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Sierra Vista

3455 East Highland Ave, Highland, CA 923469098626454Ownership: For profit - Limited Liability companyCertified beds: 116Avg. daily residents: 116County: San Bernardino
Abuse icon — CMS displays this icon when a facility was cited for abuse that led to resident harm in the past year, or for abuse that could have led to harm in each of the last two years.

The complete public record on Sierra Vista, a Medicare & Medicaid–certified nursing home in Highland, California, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
★★★☆☆
CMS’s composite of the three ratings below. California average: 3.2 stars.
Health inspection
★★☆☆☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★★★★☆
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★★★★★
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
Sierra Vista holds a 3-star overall rating, CMS’s middle tier. Its health-inspection rating is lower than its overall rating — the overall score is being lifted by staffing or quality-measure ratings, which draw partly on facility-reported data. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.

Staffing

2.46 total nurse staff hours per resident per day
below the state average (4.52)
0.37 RN hours per resident per day
below the state average (0.67)
2.33 weekend nurse staff hours per resident per day
29.5% total nursing staff turnover
below the state average (36.7)
36.4% RN turnover
0 administrators left in the reporting period

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

February 26, 2026 most recent standard health inspection
15 health deficiencies cited in the most recent inspection cycle
about the state average (15.6)
8 health deficiencies in the two prior cycles combined
$0 in federal fines across 0 penalties (last 3 years)
0 payment denials
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

31 citations on record across recent inspections. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
June 25, 20260600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. ComplaintD · Potential for more than minimal harm
February 26, 20260812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with…F · Potential for more than minimal harm
February 26, 20260814Dispose of garbage and refuse properly.F · Potential for more than minimal harm
February 26, 20260565Honor the resident's right to organize and participate in resident/family groups in the facility.E · Potential for more than minimal harm
February 26, 20260583Keep residents' personal and medical records private and confidential.E · Potential for more than minimal harm
February 26, 20260755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E · Potential for more than minimal harm
February 26, 20260761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all…E · Potential for more than minimal harm
February 26, 20260800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.E · Potential for more than minimal harm
February 26, 20260802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.E · Potential for more than minimal harm
February 26, 20260803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician,…E · Potential for more than minimal harm

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Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.