Community Hospital Of San Bernardino D/p Snf
Community Hospital Of San Bernardino D/P SNF in San Bernardino, CA — inspection on October 10, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During a concurrent interview and record review on October 10, 2025, at 3:00 PM, with the Clinical Director (CD), the facility's policy and procedure (P&P) titled, Safe Patient Handling and Mobility Program, revised July 2023, was reviewed.
The P&P stated, .Supporting a culture of safety and accountability by setting expectations for the utilization of safe patient handling and mobility techniques and technology by staff.
The CD stated, the facility did not follow the P&P.
During a phone interview on October 16, 2025, at 1:12 PM, with the Administrator (Admin), the Admin stated that there were no issues with the Hoyer lift machine, and it was in working condition prior to Resident 1's fall incident.
The Admin further stated, the nursing staff were at fault and should have been more careful regarding proper Hoyer lift usage and safety to prevent similar errors in the future.
During a phone interview on October 17, 2025, at 12:57 PM, with MS 2, MS 2 stated, the Hoyer lift was last inspected in October 2024, it was scheduled for annually (once a year) inspection, so it would be due for maintenance again by the end of October 2025. MS 2 further stated that the separation of the attaching C clasp on the scale portion of the Hoyer lift from the C clasp of the lifting strap was probably caused by whoever did it [secure the attachment] didn't hook it up properly.
They probably didn't notice it [C clasp] wasn't seated properly. I don't know how else it would fall like that. It doesn't make sense .
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.