Nursing Home Alerts

Antelope Valley Care Center

44567 North 15th St. West, Lancaster, CA 93534

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Antelope Valley Care Center is a nursing home in Lancaster, California. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

CMS star ratings

Facts from CMS

Phone
(661) 949-5524
Last standard health inspection
August 29, 2025 (1 year ago)
Certified beds
199
Residents per day, on average
187.3
Ownership type
For profit - Limited Liability company
Legal business name
Antelope Valley SNF Healthcare LLC
Chain
Pacs Group
Takes part in
Medicare and Medicaid

More health citations than the California average (158 vs 50).

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

  1. CMS update of October 28, 2026

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 1 of 5.

    • Star rating

      The CMS quality measures star rating changed from 5 of 5 to 4 of 5.

  2. CMS update of October 8, 2026

    • CMS abuse icon

      CMS added its abuse icon to this home.

  3. 1 citation

    Health inspection on August 25, 2026

    CMS lists this as a complaint inspection.

    • Citation F0755. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on September 11, 2026.

      CMS has cited this home for F0755 10 times since 2022.

    See this home on CMS Care Compare

  4. 1 citation

    Health inspection on July 9, 2026

    CMS lists this as a complaint inspection.

    Severity G is the second-highest of CMS's four levels. It means a resident was harmed.

    118 of 1,165 California homes (10%) got a citation at the actual harm level in 2026.

    • Citation F0600. Severity G: actual harm, isolated.

      The rule CMS cited: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

      CMS lists it as corrected on July 31, 2026.

      CMS has cited this home for F0600 4 times since 2023.

    See this home on CMS Care Compare

  5. Fine

    July 9, 2026 (4 months ago)

    CMS fine of $33,925 on July 9, 2026.

    See this home on CMS Care Compare

  6. 3 citations

    Health inspection on July 1, 2026

    CMS lists this as a complaint inspection.

    • Citation F0684. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on July 2, 2026.

      CMS has cited this home for F0684 5 times since 2024.

    • Citation F0609. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      CMS lists it as corrected on July 2, 2026.

      CMS has cited this home for F0609 2 times since 2024.

    • Citation F0689. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on July 1, 2026.

      CMS has cited this home for F0689 6 times since 2024.

    See this home on CMS Care Compare

  7. 1 citation

    Health inspection on May 4, 2026

    CMS lists this as a complaint inspection.

    • Citation F0657. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

      CMS lists it as corrected on May 15, 2026.

      CMS has cited this home for F0657 4 times since 2022.

    See this home on CMS Care Compare

  8. CMS update of April 29, 2026

    • Star rating

      The CMS overall star rating changed from 1 of 5 to 2 of 5.

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to 5 of 5.

  9. 2 citations

    Health inspection on April 15, 2026

    CMS lists this as a complaint inspection.

    • Citation F0607. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement policies and procedures to prevent abuse, neglect, and theft.

      CMS lists it as corrected on May 1, 2026.

    • Citation F0692. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide enough food/fluids to maintain a resident's health.

      CMS lists it as corrected on May 1, 2026.

      CMS has cited this home for F0692 2 times since 2025.

    See this home on CMS Care Compare

  10. 3 citations

    Health inspection on April 2, 2026

    CMS lists this as a complaint inspection.

    • Citation F0694. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide for the safe, appropriate administration of IV fluids for a resident when needed.

      CMS lists it as corrected on April 20, 2026.

      CMS has cited this home for F0694 2 times since 2025.

    • Citation F0842. Severity E: potential for more than minimal harm, pattern.

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

      CMS lists it as corrected on April 20, 2026.

      CMS has cited this home for F0842 7 times since 2023.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on April 20, 2026.

      CMS has cited this home for F0656 8 times since 2022.

    See this home on CMS Care Compare

  11. 1 citation

    Health inspection on March 23, 2026

    CMS lists this as a complaint inspection.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on April 1, 2026.

      CMS has cited this home for F0880 10 times since 2022.

