| Spring Valley Post Acute LLC | |
| 14973 Hesperia Rd, Victorville, California 92395 | |
| (760) 245-6477 | |
| Name | Spring Valley Post Acute LLC |
|---|---|
| Location | 14973 Hesperia Rd, Victorville, California |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 126 |
| Occupancy Rate | 87.86% |
| Medicare ID (CCN) | 055076 |
| Legal Business Name | Spring Valley Post Acute LLC |
| Ownership Type | For Profit - Limited Liability Company |
| Chain | David Johnson (48 nursing homes) |
| Chain Average Overall Rating | 3.2 out of 5 |
| NPI Number | 1053748830 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Spring Valley Post Acute LLC |
| Address | 14973 Hesperia Rd, Victorville, CA 92395 |
| Phone Number | 310-266-1080 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 4.66 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.43 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.32 | 0.86 |
| Nurse aide hours per resident per day | 2.92 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.97 | 3.42 |
| RN hours per resident per day on the weekend | 0.29 | 0.48 |
| Physical therapist hours per resident per day | 0.08 | 0.07 |
| Total nursing staff turnover | 41.4% | 45.8% |
| Registered nurse turnover | 30% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 11 |
| Total Amount of Fines in Dollars | $57,810 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 11 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Mar 5, 2026 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. F0636, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Apr 4, 2026 |
| Mar 5, 2026 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 4, 2026 |
| Mar 5, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 4, 2026 |
| Mar 5, 2026 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 4, 2026 |
| Mar 5, 2026 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Apr 4, 2026 |
| Mar 5, 2026 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Apr 4, 2026 |
| Sep 26, 2025 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. F0604, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Immediate jeopardy, pattern | No plan of correction |
| Mar 13, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Apr 7, 2025 |
| Nov 21, 2024 | PASARR screening for Mental disorders or Intellectual Disabilities F0645, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Dec 13, 2024 |
| Nov 21, 2024 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Dec 13, 2024 |
| Nov 21, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Dec 13, 2024 |
| Nov 21, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Dec 13, 2024 |
| Nov 21, 2024 | 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. F0688, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Dec 13, 2024 |
| Nov 21, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Dec 13, 2024 |
| Nov 13, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Nov 25, 2024 |
| Jun 12, 2024 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Jul 8, 2024 |
| Oct 9, 2023 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Oct 30, 2023 |
| Sep 26, 2023 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Oct 16, 2023 |
| Aug 31, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Sep 11, 2023 |
| Aug 23, 2023 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. F0604, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Sep 12, 2023 |
| Feb 4, 2022 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Immediate jeopardy, widespread | Corrected by Apr 5, 2022 |
| Feb 4, 2022 | Dispose of garbage and refuse properly. F0814, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Apr 5, 2022 |
| Feb 4, 2022 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Apr 5, 2022 |
| Feb 4, 2022 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Apr 5, 2022 |
| Feb 4, 2022 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. F0805, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Apr 5, 2022 |
| Feb 4, 2022 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Apr 5, 2022 |
| Feb 4, 2022 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. F0646, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Apr 5, 2022 |
| Feb 4, 2022 | 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. F0726, Nursing and Physician Services, Standard inspection | Potential for harm, isolated | Corrected by Apr 5, 2022 |
| Feb 4, 2022 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Apr 5, 2022 |
| Feb 4, 2022 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. F0802, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Apr 5, 2022 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 16.49 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 0.76 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.94 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 7.09 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 0.68 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.91 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 15.11 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 29.81 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 82.42 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 91.44 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 7.35 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.05 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 15.42 | 15.38 |
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