Waterman Canyon Post Acute

    1850 N Waterman Ave, San Bernardino, CA, 92404
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousCurrent/former resident
    4.0

    Compassionate staff, strong therapy, concerns

    I stayed here and, overall, my rehab went well - the therapy and nursing helped me regain mobility and I felt cared for. Staff like Araceli, Tao and Crystal were compassionate, welcoming, and went above and beyond; activities and rehab are strong. The building is often clean and safe, but I noticed urine/ammonia smells in places, overcrowded rooms, and occasional housekeeping lapses. Care quality is inconsistent by shift - some CNAs were rude or slow, call lights delayed, and there were paperwork/transfer hiccups; you need to speak up to be heard. I recommend this place with reservations: great people and therapy, but variable staffing and safety concerns.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    3.34 · 122 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.9
    • Staff

      3.5
    • Meals

      2.5
    • Amenities

      1.5
    • Value

      1.3

    Pros

    • Many compassionate, attentive CNAs and nurses praised by name
    • Strong, supportive activity program (games, music, outings)
    • Effective physical and occupational therapy / good rehab outcomes
    • Dedicated laundry and housekeeping staff noted as helpful
    • Helpful and knowledgeable social work and admissions staff
    • Some effective wound care nurse and weekly wound clinic
    • Clean and well-kept areas reported by multiple reviewers
    • Pleasant outdoor courtyard/patio and attractive grounds
    • Ample parking and guarded/managed visitor entry reported
    • Staff teamwork and camaraderie appreciated by families
    • Rapid corrective action when issues are raised (on some occasions)
    • Hospice accommodations and emotional support provided
    • Staff who treat residents like family and show compassion
    • Certain shifts (often daytime) described as well-staffed and responsive
    • Good communication and discharge/admissions help in some cases
    • Food and dining praised by several reviewers
    • Specific staff leaders and DSDs cited as effective (e.g., Araceli)
    • Successful transitions home reported after rehab

    Cons

    • Highly inconsistent quality of care between shifts and staff
    • Frequent reports of neglect, delayed responses to call lights
    • Dirty rooms and bathrooms, persistent urine/ammonia odors
    • Overcrowded and cramped rooms; three beds in rooms meant for two
    • Poor infection control and PPE lapses reported
    • Medication errors and insulin mismanagement with serious consequences
    • Wound care failures, bedsores, and dressing change delays
    • Unresponsive or defensive management in many reports
    • Rude, disrespectful or unprofessional staff and receptionists
    • Night shift frequently described as understaffed and problematic
    • Allegations of theft, confiscation of personal items, or lost clothing
    • Pest issues reported (ants and other infestations)
    • Broken or extremely worn furniture and beds; poor maintenance
    • Lack of timely hospital transfers and delayed emergency responses
    • No consistent on-site physician presence; limited doctor visits
    • Safety issues: wandering, unattended/unconscious patients, falls risk
    • Potential billing/insurance concerns and accusations of improper charges
    • Loud, disruptive roommates and poor noise control
    • Limited visitor amenities in rooms (no chairs, outlets, TVs)
    • Poor or inconsistent food quality in some reports
    • Security concerns due to open access or unsafe neighborhood
    • Inadequate COVID/infection precautions reported by multiple reviewers
    • Unpleasant overall odors and cleanliness problems in some buildings
    • Staff shortages, long shifts, hours cut leading to fatigue
    • Allegations of severe outcomes (sepsis, ICU transfers, deaths) linked to care delays
    • Laundry or personal item loss issues despite some praised staff
    • Inconsistent housekeeping: front areas cleaner than back areas
    • Reports of staff clocking out early or being distracted by phones
    • Restricted visitation policies causing family distress
    • Air conditioning failures / excessive heat and poor facilities upkeep

    Summary review

    Overall sentiment across reviews for Waterman Canyon Post Acute is highly mixed and polarized. A substantial number of reviewers praise individual staff members, therapy outcomes, and certain operational strengths, while an equally large and vociferous group reports serious clinical, safety, cleanliness, and management problems. The result is a facility that can provide excellent, compassionate care in specific circumstances and on specific shifts, yet also appears to have systemic inconsistencies that have caused significant harm and distress in other cases.

