Spring Valley Post Acute LLC
14973 Hesperia Rd, Victorville, CA 92395 · San Bernardino County · 126 certified beds · avg 111 residents/day · certified since Feb 19, 1971
Part of chain: DAVID JOHNSON (48 facilities, chain avg rating 3.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, repeated · Sep 26, 2025 · F-0604 · triggered by a complaint
The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment.
Why it matters: Unneeded restraints can cause injuries, muscle loss, and deep emotional distress.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
▲ Immediate jeopardy, facility-wide · Feb 4, 2022 · F-0812
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.
Why it matters: Unsafe food handling is one of the most common causes of food poisoning, which can be dangerous for frail residents.
Severity (L): A life-threatening or extremely dangerous situation existed throughout the facility. The single most serious citation CMS can issue.
Corrected: Apr 5, 2022 (Deficient, Provider has date of correction)
All citations in the current public record (31)
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 5, 2026 | D · Potential for harm, one-off | 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. |
| Mar 5, 2026 | D · Potential for harm, one-off | 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. |
| Mar 5, 2026 | 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. |
| Mar 5, 2026 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Mar 5, 2026 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Mar 5, 2026 | 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. |
| Sep 26, 2025 | ▲ K · Immediate jeopardy, repeated | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · from a complaint |
| Mar 13, 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 |
| Nov 21, 2024 | E · Potential for harm, repeated | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Nov 21, 2024 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| Nov 21, 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. |
| Nov 21, 2024 | D · Potential for harm, one-off | 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. |
| Nov 21, 2024 | D · Potential for harm, one-off | 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. |
| Nov 21, 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. |
| Nov 13, 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 |
| Jun 12, 2024 | D · Potential for harm, one-off | 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 |
| Oct 9, 2023 | 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 |
| Sep 26, 2023 | 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. · from a complaint |
| Aug 31, 2023 | 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 |
| Aug 23, 2023 | D · Potential for harm, one-off | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · from a complaint |
| Feb 4, 2022 | ▲ L · Immediate jeopardy, 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. |
| Feb 4, 2022 | F · Potential for harm, facility-wide | The facility did not dispose of garbage and refuse properly. |
| Feb 4, 2022 | E · Potential for harm, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Feb 4, 2022 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Feb 4, 2022 | E · Potential for harm, repeated | The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. |
| Feb 4, 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. |
| Feb 4, 2022 | D · Potential for harm, one-off | The facility did not notify the appropriate authorities when a resident with a mental disorder or intellectual disability had a significant change in condition. |
| Feb 4, 2022 | D · Potential for harm, one-off | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. |
| Feb 4, 2022 | 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. |
| Feb 4, 2022 | D · Potential for harm, one-off | The facility did not have enough support staff to safely and effectively run its food and nutrition service. |
| Feb 4, 2022 | D · Potential for harm, one-off | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (6 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 11 | 1 | L ▲ |
| 2023 | 4 | 0 | D |
| 2024 | 8 | 0 | E |
| 2025 | 2 | 1 | K ▲ |
| 2026 | 6 | 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)
11 fines totaling $57,810.
| Date | Type | Amount / length |
|---|---|---|
| Sep 26, 2025 | Fine | $11,940 |
| Nov 6, 2023 | Fine | $4,587 |
| Oct 17, 2023 | Fine | $4,587 |
| Oct 10, 2023 | Fine | $4,587 |
| Oct 2, 2023 | Fine | $4,587 |
| Sep 25, 2023 | Fine | $4,587 |
| Sep 18, 2023 | Fine | $4,587 |
| Sep 11, 2023 | Fine | $4,587 |
| Sep 5, 2023 | Fine | $4,587 |
| Aug 28, 2023 | Fine | $4,587 |
| Aug 21, 2023 | Fine | $4,587 |
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) | 5.06 | 4.31 | 3.95 | top 14% in California; top 12% in the U.S. |
| Registered Nurse hours | 0.46 | 0.61 | 0.69 | bottom 47% in California; bottom 32% in the U.S. |
| Weekend total nurse staffing | 4.31 | 3.90 | 3.50 | top 20% in California; top 15% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.29 | 0.51 | 0.48 | bottom 30% in California; bottom 29% in the U.S. |
| Total nursing staff turnover (%) | 41.4 | 36.7 | 45.8 | bottom 34% in California; top 40% in the U.S. |
| RN turnover (%) | 30.0 | 38.1 | 42.9 | top 38% in California; top 29% 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 4.66, RN 0.43, weekend 3.97. Staffing rating: 4/5.
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: 2/5 · long-stay residents: 2/5 · short-stay residents: 2/5
Who owns this facility
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 |
| 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 |
| Meridian Management Services LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/20/2013 |
| Reddy, Hari | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2023 |
| Reddy, Hari | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2023 |
| Soni, Preyas | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/16/2023 |
| Soni, Preyas | Individual | ADP of the SNF | NOT APPLICABLE | 07/16/2023 |
| Spring Valley Post Acute LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/20/2013 |
| Spring Valley Post Acute LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/15/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your policy on physical restraints, and what alternatives do you try first?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How soon after admission is a full assessment completed, and how are the findings shared with the family?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you coordinate and monitor care for residents who receive dialysis?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "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 | 1.7 mi | Victorville, CA | ★★★☆☆ | 3/5 | |
| Desert Ridge Transitional Care Center, LP | 2.9 mi | Victorville, CA | —/5 | ||
| Apple Valley Care Center | 5.1 mi | Apple Valley, CA | ★★★★★ | 5/5 | |
| Mountains Community Hosp DP/SNF | 19.2 mi | Lake Arrowhead, CA | ★★★★☆ | 5/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 055076.