Hirest Nursing Home is one of a variety of options to choose from in San Bernardino, California. Featuring an overall grade of B-, this is likely a middle of the pack nursing home. This grade was right in line with the city grade in San Bernardino. This place is better in some categories than others, but it did not have any poor grades in any of the four major categories. More information about these categories can be found below.

Additional Details:

Accepts Medicare 1 : TrueA checkmark indicating true.

Accepts Medicaid 1 : 59 Beds TrueA checkmark indicating true.

CCRC : FalseUsed to indicate false.

For profit - Corporation

Resident Council: TrueA checkmark indicating true.

Family Council: FalseUsed to indicate false.

Medical Staff Hours Per Patient (2019)

Less:
More:
January
January 1, 2019January 2, 2019January 3, 2019January 4, 2019January 5, 2019January 6, 2019January 7, 2019January 8, 2019January 9, 2019January 10, 2019January 11, 2019January 12, 2019January 13, 2019January 14, 2019January 15, 2019January 16, 2019January 17, 2019January 18, 2019January 19, 2019January 20, 2019January 21, 2019January 22, 2019January 23, 2019January 24, 2019January 25, 2019January 26, 2019January 27, 2019January 28, 2019January 29, 2019January 30, 2019January 31, 2019
February
February 1, 2019February 2, 2019February 3, 2019February 4, 2019February 5, 2019February 6, 2019February 7, 2019February 8, 2019February 9, 2019February 10, 2019February 11, 2019February 12, 2019February 13, 2019February 14, 2019February 15, 2019February 16, 2019February 17, 2019February 18, 2019February 19, 2019February 20, 2019February 21, 2019February 22, 2019February 23, 2019February 24, 2019February 25, 2019February 26, 2019February 27, 2019February 28, 2019
March
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April
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May
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June
June 1, 2019June 2, 2019June 3, 2019June 4, 2019June 5, 2019June 6, 2019June 7, 2019June 8, 2019June 9, 2019June 10, 2019June 11, 2019June 12, 2019June 13, 2019June 14, 2019June 15, 2019June 16, 2019June 17, 2019June 18, 2019June 19, 2019June 20, 2019June 21, 2019June 22, 2019June 23, 2019June 24, 2019June 25, 2019June 26, 2019June 27, 2019June 28, 2019June 29, 2019June 30, 2019
July
July 1, 2019July 2, 2019July 3, 2019July 4, 2019July 5, 2019July 6, 2019July 7, 2019July 8, 2019July 9, 2019July 10, 2019July 11, 2019July 12, 2019July 13, 2019July 14, 2019July 15, 2019July 16, 2019July 17, 2019July 18, 2019July 19, 2019July 20, 2019July 21, 2019July 22, 2019July 23, 2019July 24, 2019July 25, 2019July 26, 2019July 27, 2019July 28, 2019July 29, 2019July 30, 2019July 31, 2019
August
August 1, 2019August 2, 2019August 3, 2019August 4, 2019August 5, 2019August 6, 2019August 7, 2019August 8, 2019August 9, 2019August 10, 2019August 11, 2019August 12, 2019August 13, 2019August 14, 2019August 15, 2019August 16, 2019August 17, 2019August 18, 2019August 19, 2019August 20, 2019August 21, 2019August 22, 2019August 23, 2019August 24, 2019August 25, 2019August 26, 2019August 27, 2019August 28, 2019August 29, 2019August 30, 2019August 31, 2019
September
September 1, 2019September 2, 2019September 3, 2019September 4, 2019September 5, 2019September 6, 2019September 7, 2019September 8, 2019September 9, 2019September 10, 2019September 11, 2019September 12, 2019September 13, 2019September 14, 2019September 15, 2019September 16, 2019September 17, 2019September 18, 2019September 19, 2019September 20, 2019September 21, 2019September 22, 2019September 23, 2019September 24, 2019September 25, 2019September 26, 2019September 27, 2019September 28, 2019September 29, 2019September 30, 2019
October
October 1, 2019October 2, 2019October 3, 2019October 4, 2019October 5, 2019October 6, 2019October 7, 2019October 8, 2019October 9, 2019October 10, 2019October 11, 2019October 12, 2019October 13, 2019October 14, 2019October 15, 2019October 16, 2019October 17, 2019October 18, 2019October 19, 2019October 20, 2019October 21, 2019October 22, 2019October 23, 2019October 24, 2019October 25, 2019October 26, 2019October 27, 2019October 28, 2019October 29, 2019October 30, 2019October 31, 2019
November
November 1, 2019November 2, 2019November 3, 2019November 4, 2019November 5, 2019November 6, 2019November 7, 2019November 8, 2019November 9, 2019November 10, 2019November 11, 2019November 12, 2019November 13, 2019November 14, 2019November 15, 2019November 16, 2019November 17, 2019November 18, 2019November 19, 2019November 20, 2019November 21, 2019November 22, 2019November 23, 2019November 24, 2019November 25, 2019November 26, 2019November 27, 2019November 28, 2019November 29, 2019November 30, 2019
December
December 1, 2019December 2, 2019December 3, 2019December 4, 2019December 5, 2019December 6, 2019December 7, 2019December 8, 2019December 9, 2019December 10, 2019December 11, 2019December 12, 2019December 13, 2019December 14, 2019December 15, 2019December 16, 2019December 17, 2019December 18, 2019December 19, 2019December 20, 2019December 21, 2019December 22, 2019December 23, 2019December 24, 2019December 25, 2019December 26, 2019December 27, 2019December 28, 2019December 29, 2019December 30, 2019December 31, 2019