    Staff and care quality: One of the clearest patterns is wild variability in staff performance. Many named CNAs, LVNs, therapists, and support staff receive effusive praise for compassion, responsiveness, and clinical skill (examples cited frequently: Araceli, Tao, Crystal, Thalia, Chasity and many others). Families repeatedly describe staff who go above and beyond, strong activity leadership, laundry heroes, and therapy teams that deliver good rehabilitative outcomes and help residents return home. Conversely, numerous reviews recount neglectful or inattentive nursing care, rude or unprofessional behavior, ignored call lights, and delayed responses—especially on night shifts. Several reports describe medication errors (notably insulin mismanagement), withheld medications, and inconsistencies with following physician orders. These clinical lapses have reportedly led to serious adverse events for some residents, including transfers to the ER, ICU admissions, sepsis, and at least some deaths mentioned by reviewers. The pattern indicates that day- versus night-shift staffing, individual caregiver competence, and unit-level culture significantly influence the resident experience.

    Facilities, cleanliness, and maintenance: Reviews show a split picture here as well. Many reviewers note clean, well-kept front areas, pretty grounds, a nice patio, and adequate parking. However, a large volume of complaints point to dirty rooms and bathrooms, persistent urine and ammonia smells, old and falling-apart furniture, broken bed tables, ant infestations, and overall poor maintenance—particularly in back or older buildings. Overcrowding and space problems appear repeatedly: rooms designed for two sometimes hold three beds, wheelchairs hit curtains, and visitor seating/outlets/TVs are often lacking. Heating/air conditioning failures and poor ventilation are also recurring problems, with at least a few reports of prolonged heat. The inconsistent upkeep suggests uneven investment in facility maintenance and cleaning practices across units.

    Safety, infection control, and clinical procedures: Numerous reviews raise alarm about infection control lapses (PPE not used, doors left open, reused ostomy supplies alleged), poor wound care practices (delayed dressing changes, inadequate bandage changes), and hand-hygiene issues. Several reviewers explicitly link these problems to new wounds, infections, and wound deterioration. Staff shortages and inattentiveness contribute to unsafe conditions such as unattended or wandering patients, patients left soiled, delayed assistance leading to falls or other risks, and alleged theft or confiscation of personal items. There are also multiple accounts of poor responses to emergencies or slow hospital transfers. Collectively, these reports point to systemic risks for infection and clinical deterioration when the facility is understaffed or when staff fail to follow protocols.

    Management, responsiveness, and corrective action: Responses to reported problems vary. Some reviewers describe management that is unresponsive, defensive, or even hostile; others recount positive outcomes when complaints were escalated—specific staff such as a lead RN (Debbie) or department leaders are credited with moving residents to quieter cleaner rooms and resolving issues quickly. This pattern suggests that while there is capacity for effective management and problem-solving, those outcomes depend heavily on who is involved, how persistently families advocate, and whether complaints are escalated to particular staff. Several reviewers assert long-standing reputational issues and structural management problems, including staffing policies that reduce hours or leave units short-handed.

    Activities, therapy, and psychosocial environment: Activity programming, outings, and the engagement of activity staff are commonly cited positives. Many residents enjoy games, music, and trips, and several reviewers describe the facility as feeling like an extended family due to staff warmth and personal attention. Therapy services (PT/OT) and successful rehabilitation are recurring positives—some reviewers credit the facility with significant recovery and return-home success.

    Dining, admissions, and billing concerns: Opinions on food vary: several reviewers praise the meals, while others report poor menu substitutions and limited nutrition. Admissions and social work support are often described as helpful, guiding families through transitions. However, a few reviews raise concerns about billing and insurance handling, with at least one allegation of improper charging—these are serious accusations and appear less frequent but noteworthy.

    Notable severe incidents and recurring red flags: Multiple reviews include severe allegations—sepsis, ICU transfers, diabetic emergencies, new wounds after admission, and deaths linked in reviewers' accounts to lapses in care. There are also multiple accounts of pest infestations, ant problems, bed sores, theft/loss of belongings, and PPE or infection-control failures. While some families report that issues were corrected after intervention, the recurrence and severity of these claims are significant and indicate systemic vulnerabilities rather than isolated events.

    Overall assessment and implications: The review corpus paints a picture of a facility capable of excellent, compassionate, and effective care under the right conditions, with particular staff and therapy programs delivering pride-worthy results. At the same time, there are repeated and serious concerns about inconsistent care quality, infection control, neglect during understaffed shifts (especially nights), cleanliness and maintenance deficits, and occasional management unresponsiveness. The highly polarized feedback suggests that prospective residents and families should perform careful, up-close evaluations: visit multiple units and times of day (including evenings and nights when problems are most frequently reported), ask about staffing ratios and on-site physician coverage, review wound care and medication management policies, inquire about infection control/PPE practices, confirm room occupancy plans, and get specific commitments in writing about care plans and escalation procedures. Also consider speaking with current residents' families and checking recent regulatory inspection reports or Ombudsman findings to corroborate patterns seen in these reviews.

    In summary, Waterman Canyon Post Acute receives strong praise for many individual caregivers, therapy outcomes, and certain operational strengths, but it also receives frequent, serious complaints about neglect, cleanliness, safety, and management responsiveness. The experience appears to be highly dependent on specific staff, shift, and unit conditions. Families should balance the many heartfelt positive testimonials about named staff and successful rehabilitations against multiple reports of clinical lapses and environmental problems when making placement decisions.

    Location

    Map showing location of Waterman Canyon Post Acute

    About Waterman Canyon Post Acute

    Waterman Canyon Post Acute stays open all day and night, every day of the week, offering post-acute care and long-term skilled nursing for people who need recovery support or daily help after being in the hospital, and it's got space for about 166 beds, averaging 158 residents per day, so it's always busy, and folks can look at more official details on the Medicare website or their own site at watermancanyonpa.com if they want to dig deeper into reports or standards. Managed by Nicoletta Jenkins since May 2022 and owned fully by Providence Group NH, LLC, with ties to Pacs Group, this place has been checked by inspectors with reports on regular standards, complaints, and infection control, and they've had deficiencies like room size not meeting code (F0912), and more seriously, issues relating to abuse or neglect (F0609), among 46 total deficiencies and 3 infection-related cases in their most recent review, and those records are important for families to look at. Nurse turnover sits pretty high at 47.6%, but nurse staffing hours are 3.86 per resident per day, with a team that includes LVNs, RNs, and CNAs who try to help people day and night, and you'll see cleaning staff and case managers help out and sometimes just chat with folks, too.

    Residents can get physical therapy and occupational therapy five days a week, along with speech therapy and special rehab, including for foot injuries, and the occupational team encourages everyone to work toward small goals every day, so lots of care plans are highly personalized and there's plenty of assistance, and they do try to focus on safety, emotional support, and good hygiene throughout the buildings. There's always something going on, whether it's a daily activity on the calendar or people like Marjorie in the evenings working to help folks stay engaged, with the community programs focusing on movement, therapy, or just simple social time; staff work hard to be friendly and give compassionate attention, and the place emphasizes recovery, healing, and, for anyone interested, some level of independence. The rooms are meant to be safe and therapeutic, though there have been citations for size, and the facilities aim to stay comfortable for residents, with both amenities and cleaning taken seriously. Waterman Canyon Post Acute tries to keep activities, therapy, and basic support available for every resident, no matter how mobile or independent they happen to be.

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