Joshua Tree Post Acute
8515 Cholla Ave, Yucca Valley, CA 92284 · San Bernardino County · 47 certified beds · avg 56 residents/day · certified since Jun 8, 2001
Part of chain: ROCKWELL HEALTHCARE (5 facilities, chain avg rating 4.0★)
4/5
Health inspection rating (on-site)
0
Serious findings on record
$33,751
Fines, last 3 years
4.22
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
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 (24)
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 |
|---|---|---|
| Nov 13, 2025 | 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. |
| Nov 13, 2025 | E · Potential for harm, repeated | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Nov 13, 2025 | D · Potential for harm, one-off | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. |
| Nov 13, 2025 | 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. |
| Nov 13, 2025 | D · Potential for harm, one-off | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). |
| Nov 13, 2025 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Nov 13, 2025 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Nov 13, 2025 | D · Potential for harm, one-off | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Nov 13, 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. |
| Nov 13, 2025 | C · Minimal risk, facility-wide | The facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman. |
| Sep 20, 2024 | 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. |
| Sep 20, 2024 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Sep 20, 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. |
| Sep 20, 2024 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Sep 20, 2024 | 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. |
| Aug 14, 2024 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| May 2, 2024 | D · Potential for harm, one-off | 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 |
| Mar 29, 2024 | 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. |
| Mar 29, 2024 | D · Potential for harm, one-off | The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. |
| Mar 29, 2024 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Mar 29, 2024 | D · Potential for harm, one-off | 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 25, 2024 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Oct 6, 2023 | E · Potential for harm, repeated | The facility did not make sure resident assessments were done by a qualified health professional. Assessments guide all of a resident's care, so the person doing them must be properly trained. · from a complaint |
| Oct 6, 2023 | 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 |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (5 → 10).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 0 | E |
| 2024 | 12 | 0 | D |
| 2025 | 10 | 0 | F |
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)
2 fines totaling $33,751, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Oct 17, 2023 | Fine | $9,527 |
| Oct 6, 2023 | Fine | $24,224 |
| Oct 6, 2023 | Payment Denial | 11 days from Nov 9, 2023 |
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) | 4.22 | 4.31 | 3.95 | top 43% in California; top 31% in the U.S. |
| Registered Nurse hours | 0.27 | 0.61 | 0.69 | bottom 7% in California; bottom 7% in the U.S. |
| Weekend total nurse staffing | 3.72 | 3.90 | 3.50 | bottom 48% in California; top 32% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.22 | 0.51 | 0.48 | bottom 14% in California; bottom 15% in the U.S. |
| Total nursing staff turnover (%) | 53.0 | 36.7 | 45.8 | bottom 9% in California; bottom 29% in the U.S. |
| RN turnover (%) | 66.7 | 38.1 | 42.9 | bottom 9% in California; bottom 15% 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 3.70, RN 0.23, weekend 3.26. Staffing rating: 2/5.
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: 3/5 · long-stay residents: 4/5 · short-stay residents: 1/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Golboo, Sepehr | Individual | 5% or Greater Indirect Ownership Interest | 8% | 08/01/2022 |
| Rockwell Healthcare LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 08/01/2022 |
| Siron, Rachelle | Individual | Indirect Ownership Interest | NOT APPLICABLE | 08/01/2023 |
| Byington, Donald | Individual | Corporate Director | NOT APPLICABLE | 08/01/2022 |
| Byington, Donald | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2022 |
| Figalan, Edgar Emmanuel | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/20/2025 |
| Figalan, Edgar Emmanuel | Individual | ADP of the SNF | NOT APPLICABLE | 01/20/2025 |
| Golboo, Sepehr | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2022 |
| Powell, Evangeline | Individual | Corporate Officer | NOT APPLICABLE | 08/01/2022 |
| Powell, Evangeline | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2022 |
| Rockwell Healthcare LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/01/2022 |
| Siron, Rachelle | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2022 |
| Siron, Rachelle | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2022 |
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 inspect and maintain essential equipment, and how quickly are repairs made?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "How do you explain health changes and treatment options to residents and their families?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "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 |
|---|---|---|---|---|---|
| Indian Canyon Post Acute | 1.7 mi | Yucca Valley, CA | ★★★★☆ | 4/5 | |
| Hi-Desert Medical Center D/P SNF | 8.9 mi | Joshua Tree, CA | ★☆☆☆☆ | 1/5 | abuse |
| California Nursing & Rehabilitation Center | 18.4 mi | Palm Springs, CA | ★☆☆☆☆ | 1/5 | |
| Desert Regional Medical Center D/P SNF | 19.2 mi | Palm Springs, CA | ★★★★★ | 4/5 | |
| Premier Care Center for Palm Springs | 20.0 mi | Palm Springs, CA | ★☆☆☆☆ | 1/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 555772.