Nursing home

Knolls West Post Acute LLC

16890 Green Tree Blvd, Victorville, CA 92395

★★★★★Overall Medicare rating
★★★★★Health inspections
★★★★★Staffing
★★★★★Quality measures

Medicare rates every nursing home from 1 to 5 stars. 5 is much above average, 1 is much below.

Findings, latest cycle20
Findings with harm or immediate jeopardy, 3 cycles1
Fines, 3 years$0
Beds118

Inspection findings

Inspectors recorded 51 findings in the last three inspection cycles.

1 Actual harm to a resident48 No harm, but a risk of harm2 No harm, minimal risk

Each entry below is a requirement that inspectors found the home did not meet on that date, in the regulator's own English wording.

Inspection dateAreaRequirement the home did not meet (official wording, in English)SeverityCorrected
Jul 29, 2026Abuse, neglect and exploitationProtect each resident from the wrongful use of the resident's belongings or money. (F0602)No harm, but a risk of harm
isolated · from a complaint
Corrected: Aug 25, 2026
Jun 12, 2026Resident assessment and care planningSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (F0842)No harm, but a risk of harm
isolated · from a complaint
Corrected: Jul 10, 2026
Jun 12, 2026Resident rightsImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (F0580)No harm, but a risk of harm
isolated · from a complaint
Corrected: Jul 10, 2026
May 7, 2026Resident rightsLet each resident or the resident's legal representative access or purchase copies of all the resident's records. (F0573)No harm, but a risk of harm
isolated · from a complaint
Corrected: Jun 6, 2026
Earlier inspections (47)
Inspection dateAreaRequirement the home did not meet (official wording, in English)SeverityCorrected
Apr 2, 2026Resident rightsLet each resident or the resident's legal representative access or purchase copies of all the resident's records. (F0573)No harm, but a risk of harm
isolated · from a complaint
Corrected: Apr 23, 2026
May 22, 2025Building and environmentKeep all essential equipment working safely. (F0908)No harm, but a risk of harm
widespread
Corrected: Jun 13, 2025
May 22, 2025Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
isolated
Corrected: Jun 13, 2025
May 22, 2025AdministrationElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. (F0851)No harm, minimal risk
widespread
Corrected: Jun 13, 2025
May 22, 2025Food and nutritionProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812)No harm, but a risk of harm
widespread
Corrected: Jun 13, 2025
May 22, 2025Pharmacy and medicationsEnsure 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. (F0761)No harm, but a risk of harm
isolated
Corrected: Jun 13, 2025
May 22, 2025Pharmacy and medicationsProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F0755)No harm, but a risk of harm
isolated
Corrected: Jun 13, 2025
May 22, 2025Nursing and physician servicesEnsure that the resident and his/her doctor meet face-to-face at all required visits. (F0712)No harm, but a risk of harm
isolated
Corrected: Jun 13, 2025
May 22, 2025Nursing and physician servicesEnsure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. (F0711)No harm, but a risk of harm
pattern
Corrected: Jun 13, 2025
May 22, 2025Quality of life and careProvide appropriate pressure ulcer care and prevent new ulcers from developing. (F0686)No harm, but a risk of harm
isolated
Corrected: Jun 13, 2025
May 22, 2025Quality of life and careEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (F0676)No harm, but a risk of harm
isolated
Corrected: Jun 13, 2025
May 22, 2025Resident assessment and care planningCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (F0644)No harm, but a risk of harm
isolated
Corrected: Jun 13, 2025
May 22, 2025Resident assessment and care planningEnsure each resident receives an accurate assessment. (F0641)No harm, but a risk of harm
isolated
Corrected: Jun 13, 2025
May 22, 2025Resident assessment and care planningAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (F0636)No harm, but a risk of harm
isolated
Corrected: Jun 13, 2025
May 22, 2025Resident rightsProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. (F0628)No harm, but a risk of harm
isolated
Corrected: Jun 13, 2025
May 22, 2025Resident rightsHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (F0550)No harm, but a risk of harm
isolated
Corrected: Jun 13, 2025
Mar 26, 2025Quality of life and careProvide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684)No harm, but a risk of harm
isolated · from a complaint
Corrected: Apr 14, 2025
Jan 23, 2025Quality of life and careProvide appropriate pressure ulcer care and prevent new ulcers from developing. (F0686)No harm, but a risk of harm
isolated · from a complaint
Corrected: Feb 1, 2025
Dec 30, 2024Quality of life and careProvide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684)No harm, but a risk of harm
isolated · from a complaint
Corrected: Jan 16, 2025
Dec 17, 2024Quality of life and careProvide 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. (F0688)No harm, but a risk of harm
isolated · from a complaint
Corrected: Jan 10, 2025
Nov 26, 2024Nursing and physician servicesEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (F0726)No harm, but a risk of harm
isolated · from a complaint
Corrected: Dec 16, 2024
