Community Hospital Of San Bernardino Dp Snf
COMMUNITY HOSPITAL OF SAN BERNARDINO DP 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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