Short-term Care Quality

B+
Oct 18: DNov 18: DDec 18: DJan 19: B-Feb 19: CMay 19: B-Jun 19: B-Jul 19: B-Aug 19: B-Sep 19: B-Jan 20: B+Mar 20: B+Apr 20: B+May 20: B+Jun 20: B+Jul 20: B+Aug 20: B+
Historical

It should also be noted that this nursing home' short-term care grade outpaced its overall score. In fact, we awarded it a grade of B+ for its short-term care grade. Our short-term care scores are important for prospective residents needing rehabilitation. Rehabilitation usually requires higher levels of skilled nursing services. Skilled nursing means a wide spectrum of services, ranging from registered nurses to physical and occupational therapists, as well as other forms of therapy. Fortunately, it looks like this facility employs registered nurses. Not all nursing homes employs these skilled professionals. On the other hand, based on the information this nursing home provided, it does not look like the facility employs physical therapists. Lastly, we looked at the number of residents who were able to return home from this facility. This nursing home performed better in this area than in its staffing levels. We found that it performed as well as just about any nursing home in the nation in this area with 67.7 percent of its residents returning home.

Facility Inspections

B+
Oct 18: A-Nov 18: A-Dec 18: A-Jan 19: A-Feb 19: A-May 19: B+Jun 19: B+Jul 19: B+Aug 19: B+Sep 19: B+Jan 20: B+Mar 20: B+Apr 20: B+May 20: B+Jun 20: B+Jul 20: B+Aug 20: B+
Historical

Inspections is another area where this facility excelled. We awarded this facility an B+ for our inspections rating. This grade is far more impressive than its overall grade. Our inspection ratings are based on several items located in the a nursing home's government inspections. Facilities that excel in this area tend to have very few deficiencies on their reports. Most importantly, these nursing homes should not have any severe deficiencies which are associated with endangerment of patients. While this facility had some deficiencies on its report, none of them were severe based on CMS' scale. We should point out that deficiency-free inspections are uncommon in this industry.

Long-term Care Quality

B-
Oct 18: B-Nov 18: B-Dec 18: B-Jan 19: B-Feb 19: B-May 19: B-Jun 19: B-Jul 19: B-Aug 19: B-Sep 19: B-Jan 20: B-Mar 20: B-Apr 20: BMay 20: BJun 20: BJul 20: B-Aug 20: B-
Historical

This facility's next most favorable category is long-term care. In that category, we gave this nursing home a B-. If you are looking for services other than short-term rehabilitation, you should take a close look at each facility's long-term care scores. On top of providing impressive levels of nurse staffing, this facility administered the pneumonia vaccine to 100 percent of its residents. Vaccines are vital to keeping residents healthy. Finally, this facility was able to limit hospitalizations. While it had 2.17 hospitalizations per 1,000 long-term resident days, its risk adjusted metric was better than most facilities since it had some more complex patients.

