Inspection citations
27’23
31’24
21’25
29’26
108 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Jun 30, 2026 | D · potential | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Complaint |
| Jun 30, 2026 | D · potential | Provide safe and appropriate respiratory care for a resident when needed. | Complaint |
| May 18, 2026 | D · potential | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Complaint |
| Feb 26, 2026 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Routine |
| Feb 26, 2026 | D · potential | Honor 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. | Routine |
| Feb 26, 2026 | D · potential | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Routine |
| Feb 26, 2026 | E · potential | Honor 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. | Routine |
| Feb 26, 2026 | E · potential | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Routine |
| Feb 26, 2026 | D · potential | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Routine |
| Feb 26, 2026 | D · potential | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Routine |
| Feb 26, 2026 | D · potential | PASARR screening for Mental disorders or Intellectual Disabilities | Routine |
| Feb 26, 2026 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Feb 26, 2026 | D · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Routine |
| Feb 26, 2026 | E · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| Feb 26, 2026 | D · potential | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Routine |
| Feb 26, 2026 | D · potential | Ensure 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. | Routine |
| Feb 26, 2026 | D · potential | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Routine |
| Feb 26, 2026 | D · potential | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| Feb 26, 2026 | D · potential | Provide safe, appropriate pain management for a resident who requires such services. | Routine |
| Feb 26, 2026 | D · potential | Provide safe, appropriate dialysis care/services for a resident who requires such services. | Routine |
| Feb 26, 2026 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Feb 26, 2026 | E · potential | Ensure that residents are free from significant medication errors. | Routine |
| Feb 26, 2026 | E · potential | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Routine |
| Feb 26, 2026 | D · potential | Ensure 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. | Routine |
| Feb 26, 2026 | E · potential | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Routine |
| Feb 26, 2026 | D · potential | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Routine |
| Feb 26, 2026 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Feb 26, 2026 | E · potential | Have a plan that describes the process for conducting QAPI and QAA activities. | Routine |
| Feb 26, 2026 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Dec 3, 2025 | D · potential | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | Complaint |
| Dec 1, 2025 | D · potential | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Complaint |
| Dec 1, 2025 | D · potential | Honor 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. | Complaint |
| Dec 1, 2025 | E · potential | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Complaint |
| Dec 1, 2025 | D · potential | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Complaint |
| Nov 25, 2025 | E · potential | Provide and implement an infection prevention and control program. | Complaint |
| Nov 18, 2025 | D · potential | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Complaint |
| Nov 18, 2025 | E · potential | Provide and implement an infection prevention and control program. | Complaint |
| Nov 13, 2025 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Complaint |
| Nov 13, 2025 | D · potential | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Complaint |
| Apr 25, 2025 | D · potential | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Complaint |
| Apr 25, 2025 | E · potential | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Complaint |
| Apr 25, 2025 | E · potential | Establish 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. | Complaint |
| Apr 25, 2025 | D · potential | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Complaint |
| Mar 24, 2025 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Feb 21, 2025 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Jan 17, 2025 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Complaint |
| Jan 17, 2025 | D · potential | Provide activities to meet all resident's needs. | Complaint |
| Jan 17, 2025 | E · potential | Ensure the activities program is directed by a qualified professional. | Complaint |
| Jan 15, 2025 | D · potential | Provide activities to meet all resident's needs. | Complaint |
| Jan 15, 2025 | D · potential | Provide and implement an infection prevention and control program. | Complaint |
| Nov 22, 2024 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Routine |
| Nov 22, 2024 | B · minimal | Ensure each resident receives an accurate assessment. | Routine |
| Nov 22, 2024 | E · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| Nov 22, 2024 | E · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| Nov 22, 2024 | D · potential | Ensure 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. | Routine |
| Nov 22, 2024 | D · potential | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| Nov 22, 2024 | E · potential | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Routine |
| Nov 22, 2024 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Nov 22, 2024 | D · potential | Implement 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. | Routine |
| Nov 22, 2024 | E · potential | Ensure that residents are free from significant medication errors. | Routine |
| Nov 22, 2024 | D · potential | 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. | Routine |
| Nov 22, 2024 | D · potential | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Routine |
| Nov 22, 2024 | D · potential | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Routine |
| Nov 22, 2024 | D · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Nov 22, 2024 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Sep 16, 2024 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Sep 16, 2024 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Aug 23, 2024 | D · potential | Protect each resident from the wrongful use of the resident's belongings or money. | Complaint |
| Aug 1, 2024 | G · harm | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Aug 1, 2024 | G · harm | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Aug 1, 2024 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Complaint |
| Jul 3, 2024 | E · potential | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Complaint |
| Jun 20, 2024 | D · potential | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| May 13, 2024 | E · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Complaint |
| May 13, 2024 | D · potential | Provide and implement an infection prevention and control program. | Complaint |
| Apr 10, 2024 | D · potential | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Complaint |
| Feb 13, 2024 | D · potential | Provide and implement an infection prevention and control program. | Complaint |
| Feb 7, 2024 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Complaint |
| Feb 7, 2024 | D · potential | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Complaint |
| Jan 17, 2024 | D · potential | Provide medically-related social services to help each resident achieve the highest possible quality of life. | Complaint |
| Jan 17, 2024 | D · potential | Provide and implement an infection prevention and control program. | Complaint |
| Nov 16, 2023 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| Nov 16, 2023 | D · potential | Allow residents to self-administer drugs if determined clinically appropriate. | Routine |
| Nov 16, 2023 | E · potential | Reasonably accommodate the needs and preferences of each resident. | Routine |
| Nov 16, 2023 | E · potential | Ensure residents have reasonable access to and privacy in their use of communication methods. | Routine |
| Nov 16, 2023 | D · potential | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | Routine |
| Nov 16, 2023 | E · potential | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | Routine |
| Nov 16, 2023 | E · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Nov 16, 2023 | E · potential | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Routine |
| Nov 16, 2023 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| Nov 16, 2023 | E · potential | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Routine |
| Nov 16, 2023 | D · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Routine |
| Nov 16, 2023 | E · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| Nov 16, 2023 | D · potential | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Routine |
| Nov 16, 2023 | E · potential | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| Nov 16, 2023 | D · potential | Observe each nurse aide's job performance and give regular training. | Routine |
| Nov 16, 2023 | B · minimal | Post nurse staffing information every day. | Routine |
| Nov 16, 2023 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Nov 16, 2023 | D · potential | 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. | Routine |
| Nov 16, 2023 | E · potential | Ensure 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. | Routine |
| Nov 16, 2023 | E · potential | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Routine |
| Nov 16, 2023 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Nov 16, 2023 | F · potential | Dispose of garbage and refuse properly. | Routine |
| Nov 16, 2023 | D · potential | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Routine |
| Nov 16, 2023 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Routine |
| Nov 16, 2023 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Nov 16, 2023 | D · potential | Make sure that a working call system is available in each resident's bathroom and bathing area. | Routine |
| Nov 16, 2023 | B · minimal | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Routine |
Medicare's severity letters: A–C minimal harm, D–F potential for more than minimal harm, G–L actual harm or immediate danger. Source: CMS health deficiencies file, processed October 1, 2026.
Questions to ask on a visit
Desert Canyon Post Acute, LLC
1642 West Avenue J, Lancaster, CA 93534 · (661) 942-8463
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 055307
- Certified beds
- 99
- Legal owner
- Desert Canyon Post Acute LLC
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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