Antelope Valley Care Center
On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.
based on 8 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Special Focus Facility (under heightened CMS scrutiny)
- Low overall rating (1/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (55 vs median 13.0)
Bottom 25% in CA · Critically understaffed (RN) · Worst in PACS GROUP chain · $124,690 in fines · Special Focus Facility (CMS)
What this means for your family
This facility presents significant risks regarding resident hygiene and safety due to recurring reports of bed bug and cockroach infestations. While some staff members are described as kind, the documented lack of cleanliness and issues with call bell functionality are major red flags that require immediate investigation.
Google Reviews
Google Reviews
8 reviews on Google“Families should exercise extreme caution, as multiple reviewers report severe hygiene issues including bed bug and cockroach infestations. While some individuals noted that certain personnel are nice, there are frequent reports of unaddressed maintenance problems, lack of cleanliness, and insufficient staffing levels.”
Quality Themes
Tap a score for detailsStrengths
- Friendly individual staff members
- Initial kindness from personnel
Concerns
- Severe pest infestations (bed bugs and roaches) (mentioned by 4 reviewers)
- Poor facility cleanliness and unpleasant odors (mentioned by 2 reviewers)
- Inadequate staffing and overworked employees (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 10 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1I've heard some wonderful things about the kindness of your individual staff members; how do you ensure that this level of personal care is maintained across all shifts?
- 2What specific steps is the facility taking right now to address recent concerns regarding cleanliness and facility maintenance?
- 3With the recent inspections, what new protocols have been put in place to improve the overall health and safety environment for the residents?
- 4How do you manage staffing levels during busy periods to ensure that the employees don't feel overwhelmed and can still provide attentive care?
- 5Could you tell me more about the pest control program and how you proactively manage the facility's environment?
- 6What does a typical day of social activities and engagement look like for the residents here?
Personalized based on this facility's data
Key Review Excerpts
“The facility is disgusting, with numerous infestations of bed bugs and roaches. The overall cleanliness is severely lacking, and the entire place smells like urine.”
“Personnel is nice. But I regret putting my loved one there. It’s not clean and have bugs.”
“At first people were kind but once you get to see how things work due to the owners rules she'd rather not pay employee's there worth instead she overworks them at times there isnt enough staff.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
11
measures
1
measures
5
measures
Residents whose bladder or bowel control got worse
Residents whose walking got worse
Residents needing more daily help over time
Residents vaccinated for the flu
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has a concerning pattern of 189 deficiencies across 48 surveys, with most complaints triggering investigations from families who filed reports. The most recurring problems involve medication management, accident prevention and safety hazards, and infection control. While the facility corrects issues when cited, problems persist across multiple surveys, suggesting ongoing systemic challenges with maintaining consistent quality and safety standards for residents.
Apr 15, 2026Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Apr 2, 2026Complaint3
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Mar 23, 2026Complaint1
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Mar 13, 2026Complaint3
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Feb 2, 2026Complaint1
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Jan 22, 2026Complaint2
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Federal Penalties
Payment Denial
Jun 18, 2025
26-day denial
Fine
Jan 14, 2025
$34,476
Payment Denial
Jun 28, 2024
19-day denial
Fine
Jul 25, 2023
$90,214
Ownership & Operations
Who Operates This Facility
Antelope Valley Care Center
for profit
Chain Affiliation
Pacs Group
280 facilities nationwide
Chain avg rating: 2.9/5 · Rank 244 of 260 (Worst)
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
8 reviews from families & visitors
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
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The Havens at Antelope Valley Assisted Living
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William J. Pete Knight Veterans Home-Lancaster
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