Shandin Hills Behavior Therapy Center
4164 N 4th Ave · San Bernardino, CA · 92407 · 9098866786
78 certified beds For profit - Limited Liability company
Why this verdict
- Staffing levels are well below research benchmarks for safe care.
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The composite number cleared 76 points, but Recommended is gated: staffing below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
RN staffing in the bottom 10% nationally
0.24 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
2.50 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 5 of 5 Inspections: 5 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 2.50 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.24 | 0.55–0.75 |
| Weekend hours / resident-day | 2.35 | ≈ weekday level |
| Nursing turnover / year | 44% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (18 in the current record)
-
Potential for harm · D February 20, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 4, 2026 · Quality of Life and Care
-
Potential for harm · F February 20, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 4, 2026 · Nutrition and Dietary
-
Potential for harm · D February 20, 2026
Dispose of garbage and refuse properly.
Corrected March 4, 2026 · Nutrition and Dietary
-
No harm found · B February 20, 2026
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected March 4, 2026 · Environmental
-
Potential for harm · D February 25, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 7, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D January 15, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 27, 2025 · Quality of Life and Care
-
Potential for harm · D November 15, 2024
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected December 16, 2024 · Resident Rights
-
Potential for harm · F November 15, 2024
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.
Corrected December 16, 2024 · Nutrition and Dietary
-
Potential for harm · D November 15, 2024
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected December 16, 2024 · Nutrition and Dietary
-
Potential for harm · D November 15, 2024
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected December 16, 2024 · Nutrition and Dietary
-
Potential for harm · D November 15, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 16, 2024 · Nutrition and Dietary
-
No harm found · B November 15, 2024
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected December 16, 2024 · Environmental
-
Potential for harm · F November 3, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 29, 2023 · Nutrition and Dietary
-
Potential for harm · D November 3, 2023
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected November 29, 2023 · Resident Assessment and Care Planning
-
Potential for harm · F November 3, 2023
Provide and implement an infection prevention and control program.
Corrected November 29, 2023 · Infection Control
-
No harm found · B November 3, 2023
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected November 29, 2023 · Environmental
-
Potential for harm · E August 30, 2023 · found via complaint
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected September 14, 2023 · Administration
-
Potential for harm · E August 28, 2023 · found via complaint
Honor 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.
Corrected September 1, 2023 · Resident Rights
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 05A208 · certified since July 1, 1974. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.