    See this home on CMS Care Compare

  12. 3 citations

    Health inspection on March 13, 2026

    CMS lists this as a complaint inspection.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on March 25, 2026.

    • Citation F0684. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on March 25, 2026.

    • Citation F0842. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on March 25, 2026.

    See this home on CMS Care Compare

  13. CMS update of February 25, 2026

    • Fine

      CMS changed the fine from January 14, 2025 from $53,040 to $34,476.

  14. 1 citation

    Health inspection on February 2, 2026

    CMS lists this as a complaint inspection.

    • Citation F0627. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

      CMS lists it as corrected on February 23, 2026.

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  15. 2 citations

    Health inspection on January 22, 2026

    CMS lists this as a complaint inspection.

    • Citation F0755. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on February 2, 2026.

    • Citation F0697. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe, appropriate pain management for a resident who requires such services.

      CMS lists it as corrected on February 2, 2026.

      CMS has cited this home for F0697 4 times since 2022.

    See this home on CMS Care Compare

  16. 2 citations

    Health inspection on December 16, 2025

    CMS lists this as a complaint inspection.

    • Citation F0580. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

      CMS lists it as corrected on January 13, 2026.

      CMS has cited this home for F0580 5 times since 2024.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on January 13, 2026.

    See this home on CMS Care Compare

  17. 2 citations

    Health inspection on November 24, 2025

    CMS lists this as a complaint inspection.

    • Citation F0684. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on December 13, 2025.

    • Citation F0695. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.

      CMS lists it as corrected on December 13, 2025.

      CMS has cited this home for F0695 6 times since 2022.

    See this home on CMS Care Compare

  18. CMS update of November 20, 2025

    • CMS abuse icon

      CMS removed its abuse icon from this home.

    • Fine

      CMS changed the fine from February 8, 2023 from $19,500 to $9,750.

  19. 1 citation

    Health inspection on September 17, 2025

    CMS lists this as a complaint inspection.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on October 14, 2025.

    See this home on CMS Care Compare

  20. 35 citations

    Health inspection on August 29, 2025

    CMS lists this as a standard inspection and a complaint inspection.

    • Citation F0605. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

      CMS lists it as corrected on September 25, 2025.

    • Citation F0656. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on September 25, 2025.

    • Citation F0658. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure services provided by the nursing facility meet professional standards of quality.

      CMS lists it as corrected on September 25, 2025.

      CMS has cited this home for F0658 2 times since 2024.

    • Citation F0684. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on September 25, 2025.

    • Citation F0686. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      CMS lists it as corrected on September 25, 2025.

      CMS has cited this home for F0686 7 times since 2022.

    • Citation F0689. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on September 25, 2025.

    • Citation F0692. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide enough food/fluids to maintain a resident's health.

      CMS lists it as corrected on September 25, 2025.

    • Citation F0697. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide safe, appropriate pain management for a resident who requires such services.

      CMS lists it as corrected on September 25, 2025.

    • Citation F0759. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure medication error rates are not 5 percent or greater.

      CMS lists it as corrected on September 25, 2025.

    • Citation F0760. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure that residents are free from significant medication errors.

      CMS lists it as corrected on September 25, 2025.

      CMS has cited this home for F0760 5 times since 2022.

    • Citation F0812. Severity E: potential for more than minimal harm, pattern.

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

      CMS lists it as corrected on September 25, 2025.

      CMS has cited this home for F0812 2 times since 2024.

    • Citation F0813. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have a policy regarding use and storage of foods brought to residents by family and other visitors.

      CMS lists it as corrected on September 25, 2025.

    • Citation F0842. Severity E: potential for more than minimal harm, pattern.

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

      CMS lists it as corrected on September 25, 2025.

    • Citation F0880. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on September 25, 2025.

    • Citation F0881. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Implement a program that monitors antibiotic use.

      CMS lists it as corrected on September 25, 2025.

      CMS has cited this home for F0881 2 times since 2024.

    • Citation F0882. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

      CMS lists it as corrected on September 25, 2025.

    • Citation F0554. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Allow residents to self-administer drugs if determined clinically appropriate.

      CMS lists it as corrected on September 25, 2025.

      CMS has cited this home for F0554 2 times since 2024.

    • Citation F0558. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Reasonably accommodate the needs and preferences of each resident.

      CMS lists it as corrected on September 25, 2025.

      CMS has cited this home for F0558 2 times since 2024.

    • Citation F0578. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

      CMS lists it as corrected on September 25, 2025.

    • Citation F0580. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

      CMS lists it as corrected on September 25, 2025.

    • Citation F0584. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on September 25, 2025.

      CMS has cited this home for F0584 2 times since 2024.

    • Citation F0655. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

      CMS lists it as corrected on September 25, 2025.

    • Citation F0657. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

      CMS lists it as corrected on September 25, 2025.

    • Citation F0677. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.

      CMS lists it as corrected on September 25, 2025.

    • Citation F0690. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

      CMS lists it as corrected on September 25, 2025.

      CMS has cited this home for F0690 5 times since 2024.

    • Citation F0693. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

      CMS lists it as corrected on September 25, 2025.

      CMS has cited this home for F0693 3 times since 2022.

    • Citation F0694. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide for the safe, appropriate administration of IV fluids for a resident when needed.

      CMS lists it as corrected on September 25, 2025.

    • Citation F0695. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.

      CMS lists it as corrected on September 25, 2025.

    • Citation F0698. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe, appropriate dialysis care/services for a resident who requires such services.

      CMS lists it as corrected on September 25, 2025.

      CMS has cited this home for F0698 3 times since 2024.

    • Citation F0699. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide care or services that was trauma informed and/or culturally competent.

      CMS lists it as corrected on September 25, 2025.

    • Citation F0740. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

      CMS lists it as corrected on September 25, 2025.

    • Citation F0755. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on September 25, 2025.

    • Citation F0761. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on September 25, 2025.

      CMS has cited this home for F0761 3 times since 2022.

    • Citation F0883. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement policies and procedures for flu and pneumonia vaccinations.

      CMS lists it as corrected on September 25, 2025.

    • Citation F0887. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

      CMS lists it as corrected on September 25, 2025.

      CMS has cited this home for F0887 2 times since 2024.

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  21. 7 citations

    Fire safety inspection on August 29, 2025

    CMS lists this as a standard inspection.

    • Citation K0345. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have approved installation, maintenance and testing program for fire alarm systems.

      CMS lists it as corrected on September 25, 2025.

    • Citation K0351. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Install an approved automatic sprinkler system.

      CMS lists it as corrected on September 25, 2025.

    • Citation K0353. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on September 25, 2025.

      CMS has cited this home for K0353 2 times since 2024.

    • Citation K0761. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: To conduct inspection, testing and maintenance of fire doors by qualified individuals.

      CMS lists it as corrected on September 25, 2025.

    • Citation K0920. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure proper usage of power strips and extension cords.

      CMS lists it as corrected on September 25, 2025.

      CMS has cited this home for K0920 2 times since 2024.

    • Citation K0362. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

      CMS lists it as corrected on September 25, 2025.

    • Citation K0926. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

      CMS lists it as corrected on September 25, 2025.

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  22. 1 citation

    Health inspection on August 5, 2025

    CMS lists this as a complaint inspection.

    • Citation F0760. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that residents are free from significant medication errors.

      CMS lists it as corrected on August 29, 2025.

    See this home on CMS Care Compare

  23. 2 citations

    Health inspection on July 15, 2025

    CMS lists this as a complaint inspection.

    • Citation F0755. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on August 13, 2025.

    • Citation F0919. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Make sure that a working call system is available in each resident's bathroom and bathing area.

      CMS lists it as corrected on August 13, 2025.

    See this home on CMS Care Compare

  24. 1 citation

    Health inspection on June 18, 2025

    CMS lists this as a complaint inspection.

    • Citation F0697. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide safe, appropriate pain management for a resident who requires such services.

      CMS lists it as corrected on July 10, 2025.

    See this home on CMS Care Compare

  25. 2 citations

    Health inspection on May 28, 2025

    CMS lists this as a complaint inspection.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on June 12, 2025.

    • Citation F0842. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on June 12, 2025.

    See this home on CMS Care Compare

  26. 2 citations

    Health inspection on April 22, 2025

    CMS lists this as a complaint inspection.

    • Citation F0585. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on May 7, 2025.

      CMS has cited this home for F0585 2 times since 2024.

    • Citation F0686. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      CMS lists it as corrected on May 7, 2025.

    See this home on CMS Care Compare

  27. 1 citation

    Health inspection on April 1, 2025

    CMS lists this as a complaint inspection.

    • Citation F0695. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.

      CMS lists it as corrected on April 18, 2025.

    See this home on CMS Care Compare

  28. 1 citation

    Health inspection on March 27, 2025

    CMS lists this as a complaint inspection.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on April 13, 2025.

    See this home on CMS Care Compare

  29. 2 citations

    Health inspection on March 20, 2025

    CMS lists this as a complaint inspection.

    • Citation F0580. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

      CMS lists it as corrected on April 12, 2025.

    • Citation F0690. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

      CMS lists it as corrected on April 12, 2025.

    See this home on CMS Care Compare

  30. 1 citation

    Health inspection on March 13, 2025

    CMS lists this as a complaint inspection.

    • Citation F0837. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

      CMS lists it as corrected on April 4, 2025.

      CMS has cited this home for F0837 2 times since 2024.

    See this home on CMS Care Compare

  31. CMS update of February 26, 2025

    • Special Focus Facility

      CMS now lists this home as a Special Focus Facility candidate.

    • Fine

      CMS changed the fine from July 25, 2023 from $88,543 to $90,214.

  32. 3 citations

    Health inspection on January 14, 2025

    CMS lists this as a complaint inspection.

    Severity G is the second-highest of CMS's four levels. It means a resident was harmed.

    227 of 1,165 California homes (19%) got a citation at the actual harm level in 2025.

    • Citation F0689. Severity G: actual harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on February 7, 2025.

    • Citation F0686. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      CMS lists it as corrected on February 7, 2025.

    • Citation F0690. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

      CMS lists it as corrected on February 7, 2025.

    See this home on CMS Care Compare

  33. Fine

    January 14, 2025 (1 year ago)

    CMS fine of $34,476 on January 14, 2025.

    See this home on CMS Care Compare

  34. CMS update of December 20, 2024

    • Name

      CMS lists a new legal business name for this home.

    • Ownership

      CMS lists this home under a new chain.

    • Ownership

      CMS ownership records list new owners for this home.

  35. 1 citation

    Health inspection on December 3, 2024

    CMS lists this as a complaint inspection.

    • Citation F0842. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on December 18, 2024.

    See this home on CMS Care Compare

  36. CMS update of October 30, 2024

    • Star rating

      The CMS staffing star rating changed from 1 of 5 to 2 of 5.

    • CMS abuse icon

      CMS added its abuse icon to this home.

    • Fine

      CMS changed the fine from July 25, 2023 from $136,220 to $88,543.

  37. 1 citation

    Health inspection on October 28, 2024

    CMS lists this as a complaint inspection.

    • Citation F0690. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

      CMS lists it as corrected on November 14, 2024.

    See this home on CMS Care Compare

  38. 4 citations

    Health inspection on October 22, 2024

    CMS lists this as a complaint inspection.

    • Citation F0755. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on November 14, 2024.

    • Citation F0760. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure that residents are free from significant medication errors.

      CMS lists it as corrected on November 14, 2024.

    • Citation F0685. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Assist a resident in gaining access to vision and hearing services.

      CMS lists it as corrected on November 14, 2024.

      CMS has cited this home for F0685 2 times since 2024.

    • Citation F0686. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      CMS lists it as corrected on November 14, 2024.

    See this home on CMS Care Compare

  39. 2 citations

    Health inspection on September 27, 2024

    CMS lists this as a complaint inspection.

    • Citation F0600. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

      CMS lists it as corrected on October 14, 2024.

    • Citation F0609. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      CMS lists it as corrected on October 14, 2024.

    See this home on CMS Care Compare

  40. CMS update of September 26, 2024

    • CMS abuse icon

      CMS removed its abuse icon from this home.

  41. 32 citations

    Health inspection on September 17, 2024

    CMS lists this as a standard inspection and a complaint inspection.

    • Citation F0604. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

      CMS lists it as corrected on September 27, 2024.

    • Citation F0656. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on September 27, 2024.

    • Citation F0658. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure services provided by the nursing facility meet professional standards of quality.

      CMS lists it as corrected on September 27, 2024.

    • Citation F0686. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      CMS lists it as corrected on September 27, 2024.

    • Citation F0689. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on September 27, 2024.

    • Citation F0695. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.

      CMS lists it as corrected on September 27, 2024.

    • Citation F0755. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on September 27, 2024.

    • Citation F0758. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS lists it as corrected on September 27, 2024.

      CMS has cited this home for F0758 2 times since 2022.

    • Citation F0760. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure that residents are free from significant medication errors.

      CMS lists it as corrected on September 27, 2024.

    • Citation F0761. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS lists it as corrected on September 27, 2024.

    • Citation F0801. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS lists it as corrected on September 27, 2024.

    • Citation F0802. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

      CMS lists it as corrected on September 27, 2024.

    • Citation F0803. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS lists it as corrected on September 27, 2024.

    • Citation F0804. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

      CMS lists it as corrected on September 27, 2024.

    • Citation F0805. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

      CMS lists it as corrected on September 27, 2024.

    • Citation F0812. Severity E: potential for more than minimal harm, pattern.

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

      CMS lists it as corrected on September 27, 2024.

    • Citation F0880. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on September 27, 2024.

    • Citation F0908. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Keep all essential equipment working safely.

      CMS lists it as corrected on September 27, 2024.

    • Citation F0550. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

      CMS lists it as corrected on September 27, 2024.

      CMS has cited this home for F0550 3 times since 2022.

    • Citation F0554. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Allow residents to self-administer drugs if determined clinically appropriate.

      CMS lists it as corrected on September 27, 2024.

    • Citation F0558. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Reasonably accommodate the needs and preferences of each resident.

      CMS lists it as corrected on September 27, 2024.

    • Citation F0580. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

      CMS lists it as corrected on September 27, 2024.

    • Citation F0623. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

      CMS lists it as corrected on September 27, 2024.

    • Citation F0645. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: PASARR screening for Mental disorders or Intellectual Disabilities

      CMS lists it as corrected on September 27, 2024.

    • Citation F0688. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on September 27, 2024.

      CMS has cited this home for F0688 2 times since 2023.

    • Citation F0690. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

      CMS lists it as corrected on September 27, 2024.

    • Citation F0693. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

      CMS lists it as corrected on September 27, 2024.

    • Citation F0698. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe, appropriate dialysis care/services for a resident who requires such services.

      CMS lists it as corrected on September 27, 2024.

    • Citation F0806. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

      CMS lists it as corrected on September 27, 2024.

    • Citation F0881. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Implement a program that monitors antibiotic use.

      CMS lists it as corrected on September 27, 2024.

    • Citation F0582. Severity B: potential for minimal harm, pattern.

      The rule CMS cited: Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

      CMS lists it as corrected on September 27, 2024.

    • Citation F0732. Severity B: potential for minimal harm, pattern.

      The rule CMS cited: Post nurse staffing information every day.

      CMS lists it as corrected on September 27, 2024.

    See this home on CMS Care Compare

  42. 3 citations

    Fire safety inspection on September 17, 2024

    CMS lists this as a standard inspection.

    • Citation K0920. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure proper usage of power strips and extension cords.

      CMS lists it as corrected on September 27, 2024.

    • Citation K0353. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on September 27, 2024.

    • Citation K0355. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Properly select, install, inspect, or maintain portable fire extinguishes.

      CMS lists it as corrected on September 27, 2024.

