Home›California›San Bernardino County›Sierra Vista
F
Critical

Sierra Vista

3455 East Highland Ave · Highland, CA 92346

9098626454 · For profit - Limited Liability company

116 beds115 residents94 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
F
Critical
Total Staff
D
Poor
RN Staff
F
Critical
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Sierra Vista receives an overall staffing grade of F (Critical). With 2.4843 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.3814 HPRD, below the recommended 0.75. It is 1.41 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 7.46% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 2.4843 HPRD — needs 1.00 more hours per resident per day.
⚠️RN staffing (0.3814 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (4)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
✅Consistent weekend staffing — only 7.46% drop-off
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
2.4843hrs/resident/day▼ 1.41
CMS benchmark: 3.48
RN HPRD
0.3814hrs/resident/day▼ 0.30
Recommended: 0.75
Weekend Drop-off
7.46%
2.5378 weekday → 2.3484 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.655hrs/resident/day
Direct care aides
LPN HPRD
0.4479hrs/resident/day
Licensed practical nurses
Consistency
0.1124std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. San Bernardino County Average-2.21 HPRD
4.70
02.48 HPRD
vs. California State Average-2.04 HPRD
4.52
02.48 HPRD
vs. National Average-1.41 HPRD
3.90
02.48 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Sierra Vista ★
Highland · This facility
—
F
2.48430.3814★★★★★
Loma Linda Post Acute
Loma Linda
5.8 mi
D
4.11070.3873★★★★☆
HERITAGE GARDENS HEALTH CARE CENTER
LOMA LINDA
6.1 mi
F
0.16140.0847★★★☆☆
REDLANDS HEALTHCARE CENTER
REDLANDS
7 mi
D
4.210.3791★★★★★
Grand Terrace Health Care Center
Grand Terrace
8.3 mi
C
4.70190.5024★★★★☆
RIALTO POST ACUTE CENTER
RIALTO
9 mi
C
4.59280.5201★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

6
Inspections
21
Total Deficiencies
$0
Fines Assessed
Jul 9, 2025Health
1 deficiency cited
▼
Dec 12, 2024Health
5 deficiencies cited
▼
Dec 4, 2024Health
1 deficiency cited
▼
Aug 24, 2023Health
1 deficiency cited
▼
Mar 10, 2023Health
8 deficiencies cited
▼
Feb 13, 2020Health
5 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.