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F
Critical

Shandin Hills Behavior Therapy Center

4164 N 4th Ave · San Bernardino, CA 92407

9098866786 · For profit - Limited Liability company

78 beds77.8 residents67 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
D
Poor
Total Staff
F
Critical
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

Shandin Hills Behavior Therapy Center receives an overall staffing grade of F (Critical). With 2.5252 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.2376 HPRD, below the recommended 0.75. It is 1.37 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 8.19% 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: 2.5252 HPRD — needs 0.95 more hours per resident per day.
⚠️RN staffing (0.2376 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 8.19% drop-off
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
2.5252hrs/resident/day▼ 1.37
CMS benchmark: 3.48
RN HPRD
0.2376hrs/resident/day▼ 0.45
Recommended: 0.75
Weekend Drop-off
8.19%
2.585 weekday → 2.3733 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.583hrs/resident/day
Direct care aides
LPN HPRD
0.7045hrs/resident/day
Licensed practical nurses
Consistency
0.1213std 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-2.17 HPRD
4.70
02.53 HPRD
vs. California State Average-1.99 HPRD
4.52
02.53 HPRD
vs. National Average-1.37 HPRD
3.90
02.53 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
Shandin Hills Behavior Therapy Center ★
San Bernardino · This facility
—
F
2.52520.2376★★★★★
RIALTO POST ACUTE CENTER
RIALTO
7.5 mi
C
4.59280.5201★★★★☆
Loma Linda Post Acute
Loma Linda
8.8 mi
D
4.11070.3873★★★★☆
HERITAGE GARDENS HEALTH CARE CENTER
LOMA LINDA
9.1 mi
F
0.16140.0847★★★☆☆
Grand Terrace Health Care Center
Grand Terrace
9.3 mi
C
4.70190.5024★★★★☆
REDLANDS HEALTHCARE CENTER
REDLANDS
11.2 mi
D
4.210.3791★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

9
Inspections
21
Total Deficiencies
$0
Fines Assessed
Feb 25, 2025Health
1 deficiency cited
▼
Jan 15, 2025Health
1 deficiency cited
▼
Nov 15, 2024Health
6 deficiencies cited
▼
Nov 3, 2023Health
4 deficiencies cited
▼
Aug 30, 2023Health
1 deficiency cited
▼
Aug 28, 2023Health
1 deficiency cited
▼
Mar 30, 2023Health
1 deficiency cited· Includes actual harm
▼
Feb 15, 2023Health
1 deficiency cited
▼
Nov 18, 2022Health
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.