Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around January 2027
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Medical Center Convalescent Hospital during CMS and state inspections, most recent first.
The facility failed to follow infection control policies, with dryers set below the required temperature and IV tubing for a resident not labeled as per policy. The dryers were set at 155°F, below the 180°F required by the facility's policy, potentially allowing harmful microorganisms to thrive. Additionally, a resident receiving IV antibiotics had tubing without a date label, contrary to the facility's procedures, which could lead to cross-contamination.
The facility failed to manage and dispose of expired medications and supplies, as identified during an inspection. An LVN found an expired bisacodyl suppository in the medication storage room, and another LVN found an expired alginate dressing in the treatment cart. The DON confirmed that the facility's policy on the disposal of expired items was not followed.
The facility failed to properly label pudding cups used during medication pass, as the Dietary Supervisor labeled them with the wrong date to meet nurses' preferences. This mislabeling contradicted the facility's policy, which required accurate dating to ensure food safety and quality. The Registered Dietitian confirmed the mistake, and the Director of Nursing and Licensed Vocational Nurses were under the impression that the date indicated the day of preparation.
A resident with a history of amputation and diabetes was not placed on the restorative nursing services (RNS) program after completing physical therapy (PT), contrary to facility policy. The resident expressed concerns about the lack of assistance for walking, which he previously received during therapy. The Director of Nursing and Director of Rehab confirmed the absence of documented RNS recommendations, acknowledging the policy was not followed.
A resident with a history of anxiety and aggressive behavior accidentally discharged bear spray in a facility, affecting five other residents. The incident led to symptoms like red, watery eyes and coughing, with four residents requiring hospitalization. The facility's failure to maintain a hazard-free environment resulted in this incident.
Infection Control Deficiencies in Laundry and IV Tubing
Penalty
Summary
The facility failed to adhere to its infection control policies in two key areas, potentially compromising the health of its residents. In the laundry room, two dryers were set below the facility's policy requirement of 180 degrees Fahrenheit, with both dryers measured at 155 degrees Fahrenheit. This discrepancy was observed during an inspection with the Maintenance Director, and the Laundry Staff confirmed the use of medium settings for certain items, which did not meet the facility's policy. The facility's Policy and Procedure on Water Temperature, revised in December 2014, clearly stated that dryers should not be set below 180 degrees Fahrenheit to comply with infection control measures. The Administrator and the Infection Control Preventionist Nurse acknowledged that the policy was not followed, which could lead to the growth of harmful microorganisms. Additionally, the facility failed to follow its policy regarding the labeling of intravenous (IV) tubing. Resident 192, who was admitted with diagnoses including endocarditis, weakness, and chronic obstructive pulmonary disease, was observed receiving IV antibiotic medication without a date label on the tubing. A Registered Nurse confirmed the absence of the label, admitting it was an oversight. The facility's Policy and Procedures for IVs required that the tubing be labeled with the date, time, and nurse's initials. The Director of Nursing confirmed that this policy was not adhered to, which could potentially lead to cross-contamination and infection among the residents.
Expired Medications and Supplies Found in Facility
Penalty
Summary
The facility failed to ensure proper management and disposal of expired medications and medical supplies, which was identified during an inspection. During an observation and interview with an LVN, a bisacodyl suppository that had expired in January 2025 was found in the medication storage room's refrigerator. The LVN confirmed the medication was expired and acknowledged it should not have been available for use. In a separate observation and interview with another LVN, an alginate dressing that expired in April 2023 was discovered in the treatment cart. The LVN confirmed the dressing was expired and should not have been in the cart. During a review with the DON, it was noted that the facility's policy on the disposal of expired medications was not followed, as the expired items were not placed in a designated, secure location for discontinued medications, nor were they disposed of as required by the policy.
Improper Labeling of Pudding Cups During Medication Pass
Penalty
Summary
The facility failed to adhere to its policy for labeling and dating food items, specifically pudding cups used during medication pass. The Dietary Supervisor (DS) prepared pudding on February 2, 2025, but labeled the cups with February 3, 2025, to align with the nurses' preference for freshly dated pudding. This mislabeling was acknowledged by the DS, who admitted to not considering the importance of accurate dating for food safety. The Director of Nursing (DON) and Licensed Vocational Nurses (LVNs) were under the impression that the date on the pudding cups indicated the day of preparation, which was not the case. The Registered Dietitian (RD) confirmed that the facility's practice required both the tray and individual pudding cups to be dated on the day they were prepared to ensure food safety and quality. The RD admitted that the DS made a mistake by not following this practice. The facility's policy and procedure for labeling and dating food items were reviewed, revealing that all prepared food needed to be labeled and dated, but this was not followed. This oversight had the potential to lead to the serving of outdated pudding, which could cause dissatisfaction among residents.
Failure to Implement Restorative Nursing Services Post-PT
Penalty
Summary
The facility failed to implement its restorative nursing services (RNS) policies and procedures for a resident, identified as Resident 61, who was not placed on the RNS program after completing physical therapy (PT). Resident 61, who has a history of right great toe amputation and type 2 diabetes mellitus with a foot ulcer, was observed sitting on the edge of his bed wearing a CAM boot on his right foot. During an interview, Resident 61 expressed concerns about his inability to walk since the completion of PT and the absence of staff assistance for walking, which he previously received during therapy sessions. The PT discharge summary for Resident 61 indicated that he was discharged with a recommendation for the use of an assisted device for safe functional mobility, with a good prognosis for maintaining his current level of function with consistent staff follow-through. However, the Director of Nursing (DON) and the Director of Rehab (DOR) confirmed that there was no documented evidence of RNS being recommended or implemented for Resident 61 post-PT. The DOR acknowledged that the facility's policy, which mandates restorative nursing care to promote optimal safety and independence, was not followed, resulting in the resident not being placed on the RNS program.
Accidental Bear Spray Discharge Affects Multiple Residents
Penalty
Summary
The facility failed to maintain a safe environment free from accident hazards, resulting in an incident where a resident accidentally discharged bear spray, affecting five other residents. Resident 1, who had a history of anxiety disorder and aggressive behavior, brought bear spray into the facility after an appointment. The resident typically kept the spray in their car but forgot to return it due to being upset about transportation delays. While entering their room, Resident 1 accidentally released the spray, impacting the hallway and other residents. The bear spray exposure caused five residents to experience symptoms such as red, watery eyes and coughing. Four of these residents required hospitalization for further evaluation and treatment. Resident 2, with chronic obstructive pulmonary disease, and Resident 3, with parkinsonism and epilepsy, both experienced eye redness and coughing, necessitating emergency room visits. Resident 4, who had cataracts and bradycardia, declined hospital transfer but felt relief after eye washing. Resident 5, with cerebrovascular disease and dementia, and Resident 6, with pneumonia and heart failure, were also hospitalized due to the exposure. The facility's Director of Nurses acknowledged the incident and reviewed the facility's policy on abuse and neglect prevention. Despite following procedures and interventions for Resident 1's behavior issues, the incident occurred, indicating a failure to protect residents from harm. The facility's policy emphasizes the importance of a multidisciplinary team in identifying risks and managing resident safety, but the incident highlighted a lapse in ensuring a hazard-free environment.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near San Bernardino
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Arrowhead Springs Healthcare | 0.2 mi | — | 0 | 0 |
| Valley Healthcare Center | 0.2 mi | — | 0 | 0 |
| Waterman Canyon Post Acute | 0.4 mi | — | 2 | 0 |
| Haven Post Acute | 1.5 mi | — | 1 | 0 |
| Del Rosa Villa | 1.8 mi | — | 13 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.