The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
ANTELOPE VALLEY CARE CENTER
LANCASTER, CA · Medicare-certified · 199 beds
Needs attention
Special Focus candidateFor-profitChain member
2 of 5 overall
Antelope Valley Care Center in Lancaster has a 2-star overall rating, with a 1-star health inspection rating and 2-star staffing rating, despite 5-star quality measures. It is a special focus candidate/facility, had $34,476 in fines in the last 24 months, and reported nurse staffing of 4.03 hours per resident per day, just below the federal benchmark of 4.1.
Facility ratings
Health inspections
Staffing
4.0251 hrs/resident/day
Quality measures
Last inspection: March 23, 2026Penalties, last 24 months: $34,476special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.0251.
Staffing detail
- Registered nurses
- 0.22
- Licensed practical nurses
- 1.34
- Nurse aides
- 2.46
- Weekend nursing
- 3.68
Hours per resident per day.
Total staff turnover: 47%
Registered nurse turnover: 62%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
7.2%Improving
Residents with a fall causing major injury
3%Improving
Residents with pressure ulcers (bedsores)
4.6%Steady
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
2.1%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
4%Improving
Residents whose ability to walk got worse
3.2%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
16.6%Improving
Short-stay residents newly given an antipsychotic
0.9%Worsening
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
3.6%Improving
Residents with depressive symptoms
5.2%Improving
Long-stay residents given the seasonal flu vaccine
89.4%Steady
Long-stay residents given the pneumonia vaccine
96.7%Worsening
Short-stay residents given the seasonal flu vaccine
88.3%Steady
Short-stay residents given the pneumonia vaccine
94.2%Steady
What the inspectors found
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited June 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: G
The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited July 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 690 — 42 CFR §483.25(e) — S/S: G
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited January 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: E
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited November 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $34,476 was recorded.
- PENALTY
A federal payment denial was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $124,690 in total fines · 2 payment denials.
- 26 days
Medicare/Medicaid payment denial
Jun 18, 2025
- $34,476
Federal fine
Jan 14, 2025
- 19 days
Medicare/Medicaid payment denial
Jun 28, 2024
- $90,214
Federal fine
Jul 25, 2023
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of PACS GROUP · 279 homes · 3 stars avg
- Occupancy
- 178.2 residents on an average day (90% of 199 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 35 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.