The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Knolls West Post Acute LLC
Victorville, CA · Medicare-certified · 118 beds
In good standing
For-profitChain member
3 of 5 overall
3 of 5 stars overall. Knolls West Post Acute LLC has 3-star health inspection and staffing ratings, a 2-star quality measures rating, and reported nurse staffing of 4.63 hours per resident per day, above the federal benchmark of 4.1; there were $0 fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.6328 hrs/resident/day
Quality measures
Last inspection: May 22, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.6328.
Staffing detail
- Registered nurses
- 0.46
- Licensed practical nurses
- 1.24
- Nurse aides
- 2.93
- Weekend nursing
- 4.40
Hours per resident per day.
Total staff turnover: 52%
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
9.5%14%Worsening
Residents with a fall causing major injury
0%2.8%Worsening
Residents with pressure ulcers (bedsores)
11.5%11.4%No change
Residents with a urinary tract infection
0%3.4%Worsening
Residents who lost too much weight
0%1.7%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
14.5%14.9%No change
Residents whose ability to walk got worse
—25.1%—
Long-stay residents on antianxiety or sleep medication
13%22.2%Worsening
Short-stay residents newly given an antipsychotic
4.2%1.7%Improving
Residents with a long-term catheter
4%0%Improving
Residents with new or worsening incontinence
1.9%18.1%Worsening
Residents with depressive symptoms
95.2%79%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
98.6%100%Improving
Short-stay residents given the seasonal flu vaccine
—85.2%—
Short-stay residents given the pneumonia vaccine
87.6%100%Improving
What the inspectors found
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
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
Recent history
- 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 · 3.3 stars avg
- Occupancy
- 113.8 residents on an average day (96% 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.