) to 5 stars (much above average).
Health inspections
Health inspections: 2 of 5 stars
Based on state health inspections and complaint investigations of about the last three years, compared with other nursing homes in the same state.
Staffing
Staffing: 4 of 5 stars
Based on how many hours nurses and aides spend with each resident per day (from payroll records) and how often staff leave.
Quality of resident care
Quality of resident care: 5 of 5 stars
Based on how residents do on measures such as falls with injury, pressure sores, getting better at moving around and going back to the hospital.
Short-stay residents (rehab)
Not rated
Quality rating for people who stay a short time, usually to recover after a hospital stay. Medicare (CMS) does not show this rating for this provider. This happens, for example, when a provider is new or has too few patients or survey answers.
Long-stay residents
Long-stay residents: 5 of 5 stars
Quality rating for people who live in the nursing home.

Inspections, fines and staffing

In its last three inspection cycles (March 10, 2023 to June 25, 2026), Sierra Vista had 30 health citations; the most serious was level F (no actual harm, potential for more than minimal harm). Medicare lists no fines or payment denials for it in the last three years. Nurse staffing is 2.49 hours per resident per day; the California average is 4.54 and the national average is 3.90.

Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.

Inspection history: last three cycles

State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.

What the letters A to L mean
Scope and severity letters
SeriousnessIsolated (a few residents)Pattern (some)Widespread (many)
No actual harm, potential for minimal harmABC
No actual harm, potential for more than minimal harmDEF
Actual harm to residentsGHI
Immediate jeopardy to resident health or safetyJKL

Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.

Most recent cycle: February 26, 2026 — 15 health citations

Inspections in this cycle: February 26, 2026 (standard health inspection); June 25, 2026 (complaint investigation).

Show 15 citations (levels A to F, no actual harm)
  • F0812 Level F February 26, 2026 · corrected March 25, 2026

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

  • F0814 Level F February 26, 2026 · corrected March 25, 2026

    “Dispose of garbage and refuse properly.”

  • F0565 Level E February 26, 2026 · corrected March 25, 2026

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

  • F0583 Level E February 26, 2026 · corrected March 25, 2026

    “Keep residents' personal and medical records private and confidential.”

  • F0755 Level E February 26, 2026 · corrected March 25, 2026

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

  • F0761 Level E February 26, 2026 · corrected March 25, 2026

    “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.”

  • F0800 Level E February 26, 2026 · corrected March 25, 2026

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

  • F0802 Level E February 26, 2026 · corrected March 25, 2026

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

  • F0803 Level E February 26, 2026 · corrected March 25, 2026

    “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.”

  • F0880 Level E February 26, 2026 · corrected March 25, 2026

    “Provide and implement an infection prevention and control program.”

  • F0908 Level E February 26, 2026 · corrected March 25, 2026

    “Keep all essential equipment working safely.”

  • F0921 Level E February 26, 2026 · corrected March 25, 2026

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

  • F0600 Level D June 25, 2026 · from a complaint · corrected July 23, 2026

    “Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”

  • F0656 Level D February 26, 2026 · corrected March 25, 2026

    “Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”

  • F0684 Level D February 26, 2026 · corrected March 25, 2026

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

Previous cycle: December 12, 2024 — 7 health citations

Inspections in this cycle: December 4, 2024 (complaint investigation); December 12, 2024 (complaint investigation); December 12, 2024 (standard health inspection); July 9, 2025 (complaint investigation).

Show 7 citations (levels A to F, no actual harm)
  • F0812 Level F December 12, 2024 · from a complaint · corrected January 3, 2025

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

  • F0604 Level D July 9, 2025 · from a complaint · corrected July 25, 2025

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

  • F0755 Level D December 12, 2024 · from a complaint · corrected January 3, 2025

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

  • F0761 Level D December 12, 2024 · from a complaint · corrected January 3, 2025

    “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.”

  • F0805 Level D December 12, 2024 · from a complaint · corrected January 3, 2025

    “Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.”

  • F0908 Level D December 12, 2024 · from a complaint · corrected January 3, 2025

    “Keep all essential equipment working safely.”

  • F0600 Level D December 4, 2024 · from a complaint · corrected December 20, 2024

    “Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”

Earlier cycle: March 10, 2023 — 8 health citations

Inspections in this cycle: March 10, 2023 (standard health inspection).

Show 8 citations (levels A to F, no actual harm)
  • F0812 Level F March 10, 2023 · corrected April 4, 2023

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

  • F0550 Level D March 10, 2023 · corrected April 4, 2023

    “Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”

  • F0604 Level D March 10, 2023 · corrected April 4, 2023

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

  • F0637 Level D March 10, 2023 · corrected April 4, 2023

    “Assess the resident when there is a significant change in condition”

  • F0641 Level D March 10, 2023 · corrected April 4, 2023

    “Ensure each resident receives an accurate assessment.”