Nurse Quality

B-
Oct 18: CNov 18: CDec 18: CJan 19: CFeb 19: CMay 19: CJun 19: CJul 19: CAug 19: CSep 19: CJan 20: CMar 20: CApr 20: B-May 20: B-Jun 20: B-Jul 20: B-Aug 20: B-
Historical

The final area we scored was nursing. We awarded this facility a grade of B- in this area. There are several data points included in this area. Most of the subcategories are tied to the quantity of nurse staffing. This nursing home provides an impressive 4.2 hours of nursing care per resident per day. This is among the higher totals in California. Finally, our nursing grades also factor in quality-based metrics, such as avoiding major falls. This nursing home performed well in this metric. Avoiding major falls is typically a reliable indicator that a facility has quality controls in place. Major falls can many times be avoided if more nurses and better safety protocols are in place.

Overall Rating Over Time

Compared to national and state averages across all facilities.

Aug 20
Provider:
B-
State:
B
National:
B
FDCB-BB+A-AA+Oct 18Nov 18Dec 18Jan 19Feb 19Mar 19Apr 19May 19Jun 19Jul 19Aug 19Sep 19Oct 19Dec 19Jan 20Mar 20Apr 20May 20Jun 20Jul 20Aug 20
Overall Rating
Nurse Rating
Long-Term Rating
Short-Term Rating
Inspection Rating

Hirest Nursing Home Quality Metrics

Minimizes Pressure Ulcers

This statistic is an indication of the percent of long-term stay patients which suffer from new or worsened pressure ulcers. We have found that pressure ulcers are a reliable measure of the quality of nursing care a nursing home provides.

Provider
D
11.54%
State
B+
6.95%
National
B
7.32%

Percent of Patients with Pressure Ulcers
Lower is Better

Minimizes Serious Falls

This tells you the percent of residents who suffered from a fall which resulted in severe injury.

Provider
A+
0%
State
A-
1.78%
National
B
3.36%

Percent of Patients with Serious Falls
Lower is Better

Minimizes Urinary Tract Infections

This indicates the percent of long-term care residents who have experienced urinary tract infections. Although more infections could reflect poorly on a nursing home's hygiene protocols, it can be difficult to compare different facilities due to facilities having inconsistent reporting standards.

Provider
A
0.54%
State
A-
1.69%
National
B
2.65%

Percent of Patients with UTIs
Lower is Better

Appropriately Uses Anti-Psychotic Medication

This metric is a measure of the percent of long-term patients taking antipsychotic drugs. While antipsychotic medications serve an important medical purpose, it is important to confirm these medications are being used appropriately. In limited situations, excessive reliance on these medications may suggest that a facility is using these drugs to subdue residents.

Provider
F
45.45%
State
A-
10.4%
National
B
14.17%

Percent of Patients
Lower is Better

Appropriately Uses Anti-Anxiety Medication

This is the percent of patients who were given antianxiety drugs. These medications are generally prescribed to patients suffering from anxiety or depression.

Provider
B
19.13%
State
A-
14.21%
National
B
19.66%

Percent of Patients
Lower is Better

Managing Depression Among Residents

This metric is a measure of the percent of long-term care residents demonstrating symptoms of depression.

Provider
A+
0%
State
A
0.97%
National
B+
5.08%

Percent of Patients
Lower is Better

Appropriate Vaccine Usage

This tells you the percent of patients who received the pneumonia and flu vaccines. High vaccination rates should be the norm at this point.

Provider
B+
99.06%
State
B+
94.67%
National
B
92.05%

Percent of Patients
Higher is Better

Residents Maintain Autonomy

This indicates the percentage of patients that needed additional assistance with activities of daily living over time.

Provider
A+
6.59%
State
A-
9.21%
National
B
14.46%

Percentage of Patients
Lower is Better

Ability to Keep Residents Mobile

This datapoint measures the percentage of long-term stay residents that remained mobile levels.