    See this home on CMS Care Compare

  43. 3 citations

    Health inspection on September 4, 2024

    CMS lists this as a complaint inspection.

    • Citation F0887. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

      CMS lists it as corrected on September 12, 2024.

    • Citation F0755. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on September 12, 2024.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on September 12, 2024.

    See this home on CMS Care Compare

  44. 5 citations

    Health inspection on August 29, 2024

    CMS lists this as a complaint inspection.

    • Citation F0837. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

      CMS lists it as corrected on September 12, 2024.

    • Citation F0584. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on September 12, 2024.

    • Citation F0585. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on September 12, 2024.

    • Citation F0685. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Assist a resident in gaining access to vision and hearing services.

      CMS lists it as corrected on September 12, 2024.

    • Citation F0695. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.

      CMS lists it as corrected on September 12, 2024.

    See this home on CMS Care Compare

  45. Payment stopped

    August 24, 2024 (2 years ago)

    CMS stopped payment for new admissions from August 24, 2024, for 19 days.

    See this home on CMS Care Compare

  46. 1 citation

    Health inspection on August 20, 2024

    CMS lists this as a complaint inspection.

    • Citation F0921. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

      CMS lists it as corrected on September 3, 2024.

    See this home on CMS Care Compare

  47. 1 citation

    Health inspection on August 14, 2024

    CMS lists this as a complaint inspection.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on September 3, 2024.

    See this home on CMS Care Compare

  48. 1 citation

    Health inspection on August 1, 2024

    CMS lists this as a complaint inspection.

    Severity G is the second-highest of CMS's four levels. It means a resident was harmed.

    256 of 1,165 California homes (22%) got a citation at the actual harm level in 2024.

    • Citation F0689. Severity G: actual harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on August 20, 2024.

    See this home on CMS Care Compare

  49. CMS update of July 31, 2024

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 1 of 5.

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 1 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS quality measures star rating changed from 5 of 5 to 4 of 5.

  50. 4 citations

    Health inspection on July 9, 2024

    CMS lists this as a complaint inspection.

    • Citation F0755. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on July 23, 2024.

    • Citation F0880. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on July 23, 2024.

    • Citation F0600. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

      CMS lists it as corrected on July 23, 2024.

    • Citation F0610. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Respond appropriately to all alleged violations.

      CMS lists it as corrected on July 23, 2024.

    See this home on CMS Care Compare

  51. 4 citations

    Health inspection on June 28, 2024

    CMS lists this as a complaint inspection.

    • Citation F0622. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

      CMS lists it as corrected on July 23, 2024.

    • Citation F0550. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

      CMS lists it as corrected on July 23, 2024.

    • Citation F0686. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      CMS lists it as corrected on July 23, 2024.

    • Citation F0842. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on July 23, 2024.

    See this home on CMS Care Compare

  52. 2 citations

    Health inspection on June 6, 2024

    CMS lists this as a complaint inspection.

    Severity G is the second-highest of CMS's four levels. It means a resident was harmed.

    256 of 1,165 California homes (22%) got a citation at the actual harm level in 2024.

    • Citation F0580. Severity G: actual harm, isolated.

      The rule CMS cited: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

      CMS lists it as corrected on June 20, 2024.

    • Citation F0657. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

      CMS lists it as corrected on June 20, 2024.

    See this home on CMS Care Compare

  53. 1 citation

    Health inspection on May 30, 2024

    CMS lists this as a complaint inspection.

    Severity G is the second-highest of CMS's four levels. It means a resident was harmed.

    256 of 1,165 California homes (22%) got a citation at the actual harm level in 2024.

    • Citation F0689. Severity G: actual harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on June 14, 2024.

    See this home on CMS Care Compare

  54. CMS update of April 25, 2024

    • Star rating

      The CMS overall star rating changed from 1 of 5 to 2 of 5.

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to 5 of 5.

  55. 2 citations

    Health inspection on April 5, 2024

    CMS lists this as a complaint inspection.

    • Citation F0726. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on April 30, 2024.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on April 30, 2024.

