Knolls West Post Acute Llc
Knolls West Post Acute Llc Information
| Facility Name | Knolls West Post Acute Llc |
| Location | 16890 Green Tree Blvd, Victorville, CA 92395 |
| County (SSA Code) | San Bernardino (460) |
| Phone Number | 760-245-5361 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 118 |
| Average Number of Residents | 110.2 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | KNOLLS WEST POST ACUTE LLC |
| Ownership Type | For profit - Corporation |
| Date First Approved | 1987-03-18 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.46099 |
| Reported LPN Staffing Hours per Resident per Day | 1.19466 |
| Reported RN Staffing - Hours per Resident per Day | 0.48302 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.67767 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.13866 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.11047 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.06605 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.83727 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.71842 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.62174 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.64322 |
| Total Weighted Health Survey Score for three cycles | 63.167 |
| Rating cycle 1 Standard Survey Health Date | 2019-04-26 |
| Rating cycle 1 - Health Deficiency Score | 11 |
| Rating cycle 1 - Total Health Inspection Score | 56 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-03-29 |
| Rating cycle 2 - Health Deficiency Score | 56 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-03-02 |
| Rating cycle 3 - Health Deficiency Score | 135 |
| Rating cycle 3 - Total Health Inspection Score | 135 |
| Number of Facility-Reported Incidents | 1 |
| Number of Substantiated Complaints | 4 |
| Number of Substantiated Complaints | 4 |
| Number of Fines | 1 |
| Total Amount of Fines (in Dollars) | 12678 |
| Total Number of Penalties | 1 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |