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.
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
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)
-
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
-
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
-
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
-
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
-
Potential for harm · D May 22, 2025
Ensure each resident receives an accurate assessment.
Corrected June 13, 2025 · Resident Assessment and Care Planning
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
Potential for harm · D May 22, 2025
Provide and implement an infection prevention and control program.
Corrected June 13, 2025 · Infection Control
-
Potential for harm · F May 22, 2025
Keep all essential equipment working safely.
Corrected June 13, 2025 · Environmental
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
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.