Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Knolls West Post Acute LLC

Victorville, CA · 118 certified beds · Last Life Safety survey May 22, 2025

CMS Certification Number 555251 · first certified March 1987

Also on this campus

The same campus holds a state-licensed assisted living facility, with its own state record on the Assisted Living Index: Knolls West Assisted Living (16890 Green Tree Blvd.). Matched by the street address the two records share. The records are separate and are never added together.

Ownership

Operated by DAVID JOHNSON · For profit - Limited Liability company

No change of ownership on CMS record since January 1, 2016, when the records begin.

31
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
8
Tags cited more than once
Across separate surveys
15
Inspection & testing records
Of the citations on file

Position within CA

31 citations — more than 86% of the 1,165 certified nursing homes in CA. Compared within CA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 6 citations; the earlier surveys in the window averaged 12.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: May 2026 to November 2026. This facility’s last Life Safety survey was May 2025. Facilities in CA are typically surveyed 12–18 months after the last one (median 14), measured over 1,766 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

4 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

8 of the 31 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 31 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0908 Keep all essential equipment working safely.

How that compares

Citations on file over three years

Compared with the median facility in CA, and nationally. Surveyors differ markedly between states, so the CA figure is the meaningful one.

This facility31CA median19National median11
Citations on file over three years, compared
MeasureCitations
This facility31
Median facility in CA19
Median facility nationally11

Survey history

Citations at each Life Safety survey
82022-12172024-0562025-05
Citations at each Life Safety survey
Survey dateCitations
December 15, 20228
May 23, 202417
May 22, 20256

Most-cited tags

Most-cited tags at this facility
K-09203E-00393K-03533K-03633K-09183E-00152K-07412K-07122
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0920Ensure proper usage of power strips and extension cords.32025-05-22
E-0039Conduct testing and exercise requirements.32025-05-22
K-0353Inspect, test, and maintain automatic sprinkler systems.32025-05-22
K-0363Install corridor and hallway doors that block smoke.32025-05-22
K-0918Have generator or other power source capable of supplying service within 10 seconds.32025-05-22
E-0015Address subsistence needs for staff and patients.22024-05-23
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.22025-05-22
K-0712Have simulated fire drills held at unexpected times.22024-05-23

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 10
  • Emergency Preparedness Deficiencies 8
  • Gas, Vacuum, and Electrical Systems Deficiencies 7
  • Miscellaneous Deficiencies 4
  • Other 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies10
Emergency Preparedness Deficiencies8
Gas, Vacuum, and Electrical Systems Deficiencies7
Miscellaneous Deficiencies4
Egress Deficiencies1
Services Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

May 22, 2025 — 6 citations

Citations issued on May 22, 2025
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (June 17, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (June 17, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (June 17, 2025)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (June 17, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (June 17, 2025)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (June 17, 2025)

May 23, 2024 — 17 citations

Citations issued on May 23, 2024
TagWhat the surveyor checksStatus
E-0006Conduct risk assessment and an All-Hazards approach.Deficient, Provider has date of correction (June 14, 2024)
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (June 14, 2024)
E-0023Establish policies and procedures for medical documentation.Deficient, Provider has date of correction (June 14, 2024)
E-0035Provide family notifications of emergency plan.Deficient, Provider has date of correction (June 14, 2024)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (June 14, 2024)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (June 14, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (June 14, 2024)
K-0346Follow proper procedures when the fire alarm was out of service for more than 4 hours.Deficient, Provider has date of correction (June 14, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (June 14, 2024)
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.Deficient, Provider has date of correction (June 14, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (June 14, 2024)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (June 14, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (June 14, 2024)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (June 14, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (June 14, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (June 14, 2024)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (June 14, 2024)

December 15, 2022 — 8 citations

Citations issued on December 15, 2022
TagWhat the surveyor checksStatus
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (January 12, 2023)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (January 12, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (January 12, 2023)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (January 12, 2023)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (January 12, 2023)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (January 12, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (January 12, 2023)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (January 12, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.