    See this home on CMS Care Compare

  56. 1 citation

    Health inspection on February 16, 2024

    CMS lists this as a complaint inspection.

    • Citation F0698. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide safe, appropriate dialysis care/services for a resident who requires such services.

      CMS lists it as corrected on March 15, 2024.

    See this home on CMS Care Compare

  57. 2 citations

    Health inspection on February 7, 2024

    CMS lists this as a complaint inspection.

    • Citation F0684. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on March 1, 2024.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on March 1, 2024.

    See this home on CMS Care Compare

  58. CMS update of January 31, 2024

    • Star rating

      The CMS staffing star rating changed from 4 of 5 to 2 of 5.

    • Staffing

      Total nurse staffing reported to CMS went from 5.1 to 4.1 hours per resident per day.

  59. CMS update of December 21, 2023

    • CMS abuse icon

      CMS added its abuse icon to this home.

    • Fine

      CMS changed the fine from March 6, 2023 from $42,480 to $42,908.

  60. 3 citations

    Health inspection on October 30, 2023

    CMS lists this as a complaint inspection.

    • Citation F0688. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS lists it as corrected on November 18, 2023.

    • Citation F0755. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on November 18, 2023.

    • Citation F0842. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on November 18, 2023.

    See this home on CMS Care Compare

  61. 1 citation

    Health inspection on October 10, 2023

    CMS lists this as a complaint inspection.

    • Citation F0600. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

      CMS lists it as corrected on October 25, 2023.

    See this home on CMS Care Compare

  62. 13 citations

    Health inspection on March 11, 2022

    CMS lists this as a standard inspection.

    • Citation F0697. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide safe, appropriate pain management for a resident who requires such services.

      CMS lists it as corrected on April 4, 2022.

    • Citation F0755. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on April 4, 2022.

    • Citation F0758. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS lists it as corrected on April 4, 2022.

    • Citation F0880. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on April 4, 2022.

    • Citation F0550. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

      CMS lists it as corrected on April 4, 2022.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on April 4, 2022.

    • Citation F0657. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

      CMS lists it as corrected on April 4, 2022.

    • Citation F0686. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      CMS lists it as corrected on April 4, 2022.

    • Citation F0693. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

      CMS lists it as corrected on April 4, 2022.

    • Citation F0695. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.

      CMS lists it as corrected on April 4, 2022.

    • Citation F0757. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident’s drug regimen must be free from unnecessary drugs.

      CMS lists it as corrected on April 4, 2022.

    • Citation F0760. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that residents are free from significant medication errors.

      CMS lists it as corrected on April 4, 2022.

    • Citation F0761. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on April 4, 2022.

    See this home on CMS Care Compare

  63. 5 citations

    Fire safety inspection on March 11, 2022

    CMS lists this as a standard inspection.

    • Citation K0521. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

      CMS lists it as corrected on April 1, 2022.

    • Citation K0918. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have generator or other power source capable of supplying service within 10 seconds.

      CMS lists it as corrected on April 1, 2022.

    • Citation K0921. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure that testing and maintenance of electrical equipment is performed.

      CMS lists it as corrected on April 1, 2022.

    • Citation K0324. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide properly protected cooking facilities.

      CMS lists it as corrected on April 1, 2022.

    • Citation K0712. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have simulated fire drills held at unexpected times.

      CMS lists it as corrected on April 1, 2022.

    See this home on CMS Care Compare

Questions

When was Antelope Valley Care Center last inspected?

CMS lists August 29, 2025 as the date of its most recent standard health inspection.

How many citations (violations) does Antelope Valley Care Center have?

CMS lists 158 health citations since March 11, 2022. CMS also calls these deficiencies.

Has Antelope Valley Care Center been fined?

CMS lists 2 fines in the past three years, $68,401 in total.

What is the CMS star rating of Antelope Valley Care Center?

Its CMS overall star rating is 1 of 5.

Is Antelope Valley Care Center a Special Focus Facility?

Yes. CMS lists it as a Special Focus Facility candidate.

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