Antelope Valley Care Center
44567 North 15th St. West · Lancaster, CA · 93534 · 6619495524
199 certified beds For profit - Limited Liability company Chain: Pacs Group
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $34,476 in fines in the last 24 months.
- 5 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
Cited under the freedom-from-abuse rule
Cited 4 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
RN staffing in the bottom 10% nationally
0.22 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.03 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.22 | 0.55–0.75 |
| Weekend hours / resident-day | 3.68 | ≈ weekday level |
| Nursing turnover / year | 47% | median 45% |
| Fines (3-yr window) | 2 · $124,690 |
Inspection citations (172 in the current record)
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Potential for harm · D April 15, 2026 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected May 1, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 15, 2026 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected May 1, 2026 · Quality of Life and Care
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Potential for harm · D April 2, 2026 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 20, 2026 · Resident Assessment and Care Planning
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Potential for harm · E April 2, 2026 · found via complaint
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected April 20, 2026 · Quality of Life and Care
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Potential for harm · E April 2, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 20, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 23, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected April 1, 2026 · Infection Control
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Potential for harm · D March 13, 2026 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 25, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 13, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 25, 2026 · Quality of Life and Care
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Potential for harm · D March 13, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 25, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 2, 2026 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected February 23, 2026 · Resident Rights
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Potential for harm · D January 22, 2026 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected February 2, 2026 · Quality of Life and Care
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Potential for harm · E January 22, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected February 2, 2026 · Pharmacy Service
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Potential for harm · D December 16, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected January 13, 2026 · Resident Rights
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Potential for harm · D December 16, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 13, 2026 · Resident Assessment and Care Planning
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Potential for harm · E November 24, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 13, 2025 · Quality of Life and Care
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Potential for harm · D November 24, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected December 13, 2025 · Quality of Life and Care
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Potential for harm · D September 17, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected October 14, 2025 · Infection Control
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Potential for harm · D August 29, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected September 25, 2025 · Resident Rights
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Potential for harm · D August 29, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected September 25, 2025 · Resident Rights
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Potential for harm · D August 29, 2025
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected September 25, 2025 · Resident Rights
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Potential for harm · D August 29, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected September 25, 2025 · Resident Rights
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Potential for harm · D August 29, 2025
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected September 25, 2025 · Resident Rights
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Potential for harm · E August 29, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected September 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 29, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected September 25, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 29, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected September 25, 2025 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 18, 2025 | Payment Denial | 26 days |
| January 14, 2025 | Fine | $34,476 |
| June 28, 2024 | Payment Denial | 19 days |
| July 25, 2023 | Fine | $90,214 |
Better-scoring options nearby
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555456 · certified since February 22, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.