Provider
F
7.19%
State
C
12.94%
National
B
17.09%

Percentage of Residents
Higher is Better

Hospitalizations

This is the number of hospitalizations per 1,000 days of patient care. There is typically a correlation between avoiding hospitalizations and the quality of nursing home care.

Provider
B
2.17
State
B-
1.88
National
B
1.70

Hospitalizations per 1,000 resident days
Lower is Better

Short-term Care: Rehospitalizations

This is the number of rehospitalizations per 1,000 days of short-term patient care.

Provider
A+
7.19
State
A-
12.94
National
B
17.09

Percentage of Residents Rehospitalized
Lower is Better

Short-term Care: ER Visits

This datapoint measures the number of emergency room visits per thousand days of short-term patient care.

Provider
A+
2.69
State
B
9.82
National
B
10.25

Percentage of Patients
Lower is Better

Short-term Care: Facilitates Functional Improvement

This is a measure of the percent of short-term residents that saw functional improvements, such as with activities of daily living. Many in the industry believe that this is a reasonable measure of a facility's rehabilitation services.

Provider
F
41.46%
State
B+
71.87%
National
B
68.05%

Percentage of Resident
Higher is Better

Nearby Hospitals

Community Hospital of San Bernardino 3.08 mi
1805 Medical Center Drive San Bernardino California 92411
(909) 887-6333
Acute Care Hospitals
Voluntary non-profit - Private
St Bernardine Medical Center 3.37 mi
2101 N Waterman Ave San Bernardino California 92404
(909) 883-8711
Acute Care Hospitals
Voluntary non-profit - Private
Arrowhead Regional Medical Center 7.4 mi
400 North Pepper Avenue Colton California 92324
(909) 580-1000
Acute Care Hospitals
Government - Local
Loma Linda University Medical Center 9.17 mi
11234 Anderson St Loma Linda California 92354
(909) 558-4000
Acute Care Hospitals
Voluntary non-profit - Private
Kaiser Foundation Hospital Fontana 9.88 mi
9961 Sierra Ave Fontana California 92335
(909) 427-5500
Acute Care Hospitals
Voluntary non-profit - Private
Mountains Community Hospital 10.21 mi
29101 Hospital Road Lake Arrowhead California 92352
(909) 336-3651
Critical Access Hospitals
Government - Hospital District or Authority
Redlands Community Hospital 11.26 mi
350 Terracina Blvd Redlands California 92373
(909) 335-5500
Acute Care Hospitals
Voluntary non-profit - Private
Riverside Community Hospital 14.25 mi
4445 Magnolia Avenue Riverside California 92501
(951) 788-3000
Acute Care Hospitals
Proprietary

Nearby Dialysis

Davita-Mountain Vista Dialysis Center 1.38 mi
CMS Rating: 3 stars
Dialysis Stations: 28
4041 University Parkway San Bernardino California 92407
(909) 887-0173
Davita Serrano Dialysis 3.1 mi
Dialysis Stations: 25
1800 Medical Center Dr. Suite 150 San Bernardino California 92411
(909) 887-2717
Fmc-Rai-North Waterman-San Bernardino 3.8 mi
CMS Rating: 4 stars
Dialysis Stations: 32
1500 N. Waterman Avenue. Suite A San Bernardino California 92404
(909) 381-1591
Fmc-Rai-North Riverside-Rialto 4.47 mi
CMS Rating: 4 stars
Dialysis Stations: 21
1850 N. Riverside Avenue, Suite 150 Rialto California 92376
(909) 879-1185
Fmc-Rai-Care Centers of Colton, LLC 7.25 mi
CMS Rating: 4 stars
Dialysis Stations: 20
1275 W. "C" Street Colton California 92324
(909) 430-0930
Arrowhead Regional Medical Center 7.3 mi
Dialysis Stations: 8
400 N. Pepper Avenue Colton California 92324
(909) 580-3911
Fmc-San Bernardino 7.46 mi
CMS Rating: 4 stars
Dialysis Stations: 21
636 E. Brier Drive, Suite 150 San Bernardino California 92408
(909) 890-9508
Davita-Colton Ranch Dialysis 7.52 mi
CMS Rating: 2 stars
Dialysis Stations: 32
1405 Valley Blvd., Suite 100 Colton California 92324
(909) 783-7948