Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 555456

Antelope Valley Care Center

174 federal citations on record , including 1 at the Immediate Jeopardy level, and 4 federal enforcement actions totaling $124,690.

Special Focus Status 1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
174
Total citations
152
Last 3 years
6
Actual harm+
4
Federal penalties
$124,690
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care48 Medication & Pharmacy27 Resident Rights25 Care Planning24 Infection Control19

Most common F-tags at this facility

F75514 F88013 F6568 F6867 F6956

Citation history

174 on record
SurveyF-TagViolationSeveritySource
Jan 22, 2026F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
Jan 22, 2026F697Provide safe, appropriate pain management for a resident who requires such services.DComplaint
Dec 16, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Dec 16, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Nov 24, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Nov 24, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Sep 17, 2025F880Provide and implement an infection prevention and control program.DComplaint
Aug 29, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint
Aug 29, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint
Aug 29, 2025F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.DStandard
Aug 29, 2025F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Aug 29, 2025F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.EStandard
Aug 29, 2025F881Implement a program that monitors antibiotic use.EStandard
Aug 29, 2025F880Provide and implement an infection prevention and control program.EStandard
Aug 29, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard
Aug 29, 2025F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.EStandard
Aug 29, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Aug 29, 2025F761Ensure 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.DStandard
Aug 29, 2025F760Ensure that residents are free from significant medication errors.EStandard
Aug 29, 2025F759Ensure medication error rates are not 5 percent or greater.EStandard
Aug 29, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Aug 29, 2025F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DStandard
Aug 29, 2025F699Provide care or services that was trauma informed and/or culturally competent.DStandard
Aug 29, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Aug 29, 2025F697Provide safe, appropriate pain management for a resident who requires such services.EStandard
Aug 29, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Aug 29, 2025F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DStandard
Aug 29, 2025F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard
Aug 29, 2025F692Provide enough food/fluids to maintain a resident's health.EStandard
Aug 29, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Aug 29, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EStandard
Aug 29, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
Aug 29, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Aug 29, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.EStandard
Aug 29, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Aug 29, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Aug 29, 2025F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.EStandard
Aug 29, 2025F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DStandard
Aug 29, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Aug 29, 2025F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard
Aug 29, 2025F558Reasonably accommodate the needs and preferences of each resident.DStandard
Aug 29, 2025F554Allow residents to self-administer drugs if determined clinically appropriate.DStandard
Aug 5, 2025F760Ensure that residents are free from significant medication errors.DComplaint
Jul 15, 2025F919Make sure that a working call system is available in each resident's bathroom and bathing area.DComplaint
Jul 15, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Jun 18, 2025F697Provide safe, appropriate pain management for a resident who requires such services.EComplaint
May 28, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
May 28, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Apr 22, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Apr 22, 2025F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DComplaint
Apr 1, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Mar 27, 2025F880Provide and implement an infection prevention and control program.DComplaint
Mar 20, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Mar 20, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Mar 13, 2025F837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.DComplaint
Jan 14, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EComplaint
Jan 14, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Jan 14, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EComplaint
Dec 3, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Oct 28, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Oct 22, 2024F760Ensure that residents are free from significant medication errors.EComplaint
Oct 22, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
Oct 22, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Oct 22, 2024F685Assist a resident in gaining access to vision and hearing services.DComplaint
Sep 27, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Sep 27, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Sep 17, 2024F695Provide safe and appropriate respiratory care for a resident when needed.EComplaint
Sep 17, 2024F908Keep all essential equipment working safely.EStandard
Sep 17, 2024F881Implement a program that monitors antibiotic use.DStandard
Sep 17, 2024F880Provide and implement an infection prevention and control program.EStandard
Sep 17, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Sep 17, 2024F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard
Sep 17, 2024F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.EStandard
Sep 17, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard
Sep 17, 2024F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.EStandard
Sep 17, 2024F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.EStandard
Sep 17, 2024F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.EStandard
Sep 17, 2024F761Ensure 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.EStandard
Sep 17, 2024F760Ensure that residents are free from significant medication errors.EStandard
Sep 17, 2024F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.EStandard
Sep 17, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Sep 17, 2024F732Post nurse staffing information every day.BStandard
Sep 17, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Sep 17, 2024F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard
Sep 17, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Sep 17, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard
Sep 17, 2024F688Provide 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.DStandard
Sep 17, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EStandard
Sep 17, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.EStandard
Sep 17, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Sep 17, 2024F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Sep 17, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Sep 17, 2024F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.EStandard
Sep 17, 2024F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.BStandard
Sep 17, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Sep 17, 2024F558Reasonably accommodate the needs and preferences of each resident.DStandard
Sep 17, 2024F554Allow residents to self-administer drugs if determined clinically appropriate.DStandard
Sep 17, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Sep 4, 2024F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.EComplaint
Sep 4, 2024F880Provide and implement an infection prevention and control program.DComplaint

Federal enforcement history

Federal regulators have imposed 4 enforcement actions against this facility, including 2 civil money penalties totaling $124,690 and 2 payment-denial actions spanning 46 days.

DateTypeFinePayment denial
Jun 18, 2025Payment Denial—Sep 18, 2025 · 27 days
Jan 14, 2025Fine$34,476—
Jun 28, 2024Payment Denial—Aug 24, 2024 · 19 days
Jul 25, 2023Fine$90,214—
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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