Sierra Vista

3455 East Highland Ave · Highland, CA · 92346 · 9098626454

116 certified beds For profit - Limited Liability company

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.
  • No federal fines or payment denials in CMS’s 3-year window.

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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.

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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.

Total nurse staffing below 3.0 hours per resident-day

2.45 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

Score breakdown

Inspection record 30% of score 41
Serious harm & abuse 20% 100
Staffing 20% 49
Federal penalties 15% 100
Trend 10% 24
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day2.453.48 min · 4.1 strong
RN hours / resident-day0.390.55–0.75
Weekend hours / resident-day2.32≈ weekday level
Nursing turnover / year31%median 45%
Fines (3-yr window)none

Inspection citations (30 in the current record)

  • Potential for harm · E February 26, 2026

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

    Corrected March 25, 2026 · Resident Rights

  • Potential for harm · E February 26, 2026

    Keep residents' personal and medical records private and confidential.

    Corrected March 25, 2026 · Resident Rights

  • Potential for harm · D February 26, 2026

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

    Corrected March 25, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D February 26, 2026

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

    Corrected March 25, 2026 · Quality of Life and Care

  • Potential for harm · E February 26, 2026

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

    Corrected March 25, 2026 · Pharmacy Service

  • Potential for harm · E February 26, 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.

    Corrected March 25, 2026 · Pharmacy Service

  • Potential for harm · E February 26, 2026

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

    Corrected March 25, 2026 · Nutrition and Dietary

  • Potential for harm · E February 26, 2026

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

    Corrected March 25, 2026 · Nutrition and Dietary

  • Potential for harm · E February 26, 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.

    Corrected March 25, 2026 · Nutrition and Dietary

  • Potential for harm · F February 26, 2026

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

    Corrected March 25, 2026 · Nutrition and Dietary

  • Potential for harm · F February 26, 2026

    Dispose of garbage and refuse properly.

    Corrected March 25, 2026 · Nutrition and Dietary

  • Potential for harm · E February 26, 2026

    Provide and implement an infection prevention and control program.

    Corrected March 25, 2026 · Infection Control

  • Potential for harm · E February 26, 2026

    Keep all essential equipment working safely.

    Corrected March 25, 2026 · Environmental

  • Potential for harm · E February 26, 2026

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

    Corrected March 25, 2026 · Environmental

  • Potential for harm · D July 9, 2025 · found via complaint

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

    Corrected July 25, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D December 12, 2024 · found via complaint

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

    Corrected January 3, 2025 · Pharmacy Service

  • Potential for harm · D December 12, 2024 · found via complaint

    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 January 3, 2025 · Pharmacy Service

  • Potential for harm · D December 12, 2024 · found via complaint

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

    Corrected January 3, 2025 · Nutrition and Dietary

  • Potential for harm · F December 12, 2024 · found via complaint

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

    Corrected January 3, 2025 · Nutrition and Dietary

  • Potential for harm · D December 12, 2024 · found via complaint

    Keep all essential equipment working safely.

    Corrected January 3, 2025 · Environmental

  • Potential for harm · D December 4, 2024 · found via complaint

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

    Corrected December 20, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 24, 2023 · found via complaint

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

    Corrected September 6, 2023 · Quality of Life and Care

  • Potential for harm · D March 10, 2023

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

    Corrected April 4, 2023 · Resident Rights

  • Potential for harm · D March 10, 2023

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

    Corrected April 4, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 10, 2023

    Assess the resident when there is a significant change in condition

    Corrected April 4, 2023 · Resident Assessment and Care Planning

Showing the 25 most recent. The Safety Report includes every citation with full findings.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 05A027 · certified since March 31, 1974. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.