Velarion Records

Skilled nursing facility · CMS certification number 056107

COMMUNITY CONVALESCENT CENTER OF SAN BERNARDINO

SAN BERNARDINO, California · Medicare and Medicaid

Certified beds, as filed in Care Compare: 84

Download this facility’s record (CSV)

A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.

In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓

For this facility: the citable document with full history — $295 · an email when this record changes — $99/month

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on September 11, 2025.

None of these figures is carried on this report.

CMS report record 1438730, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended December 31, 2023

Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 23, 2024.

None of these figures is carried on this report.

CMS report record 1392951, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended December 31, 2022

Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 21, 2023.

None of these figures is carried on this report.

CMS report record 1365133, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended December 31, 2021

Cost report for July 1, 2021 to December 31, 2021 — a reporting period of 183 days, not a full year, on form CMS-2540-10, settled, processed by CMS on August 23, 2022.

None of these figures is carried on this report.

CMS report record 1330336, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended June 30, 2020

Cost report for July 1, 2019 to June 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on February 23, 2021.

None of these figures is carried on this report.

CMS report record 1280454, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2019, ended June 30, 2019

Cost report for July 1, 2018 to June 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 4, 2020.

None of these figures is carried on this report.

CMS report record 1251821, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2018, ended June 30, 2018

Cost report for July 1, 2017 to June 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 28, 2019.

None of these figures is carried on this report.

CMS report record 1220421, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2017, ended June 30, 2017

Cost report for July 1, 2016 to June 30, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 7, 2018.

None of these figures is carried on this report.

CMS report record 1183440, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2016, ended June 30, 2016

Cost report for July 1, 2015 to June 30, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on February 3, 2017.

None of these figures is carried on this report.

CMS report record 1152414, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2015, ended June 30, 2015

Cost report for July 1, 2014 to June 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 22, 2016.

None of these figures is carried on this report.

CMS report record 1117903, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2014, ended June 30, 2014

Cost report for July 1, 2013 to June 30, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 27, 2015.

None of these figures is carried on this report.

CMS report record 1085080, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2013, ended June 30, 2013

Cost report for July 1, 2012 to June 30, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 29, 2017.

None of these figures is carried on this report.

CMS report record 1176612, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2012, ended June 30, 2012

Cost report for July 1, 2011 to June 30, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 24, 2013.

None of these figures is carried on this report.

CMS report record 1023569, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2011, ended June 30, 2011

Cost report for July 1, 2010 to June 30, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 27, 2012.

None of these figures is carried on this report.

CMS report record 424186, read from the public cost report file SNFFY2010.zip.

Fiscal year 2010, ended June 30, 2010

Cost report for July 1, 2009 to June 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 29, 2010.

None of these figures is carried on this report.

CMS report record 391923, read from the public cost report file SNFFY2009.zip.

Fiscal year 2009, ended June 30, 2009

Cost report for July 1, 2008 to June 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 19, 2010.

None of these figures is carried on this report.

CMS report record 362610, read from the public cost report file SNFFY2008.zip.

Fiscal year 2008, ended June 30, 2008

Cost report for July 1, 2007 to June 30, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on December 12, 2008.

None of these figures is carried on this report.

CMS report record 330177, read from the public cost report file SNFFY2007.zip.

Fiscal year 2007, ended June 30, 2007

Cost report for July 1, 2006 to June 30, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 21, 2008.

None of these figures is carried on this report.

CMS report record 305179, read from the public cost report file SNFFY2006.zip.

Fiscal year 2006, ended June 30, 2006

Cost report for July 1, 2005 to June 30, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 9, 2007.

None of these figures is carried on this report.

CMS report record 273789, read from the public cost report file SNFFY2005.zip.

Fiscal year 2005, ended June 30, 2005

Cost report for July 1, 2004 to June 30, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 20, 2006.

None of these figures is carried on this report.

CMS report record 245550, read from the public cost report file SNFFY2004.zip.

Fiscal year 2004, ended June 30, 2004

Cost report for July 1, 2003 to June 30, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on March 14, 2005.

Revenue and expenses, fiscal year 2004
FigureAs filedWhere it comes from
Net patient revenue$3,103,470CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,810,432CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$706,962CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$4,394CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$702,568 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2004
FigureAs filedWhere it comes from
Total facility beds, all components97CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components20,449CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components177CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days26.55CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days170.91CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days115.53CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 210780, read from the public cost report file SNFFY2003.zip.

Fiscal year 2003, ended June 30, 2003

Cost report for July 1, 2002 to June 30, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 27, 2004.

Revenue and expenses, fiscal year 2003
FigureAs filedWhere it comes from
Net patient revenue$4,582,593CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,909,181CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$326,588CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$5,440CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$321,148 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2003
FigureAs filedWhere it comes from
Total facility beds, all components97CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components30,310CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components453CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days21.28CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days109CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days66.91CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 173104, read from the public cost report file SNFFY2002.zip.

Fiscal year 2002, ended June 30, 2002

Cost report for July 1, 2001 to June 30, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 2, 2004.

Revenue and expenses, fiscal year 2002
FigureAs filedWhere it comes from
Net patient revenue$4,370,482CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,755,840CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$385,358CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$17,995CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$367,363 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2002
FigureAs filedWhere it comes from
Total facility beds, all components97CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components29,479CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components443CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days25CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days109.35CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days66.54CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 179214, read from the public cost report file SNFFY2001.zip.

Fiscal year 2001, ended June 30, 2001

Cost report for July 1, 2000 to June 30, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 28, 2003.

Revenue and expenses, fiscal year 2001
FigureAs filedWhere it comes from
Net patient revenue$4,155,180CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,244,284CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$89,104CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$91,925CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $2,821 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2001
FigureAs filedWhere it comes from
Total facility beds, all components97CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components29,497CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components405CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days23.83CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days135.71CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days72.83CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 161677, read from the public cost report file SNFFY2000.zip.

Fiscal year 2000, ended June 30, 2000

Cost report for July 1, 1999 to June 30, 2000 — a reporting period of 365 days, on form CMS-2540-96, reopened, processed by CMS on October 28, 2003.

Revenue and expenses, fiscal year 2000
FigureAs filedWhere it comes from
Net patient revenue$3,696,319CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,082,278CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$385,959CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$23,811CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$362,148 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2000
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components29,459CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components247CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days15.54CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days153.81CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days119.27CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 161939, read from the public cost report file SNFFY1999.zip.

Fiscal year 1999, ended June 30, 1999

Cost report for July 1, 1998 to June 30, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 24, 2001.

Revenue and expenses, fiscal year 1999
FigureAs filedWhere it comes from
Net patient revenue$3,370,909CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,622,021CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$251,112CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$9,606CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$241,506 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1999
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components26,752CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components236CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days20.53CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days155.09CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days113.36CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 74048, read from the public cost report file SNFFY1998.zip.

Fiscal year 1998, ended June 30, 1998

Cost report for July 1, 1997 to June 30, 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 24, 2001.

Revenue and expenses, fiscal year 1998
FigureAs filedWhere it comes from
Net patient revenue$2,977,224CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,375,302CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$398,078CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$16,384CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$381,694 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1998
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components28,450CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components203CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days22.28CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days204.92CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days140.15CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 74047, read from the public cost report file SNFFY1997.zip.

Fiscal year 1997, ended June 30, 1997

Cost report for July 1, 1996 to June 30, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 2, 1999.

Revenue and expenses, fiscal year 1997
FigureAs filedWhere it comes from
Net patient revenue$2,796,276CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,144,636CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$348,360CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$17,001CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$331,359 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1997
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components28,213CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components206CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days20.92CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days234.1CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days136.96CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 5272, read from the public cost report file SNFFY1996.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated September 1, 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
COMMUNITY HOSPITAL OF SAN BERNARDINO5% OR GREATER DIRECT OWNERSHIP INTERESTOrganizationNO PERCENTAGE PROVIDEDsince 03/01/2020
DIGNITY COMMUNITY CARE5% OR GREATER DIRECT OWNERSHIP INTERESTOrganizationNO PERCENTAGE PROVIDEDsince 02/01/2019
COLLISON, JUNECORPORATE DIRECTORIndividualNOT APPLICABLEsince 02/27/2012
DALY, GAILCORPORATE DIRECTORIndividualNOT APPLICABLEsince 01/01/2018
DAVIS, CLAUDIACORPORATE DIRECTORIndividualNOT APPLICABLEsince 02/14/2017
GONZALEZ, RICHARDCORPORATE DIRECTORIndividualNOT APPLICABLEsince 02/14/2017
HENLEY, NICOLECORPORATE DIRECTORIndividualNOT APPLICABLEsince 09/01/2019
LEE, VICKICORPORATE DIRECTORIndividualNOT APPLICABLEsince 02/14/2017
MAWAD, JOSEPHCORPORATE DIRECTORIndividualNOT APPLICABLEsince 02/14/2017
MYRELL, ANTONIOCORPORATE DIRECTORIndividualNOT APPLICABLEsince 02/14/2017
NEGUSSE, JOHNNYCORPORATE DIRECTORIndividualNOT APPLICABLEsince 01/01/2018
RAMIREZ, GABRIELCORPORATE DIRECTORIndividualNOT APPLICABLEsince 02/14/2017
TESTA, NICHOLASCORPORATE DIRECTORIndividualNOT APPLICABLEsince 09/01/2021
WENGER, RACHELLECORPORATE DIRECTORIndividualNOT APPLICABLEsince 02/14/2017
COLLISON, JUNECORPORATE OFFICERIndividualNOT APPLICABLEsince 02/27/2012
EVANS, DAVIDCORPORATE OFFICERIndividualNOT APPLICABLEsince 02/01/2015
PETERSDORF, JOHNCORPORATE OFFICERIndividualNOT APPLICABLEsince 02/01/2019
SCHARMANN, STEVENCORPORATE OFFICERIndividualNOT APPLICABLEsince 02/01/2019
COMMONSPIRIT HEALTHOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 02/01/2019
O'QUINN, MARVINOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/01/2021
COLLISON, JUNEW-2 MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 02/27/2012
EVANS, DAVIDW-2 MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 02/01/2015

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of COMMUNITY HOSPITAL OF SAN BERNARDINO (enrollment ID O20181218001718).

CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
COMMUNITY HOSPITAL OF SAN BERNARDINOOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1003/1/2020
Private equity company: No
Real estate investment trust: No
Holding company: No
DIGNITY COMMUNITY CAREOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1002/1/2019
Private equity company: No
Real estate investment trust: No
Holding company: No
ANTONIO MYRELLIndividualCORPORATE DIRECTORNot stated in the filing2/14/2017
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
CLAUDIA DAVISIndividualCORPORATE DIRECTORNot stated in the filing2/14/2017
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
GABRIEL RAMIREZIndividualCORPORATE DIRECTORNot stated in the filing2/14/2017
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
GAIL DALYIndividualCORPORATE DIRECTORNot stated in the filing1/1/2018
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JOHNNY A NEGUSSEIndividualCORPORATE DIRECTORNot stated in the filing1/1/2018
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JOSEPH M MAWADIndividualCORPORATE DIRECTORNot stated in the filing2/14/2017
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JUNE M COLLISONIndividualCORPORATE DIRECTOR02/27/2012
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
NICHOLAS E TESTAIndividualCORPORATE DIRECTOR09/1/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
NICOLE HENLEYIndividualCORPORATE DIRECTORNot stated in the filing9/1/2019
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
RACHELLE WENGERIndividualCORPORATE DIRECTORNot stated in the filing2/14/2017
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
RICHARD GONZALEZIndividualCORPORATE DIRECTORNot stated in the filing2/14/2017
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
VICKI RENEE LEEIndividualCORPORATE DIRECTORNot stated in the filing2/14/2017
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
DAVID EVANSIndividualCORPORATE OFFICER02/1/2015
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JOHN E PETERSDORFIndividualCORPORATE OFFICER02/1/2019
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JUNE M COLLISONIndividualCORPORATE OFFICER1002/27/2012
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
STEVEN W SCHARMANNIndividualCORPORATE OFFICER02/1/2019
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
COMMONSPIRIT HEALTHOrganizationOPERATIONAL/MANAGERIAL CONTROL1002/1/2019
Private equity company: No
Real estate investment trust: No
Holding company: No
MARVIN O'QUINNIndividualOPERATIONAL/MANAGERIAL CONTROL01/1/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
DIGNITY HEALTHOrganizationOTHER02/1/2019
Private equity company: No
Real estate investment trust: No
Holding company: No
DAVID EVANSIndividualW-2 MANAGING EMPLOYEE02/1/2015
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JUNE M COLLISONIndividualW-2 MANAGING EMPLOYEE1002/27/2012
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS

Changes in ownership

No change in ownership appears in the CMS files on record since September 20, 2022.

Recent changes on this record

  • September 11, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
  • August 23, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
  • September 21, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
  • August 23, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
  • February 2, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
  • February 23, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
  • March 4, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
  • February 28, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
  • February 7, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
  • September 29, 2017: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
  • February 3, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
  • January 22, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
  • January 27, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
  • January 24, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
  • January 27, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2010.zip
  • December 29, 2010: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
  • January 19, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip
  • December 12, 2008: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2007.zip
  • March 21, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2006.zip
  • March 9, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2005.zip
  • March 20, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2004.zip
  • March 14, 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2003.zip
  • June 2, 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2001.zip
  • April 27, 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2002.zip
  • October 28, 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2000.zip
  • October 28, 2003: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY1999.zip
  • September 24, 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1998.zip
  • September 24, 2001: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1997.zip
  • November 2, 1999: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1996.zip

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
1April 24, 2025April 24, 202544
2April 17, 2024April 17, 202410
3October 20, 2022October 20, 2022715

From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.

Deficiencies cited

12 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
April 24, 2025HealthF 0761Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DNoDeficient, Provider has date of correctionMay 13, 2025
April 24, 2025HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DNoDeficient, Provider has date of correctionMay 13, 2025
April 24, 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.FNoDeficient, Provider has date of correctionMay 13, 2025
April 24, 2025HealthF 0881Infection Control DeficienciesImplement a program that monitors antibiotic use.ENoDeficient, Provider has date of correctionMay 13, 2025
May 29, 2024HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DYesDeficient, Provider has date of correctionJune 29, 2024
April 17, 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.FNoDeficient, Provider has date of correctionMay 22, 2024
October 20, 2022HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.DNoDeficient, Provider has date of correctionNovember 17, 2022
October 20, 2022HealthF 0693Quality of Life and Care DeficienciesEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DNoDeficient, Provider has date of correctionNovember 17, 2022
October 20, 2022HealthF 0726Nursing and Physician Services DeficienciesEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.FNoDeficient, Provider has date of correctionNovember 17, 2022
October 20, 2022HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DNoDeficient, Provider has date of correctionNovember 17, 2022
October 20, 2022HealthF 0761Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.ENoDeficient, Provider has date of correctionNovember 17, 2022
October 20, 2022HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correctionNovember 17, 2022

From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.

Penalties

No penalty on file for this facility in CMS’s Care Compare penalties data.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeNon profit - Corporation
Legal Business NameCOMMUNITY HOSPITAL OF SAN BERNARDINO
Date First Approved to Provide Medicare and Medicaid Services1973-04-01
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishSan Bernardino
Telephone Number9098876481
Chain NameCOMMONSPIRIT HEALTH
Chain ID151
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilNone
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds84
Average Number of Residents per Day13.8
Overall Rating5
Health Inspection Rating5
QM Rating5
Long-Stay QM Rating5
Processing Date2026-09-01

From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.

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