Waterman Canyon Post Acute
Waterman Canyon Post Acute in San Bernardino, CA — inspection on September 23, 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 September 23, 2025, at 3:10 PM, with the DON, the facility's policy and procedure (P&P) titled, Bed-Holds and Returns, dated October 2022 was reviewed.
The P&P indicated, .Following a hospitalization, residents whom staff are concerned about permitting to return due to their clinical/behavioral condition at the time of transfer are evaluated based on their current condition, not their condition when originally transferred.
During a subsequent interview and record review on September 23, 2025, at 3:10 PM, with the DON, the facility's P&P titled Transfer or Discharge Notices, dated March 2025, was reviewed.
The P&P indicated, . If discharge is initiated by the facility after an emergency transfer to the hospital, the reason for discharge is based on the resident's status at the time the resident seeks return to the facility (not at the time the resident was transferred to acute care).
When the DON was asked if the facility's P&Ps were followed, the DON did not provide a direct answer.During a telephone interview on October 21, 2025, at 10:57 AM with the Marketing Coordinator (Coordinator) , she confirmed that the facility did not evaluate the resident at the hospital to determine if he was okay to return, she stated, Normally we do, but in this case, we did not.
She also added, I was just following what my DON told me.
The director informed me we cannot have him back. He [Resident 1]is throwing things at patients and is a danger to others.
The coordinator explained that prior to her call to the hospital on September 6, 2025, the DON had informed her, We cannot have him back. He is throwing things at patients, and he is a danger to others.
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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.