Oct 3, 2024Abuse, neglect and exploitationTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (F0609)No harm, but a risk of harm
isolated · from a complaint
Corrected: Oct 22, 2024
Sep 12, 2024Abuse, neglect and exploitationNot hire anyone with a finding of abuse, neglect, exploitation, or theft. (F0606)No harm, but a risk of harm
isolated · from a complaint
Corrected: Oct 10, 2024
Jun 18, 2024Quality of life and careProvide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684)No harm, but a risk of harm
isolated · from a complaint
Corrected: Jul 8, 2024
May 23, 2024Food and nutritionProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812)No harm, but a risk of harm
pattern
Corrected: Jun 14, 2024
May 23, 2024Pharmacy and medicationsImplement 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. (F0758)No harm, but a risk of harm
isolated
Corrected: Jun 14, 2024
May 23, 2024Quality of life and careProvide safe and appropriate respiratory care for a resident when needed. (F0695)No harm, but a risk of harm
isolated
Corrected: Jun 14, 2024
May 23, 2024Resident assessment and care planningAssure that each resident’s assessment is updated at least once every 3 months. (F0638)No harm, but a risk of harm
isolated
Corrected: Jun 14, 2024
May 23, 2024Resident assessment and care planningAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (F0636)No harm, but a risk of harm
isolated
Corrected: Jun 14, 2024
Dec 15, 2022Infection controlProvide and implement an infection prevention and control program. (F0880)No harm, but a risk of harm
isolated
Corrected: Feb 13, 2023
Dec 15, 2022AdministrationHave the Quality Assessment and Assurance group have the required members and meet at least quarterly (F0868)No harm, but a risk of harm
isolated
Corrected: Jan 13, 2023
Dec 15, 2022AdministrationElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. (F0851)No harm, minimal risk
widespread
Corrected: Jan 13, 2023
Dec 15, 2022Resident assessment and care planningSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (F0842)No harm, but a risk of harm
isolated
Corrected: Feb 13, 2023
Dec 15, 2022Quality of life and careProvide or get specialized rehabilitative services as required for a resident. (F0825)No harm, but a risk of harm
pattern
Corrected: Feb 13, 2023
Dec 15, 2022Food and nutritionEnsure 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. (F0803)No harm, but a risk of harm
pattern
Corrected: Jan 13, 2023
Dec 15, 2022Food and nutritionEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. (F0801)No harm, but a risk of harm
widespread
Corrected: Jan 13, 2023
Dec 15, 2022Pharmacy and medicationsEnsure 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. (F0761)No harm, but a risk of harm
pattern
Corrected: Feb 13, 2023
Dec 15, 2022Pharmacy and medicationsProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F0755)No harm, but a risk of harm
isolated
Corrected: Feb 13, 2023
Dec 15, 2022Nursing and physician servicesEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (F0726)No harm, but a risk of harm
isolated
Corrected: Jan 13, 2023
Dec 15, 2022Quality of life and careProvide safe, appropriate dialysis care/services for a resident who requires such services. (F0698)No harm, but a risk of harm
isolated
Corrected: Jan 13, 2023
Dec 15, 2022Quality of life and careProvide enough food/fluids to maintain a resident's health. (F0692)No harm, but a risk of harm
isolated
Corrected: Jan 13, 2023
Dec 15, 2022Quality of life and careProvide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. (F0691)No harm, but a risk of harm
isolated
Corrected: Jan 13, 2023
Dec 15, 2022Quality of life and careProvide appropriate pressure ulcer care and prevent new ulcers from developing. (F0686)Actual harm to a resident
isolated
Corrected: Jan 13, 2023
Dec 15, 2022Resident assessment and care planningDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656)No harm, but a risk of harm
isolated
Corrected: Jan 13, 2023
Dec 15, 2022Resident assessment and care planningEnsure each resident receives an accurate assessment. (F0641)No harm, but a risk of harm
isolated
Corrected: Jan 13, 2023
Dec 15, 2022Resident assessment and care planningAssess the resident when there is a significant change in condition (F0637)No harm, but a risk of harm
isolated
Corrected: Jan 13, 2023
Dec 15, 2022Resident rightsHonor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. (F0563)No harm, but a risk of harm
widespread
Corrected: Feb 13, 2023

Fines and payment denials

No federal fines or payment denials in the last three years.

Staffing

Nurse staff hours per resident per day4.84California median: 4.27
Registered nurse hours per resident per day0.55California median: 0.52
Nurse staff hours on weekends4.48California median: 3.85
Nursing staff who left within a year53.2%California median: 36.0%

About this home

Beds118
Residents per day, average110.0
OwnershipFor-profit, limited liability company
Legal business nameKnolls West Post Acute LLC
In Medicare/Medicaid sinceMar 18, 1987

Questions to ask when you call

Source. Medicare Care Compare (CMS Provider Data), data dated Oct 1, 2026. Open this home on Medicare.gov · Report an error

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