The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited December 2022 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
Knolls West Post Acute LLC
Victorville, CA · Medicare-certified · 118 beds
In good standing
For-profitChain member
Data as of July 1, 2026
3 of 5 overall
Knolls West Post Acute LLC has an overall rating of 3 out of 5 stars, with 3-star health inspection and staffing ratings and a 2-star quality rating. It reported 4.65 nurse staffing hours per resident per day, above the federal benchmark of 4.1, with no fines in the last 24 months; recent inspection issues included pressure ulcer care, food handling, and keeping essential equipment working safely.
Facility ratings
Health inspections
Staffing
4.6485 hrs/resident/day
Quality measures
Last inspection: May 7, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.6485.
Staffing detail
- Registered nurses
- 0.47
- Licensed practical nurses
- 1.46
- Nurse aides
- 2.73
- Weekend nursing
- 4.40
Hours per resident per day.
Total staff turnover: 54%
Registered nurse turnover: 44%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
10.9%17.2%Worsening
Residents with a fall causing major injury
2.7%4.1%Worsening
Residents with pressure ulcers (bedsores)
7.9%10.5%Worsening
Residents with a urinary tract infection
0%1.6%Worsening
Residents who lost too much weight
6.2%8.1%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
26.5%15.9%Improving
Residents whose ability to walk got worse
—18.1%—
Long-stay residents on antianxiety or sleep medication
14.9%18.9%Worsening
Short-stay residents newly given an antipsychotic
2.2%2.5%No change
Residents with a long-term catheter
3.8%3.2%Improving
Residents with new or worsening incontinence
5.5%13.2%Worsening
Residents with depressive symptoms
95.4%85.2%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—95.2%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—85.2%—
Short-stay residents given the pneumonia vaccine
96.1%100%Improving
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to keep essential equipment working safely. Cited May 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 908 — 42 CFR §483.90 — S/S: F
The nursing home failed to honor a resident’s right to receive visitors of their choosing at the time they wanted. Cited December 2022 — widespread issue, potential for harm.
View the original federal record
F-Tag 563 — 42 CFR §483.10 — S/S: F
The home failed to have enough qualified staff to properly provide food and nutrition services. Cited December 2022 — widespread issue, potential for harm.
View the original federal record
F-Tag 801 — 42 CFR §483.60 — S/S: F
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 15 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of DAVID JOHNSON · 47 homes · 3.2 stars avg
- Occupancy
- 109.3 residents on an average day (93% of 118 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 39 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.