49ers Rules
Sep 2024
My Dad broke out with a bad rash every where and the staff didn’t know what caused it. And a month later they wanted to sent him to the Dermatologist to see what caused it. They said it was probably their laundry detergent.
1 / 4Quick Facts
- Total units
- 87
- Medicare rating
- 1 of 5
- Ownership
- For profit, Limited Liability company
- Certified beds
- 87
- Inspections
- View history (72 citations)
- Therapy Services
- On-site physical, occupational, and speech therapy
- Staffing Levels
- 24-hour nursing by RNs, LVNs, and CNAs
- Stay Length
- Offers short-term rehabilitation stays
CMS Care Compare
What Families Think
Reviews of Highland Springs Care Center are mixed, ranging from praise for compassionate, attentive staff and strong wound-care outcomes to serious concerns about neglect, safety, and delayed medical attention. Families describe very different experiences depending on the case, which is worth weighing carefully when considering this skilled nursing facility.
The Good
- Staff described as caring and attentive
- Praised for peaceful end-of-life care
- Nurse reviewer praised pressure sore healing
- 24-hour nursing care with RNs and LVNs
- On-site PT, OT, and speech therapy
The Bad
- One report of a fall with delayed doctor visit
- One account of unsafe wheelchairs lacking footrests
- One report of unexplained rash left undiagnosed for weeks
- One family heard reports of unclean conditions and neglect
AI-generated from reviews and community data.
Highland Springs Care Center is a senior living community in Beaumont, California offering Skilled Nursing / Long Term Care. Amenities include Gathering / Activity Spaces, Housekeeping and Laundry Service. Families rate it 4.0 out of 5 across 20 reviews.
About Highland Springs Care Center
Highland Springs Care Center is a skilled nursing facility in Beaumont, California, providing comprehensive care in a secure, supportive environment. The facility is dedicated to meeting residents where they are and supporting safety, dignity, and quality of life through compassionate, high-quality care.
The center offers 24-hour nursing care delivered by Registered Nurses, Licensed Vocational Nurses, Certified Nursing Assistants, and Restorative Aides. Services include assistance with daily living needs, condition monitoring in accordance with physician orders, and short-term rehabilitation in a structured, licensed care setting.
A multidisciplinary team provides physical, occupational, and speech therapy services tailored to individual care plans and delivered under physician direction. The facility's experienced medical professionals bring decades of experience in rehabilitation medicine to support individualized rehabilitation goals and promote comfort, recovery, and independence.
The facility features clean, well-maintained spaces designed to support resident care and comfort in a safe, welcoming environment. Highland Springs emphasizes open communication and support for families throughout the care process, with an interdisciplinary approach focused on personalized care and clinical commitment for every patient.
Types of Care at Highland Springs Care Center
Skilled Nursing / Long Term Care
Amenities
Room Amenities
- Emergency Call System
- Private Bathroom
- Private Rooms
- Wheelchair Accessible
Community Amenities
- 24-Hour Staff
- Gathering / Activity Spaces
- Housekeeping
- Laundry Service
- Medication Management
- On-Site Nurse (RN)
- Security
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Help Me ChooseReviews of Highland Springs Care Center
4overall · 20 ratings combined
4★ on Google (20)
Terri McRoy
May 2024
Absolutely wonderful care! I am very impressed. It may not look like much on the outside but the care is wonderful. They took my mom who had stage 4 pressure sores, from the hospital, down to presenting as a 2. I recommend them. I am a nurse and have worked at many facilities.
Sherlene Elliott
Aug 2023
My uncle is currently in this facility. It's definitely not a place to have your loved one placed in at all. The wheelchairs have no feet rests on them and for those who can't use thier feet it can be horrible. Their feet get tangled underneath and they go flying out of it. When you ask the staff they say of course that there are none. Ridiculous.. That's not the only thing, after falling and getting hurt he has yet to see the doctor. I mean seriously?? What kind of place is this??Come on.. I have also heard other family members that there was bowel movement all over the walls and some of the other patients were half falling out of their beds. This kind of neglect is totally uncalled for and not alright.. period.. it's really sad seeing as how you want the best care for your family member and at this facility you are not going to get it.. definitely not a good place. This is an honest review, I think you should know before you ever even consider it as a place for your loved one.
Betty Reina
Aug 2022
My sister passed away peacefully in their care. She was a resident and was very needy in so many ways. The Director, Director of Nursing, Nurses, Social Workers and other supportive staff members where the Professional, Caring, Attentive, and Compassionate. They're is a Team Member Spirit that allows you COMFORT in knowing your loved member is in there hands. We are in the Medical field and a Primary Care Internist/Director of federal clinics. They check all the boxes for a high score from us. Thank you again
Mirna Pierce
Apr 2022
The people are friendly and Mom looks well taken care of every time I visit. I was an emotional wreck when I had to leave her there but the staff’s support gets me through every step of her care. My experience with all staff members, from custodial, nursing, to directors has been a positive one. I give the place 4 stars because there’s always room for improvement.
Government Inspection History
15 inspection visits in the last three years, 72 citations on file. Inspections are conducted by state agencies on behalf of the U.S. Centers for Medicare & Medicaid Services (CMS).
