Quick answer: A serious bedsore (stage 3 or 4) in a San Bernardino County nursing home can support a claim under California's Elder Abuse Act, because federal rules (42 CFR 483.25) treat advanced pressure ulcers as preventable unless a documented medical condition made them unavoidable. Request the wound care and repositioning records and check the home's CMS inspection rating, then have a lawyer review it for free at (888) 999-0169 or send us a message. San Bernardino County has 55 skilled nursing facilities, and while most rate well, a cluster at the bottom pair one-star ratings with heavy fines and, in one case, a long string of federal penalties. Those are the homes where a serious pressure ulcer is most likely, because a bedsore is a repositioning failure and repositioning fails where care is thin.
If your loved one developed a bedsore in a San Bernardino, Victorville, or Ontario nursing home, you may have a claim under California's Elder Abuse Act. Call (888) 999-0169 to talk it through, free and confidential. We defended these homes for years before switching sides, and there is no fee unless we win.
Nursing home records in San Bernardino County
San Bernardino County has 55 federally certified nursing facilities with 4,996 licensed beds. Since 1997, state inspectors have issued 477 citations against San Bernardino County facilities, including 9 class AA citations and 128 class A citations. Facilities in the county have been assessed $2,703,321 in state penalties over that period.
A class AA citation is a class A violation that the Department of Public Health determined was a direct proximate cause of a resident's death. A class A citation is a violation the Department determined presented an imminent danger of death or serious harm to residents, or a substantial probability that death or serious physical harm would result.
32 of those enforcement actions were connected to a resident's death.
3 San Bernardino County facilities currently carry the federal abuse warning icon.
The county's facilities average 3.8 of 5 stars on the federal rating system. 8 of 55 facilities hold a 1 or 2 star overall rating.
San Bernardino County facilities have been assessed $445,521 in federal fines.
The most cited nursing homes in San Bernardino County
- Sierra Vista (26 citations)
- Madison Grove Post Acute (26 citations)
- Apple Valley Care Center (21 citations)
See every facility in the county, with its full record, in the nursing home directory.
Citation data covers July 1, 1997 through June 30, 2024. Ratings and fines are current as of the CMS processing date shown above.
What the record shows in San Bernardino County
By reported nurse staffing, these are the lowest homes in the county in the CMS data. Sierra Vista in Highland reports 2.46 nursing hours per resident per day against a state average of 4.52, with a 3 star overall rating and a 2 star health inspection rating. Its record also shows a 4 star staffing rating and the federal abuse warning icon. In Upland, Villa Mesa Care Center reports 3.61 nursing hours per resident per day, where the state average is 4.52, with a 3 star overall rating and a 4 star health inspection rating. It also carries a 1 star staffing rating. Staffing at Hillcrest Nursing Home in San Bernardino is 3.68 nursing hours per resident per day against 4.52 statewide, with a 5 star overall rating and a 5 star health inspection rating. Its record also shows a 3 star staffing rating. 8 of the county's 55 homes hold a 1 or 2 star overall rating.
A strong county-wide average does not protect a resident at one of these homes, and staffing and enforcement history are exactly what matter when a pressure sore develops.
Before you accept a facility's explanation for a bedsore, check its record in our San Bernardino County nursing home directory. Left untreated, a stage 4 ulcer can reach the bone and become a fatal infection. For the four stages and the California statutes, see our California bedsore page.
How San Bernardino County families can respond
Photograph the wound and date the photos, and request the complete chart in writing, including wound care notes and repositioning logs. Get an independent medical evaluation. File a complaint with the California Department of Public Health through Cal Health Find, or contact the San Bernardino County Long-Term Care Ombudsman at (800) 334-9473 or the local office at (909) 332-6490, or the state crisis line at (800) 231-4024 after hours. In an emergency, contact San Bernardino County Adult Protective Services or call 911. Our full guide is here: how to report nursing home abuse in California.
You do not need to be certain to call. That is what a free, confidential consultation is for. Call (888) 999-0169.
Why work with us
Michael Young and Thomas Wallin spent years defending nursing homes before switching sides. Between them they have recovered millions of dollars for elder abuse victims and their families. We go straight for the repositioning logs and the payroll-based staffing records, because the gap between "turned every two hours" in the chart and the aides actually working that shift is where these cases are won. At a home with a long penalty history, that gap is the first thing to check. As San Bernardino County nursing home abuse lawyers, we handle these cases across San Bernardino, Victorville, Ontario, and the county and throughout California.
Talk to a San Bernardino County bedsore lawyer today
Wound photos and repositioning logs get harder to obtain every week. Call (888) 999-0169 or send us a message for a free case evaluation. We stand with families throughout San Bernardino County and all of California, we have recovered millions for elder abuse victims, and you pay nothing unless we win.
Sources and authoritative references
- CMS Care Compare, the federal nursing home rating and inspection database: https://www.medicare.gov/care-compare/
- California Department of Public Health, Cal Health Find, to look up a facility or file a complaint: https://calhealthfind.cdph.ca.gov/
- California Elder Abuse and Dependent Adult Civil Protection Act, Welfare and Institutions Code section 15600: https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=WIC§ionNum=15600.
- Federal quality-of-care and pressure-ulcer standard, 42 CFR 483.25: https://www.ecfr.gov/current/title-42/part-483/section-483.25
Frequently asked questions
Is a bedsore automatically neglect?
No, but a serious pressure ulcer at a home with one-star care and a long penalty history deserves a hard look. Federal rules treat advanced bedsores as preventable except where a documented medical condition makes them unavoidable.
What should I do first if my parent has a stage 4 bedsore?
Photograph the wound, request the complete chart in writing, and get an independent medical evaluation. Then talk to a lawyer before accepting the facility's explanation, because the version families are given rarely matches the records.
How many nursing homes are in San Bernardino County?
San Bernardino County has 55 federally certified nursing facilities with 4,996 licensed beds. Every one of them is listed in our San Bernardino County nursing home directory with its ratings, staffing, citations and fines.
Do San Bernardino County nursing homes have citations for bedsores and pressure ulcers?
State inspectors have issued 477 citations against San Bernardino County nursing homes since 1997, across the full range of care failures rather than any single one. We do not publish a citation count by injury type, because the state does not categorize them that way. Check the specific home's own record instead. Every one of them is listed in our San Bernardino County nursing home directory with its ratings, staffing, citations and fines.
Which San Bernardino County nursing homes carry a one-star overall CMS rating or the highest published fine totals?
By the current CMS data, these are the homes in San Bernardino County with the lowest overall CMS ratings. Hi-Desert Medical Center D/P SNF in Joshua Tree carries a 1 star overall rating and a 1 star health inspection rating and the federal abuse warning icon. Las Colinas Post Acute in Ontario carries a 2 star overall rating and a 2 star health inspection rating and $70,925 in federal fines across 1 federal penalty. The Canyons Post-Acute in Colton carries a 2 star overall rating and a 2 star health inspection rating and $66,158 in federal fines across 1 federal penalty. Every San Bernardino County home's full record, with its ratings, staffing, citations and fines, is in our San Bernardino County nursing home directory.
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Disclaimer: facility ratings, fines, and penalties above are drawn from public CMS data (medicare.gov) as of the August 2026 processing date and are reported as published. They may not reflect the most current findings, and inclusion of any facility is not an allegation of wrongdoing. Past results do not guarantee a similar outcome in any future case. This page is attorney advertising and not legal advice.