Knolls West Post Acute LLC
16890 Green Tree Blvd · Victorville, CA · 92395 · 7602455361
118 certified beds For profit - Limited Liability company Chain: David Johnson
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 72 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 4.63 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.46 | 0.55–0.75 |
| Weekend hours / resident-day | 4.40 | ≈ weekday level |
| Nursing turnover / year | 52% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (48 in the current record)
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Potential for harm · D April 2, 2026 · found via complaint
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected April 23, 2026 · Resident Rights
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Potential for harm · D May 22, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 13, 2025 · Resident Rights
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Potential for harm · D May 22, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected June 13, 2025 · Resident Rights
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Potential for harm · D May 22, 2025
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected June 13, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 22, 2025
Ensure each resident receives an accurate assessment.
Corrected June 13, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 22, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected June 13, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 22, 2025
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected June 13, 2025 · Quality of Life and Care
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Potential for harm · D May 22, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected June 13, 2025 · Quality of Life and Care
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Potential for harm · E May 22, 2025
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected June 13, 2025 · Nursing and Physician Services
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Potential for harm · D May 22, 2025
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected June 13, 2025 · Nursing and Physician Services
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Potential for harm · D May 22, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected June 13, 2025 · Pharmacy Service
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Potential for harm · D May 22, 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.
Corrected June 13, 2025 · Pharmacy Service
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Potential for harm · F May 22, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 13, 2025 · Nutrition and Dietary
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Potential for harm · D May 22, 2025
Provide and implement an infection prevention and control program.
Corrected June 13, 2025 · Infection Control
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Potential for harm · F May 22, 2025
Keep all essential equipment working safely.
Corrected June 13, 2025 · Environmental
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No harm found · C May 22, 2025
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected June 13, 2025 · Administration
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Potential for harm · D March 26, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 14, 2025 · Quality of Life and Care
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Potential for harm · D January 23, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected February 1, 2025 · Quality of Life and Care
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Potential for harm · D December 30, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 16, 2025 · Quality of Life and Care
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Potential for harm · D December 17, 2024 · found via complaint
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.
Corrected January 10, 2025 · Quality of Life and Care
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Potential for harm · D November 26, 2024 · found via complaint
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.
Corrected December 16, 2024 · Nursing and Physician Services
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Potential for harm · D October 3, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected October 22, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 12, 2024 · found via complaint
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Corrected October 10, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 18, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 8, 2024 · Quality of Life and Care
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Potential for harm · D May 23, 2024
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected June 14, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555251 · certified since March 18, 1987. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.