Knolls West Post Acute LLC

16890 Green Tree Blvd, Victorville, CA 92395 (opens Google Maps) · San Bernardino County · (760) 245-5361· 118 certified beds · avg 109 residents/day · certified since Mar 18, 1987 · 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: DAVID JOHNSON (48 facilities, chain avg rating 3.2★)

3/5

Health inspection rating (on-site)

inspected May 22, 2025

Serious findings on record

most recent Dec 15, 2022

Fines, last 3 years

3.98

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, isolated · Dec 15, 2022 · F-0686

The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.

Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Jan 13, 2023 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 50 inspection findings. Open the full record below to read every finding.

Jun 12, 2026D · Potential for more than minimal harm, isolated
The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint F-0580
Jun 12, 2026D · Potential for more than minimal harm, isolated
The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint F-0842
May 7, 2026D · Potential for more than minimal harm, isolated
The facility did not let a resident or their legal representative see or buy copies of the resident's own records. · from a complaint F-0573

View all 50 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

Date	Severity	What the facility was cited for
Jun 12, 2026	D · Potential for more than minimal harm, isolated	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint · F-0580
Jun 12, 2026	D · Potential for more than minimal harm, isolated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842
May 7, 2026	D · Potential for more than minimal harm, isolated	The facility did not let a resident or their legal representative see or buy copies of the resident's own records. · from a complaint · F-0573
Apr 2, 2026	D · Potential for more than minimal harm, isolated	The facility did not let a resident or their legal representative see or buy copies of the resident's own records. · from a complaint · F-0573
May 22, 2025	F · Potential for more than minimal harm, widespread	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. · F-0812
May 22, 2025	F · Potential for more than minimal harm, widespread	The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · F-0908
May 22, 2025	E · Potential for more than minimal harm, pattern	The facility did not make sure the resident's doctor reviewed their care and wrote, signed, and dated progress notes and orders at each required visit. · F-0711
May 22, 2025	D · Potential for more than minimal harm, isolated	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550
May 22, 2025	D · Potential for more than minimal harm, isolated	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). · F-0628
May 22, 2025	D · Potential for more than minimal harm, isolated	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. · F-0636
May 22, 2025	D · Potential for more than minimal harm, isolated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
May 22, 2025	D · Potential for more than minimal harm, isolated	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. · F-0644
May 22, 2025	D · Potential for more than minimal harm, isolated	The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have. · F-0676
May 22, 2025	D · Potential for more than minimal harm, isolated	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686
May 22, 2025	D · Potential for more than minimal harm, isolated	The facility did not make sure residents actually saw their doctor face-to-face at all required visits. Doctors must examine nursing home residents in person on a regular schedule. · F-0712
May 22, 2025	D · Potential for more than minimal harm, isolated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755
May 22, 2025	D · Potential for more than minimal harm, isolated	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. · F-0761
May 22, 2025	D · Potential for more than minimal harm, isolated	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. · F-0880
May 22, 2025	C · Potential for minimal harm, widespread	The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. · F-0851
Mar 26, 2025	D · Potential for more than minimal harm, isolated	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 · F-0684
Jan 23, 2025	D · Potential for more than minimal harm, isolated	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint · F-0686
Dec 30, 2024	D · Potential for more than minimal harm, isolated	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 · F-0684
Dec 17, 2024	D · Potential for more than minimal harm, isolated	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. · from a complaint · F-0688
Nov 26, 2024	D · Potential for more than minimal harm, isolated	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint · F-0726
Oct 3, 2024	D · Potential for more than minimal harm, isolated	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 · F-0609
Sep 12, 2024	D · Potential for more than minimal harm, isolated	The facility hired someone with an official finding of abuse, neglect, exploitation, or theft against them. Facilities are not allowed to employ people with such findings. · from a complaint · F-0606
Jun 18, 2024	D · Potential for more than minimal harm, isolated	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 · F-0684
May 23, 2024	E · Potential for more than minimal harm, pattern	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. · F-0812
May 23, 2024	D · Potential for more than minimal harm, isolated	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. · F-0636
May 23, 2024	D · Potential for more than minimal harm, isolated	The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition. · F-0638
May 23, 2024	D · Potential for more than minimal harm, isolated	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695
May 23, 2024	D · Potential for more than minimal harm, isolated	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · F-0758
Dec 15, 2022	▲ G · Actual harm, isolated	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686
Dec 15, 2022	F · Potential for more than minimal harm, widespread	The facility did not honor residents' right to receive the visitors they choose, at the times they choose. · F-0563
Dec 15, 2022	F · Potential for more than minimal harm, widespread	The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. · F-0801
Dec 15, 2022	E · Potential for more than minimal harm, pattern	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. · F-0761
Dec 15, 2022	E · Potential for more than minimal harm, pattern	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. · F-0803
Dec 15, 2022	E · Potential for more than minimal harm, pattern	The facility did not provide or arrange specialized rehabilitation services — such as physical, occupational, or speech therapy — for residents who needed them. · F-0825
Dec 15, 2022	D · Potential for more than minimal harm, isolated	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. · F-0637
Dec 15, 2022	D · Potential for more than minimal harm, isolated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Dec 15, 2022	D · Potential for more than minimal harm, isolated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656
Dec 15, 2022	D · Potential for more than minimal harm, isolated	The facility did not provide proper care for residents with a colostomy, urostomy, or ileostomy — surgical openings in the abdomen that let waste leave the body into a pouch. These require regular, skilled attention to stay clean and healthy. · F-0691
Dec 15, 2022	D · Potential for more than minimal harm, isolated	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692
Dec 15, 2022	D · Potential for more than minimal harm, isolated	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698
Dec 15, 2022	D · Potential for more than minimal harm, isolated	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · F-0726
Dec 15, 2022	D · Potential for more than minimal harm, isolated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755
Dec 15, 2022	D · Potential for more than minimal harm, isolated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842
Dec 15, 2022	D · Potential for more than minimal harm, isolated	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. · F-0868
Dec 15, 2022	D · Potential for more than minimal harm, isolated	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. · F-0880
Dec 15, 2022	C · Potential for minimal harm, widespread	The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. · F-0851

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (5 → 15).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01

All citationsSerious citations (G–L)

2022

2024

2025

2026

All bars start at zero. Exact values and supporting details remain below.

Year	Citations	Serious (G–L)	Worst severity that year
2022	18	1	G ▲
2024	11	0	E
2025	17	0	F
2026	4	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)

How to file a complaint about care →

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01

This facilityCalifornia averageU.S. average

Total nurse staffing (hours per resident per day)

3.98

4.31

3.95

Registered Nurse hours

0.40

0.61

0.69

Weekend total nurse staffing

3.77

3.90

3.50

All bars start at zero. Exact values and supporting details remain below.

Measure	This facility	California avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.98	4.31	3.95	bottom 40% in California; top 40% in the U.S.
Registered Nurse hours	0.40	0.61	0.69	bottom 33% in California; bottom 22% in the U.S.
Weekend total nurse staffing	3.77	3.90	3.50	top 48% in California; top 30% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.49	0.51	0.48	top 31% in California; top 34% in the U.S.
Total nursing staff turnover (%)	53.8	36.7	45.8	bottom 8% in California; bottom 28% in the U.S.
RN turnover (%)	43.8	38.1	42.9	bottom 37% in California; bottom 46% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 4.65, RN 0.47, weekend 4.40.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.65 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: 2/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Knolls West Post Acute LLC. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

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Before you compare prices

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Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Chambers, Thomas	Individual	Direct Ownership Interest	NOT APPLICABLE	10/08/2013
Johnson, David	Individual	Direct Ownership Interest	NOT APPLICABLE	10/08/2013
Belanger, William	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/2022
Belanger, William	Individual	ADP of the SNF	NOT APPLICABLE	07/01/2022
Chambers, Thomas	Individual	Operational/Managerial Control	NOT APPLICABLE	10/08/2013
Chambers, Thomas	Individual	ADP of the SNF	NOT APPLICABLE	10/08/2013
Johnson, David	Individual	Operational/Managerial Control	NOT APPLICABLE	10/08/2013
Johnson, David	Individual	ADP of the SNF	NOT APPLICABLE	10/08/2013
Knolls West Post Acute LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	12/21/2013
Knolls West Post Acute LLC	Organization	ADP of the SNF	NOT APPLICABLE	08/28/2025
Meridian Management Services LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	12/01/2013
Reddy, Hari	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2023
Reddy, Hari	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2023

All 13 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain David Johnson — 48 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Menifee Lakes Post Acute — Sun City, CA · overall 3/5
Mission Care Center — Riverside, CA · overall 5/5
Mission Carmichael Healthcare Center — Carmichael, CA · overall 3/5
Monterey Park Conv Hosp — Monterey Park, CA · overall 5/5
Mountain View Post Acute — Barstow, CA · overall 5/5
North Valley Nursing Center — Tujunga, CA · overall 1/5abuse
Ocean View Post Acute — Escondido, CA · overall 4/5
Pacific Post Acute — Santa Monica, CA · overall 5/5

Listed by state, then facility name — not a ranking. Showing 8 of the 47 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"How do you keep residents' medical records accurate, complete, and secure?"
"If I ask for a copy of my family member's records, how quickly will I get them and what does it cost?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How do you inspect and maintain essential equipment, and how quickly are repairs made?"
"How often does each resident's doctor visit and review their care in person?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"

Also worth asking anywhere

"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the plan of correction for the findings in your most recent state inspection?"
"CMS reports 54% total nursing staff turnover here — who on the care team has been with you longest?"
"The ownership record on file lists 13 owning or managing parties — who makes the decisions about staffing levels?"
"Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Spring Valley Post Acute LLC	1.7 mi	Victorville, CA	★★☆☆☆	2/5
Desert Ridge Transitional Care Center, LP	2.4 mi	Victorville, CA		—/5
Apple Valley Care Center	3.6 mi	Apple Valley, CA	★★★★★	5/5
Mountains Community Hosp DP/SNF	17.5 mi	Lake Arrowhead, CA	★★★★☆	5/5

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in San Bernardino, CA — 55 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Las Colinas Post Acute — Ontario, CA · overall 2/5
Laurel Convalescent Hospital — Fontana, CA · overall 3/5
Loma Linda Post Acute — Loma Linda, CA · overall 4/5
Madison Grove Post Acute — Redlands, CA · overall 3/5
Meadows Ridge Care Center — Colton, CA · overall 4/5
Medical Center Convalescent Hospital — San Bernardino, CA · overall 4/5
Montclair Manor Care Center — Montclair, CA · overall 5/5
Mountain View Post Acute — Barstow, CA · overall 5/5

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Victorville →

Facility data as of CMS processing date 2026-08-01. CCN 555251.