Apple Valley Care Center
11959 Apple Valley Rd, Apple Valley, CA 92308 · San Bernardino County · 99 certified beds · avg 92 residents/day · certified since Sep 26, 1991 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: ABRAHAM BAK & MENACHEM GASTWIRTH (18 facilities, chain avg rating 2.5★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (23)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 12, 2026 | D · Potential for harm, one-off | The facility did not honor residents' individual preferences, choices, values, and beliefs in their daily life and care. · from a complaint |
| Jan 21, 2026 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Dec 18, 2025 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Nov 18, 2025 | D · Potential for harm, one-off | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. · from a complaint |
| Jun 9, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Jan 30, 2025 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Oct 17, 2024 | F · Potential for harm, facility-wide | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. |
| Oct 17, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Oct 17, 2024 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Oct 17, 2024 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Jun 28, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Feb 26, 2024 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Feb 26, 2024 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Oct 12, 2023 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint |
| Jan 10, 2022 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jan 10, 2022 | F · Potential for harm, facility-wide | The facility did not dispose of garbage and refuse properly. |
| Jan 10, 2022 | F · Potential for harm, facility-wide | The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months. |
| Jan 10, 2022 | F · Potential for harm, facility-wide | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| Jan 10, 2022 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jan 10, 2022 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Jan 10, 2022 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Jan 10, 2022 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Jan 10, 2022 | D · Potential for harm, one-off | The facility did not make sure special medical diets — like low-sodium or diabetic diets — were properly ordered by the resident's doctor or managed by a qualified dietitian as state law allows. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (4 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 9 | 0 | F |
| 2023 | 1 | 0 | D |
| 2024 | 7 | 0 | F |
| 2025 | 4 | 0 | E |
| 2026 | 2 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $8,021.
| Date | Type | Amount / length |
|---|---|---|
| Jan 17, 2024 | Fine | $8,021 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | California avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.72 | 4.31 | 3.95 | bottom 22% in California; bottom 48% in the U.S. |
| Registered Nurse hours | 0.43 | 0.61 | 0.69 | bottom 41% in California; bottom 27% in the U.S. |
| Weekend total nurse staffing | 3.08 | 3.90 | 3.50 | bottom 6% in California; bottom 35% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.34 | 0.51 | 0.48 | bottom 44% in California; bottom 41% in the U.S. |
| Total nursing staff turnover (%) | 35.1 | 36.7 | 45.8 | top 46% in California; top 24% in the U.S. |
| RN turnover (%) | 27.3 | 38.1 | 42.9 | top 31% in California; top 24% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.85, RN 0.56, weekend 4.01. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 3/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Lehmann, Kenneth | Individual | 5% or Greater Direct Ownership Interest | 28% | 10/01/2019 |
| 11959 Apple Valley Road, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/26/2013 |
| Abak Consulting LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/27/2021 |
| Bak, Abraham | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/13/2020 |
| Bak, Abraham | Individual | ADP of the SNF | NOT APPLICABLE | 09/26/2013 |
| Escobar, Jay Anne | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/09/2015 |
| Escobar, Jay Anne | Individual | ADP of the SNF | NOT APPLICABLE | 04/08/2025 |
| Gastwirth, Menachem | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/13/2020 |
| Gastwirth, Menachem | Individual | ADP of the SNF | NOT APPLICABLE | 09/26/2013 |
| Gewirtz, Chonoch | Individual | ADP of the SNF | NOT APPLICABLE | 05/13/2020 |
| Lehmann, Kenneth | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/13/2020 |
| Lehmann, Kenneth | Individual | ADP of the SNF | NOT APPLICABLE | 05/13/2020 |
| Mayer 2005 Revocable Trust | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2014 |
| Mayer, Helene | Individual | ADP of the SNF | NOT APPLICABLE | 09/26/2013 |
| Mayer, Ronald | Individual | ADP of the SNF | NOT APPLICABLE | 09/26/2013 |
| Mgaz Consulting LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/27/2021 |
| Siddiqui, Imran | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/13/2020 |
| Siddiqui, Imran | Individual | ADP of the SNF | NOT APPLICABLE | 05/13/2020 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you learn each resident's personal preferences and make sure staff actually follow them?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you show me the call buttons in the bathrooms and bathing areas, and tell me your average response time when one is pressed?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Knolls West Post Acute LLC | 3.6 mi | Victorville, CA | ★★★☆☆ | 3/5 | |
| Spring Valley Post Acute LLC | 5.1 mi | Victorville, CA | ★★☆☆☆ | 2/5 | |
| Desert Ridge Transitional Care Center, LP | 5.3 mi | Victorville, CA | —/5 | ||
| Mountains Community Hosp DP/SNF | 14.5 mi | Lake Arrowhead, CA | ★★★★☆ | 5/5 |
Compare this facility with the 3 closest →
All facilities in Apple Valley →
Facility data as of CMS processing date 2026-08-01. CCN 555476.