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Knolls West Post Acute LLC

Open-data reference.

Knolls West Post Acute LLC is a for profit - limited liability company facility in Victorville, CA with 118 certified beds and a 3-star overall CMS rating. The facility has 50 deficiency records on file.

16890 Green Tree Blvd, Victorville, CA 92395

Phone: 7602455361

Overall Rating

3/5

Health Inspection

3/5

Staffing

2/5

Quality Measures

2/5

Long-Stay Quality

2/5

Facility Information

Provider Number
555251
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
118
Residents
109
In Hospital
No
County
San Bernardino
Last Inspection
May 22, 2025

Staffing Data

RN Hours
0.48 (nat'l avg: 0.68)
LPN Hours
1.38
CNA Hours
2.62
Total Nursing Hours
4.48 (nat'l avg: 3.89)
PT Hours
0.05
Nursing Turnover
50.7%
RN Turnover
46.7%

What the CMS Record Reveals About Knolls West Post Acute LLC

Knolls West Post Acute LLC operates 118 certified beds in Victorville, CA with approximately 109 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (3★), staffing levels (2★), and quality measures (2★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 50 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 4.48 total nursing hours per resident day (national average 3.89), with RN coverage at 0.48 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Knolls West Post Acute LLC falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 50.7%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (50 most recent)

F — Widespread - Minimal harm May 22, 2025 Tag: 0908

Keep all essential equipment working safely.

Category: Environmental Deficiencies

Corrected: Jun 13, 2025

D — Isolated - Minimal harm May 22, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jun 13, 2025

C — Widespread - No harm May 22, 2025 Tag: 0851

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Category: Administration Deficiencies

Corrected: Jun 13, 2025

F — Widespread - Minimal harm May 22, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Jun 13, 2025

D — Isolated - Minimal harm May 22, 2025 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Jun 13, 2025

D — Isolated - Minimal harm May 22, 2025 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Jun 13, 2025

D — Isolated - Minimal harm May 22, 2025 Tag: 0712

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Category: Nursing and Physician Services Deficiencies

Corrected: Jun 13, 2025

E — Pattern - Minimal harm May 22, 2025 Tag: 0711

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

Category: Nursing and Physician Services Deficiencies

Corrected: Jun 13, 2025

D — Isolated - Minimal harm May 22, 2025 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 13, 2025

D — Isolated - Minimal harm May 22, 2025 Tag: 0676

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 13, 2025

D — Isolated - Minimal harm May 22, 2025 Tag: 0644

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 13, 2025

D — Isolated - Minimal harm May 22, 2025 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 13, 2025

D — Isolated - Minimal harm May 22, 2025 Tag: 0636

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 13, 2025

D — Isolated - Minimal harm May 22, 2025 Tag: 0628

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Category: Resident Rights Deficiencies

Corrected: Jun 13, 2025

D — Isolated - Minimal harm May 22, 2025 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Jun 13, 2025

D — Isolated - Minimal harm Mar 26, 2025 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 14, 2025

D — Isolated - Minimal harm Jan 23, 2025 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 1, 2025

D — Isolated - Minimal harm Dec 30, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 16, 2025

D — Isolated - Minimal harm Dec 17, 2024 Tag: 0688

Provide 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.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 10, 2025

D — Isolated - Minimal harm Nov 26, 2024 Tag: 0726

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Category: Nursing and Physician Services Deficiencies

Corrected: Dec 16, 2024

D — Isolated - Minimal harm Oct 3, 2024 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Oct 22, 2024

D — Isolated - Minimal harm Sep 12, 2024 Tag: 0606

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Oct 10, 2024

D — Isolated - Minimal harm Jun 18, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 8, 2024

E — Pattern - Minimal harm May 23, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Jun 14, 2024

D — Isolated - Minimal harm May 23, 2024 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Jun 14, 2024

D — Isolated - Minimal harm May 23, 2024 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 14, 2024

D — Isolated - Minimal harm May 23, 2024 Tag: 0638

Assure that each resident’s assessment is updated at least once every 3 months.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 14, 2024

