Nursing HomeInspections

Knolls West Post Acute LLC

Nursing home in Victorville, CA

Medicare & Medicaid certified3★ overall (CMS)

Call (760) 245-5361Send a messageMap ↗

Public-record details

Address
16890 Green Tree Blvd, Victorville, CA 92395
Phone
(760) 245-5361
Listed under
For-profit, No fines in 3 years
Medicare CCN
555251
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
3 of 5
Staffing rating
3 of 5
Quality measures rating
2 of 5
Certified beds
118
Average residents per day
109
Ownership
For-profit, limited Liability company
Legal business name
Knolls West Post Acute LLC
Chain
David Johnson (48 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Mar 18, 1987
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 555251. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: May 22, 2025. CMS lists 50 health citations for this facility across its last three standard inspection cycles and complaint inspections (Dec 15, 2022 to Jun 12, 2026): 12 from complaint inspections, 1 at the “actual harm” level or higher.

InspectionCitationSeverity
Jun 12, 2026Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Jun 12, 2026Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated
May 7, 2026Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Apr 2, 2026Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
May 22, 2025Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration
C
Potential for minimal harm, widespread
May 22, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights
D
Potential for more than minimal harm, isolated
May 22, 2025Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights
D
Potential for more than minimal harm, isolated
May 22, 2025Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
May 22, 2025Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
May 22, 2025Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
May 22, 2025Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
May 22, 2025Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 50. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.65 hours
Registered nurse (RN) time per resident per day
0.47 hours
Nurse aide time per resident per day
2.73 hours
Total nurse staffing on weekends
4.40 hours
Nursing staff turnover (yearly)
54%
RN turnover (yearly)
44%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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