Federal inspection record · CMS data as of October 1, 2026
Knolls West Post Acute LLC
16890 Green Tree Blvd, Victorville, CA · (760) 245-5361
- Certified beds
- 118
- Residents per day
- 110
- Ownership
- For-Profit
- Chain
- David Johnson
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 18, 1987
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in California.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among California homes
Knolls West Post Acute LLC carries 92 inspection points. That is fewer than 46% of California's 1,154 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in California: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–33 pts
- 4★ 33–66 pts
- 3★ 66–96 pts
- 2★ 96–146 pts
- 1★ over 146 pts
Bars show every rated home in California by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
51 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Quality of Life and Care12E
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
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.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- E
Provide or get specialized rehabilitative services as required for a resident.
- D
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Resident Assessment and Care Planning10D
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Ensure each resident receives an accurate assessment.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Assure that each resident’s assessment is updated at least once every 3 months.
- D
Assess the resident when there is a significant change in condition
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Rights6F
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
- D
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- F
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Pharmacy Service5E
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
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.
- D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- E
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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nutrition and Dietary4F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- E
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.
Nursing and Physician Services4E
- E
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
- D
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
- D
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.
- D
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.
Freedom from Abuse, Neglect, and Exploitation3D
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Administration3D
- C
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
- D
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
- C
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Environmental1F
- F
Keep all essential equipment working safely.
Inspection history
2025-05-22
20 health deficiencies · 6 fire-safety deficiencies
Top issue: Resident Rights (5 deficiencies)
2024-05-23
11 health deficiencies · 17 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2022-12-15
20 health deficiencies · 8 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 50 min of nursing staff time a day, 33 min of it from a registered nurse.
This home
4 h 50 min
California average
4 h 33 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 53% of nursing staff and 31% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days2 pts worse | 4.2 | 2.2 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts better | 1.3 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.3 pts better | 100.0% | 98.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1 pts better | 98.9% | 97.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.9 pts worse | 3.5% | 1.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms77.8 pts worse | 85.4% | 7.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.1 pts better | 3.0% | 4.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7.6 pts worse | 21.3% | 13.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.3 pts worse | 13.6% | 12.3% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.3 pts better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened6.6 pts worse | 15.5% | 8.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased8 pts worse | 18.2% | 10.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.1 pts worse | 1.8% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.1 pts worse | 1.3% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.4 pts worse | 14.2% | 9.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers6.7 pts worse | 11.0% | 4.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5.4 pts better | 100.0% | 94.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.4 pts better | 7.7% | 11.1% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.6 pts worse | 1.9% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine2.9 pts better | 96.0% | 93.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.8 pts worse | 23.4% | 22.6% | 23.4% |
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Who owns and runs it
13 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Belanger, William | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Belanger, William | Adp Of The SNF · Individual | 0% | 1 facilities |
| Chambers, Thomas | Direct Ownership Interest · Individual | 0% | 8 facilities |
| Chambers, Thomas | Operational/Managerial Control · Individual | 0% | 8 facilities |
| Chambers, Thomas | Adp Of The SNF · Individual | 0% | 8 facilities |
| Johnson, David | Direct Ownership Interest · Individual | 0% | 34 facilities |
| Johnson, David | Operational/Managerial Control · Individual | 0% | 34 facilities |
| Johnson, David | Adp Of The SNF · Individual | 0% | 34 facilities |
| Knolls West Post Acute LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Knolls West Post Acute LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Meridian Management Services LLC | Operational/Managerial Control · Organization | 0% | 5 facilities |
| Reddy, Hari | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Reddy, Hari | Adp Of The SNF · Individual | 0% | 2 facilities |
·
Fire safety
31 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke10F
- E
Install corridor and hallway doors that block smoke.
- D
Inspect, test, and maintain automatic sprinkler systems.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- D
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- D
Install corridor and hallway doors that block smoke.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Install corridor and hallway doors that block smoke.
Emergency Preparedness8F
- F
Conduct testing and exercise requirements.
- F
Conduct testing and exercise requirements.
- D
Address subsistence needs for staff and patients.
- D
Establish policies and procedures for medical documentation.
- D
Provide family notifications of emergency plan.
- D
Conduct risk assessment and an All-Hazards approach.
- F
Conduct testing and exercise requirements.
- C
Address subsistence needs for staff and patients.
Gas, Vacuum, and Electrical Systems7F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure proper usage of power strips and extension cords.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure proper usage of power strips and extension cords.
- D
Have proper medical gas storage and administration areas.
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure proper usage of power strips and extension cords.
Miscellaneous4E
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D
Have simulated fire drills held at unexpected times.
- D
Have simulated fire drills held at unexpected times.
Services1F
- F
Have properly installed electrical wiring and gas equipment.
Egress1D
- D
Have properly located and lighted "Exit" signs.
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Other homes nearby
-
Spring Valley Post Acute LLC
Victorville, CA · David Johnson
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 25 min
- Fines
- $21,114
-
Desert Ridge Transitional Care Center, LP
Victorville, CA
Not rated- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 5 h 22 min
- Fines
- $0
-
Apple Valley Care Center
Apple Valley, CA · Abraham Bak & Menachem Gastwirth
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 5 h 3 min
- Fines
- $8,021