D — Isolated - Minimal harm May 23, 2024 Tag: 0636

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 14, 2024

G — Isolated - Actual harm Jun 21, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 24, 2023

D — Isolated - Minimal harm May 17, 2023 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 30, 2023

D — Isolated - Minimal harm Mar 14, 2023 Tag: 0563

Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

Category: Resident Rights Deficiencies

Corrected: Mar 22, 2023

D — Isolated - Minimal harm Feb 3, 2023 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 17, 2023

D — Isolated - Minimal harm Feb 3, 2023 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 17, 2023

D — Isolated - Minimal harm Dec 15, 2022 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Feb 13, 2023

D — Isolated - Minimal harm Dec 15, 2022 Tag: 0868

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Category: Administration Deficiencies

Corrected: Jan 13, 2023

C — Widespread - No harm Dec 15, 2022 Tag: 0851

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Category: Administration Deficiencies

Corrected: Jan 13, 2023

D — Isolated - Minimal harm Dec 15, 2022 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 13, 2023

E — Pattern - Minimal harm Dec 15, 2022 Tag: 0825

Provide or get specialized rehabilitative services as required for a resident.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 13, 2023

E — Pattern - Minimal harm Dec 15, 2022 Tag: 0803

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.

Category: Nutrition and Dietary Deficiencies

Corrected: Jan 13, 2023

F — Widespread - Minimal harm Dec 15, 2022 Tag: 0801

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Category: Nutrition and Dietary Deficiencies

Corrected: Jan 13, 2023

E — Pattern - Minimal harm Dec 15, 2022 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Feb 13, 2023

D — Isolated - Minimal harm Dec 15, 2022 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Feb 13, 2023

D — Isolated - Minimal harm Dec 15, 2022 Tag: 0726

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Category: Nursing and Physician Services Deficiencies

Corrected: Jan 13, 2023

D — Isolated - Minimal harm Dec 15, 2022 Tag: 0698

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 13, 2023

D — Isolated - Minimal harm Dec 15, 2022 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 13, 2023

D — Isolated - Minimal harm Dec 15, 2022 Tag: 0691

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 13, 2023

G — Isolated - Actual harm Dec 15, 2022 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 13, 2023

D — Isolated - Minimal harm Dec 15, 2022 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 13, 2023

D — Isolated - Minimal harm Dec 15, 2022 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 13, 2023

D — Isolated - Minimal harm Dec 15, 2022 Tag: 0637

Assess the resident when there is a significant change in condition

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 13, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 20.6% Yes
Percentage of long-stay residents who lose too much weight Long Stay 1.7% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 2.7% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.2% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 93.5% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.1% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 97.9% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 90.8% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 2.7% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 22.2% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 15.0% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 95.2% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 85.2% No
Percentage of long-stay residents with pressure ulcers Long Stay 8.8% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 5.4% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 9.0% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for Knolls West Post Acute LLC?
Knolls West Post Acute LLC has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (3★), staffing levels (2★), and quality measures (2★).
What are the staffing levels at Knolls West Post Acute LLC?
Knolls West Post Acute LLC reports 4.48 total nursing hours per resident day (national average: 3.89). RN hours are 0.48 per resident day (national average: 0.68). Nursing staff turnover is 50.7%.
How many beds does Knolls West Post Acute LLC have?
Knolls West Post Acute LLC has 118 certified beds with approximately 109 residents. The facility is located at 16890 Green Tree Blvd, Victorville, CA 92395.
Does Knolls West Post Acute LLC have any deficiencies on record?
Yes, Knolls West Post Acute LLC has 50 deficiencies on record from recent inspections. Of these, 2 are classified as causing actual harm or jeopardy.
Has Knolls West Post Acute LLC received any fines or penalties?
No, Knolls West Post Acute LLC has no fines or penalties on record.
Who owns Knolls West Post Acute LLC?
Knolls West Post Acute LLC is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Knolls West Post Acute LLC last inspected?
The most recent health inspection for Knolls West Post Acute LLC was on May 22, 2025. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for Knolls West Post Acute LLC?
Knolls West Post Acute LLC is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial