Mountains Community Hosp DP/SNF
29101 Hospital Road, Lake Arrowhead, CA 92352
Mountains Community Hosp DP/SNF is a nursing home in Lake Arrowhead, California. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
CMS star ratings
- 5 of 5CMS overall star rating
- 5 of 5CMS health inspection star rating
- 5 of 5CMS staffing star rating
- 4 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (909) 336-3651
- Last standard health inspection
- July 30, 2026 (3 months ago)
- Certified beds
- 19
- Residents per day, on average
- 16.9
- Ownership type
- Government - Hospital district
- Legal business name
- San Bernardino Mountains Community Hospital District
- Chain
- Not listed by CMS
- Takes part in
- Medicare and Medicaid
Fewer health citations than the California average (6 vs 50).
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS staffing star rating changed from 1 of 5 to 5 of 5.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
1 citation
Health inspection on July 30, 2026
CMS lists this as a standard inspection.
Citation F0657. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS lists it as corrected on August 27, 2026.
7 citations
Fire safety inspection on July 30, 2026
CMS lists this as a standard inspection.
Citation K0352. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Properly install and monitor supervisory attachments on automatic sprinkler systems.
CMS lists it as corrected on September 4, 2026.
Citation K0353. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on September 8, 2026.
CMS has cited this home for K0353 3 times since 2024.
Citation K0712. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on September 10, 2026.
Citation K0912. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have power receptacles that are properly grounded.
CMS lists it as corrected on September 10, 2026.
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on September 10, 2026.
CMS has cited this home for K0918 2 times since 2024.
Citation K0325. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have properly installed hallway dispensers for alcohol-based hand rub.
CMS lists it as corrected on September 10, 2026.
Citation K0355. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Properly select, install, inspect, or maintain portable fire extinguishes.
CMS lists it as corrected on September 10, 2026.
CMS has cited this home for K0355 3 times since 2024.
CMS update of July 29, 2026
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
CMS update of April 29, 2026
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS staffing star rating changed from 4 of 5 to 1 of 5.
Staffing
Total nurse staffing reported to CMS went from 6.8 to 5.6 hours per resident per day.
CMS update of March 25, 2026
Name
CMS lists a new name for this home. It was MOUNTAINS COMMUNITY HOSP DPSNF.
CMS update of February 25, 2026
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
Fire safety citation
CMS removed citation E0025 from the fire safety inspection on June 5, 2025.
CMS update of November 20, 2025
Star rating
The CMS staffing star rating changed from 1 of 5 to 4 of 5.
CMS update of July 30, 2025
Star rating
The CMS staffing star rating changed from 4 of 5 to 1 of 5.
Staffing
Total nurse staffing reported to CMS went from 6.9 to 0.4 hours per resident per day.
5 citations
Health inspection on June 5, 2025
CMS lists this as a standard inspection.
Citation F0880. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on July 5, 2025.
Citation F0637. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Assess the resident when there is a significant change in condition
CMS lists it as corrected on July 5, 2025.
Citation F0641. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives an accurate assessment.
CMS lists it as corrected on July 5, 2025.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on July 5, 2025.
Citation F0760. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that residents are free from significant medication errors.
CMS lists it as corrected on July 5, 2025.
5 citations
Fire safety inspection on June 5, 2025
CMS lists this as a standard inspection.
Citation K0161. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Use approved construction type or materials.
CMS lists it as corrected on June 18, 2025.
Citation K0353. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on June 18, 2025.
Citation K0355. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Properly select, install, inspect, or maintain portable fire extinguishes.
CMS lists it as corrected on July 2, 2025.
Citation K0363. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on June 19, 2025.
Citation K0920. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure proper usage of power strips and extension cords.
CMS lists it as corrected on June 19, 2025.
CMS update of April 30, 2025
Staffing
Total nurse staffing reported to CMS went from 11.8 to 6.9 hours per resident per day.
CMS update of September 26, 2024
Star rating
The CMS staffing star rating changed from 1 of 5 to 4 of 5.
Fine
CMS changed the fine from January 30, 2024 from $10,161 to $10,255.
CMS update of June 26, 2024
Star rating
The CMS health inspection star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS staffing star rating changed from 4 of 5 to 1 of 5.
CMS update of April 25, 2024
Star rating
The CMS staffing star rating changed from 5 of 5 to 4 of 5.
11 citations
Fire safety inspection on March 29, 2024
CMS lists this as a standard inspection.
Citation E0022. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Establish policies and procedures for sheltering.
CMS lists it as corrected on April 29, 2024.
Citation E0030. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
List the names and contact information of those in the facility.
CMS lists it as corrected on April 29, 2024.
Citation E0035. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide family notifications of emergency plan.
CMS lists it as corrected on April 29, 2024.
Citation K0324. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on April 29, 2024.
Citation K0345. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on April 29, 2024.
Citation K0353. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on April 29, 2024.
Citation K0914. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
CMS lists it as corrected on April 29, 2024.
Citation K0321. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on April 29, 2024.
Citation K0351. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install an approved automatic sprinkler system.
CMS lists it as corrected on April 29, 2024.
Citation K0355. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Properly select, install, inspect, or maintain portable fire extinguishes.
CMS lists it as corrected on April 29, 2024.
Citation K0918. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on April 29, 2024.
CMS update of January 31, 2024
Star rating
The CMS staffing star rating changed from not rated by CMS to 5 of 5.
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- SAN BERNARDINO MOUNTAINS COMMUNITY HOSPITAL DISTRICT5% or greater direct ownership interest · 100% · since 02/11/2013
- ALTMEYER, CHERIOperational/managerial control · not applicable · since 01/16/2012
- BUSH, CYNTHIAOperational/managerial control · not applicable · since 07/08/2011
- DAHLQUIST, GREGORYOperational/managerial control · not applicable · since 09/01/2023
- HERNANDEZ, CARMENOperational/managerial control · not applicable · since 03/20/2013
- TURNER, MARKOperational/managerial control · not applicable · since 02/21/2022
- WAGGENER, YVONNEOperational/managerial control · not applicable · since 10/01/2009
- WEILAND, TAYLOROperational/managerial control · not applicable · since 03/24/2022
Questions
When was Mountains Community Hosp DP/SNF last inspected?
CMS lists July 30, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Mountains Community Hosp DP/SNF have?
CMS lists 6 health citations since June 5, 2025. CMS also calls these deficiencies.
Has Mountains Community Hosp DP/SNF been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Mountains Community Hosp DP/SNF?
Its CMS overall star rating is 5 of 5.
Is Mountains Community Hosp DP/SNF a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.