KNOLLS WEST POST ACUTE LLC
NPI 1588091383
Skilled Nursing Facility in Victorville, CA

Active since October 11, 2013
2/5
Overall Rating
16890 GREEN TREE BLVD, VICTORVILLE, CA 92395(310) 266-1080(714) 256-2003 Get Directions Write a Review

NPPES record last updated: December 30, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Knolls West Post Acute Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KNOLLS WEST POST ACUTE LLC (NPI 1588091383) is a healthcare organization registered as a skilled nursing facility in Victorville, California and active in the NPI registry since October 2013. The organization lists David Johnson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1588091383
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameKNOLLS WEST POST ACUTE LLC
Location Address16890 GREEN TREE BLVDVictorville, CA 92395-5618
Mailing Address530 N Puente StBrea, CA 92821-2804 · (310) 266-1080 · Fax (714) 256-2003
Fax(714) 256-2003
Organization SubpartNo
Authorized OfficialDavid JohnsonCeo · (310) 266-1080
Enumeration DateOctober 11, 2013
Last NPPES UpdateDecember 30, 2016
NPI 1588091383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
16890 GREEN TREE BLVD, Victorville, CA 92395

Other Identifiers 2

MedicaidLTC55251FCA
Medicare OSCAR/certification555251CA

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Knolls West Post Acute LLC (CMS certification number 555251), from CMS Care Compare.

Knolls West Post Acute LLC

Nursing home · Victorville, CA
2/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number555251
Certified Beds118 beds110 residents per day on average
Medicare & Medicaid Participant SinceMarch 18, 1987
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
2/5
Long-Stay Quality
Quality of care delivered to long-term residents.
2/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
3/5
Staffing
Based on nursing staff hours relative to resident needs.
1/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
97.33
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.58 · LPN 1.29 · RN 0.45
4.32 hrs per resident per day
Weekend Nurse Staffing
3.97 hrs per resident per day
Physical Therapist Staffing
0.09 hrs per resident per day
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
1
Substantiated Complaints
8
Infection-Control Citations
0
Fines
2 totaling $2,312.17
Medicare Payment Denials
0
Total Penalties
2
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
16890 GREEN TREE BLVD
VICTORVILLE, CA 92395
Occupational Therapy Assistant
16890 GREEN TREE BLVD
VICTORVILLE, CA 92395
Assisted Living Facility
16890 GREEN TREE BLVD
VICTORVILLE, CA 92395

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Knolls West Post Acute LLC's NPI number?

The NPI number for Knolls West Post Acute LLC is 1588091383. It was assigned to this organization in the NPPES registry on October 11, 2013.

Where is Knolls West Post Acute LLC located?

Knolls West Post Acute LLC is located at 16890 Green Tree Blvd, Victorville, CA 92395. The listed phone number is (310) 266-1080.

What is Knolls West Post Acute LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Is Knolls West Post Acute LLC a Medicare-certified nursing home?

Yes. Knolls West Post Acute LLC is a Medicare-certified nursing home with 118 certified beds.

What quality rating does Knolls West Post Acute LLC have?

CMS rates Knolls West Post Acute LLC 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Knolls West Post Acute LLC was last updated on December 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.