  • F0689 Level D March 10, 2023 · corrected April 4, 2023

    “Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”

  • F0880 Level D March 10, 2023 · corrected April 4, 2023

    “Provide and implement an infection prevention and control program.”

  • F0925 Level D March 10, 2023 · corrected April 4, 2023

    “Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.”

Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.

Full inspection reports on Medicare Care Compare →

Fire safety citations (21)
  • K0345 Level F February 26, 2026 · corrected March 25, 2026

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

  • K0325 Level D February 26, 2026 · corrected March 25, 2026

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

  • K0353 Level D February 26, 2026 · corrected March 25, 2026

    “Inspect, test, and maintain automatic sprinkler systems.”

  • K0920 Level D February 26, 2026 · corrected March 25, 2026

    “Ensure proper usage of power strips and extension cords.”

  • K0353 Level F December 12, 2024 · corrected January 10, 2025

    “Inspect, test, and maintain automatic sprinkler systems.”

  • K0711 Level F December 12, 2024 · corrected January 10, 2025

    “Provide a written emergency evacuation plan.”

  • K0363 Level E December 12, 2024 · corrected January 10, 2025

    “Install corridor and hallway doors that block smoke.”

  • K0741 Level E December 12, 2024 · corrected January 10, 2025

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

  • K0161 Level D December 12, 2024 · corrected January 10, 2025

    “Use approved construction type or materials.”

  • K0324 Level D December 12, 2024 · corrected January 10, 2025

    “Provide properly protected cooking facilities.”

  • K0345 Level D December 12, 2024 · corrected January 10, 2025

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

  • K0352 Level E March 10, 2023 · corrected April 4, 2023

    “Properly install and monitor supervisory attachments on automatic sprinkler systems.”

  • K0353 Level E March 10, 2023 · corrected April 4, 2023

    “Inspect, test, and maintain automatic sprinkler systems.”

  • K0923 Level E March 10, 2023 · corrected April 4, 2023

    “Have proper medical gas storage and administration areas.”

  • K0293 Level D March 10, 2023 · corrected April 4, 2023

    “Have properly located and lighted "Exit" signs.”

  • K0324 Level D March 10, 2023 · corrected April 4, 2023

    “Provide properly protected cooking facilities.”

  • K0344 Level D March 10, 2023 · corrected April 4, 2023

    “Have an alternate power supply for its alarm system.”

  • K0355 Level D March 10, 2023 · corrected April 4, 2023

    “Properly select, install, inspect, or maintain portable fire extinguishes.”

  • K0363 Level D March 10, 2023 · corrected April 4, 2023

    “Install corridor and hallway doors that block smoke.”

  • K0741 Level D March 10, 2023 · corrected April 4, 2023

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

  • K0918 Level D March 10, 2023 · corrected April 4, 2023

    “Have generator or other power source capable of supplying service within 10 seconds.”

Staffing

Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.

MeasureThis homeCaliforniaNational
Registered nurse (RN) hours per resident per day0.380.680.69
Licensed practical nurse (LPN) hours per resident per day0.411.200.86
Nurse aide hours per resident per day1.692.662.35
Total nurse staff hours per resident per day2.494.543.90
Total nurse staff hours per resident per day on the weekend2.344.103.43
RN hours per resident per day on the weekend0.300.520.48
Nursing staff turnover (per year)23.1%36.6%45.3%
RN turnover (per year)33.3%37.8%42.5%
Administrators who left in the last year0.00.40.5

Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.

Compare with other nursing homes

Key facts

TypeNursing home
Certified beds116
Average residents per day115.2
Takes part inMedicaid
OwnershipFor profit – limited liability company
Legal business nameLegal Business Name Not Available
First approved by Medicare/Medicaid1974-03-31
Resident and family councilsResident council
Sprinklers in all required areasYes
Changed ownership in the last 12 monthsNo
Address3455 East Highland Ave, Highland, CA 92346
CountySan Bernardino County
StateCalifornia
Phone(909) 862‑6454
CMS Certification Number05A027
CorrectionsReport an error or suggest an update →

What to ask when you call or visit

A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.

  • Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
  • Can you see the latest state inspection report? Ask how any problems found were fixed.
  • How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
  • Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
  • What therapy (physical, occupational, speech) is offered, and how many days a week?
  • Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
  • What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
  • Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
  • Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
  • Visit more than once, including at a mealtime or in the evening, without an appointment.

Other nursing homes nearby

By straight-line distance (not driving distance).

Nearest hospital emergency rooms

Sources

  1. Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this provider
  3. Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  4. Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  5. Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
  6. Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
  7. State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
  8. Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
  9. Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
  10. Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13