Bear Valley Community Hospital
41870 Garstin Rd · Big Bear Lake, CA · 92315 · 9098666501
21 certified beds Government - Hospital district Hospital-based
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 75 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
Red flags
65% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 4 of 5 Staffing: 4 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 7.12 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.99 | 0.55–0.75 |
| Weekend hours / resident-day | 5.83 | ≈ weekday level |
| Nursing turnover / year | 65% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (30 in the current record)
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Potential for harm · D July 7, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 16, 2025 · Resident Rights
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Potential for harm · D May 8, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 8, 2025 · Resident Rights
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Potential for harm · D May 8, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected June 8, 2025 · Resident Rights
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Potential for harm · D May 8, 2025
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected June 8, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 8, 2025
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected June 8, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 8, 2025
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected June 8, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 8, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 8, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 8, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected June 8, 2025 · Quality of Life and Care
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Potential for harm · D May 8, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected June 8, 2025 · Pharmacy Service
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Potential for harm · D May 8, 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.
Corrected June 8, 2025 · Pharmacy Service
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Potential for harm · F May 8, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected June 8, 2025 · Nutrition and Dietary
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Potential for harm · E May 8, 2025
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected June 8, 2025 · Nutrition and Dietary
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Potential for harm · D May 8, 2025
Provide and implement an infection prevention and control program.
Corrected June 8, 2025 · Infection Control
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Potential for harm · D March 19, 2024
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.
Corrected April 17, 2024 · Quality of Life and Care
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Potential for harm · D March 19, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 17, 2024 · Quality of Life and Care
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Potential for harm · D March 19, 2024
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.
Corrected April 17, 2024 · Pharmacy Service
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Potential for harm · D March 19, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected April 17, 2024 · Pharmacy Service
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Potential for harm · D March 19, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 17, 2024 · Nutrition and Dietary
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Potential for harm · D March 19, 2024
Provide and implement an infection prevention and control program.
Corrected April 17, 2024 · Infection Control
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Potential for harm · D March 19, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected April 17, 2024 · Infection Control
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Potential for harm · D March 19, 2024
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.
Corrected April 17, 2024 · Infection Control
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No harm found · C March 19, 2024
Post nurse staffing information every day.
Corrected April 17, 2024 · Nursing and Physician Services
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Potential for harm · D June 2, 2023 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected June 20, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G February 16, 2023
Ensure that residents are free from significant medication errors.
Corrected March 28, 2023 · Pharmacy Service
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Potential for harm · D February 16, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 28, 2023 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555468 · certified since June 26, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.