Desert Canyon Post Acute, LLC

1642 West Avenue J · Lancaster, CA · 93534 · 6619428463

99 certified beds For profit - Limited Liability company

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).

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Red flags

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

Score breakdown

Inspection record 30% of score 25
Serious harm & abuse 20% 78
Staffing 20% 77
Federal penalties 15% 82
Trend 10% 68
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day4.143.48 min · 4.1 strong
RN hours / resident-day0.490.55–0.75
Weekend hours / resident-day3.75≈ weekday level
Nursing turnover / year28%median 45%
Fines (3-yr window)none

Inspection citations (110 in the current record)

  • Potential for harm · D February 26, 2026

    Reasonably accommodate the needs and preferences of each resident.

    Corrected March 20, 2026 · Resident Rights

  • Potential for harm · D February 26, 2026

    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 March 20, 2026 · Resident Rights

  • Potential for harm · D February 26, 2026

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected March 20, 2026 · Resident Rights

  • Potential for harm · E February 26, 2026

    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 March 20, 2026 · Resident Rights

  • Potential for harm · E February 26, 2026

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Corrected March 20, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D February 26, 2026

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Corrected March 20, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D February 26, 2026

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

    Corrected March 20, 2026 · Resident Rights

  • Potential for harm · D February 26, 2026

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected March 20, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D February 26, 2026

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

    Corrected March 20, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D February 26, 2026

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected March 20, 2026 · Quality of Life and Care

  • Potential for harm · E February 26, 2026

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

    Corrected March 20, 2026 · Quality of Life and Care

  • Potential for harm · D February 26, 2026

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected March 20, 2026 · Quality of Life and Care

  • Potential for harm · D February 26, 2026

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Corrected March 20, 2026 · Quality of Life and Care

  • Potential for harm · D February 26, 2026

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    Corrected March 20, 2026 · Quality of Life and Care

  • Potential for harm · D February 26, 2026

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

    Corrected March 20, 2026 · Quality of Life and Care

  • Potential for harm · D February 26, 2026

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected March 20, 2026 · Quality of Life and Care

  • Potential for harm · D February 26, 2026

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

    Corrected March 20, 2026 · Quality of Life and Care

  • Potential for harm · D February 26, 2026

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

    Corrected March 20, 2026 · Pharmacy Service

  • Potential for harm · E February 26, 2026

    Ensure that residents are free from significant medication errors.

    Corrected March 20, 2026 · Pharmacy Service

  • Potential for harm · E February 26, 2026

    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

    Corrected March 20, 2026 · Nutrition and Dietary

  • Potential for harm · D February 26, 2026

    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.

    Corrected March 20, 2026 · Nutrition and Dietary

  • Potential for harm · E February 26, 2026

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Corrected March 20, 2026 · Nutrition and Dietary

  • Potential for harm · D February 26, 2026

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Corrected March 20, 2026 · Nutrition and Dietary

  • Potential for harm · E February 26, 2026

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

    Corrected March 20, 2026 · Nutrition and Dietary

  • Potential for harm · E February 26, 2026

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Corrected March 20, 2026 · Administration

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
June 20, 2024Payment Denial35 days

Better-scoring options nearby

No better-scoring facility within 25 miles in the current data. See the whole state.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 055307 · certified since August 1, 1970. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.