May 21, 2026Health Complaint1 citation
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 28, 2026
Aug 29, 2025Fire Safety StandardHealth Standard18 citations
Provide enough food/fluids to maintain a resident's health.
Severity G of L: actual harm, isolatedCorrected Sep 24, 2025
Have generator or other power source capable of supplying service within 10 seconds.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Sep 25, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 23, 2025
Keep all essential equipment working safely.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 23, 2025
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 23, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 24, 2025
Ensure 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.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 23, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 23, 2025
Implement emergency and standby power systems.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 23, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 23, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 23, 2025
Provide routine and 24-hour emergency dental care for each resident.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 25, 2025
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 23, 2025
Provide and implement an infection prevention and control program.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 23, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 23, 2025
Reasonably accommodate the needs and preferences of each resident.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 23, 2025
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 23, 2025
Use approved construction type or materials.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 23, 2025
Jul 22, 2025Health Complaint2 citations
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Aug 11, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 11, 2025
Nov 14, 2024Health Complaint1 citation
Provide and implement an infection prevention and control program.
Severity K of L: immediate jeopardy, patternFound during a complaint inspectionCorrected Dec 4, 2024
Oct 2, 2024Health Complaint1 citation
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Oct 23, 2024
Aug 22, 2024Health Complaint1 citation
Reasonably accommodate the needs and preferences of each resident.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 6, 2024
Jul 25, 2024Fire Safety StandardHealth ComplaintHealth Standard22 citations
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Aug 16, 2024
Have generator or other power source capable of supplying service within 10 seconds.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Aug 16, 2024
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 16, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 16, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 16, 2024
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 16, 2024
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 16, 2024
Keep all essential equipment working safely.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 16, 2024
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 16, 2024
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 16, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 16, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 16, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 16, 2024
Assist a resident in gaining access to vision and hearing services.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 16, 2024
Ensure 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.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 16, 2024
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 16, 2024
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 16, 2024
Provide and implement an infection prevention and control program.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 16, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 16, 2024
Have properly installed electrical wiring and gas equipment.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 16, 2024
Establish policies and procedures for medical documentation.
Severity C of L: potential for minimal harm, widespreadCorrected Aug 16, 2024
Provide family notifications of emergency plan.
Severity C of L: potential for minimal harm, widespreadCorrected Aug 16, 2024
Jun 21, 2024Health Complaint1 citation
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jun 28, 2024
May 9, 2024Health Complaint2 citations
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected May 16, 2024
Give the resident's representative the ability to exercise the resident's rights.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 16, 2024
Feb 16, 2024Health Complaint1 citation
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 7, 2024
Dec 4, 2023Health ComplaintInfection Control1 citation
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Dec 6, 2023
Nov 15, 2023Health Complaint1 citation
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 6, 2023
Aug 14, 2023Health Complaint1 citation
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 28, 2023
Jul 17, 2023Health Complaint2 citations
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 27, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 27, 2023
Jan 26, 2023Fire Safety StandardHealth Standard17 citations
Conduct risk assessment and an All-Hazards approach.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 17, 2023
Dispose of garbage and refuse properly.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 16, 2023
Establish procedures for tracking staff and patients during an emergency.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 17, 2023
Provide family notifications of emergency plan.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 17, 2023
Implement emergency and standby power systems.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 17, 2023
Ensure medication error rates are not 5 percent or greater.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 16, 2023
Ensure 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.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 16, 2023
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 16, 2023
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 16, 2023
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 16, 2023
Have generator or other power source capable of supplying service within 10 seconds.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 17, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 16, 2023
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 17, 2023
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 17, 2023
Develop and maintain an Emergency Preparedness Program (EP).
Severity C of L: potential for minimal harm, widespreadCorrected Feb 17, 2023
Include a process for Emergency Preparedness collaboration.
Severity C of L: potential for minimal harm, widespreadCorrected Feb 17, 2023
Provide a means of sharing information on occupancy/needs.
Severity C of L: potential for minimal harm, widespreadCorrected Feb 17, 2023
Source: CMS Care Compare, public federal data covering certified nursing facilities, refreshed monthly. Citations range from A (least serious) to L (most serious) on the federal scope and severity scale. Most citations are corrected quickly; review the details and ask the community about anything that concerns you.
Frequently Asked Questions
What types of care does Highland Springs Care Center offer?
Highland Springs Care Center offers Skilled Nursing / Long Term Care.
Where is Highland Springs Care Center located?
Highland Springs Care Center is located at 1441 Michigan Avenue in Beaumont, California.
What do families say about Highland Springs Care Center?
Reviews of Highland Springs Care Center are mixed, ranging from praise for compassionate, attentive staff and strong wound-care outcomes to serious concerns about neglect, safety, and delayed medical attention. Families describe very different experiences depending on the case, which is worth weighing carefully when considering this skilled nursing facility.
How did Highland Springs Care Center do on recent health and safety inspections?
Highland Springs Care Center had 15 government inspection visits in the last three years, with 72 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.
How can families visit Highland Springs Care Center?
Submit the Request Information form on this page to connect with Highland Springs Care Center and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.
Work at Highland Springs Care Center? Claim this listing to update photos, pricing, and details. It's free.
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