All states › California › Highland › Sierra Vista
3455 East Highland Ave Highland, CA 92346 · San Bernardino County
All 2 nursing homes in Highland, CA (2 take Medicaid)
CMS certification number 05A027 · See this home on Medicare Care Compare
Is Sierra Vista a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Sierra Vista as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as the California average of 3.2.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 2.49 hours per resident per day at Sierra Vista, below the California median of 4.27 (US median: 3.72). About 0.38 of those hours are from registered nurses. On weekends it falls to 2.34 hours, 6% below its all-week average. 23.1% of nursing staff left within a year (California median 36%). That is lower than most homes in California, a sign of a steadier team.
About this nursing home
Paying for care at Sierra Vista: Medicare and Medicaid
Sierra Vista is certified for Medicaid but not Medicare, so Medicare won't pay for a rehab stay here after a hospital discharge. It can serve long-term residents covered by California Medicaid.
Health inspections
The most recent standard inspection was on February 26, 2026 and found 14 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 30 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 30 citations at Sierra Vista across 6 inspection dates, 8 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 30 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were nutrition and dietary (8) and environmental (4). The most serious was cited under the CMS rule to "procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards" (tag F0812, level F, February 26, 2026). 4 citations were under CMS's abuse, neglect and exploitation rules.
June 25, 2026 · 1 citation · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
February 26, 2026 · 14 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FDispose of garbage and refuse properly.
EHonor the resident's right to organize and participate in resident/family groups in the facility.
EKeep residents' personal and medical records private and confidential.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EEnsure 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.
EProvide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
EProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
EEnsure 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.
EProvide and implement an infection prevention and control program.
EKeep all essential equipment working safely.
EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
July 9, 2025 · 1 citation · includes complaint inspection
DEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.
December 12, 2024 · 5 citations · includes complaint inspection
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure 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.
DEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
DKeep all essential equipment working safely.
December 4, 2024 · 1 citation · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
March 10, 2023 · 8 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.
DAssess the resident when there is a significant change in condition
DEnsure each resident receives an accurate assessment.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide and implement an infection prevention and control program.
DMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Questions to ask on a tour of Sierra Vista
- CMS cited the home under its abuse and neglect rules on June 25, 2026. How are staff trained, and how are concerns reported?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 2/5 | 4/5 | 5/5 |
| August 2026 | 3/5 | 2/5 | 4/5 | 5/5 |
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Location
Hospitals near Sierra Vista
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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2.7 mi
St Bernardine Medical Center San BernardinoEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 56m for patients treated and sent home
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5.3 mi
Community Hospital of San Bernardino San BernardinoEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 33m for patients treated and sent home
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6.1 mi
Loma Linda VA Medical Center Loma LindaEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 3h 45m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Sierra Vista › All nursing homes in Highland ›
Compare Sierra Vista with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Arrowhead Healthcare Center · San Bernardino · 5 stars · 4.1 mi
- Totally Kids Rehabilitation Hospital - D/P SNF · Loma Linda · 5 stars · 4.5 mi
- Shandin Hills Behavior Therapy Center · San Bernardino · 5 stars · 5.2 mi
- Hillcrest Nursing Home · San Bernardino · 5 stars · 5.3 mi
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.