Starfile / California

Knolls West Post Acute LLC

16890 Green Tree Blvd, Victorville, CA 92395 · CCN 555251

Inspection history vs California & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$0

Number of fines

0

Number of penalties

0

Payment denials

0

Chain

Chain

DAVID & FRANK JOHNSON

Facilities in chain

45

Chain avg overall

3.20 / 5

Inspection citations (49)2 actual harm

1. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-05-22 · Health · corrected 2025-06-13

   Potential for more than minimal harm

2. DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-05-22 · Health · corrected 2025-06-13

   Potential for more than minimal harm

3. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2025-05-22 · Health · corrected 2025-06-13

   Potential for more than minimal harm

4. DF0641Ensure each resident receives an accurate assessment.2025-05-22 · Health · corrected 2025-06-13

   Potential for more than minimal harm

5. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2025-05-22 · Health · corrected 2025-06-13

   Potential for more than minimal harm

6. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2025-05-22 · Health · corrected 2025-06-13

   Potential for more than minimal harm

7. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-05-22 · Health · corrected 2025-06-13

   Potential for more than minimal harm

8. EF0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.2025-05-22 · Health · corrected 2025-06-13

   Potential for more than minimal harm

9. DF0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.2025-05-22 · Health · corrected 2025-06-13

   Potential for more than minimal harm

10. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-05-22 · Health · corrected 2025-06-13

    Potential for more than minimal harm

11. DF0761Ensure 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.2025-05-22 · Health · corrected 2025-06-13

    Potential for more than minimal harm

12. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-05-22 · Health · corrected 2025-06-13

    Potential for more than minimal harm

13. CF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.2025-05-22 · Health · corrected 2025-06-13

    Potential for minimal harm

14. DF0880Provide and implement an infection prevention and control program.2025-05-22 · Health · corrected 2025-06-13

    Potential for more than minimal harm

15. FF0908Keep all essential equipment working safely.2025-05-22 · Health · corrected 2025-06-13

    Potential for more than minimal harm

16. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-03-26 · Health · corrected 2025-04-14

    Potential for more than minimal harm

17. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-01-23 · Health · corrected 2025-02-01

    Potential for more than minimal harm

18. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-12-30 · Health · corrected 2025-01-16

    Potential for more than minimal harm

19. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2024-12-17 · Health · corrected 2025-01-10

    Potential for more than minimal harm

20. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-11-26 · Health · corrected 2024-12-16

    Potential for more than minimal harm

21. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-10-03 · Health · corrected 2024-10-22

    Potential for more than minimal harm

22. DF0606Not hire anyone with a finding of abuse, neglect, exploitation, or theft.2024-09-12 · Health · corrected 2024-10-10

    Potential for more than minimal harm

23. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-06-18 · Health · corrected 2024-07-08

    Potential for more than minimal harm

24. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2024-05-23 · Health · corrected 2024-06-14

    Potential for more than minimal harm

25. DF0638Assure that each resident’s assessment is updated at least once every 3 months.2024-05-23 · Health · corrected 2024-06-14

    Potential for more than minimal harm

26. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-05-23 · Health · corrected 2024-06-14

    Potential for more than minimal harm

27. DF0758Implement 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.2024-05-23 · Health · corrected 2024-06-14

    Potential for more than minimal harm

28. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-05-23 · Health · corrected 2024-06-14

    Potential for more than minimal harm

29. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-06-21 · Health · corrected 2023-07-24

    Actual harm

30. DF0610Respond appropriately to all alleged violations.2023-05-17 · Health · corrected 2023-05-30

    Potential for more than minimal harm

31. DF0563Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.2023-03-14 · Health · corrected 2023-03-22

    Potential for more than minimal harm

32. FF0563Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.2022-12-15 · Health · corrected 2023-02-13

    Potential for more than minimal harm

33. DF0637Assess the resident when there is a significant change in condition2022-12-15 · Health · corrected 2023-01-13

    Potential for more than minimal harm

34. DF0641Ensure each resident receives an accurate assessment.2022-12-15 · Health · corrected 2023-01-13

    Potential for more than minimal harm

35. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-12-15 · Health · corrected 2023-01-13

    Potential for more than minimal harm

36. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-12-15 · Health · corrected 2023-01-13

    Actual harm

37. DF0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.2022-12-15 · Health · corrected 2023-01-13

    Potential for more than minimal harm

38. DF0692Provide enough food/fluids to maintain a resident's health.2022-12-15 · Health · corrected 2023-01-13

    Potential for more than minimal harm

39. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2022-12-15 · Health · corrected 2023-01-13

    Potential for more than minimal harm

40. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2022-12-15 · Health · corrected 2023-01-13

    Potential for more than minimal harm

41. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-12-15 · Health · corrected 2023-02-13

    Potential for more than minimal harm

42. EF0761Ensure 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.2022-12-15 · Health · corrected 2023-02-13

    Potential for more than minimal harm

43. FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2022-12-15 · Health · corrected 2023-01-13

    Potential for more than minimal harm

44. EF0803Ensure 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.2022-12-15 · Health · corrected 2023-01-13

    Potential for more than minimal harm

45. EF0825Provide or get specialized rehabilitative services as required for a resident.2022-12-15 · Health · corrected 2023-02-13

    Potential for more than minimal harm

46. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2022-12-15 · Health · corrected 2023-02-13

    Potential for more than minimal harm

47. CF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.2022-12-15 · Health · corrected 2023-01-13

    Potential for minimal harm

48. DF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2022-12-15 · Health · corrected 2023-01-13

    Potential for more than minimal harm

49. DF0880Provide and implement an infection prevention and control program.2022-12-15 · Health · corrected 2023-02-13

    Potential for more than minimal harm

Ownership

Other facilities in Victorville

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.