Skilled nursing · Highland, CA

Sierra Vista

3455 East Highland Ave, Highland, CA 92346

116 bedsFor profit - Limited Liability company
4.4Clarity

▼ 3.3 since Aug

Score history
Oct 20264.4 flagged
Sep 20264.4▼ 3.3 flagged
Aug 20267.7 flagged

Rescored monthly from the federal and state record.

The Palmelle ReadUpdated 3 Sep 2026

The record on Sierra Vista cuts both ways. On one side, staff turnover is roughly half the U.S. rate. On the other, registered-nurse time runs well below the national average, and CMS has placed an abuse icon on the record. The sections below show exactly where each number comes from — read them before you tour.

palmelle

Written by Palmelle from federal and state records. Last updated 3 Sep 2026. Not paid for or edited by the facility.

In their own words

No description from the operator yet. If you manage this facility, claim this listing to tell families your side — and respond to the record below. Claimed pages also stop showing nearby alternatives: the page becomes yours alone.
Bringing a pet?Palmelle asks operators about pets directly. Sign in to check this one.Sign in to see pets

The record

CMS Care Compare · Aug 2026
Federal ratings
Overall★★★☆☆ 3 of 5
Health inspection★★☆☆☆ 2 of 5
Staffing★★★★☆ 4 of 5
Quality measures★★★★★ 5 of 5

Staffing · hours per resident per day

Registered-nurse time with each resident, dailyhigher is better

This home
22 min
National
47 min

All nursing time with each resident, dailyhigher is better

This home
2 hr 28 min
National
3 hr 37 min

Nurses who quit each yearlower is better

This home
29.5%
National
53%

Medication & safety · share of long-stay residents

On antipsychotic medicationnot reported

This facility has not reported this measure to CMS.

On sedatives / sleep medicationlower is better

This home
24.2%
National
15%

Falls causing major injurylower is better

This home
0%
National
1.6%

Physically restrainedlower is better

This home
0%
National
1.1%
Penalties & citations · last 36 months
Federal fines$0 · zero penalties
Abuse icon⚠ Present
Conflict flags in latest reconcile5

CA does not publish a state inspection feed Palmelle can verify. This record is built from federal data only.

What the pattern says

Palmelle pattern checks · v1

Warehouse warning signs — read the findings below before touring.

  • Staffing below the line. Residents get 2 hr 28 min of nursing time a day against a national norm of 3 hr 37 min — thin staffing is the first warehouse warning sign.
  • CMS has placed an abuse icon on this facility. A substantiated finding of abuse, neglect, or exploitation is on the federal record.

These checks are computed the same way for every facility. Good patterns and bad ones both print.

Nearby & comparable

Same records, same rules

Questions families ask

What is the CMS rating for Sierra Vista?
Sierra Vista has an overall CMS Care Compare rating of 3 out of 5 stars.
Has Sierra Vista been cited for resident harm?
CMS has placed an abuse icon on Sierra Vista, indicating a substantiated finding of abuse, neglect, or exploitation.
What should I ask on a tour?
Ask about staff-to-resident ratios by shift, weekend coverage, and any measure flagged red in the record above — those are the places this facility's numbers leave open questions.

Worth reading next

From Palmelle’s reporting
Call 888-282-7256Help Me Choose