Apple Valley, CA

Apple Valley Care Center

5-star overall rating with 5-star inspections with $8,021 in total fines with 4 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle

11959 Apple Valley Rd, Apple Valley, CA

(760) 240-5051

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

99

Certified beds

Average residents

93

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Abraham Bak & Menachem Gastwirth

Operator or chain grouping

Approved since

1991-09-26

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

16 facilities

Chain averages 2 overall / 2 health / 3 staffing / 3 quality stars

Changed ownership

No

Within the last 12 months

Family council

No

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.53

Registered nurse staffing · state 0.65 · national 0.68

LPN hours / resident day

1.42

Licensed practical nurse staffing · state 1.22 · national 0.87

Aide hours / resident day

2.66

Nurse aide staffing · state 2.64 · national 2.35

Total nurse hours

4.60

All reported nurse hours · state 4.51 · national 3.89

Licensed hours

1.95

RN + LPN hours · state 1.87 · national 1.54

Weekend hours

3.98

Weekend nurse staffing · state 4.08 · national 3.43

Weekend RN hours

0.34

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.43

CMS adjusted RN staffing hours

Adjusted total hours

3.70

CMS adjusted total nurse staffing hours

Case-mix index

1.70

Higher values indicate more complex resident acuity

RN turnover

33%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

34%

Annual nurse turnover · state 38% · national 46%

SNF VBP

Value-based purchasing

Program rank

5,636

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

35.49

Composite VBP score used to determine payment impact.

Payment multiplier

0.9891

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

1.87

Baseline 26.78% · Performance 24.47% · Measure score 1.87 · Achievement 0 · Improvement 1.87

Healthcare-associated infections

2.81

Baseline 13.19% · Performance 10.48% · Measure score 2.81 · Achievement 0 · Improvement 2.81

Total nurse turnover

7.27

Baseline 44.80% · Performance 33.95% · Measure score 7.27 · Achievement 7.27 · Improvement 4.94

Adjusted total nurse staffing

2.24

Baseline 4.53 hours · Performance 3.71 hours · Measure score 2.24 · Achievement 2.24 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 11.49%
10.72%
0.8 pts worse
No Different than the National Rate · Eligible stays 322 · Observed rate 12.73% · Lower 95% interval 8.66%
Discharge to community 51.38%
50.57%
0.8 pts better
No Different than the National Rate · Eligible stays 374 · Observed rate 45.45% · Lower 95% interval 46.37%
Medicare spending per beneficiary 1.33
1.02
0.3 pts worse
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 278 · Denominator 278
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 278
Discharge self-care score 41.6%
53.69%
12.1 pts worse
Numerator 52 · Denominator 125
Discharge mobility score 37.6%
50.94%
13.3 pts worse
Numerator 47 · Denominator 125
Pressure ulcers or injuries, new or worsened 0.72%
2.29%
1.6 pts better
Numerator 2 · Denominator 278 · Adjusted rate 0.67%
Healthcare-associated infections requiring hospitalization 10.48%
7.12%
3.4 pts worse
Worse than the National Rate · Eligible stays 252 · Observed rate 11.9% · Lower 95% interval 7.65%
Staff COVID-19 vaccination coverage 6.15%
8.2%
2 pts worse
Numerator 11 · Denominator 179
Staff flu vaccination coverage 46.03%
42%
4 pts better
Numerator 110 · Denominator 239
Discharge function score 55.2%
56.45%
1.2 pts worse
Numerator 69 · Denominator 125
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 217 · Denominator 217
Transfer of health information to patient 46.88%
96.28%
49.4 pts worse
Numerator 15 · Denominator 32
Resident COVID-19 vaccinations up to date 7.38%
25.2%
17.8 pts worse
Numerator 11 · Denominator 149

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 3.3
2.3
1 pts worse
1.9
1.4 pts worse
Long Stay · 20240701-20250630 · Adjusted 3.3 · Observed 4.8 · Expected 2.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.6
1.6
About the same
1.8
0.2 pts better
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.6 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
98.5%
1.5 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.1%
98.2%
0.1 pts worse
95.5%
2.6 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.1%
Percentage of long-stay residents experiencing one or more falls with major injury 0.0%
1.6%
1.6 pts better
3.3%
3.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 4.5%
6.8%
2.3 pts better
11.4%
6.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 10.0% · Q3 2.4% · Q4 5.1% · 4Q avg 4.5%
Percentage of long-stay residents who lose too much weight 7.5%
4.1%
3.4 pts worse
5.4%
2.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 11.6% · Q2 7.5% · Q3 2.5% · Q4 8.1% · 4Q avg 7.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 16.6%
13.7%
2.9 pts worse
19.6%
3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 11.6% · Q2 16.3% · Q3 18.6% · Q4 20.0% · 4Q avg 16.6%
Percentage of long-stay residents who received an antipsychotic medication 9.4%
14.2%
4.8 pts better
16.7%
7.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 4.0% · Q3 10.7% · Q4 11.5% · 4Q avg 9.4% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.4%
0.4 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 4.4%
11.0%
6.6 pts better
16.3%
11.9 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 4.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 3.2%
10.7%
7.5 pts better
14.9%
11.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 5.0% · Q3 2.5% · Q4 2.7% · 4Q avg 3.2% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.0%
1.0%
About the same
1.0%
About the same
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.0% · Q4 2.1% · 4Q avg 1.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 1.2%
1.2%
About the same
1.7%
0.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.4% · Q4 2.5% · 4Q avg 1.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 2.6%
10.9%
8.3 pts better
19.8%
17.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 2.8% · Q3 2.6% · Q4 2.6% · 4Q avg 2.6%
Percentage of long-stay residents with pressure ulcers 0.9%
4.7%
3.8 pts better
5.1%
4.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 1.9% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.6%
94.0%
5.6 pts better
81.7%
17.9 pts better
Short Stay · 2024Q4-2025Q3 · Q1 99.7% · Q2 99.7% · Q3 100.0% · Q4 98.9% · 4Q avg 99.6%
Percentage of short-stay residents who had an outpatient emergency department visit 9.9%
11.2%
1.3 pts better
12.0%
2.1 pts better
Short Stay · 20240701-20250630 · Adjusted 9.9% · Observed 9.5% · Expected 10.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 1.1%
1.5%
0.4 pts better
1.6%
0.5 pts better
Short Stay · 2024Q4-2025Q3 · Q1 0.5% · Q2 0.9% · Q3 1.8% · Q4 1.3% · 4Q avg 1.1% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 97.5%
93.2%
4.3 pts better
79.7%
17.8 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 31.0%
23.2%
7.8 pts worse
23.9%
7.1 pts worse
Short Stay · 20240701-20250630 · Adjusted 31.0% · Observed 31.7% · Expected 24.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-12-18 · Fire 2025-12-18

4 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

11 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 2 Health 2024-10-17 · Fire 2024-10-17

6 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

4 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2022-01-10 · Fire 2022-01-10

13 health deficiencies

Top issue: Nutrition and Dietary (3 deficiencies)

13 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-12-18

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2026-01-15

F · Potential for more than minimal harm 2025-12-18

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2026-01-15

F · Potential for more than minimal harm 2025-12-18

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2026-01-15

F · Potential for more than minimal harm 2025-12-18

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-01-22

F · Potential for more than minimal harm 2025-12-18

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-12-30

F · Potential for more than minimal harm 2025-12-18

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2026-01-15

F · Potential for more than minimal harm 2025-12-18

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2026-01-15

F · Potential for more than minimal harm 2025-12-18

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2026-01-26

D · Potential for more than minimal harm 2025-12-18

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2026-01-15

D · Potential for more than minimal harm 2025-12-18

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2026-01-15

D · Potential for more than minimal harm 2025-12-18

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2026-01-15

F · Potential for more than minimal harm 2024-10-17

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-11-08

F · Potential for more than minimal harm 2024-10-17

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2024-11-08

F · Potential for more than minimal harm 2024-10-17

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-11-08

F · Potential for more than minimal harm 2024-10-17

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-11-08

K · Immediate jeopardy 2024-01-17

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2024-02-02

F · Potential for more than minimal harm 2022-01-10

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2022-01-19

E · Potential for more than minimal harm 2022-01-10

K325 · Smoke Deficiencies

Fire Safety

Have properly installed hallway dispensers for alcohol-based hand rub.

Corrected 2022-01-19

E · Potential for more than minimal harm 2022-01-10

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-01-19

D · Potential for more than minimal harm 2022-01-10

E30 · Emergency Preparedness Deficiencies

Fire Safety

List the names and contact information of those in the facility.

Corrected 2022-01-19

D · Potential for more than minimal harm 2022-01-10

E31 · Emergency Preparedness Deficiencies

Fire Safety

Provide emergency officials' contact information.

Corrected 2022-01-19

D · Potential for more than minimal harm 2022-01-10

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2022-01-19

D · Potential for more than minimal harm 2022-01-10

K343 · Smoke Deficiencies

Fire Safety

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

Corrected 2022-01-19

D · Potential for more than minimal harm 2022-01-10

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2022-01-19

D · Potential for more than minimal harm 2022-01-10

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2022-01-19

D · Potential for more than minimal harm 2022-01-10

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2022-01-19

D · Potential for more than minimal harm 2022-01-10

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2022-01-19

D · Potential for more than minimal harm 2022-01-10

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2022-01-19

Inspection history

Recent health citations

D · Potential for more than minimal harm 2026-01-21

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2026-01-30

E · Potential for more than minimal harm 2025-12-18

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2026-01-16

D · Potential for more than minimal harm 2025-11-18

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2025-12-01

D · Potential for more than minimal harm 2025-06-09

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-06-19

D · Potential for more than minimal harm 2025-01-30

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-02-14

F · Potential for more than minimal harm 2024-10-17

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2024-11-15

D · Potential for more than minimal harm 2024-10-17

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-11-15

D · Potential for more than minimal harm 2024-10-17

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2024-11-15

D · Potential for more than minimal harm 2024-10-17

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-11-15

D · Potential for more than minimal harm 2024-06-28

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-07-26

E · Potential for more than minimal harm 2024-02-26

F584 · Resident Rights Deficiencies

Health

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 2024-03-07

E · Potential for more than minimal harm 2024-02-26

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-03-07

D · Potential for more than minimal harm 2023-10-12

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2023-10-27

D · Potential for more than minimal harm 2023-05-31

F646 · Resident Assessment and Care Planning Deficiencies

Health

Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

Corrected 2023-06-27

F · Potential for more than minimal harm 2022-01-10

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2022-01-27

F · Potential for more than minimal harm 2022-01-10

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2022-01-27

F · Potential for more than minimal harm 2022-01-10

F868 · Administration Deficiencies

Health

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2022-01-27

F · Potential for more than minimal harm 2022-01-10

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2022-01-27

E · Potential for more than minimal harm 2022-01-10

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-01-27

D · Potential for more than minimal harm 2022-01-10

F584 · Resident Rights Deficiencies

Health

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 2022-01-27

D · Potential for more than minimal harm 2022-01-10

F697 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-01-27

D · Potential for more than minimal harm 2022-01-10

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2022-01-27

D · Potential for more than minimal harm 2022-01-10

F808 · Nutrition and Dietary Deficiencies

Health

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

Corrected 2022-01-27

Penalties and ownership

What sits behind the stars

$8,021 2024-01-17

Fine

Fine · fine $8,021

Fine

Ownership

Bak, Abraham

5% Or Greater Direct Ownership Interest · Individual

28% 18 facilities 2019-10-01
Gastwirth, Menachem

5% Or Greater Direct Ownership Interest · Individual

28% 17 facilities 2019-10-10
Lehmann, Kenneth

5% Or Greater Direct Ownership Interest · Individual

28% 15 facilities 2019-10-01
Mayer, Helene

5% Or Greater Indirect Ownership Interest · Individual

13% 12 facilities 2019-10-01
Gewirtz, Chonoch

5% Or Greater Direct Ownership Interest · Individual

5% 13 facilities 2019-10-01
Bak, Abraham

Operational/Managerial Control · Individual

0% 18 facilities 2020-05-13
Escobar, Jay Anne

Operational/Managerial Control · Individual

0% 1 facilities 2015-03-09
Gastwirth, Menachem

Operational/Managerial Control · Individual

0% 17 facilities 2020-05-13
Helene Mayer 2007 Irrevocable Exempt Trust Fbo Aaron Mayer Dated Decem

5% Or Greater Direct Ownership Interest · Organization

0% 6 facilities 2019-10-01
Helene Mayer 2007 Irrevocable Exempt Trust Fbo Abraham Mayer Dated Dec

5% Or Greater Direct Ownership Interest · Organization

0% 5 facilities 2019-10-01
Helene Mayer 2007 Irrevocable Exempt Trust Fbo Akiva Mayer Dated Decem

5% Or Greater Direct Ownership Interest · Organization

0% 5 facilities 2019-10-01
Helene Mayer 2007 Irrevocable Exempt Trust Fbo Aviva Mayer Dated Decem

5% Or Greater Direct Ownership Interest · Organization

0% 5 facilities 2019-10-01
Helene Mayer 2007 Irrevocable Exempt Trust Fbo Talia Mayer Dated Decem

5% Or Greater Direct Ownership Interest · Organization

0% 5 facilities 2019-10-01
Helene Mayer 2007 Irrevocable Exempt Trust Fbo Zachary Mayer Dated Dec

5% Or Greater Direct Ownership Interest · Organization

0% 5 facilities 2019-10-01
Lehmann, Kenneth

Operational/Managerial Control · Individual

0% 15 facilities 2020-05-13
Siddiqui, Imran

Operational/Managerial Control · Individual

0% 1 facilities 2020-05-13

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