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Nursing HomeMedicaid

Apple Valley Care Center

Strong Medicare quality ratings; families often praise compassionate administrative leadership. Still worth an in-person visit.

11959 Apple Valley Rd, Apple Valley, CA 9230899 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
3.8/5

based on 330 Google reviews

5
4
3
2
1

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What this means for your family

While the facility has a highly praised administrative team (specifically Jay Ann) that is excellent at resolving logistical issues, the clinical care is highly inconsistent. Families should prioritize direct, frequent monitoring of hygiene and call-light response times, as multiple reports indicate patients are being left in soiled linens for extended periods.

Google Reviews

Google Reviews

330 reviews on Google
Families considering Apple Valley Care Center will find a highly polarized environment. While many reviewers praise specific administrative staff and the kindness of certain nurses, there are frequent and serious allegations regarding neglect, including failure to respond to call lights, improper hygiene care, and medication errors. The facility is often described as clean, but significant concerns regarding staffing levels and ventilation/temperature control persist.

Quality Themes

Tap a score for details
Food2.0Staff4.0Clean7.0Activities8.0Meds1.0MemoryN/AComms3.0ValueN/A

Strengths

  • Compassionate administrative leadership
  • Clean and well-maintained environment
  • Friendly and attentive nursing staff
  • Engaging resident activities and games

Concerns

  • Delayed response to call lights and patient neglect (mentioned by 5 reviewers)
  • Inadequate hygiene care (failure to change soiled linens/diapers) (mentioned by 4 reviewers)
  • Inconsistent physical therapy frequency (mentioned by 2 reviewers)
  • Lack of proper ventilation or air conditioning (mentioned by 2 reviewers)
  • Staffing shortages and high turnover (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2342.92023(7)4.52024(126)4.42025(63)2.12026(8)

Distribution · 204 analyzed

5
165
4
4
3
1
2
7
1
27
32 reviews posted between Jan 13, 2025Jan 23, 2025 · 31 were 5-star
28 reviews posted between Oct 14, 2024Oct 18, 2024 · 27 were 5-star
28 reviews posted between Jul 9, 2024Jul 13, 2024 · 22 were 5-star

How They Respond to Reviews

100%response rate
Generic

The owner relies heavily on a small set of templated responses. Positive reviews are met with repetitive 'thank you' messages, while negative reviews are addressed using standardized scripts that offer contact information or apologies without addressing specific allegations.

Questions for Your Tour

  • 1It is wonderful to see how well-maintained and clean the facility is; how do you ensure that residents' personal hygiene and linen changes are handled consistently throughout the day?
  • 2We noticed the administrative team is very responsive to feedback; how does the leadership team communicate important updates or changes in care to families?
  • 3With the high quality of nursing care mentioned by many, what specific protocols are in place to ensure call lights are answered promptly, even during busy shifts?
  • 4Can you tell us more about the medication management process and how you ensure accuracy and safety for each resident?
  • 5What kind of daily activities or games are available to keep residents engaged and social with one another?
  • 6How do you manage physical therapy schedules to ensure residents are receiving consistent and frequent sessions?

Personalized based on this facility's data


Key Review Excerpts

Carlos, Silvia, Sohey, Aileen, Kiki, Caroline, Maria, Miss Virginia, Ben RN, December, Jose (from activities) Marquis (from archives) were all amazing, very attentive, kind, and generous they were extremely helpful.

Rehab patient · 2026★★★★★

They have no ventilation system. NO heating or air conditioning system what so ever. The patients are suffering from heat.

Long-term resident's family · 2026☆☆☆☆

My grandma was sent here to recover after a hip fracture. If you have a loved one sent here, GET THEM OUT. This place is a hell hole run by incompetent, lazy, uncaring staff.

Rehab patient's family · 2026☆☆☆☆
Source: 330 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.60hrs
80%
Registered nurses for medical care
Total Nursing
5.08hrs
OK
All nurses + aides combined
Staff Turnover
40%
Lower is better (< 30% = good)
RN Turnover
36%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

10

measures

Worse Than Avg

4

measures

Mixed Results

3

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility2.7%
Better than Avg
Here
2.7%
US
19.4%
CA
10.7%
San bernardino
8.5%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility4.0%
Better than Avg
Here
4.0%
US
14.4%
CA
10.4%
San bernardino
11.5%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility7.7%
Better than Avg
Here
7.7%
US
15.3%
CA
10.5%
San bernardino
10.7%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility8.4%
Better than Avg
Here
8.4%
US
15.4%
CA
11.6%
San bernardino
8.9%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
CA
98.6%
San bernardino
98.8%
😔

Residents with depression symptoms

↓ Lower is better
This Facility7.7%
Mixed vs Avgs
Here
7.7%
US
12.1%
CA
7.0%
San bernardino
10.7%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility97.5%
Better than Avg
Here
97.5%
US
79.7%
CA
93.2%
San bernardino
93.9%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.0%
Better than Avg
Here
99.0%
US
81.8%
CA
94.2%
San bernardino
97.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.6%
Worse than Avg
Here
1.6%
US
1.6%
CA
1.5%
San bernardino
1.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

5deficiencies
1penalties
Well below state avg (15.4)
11 complaint-triggered
$8,021 in fines

Families have filed multiple complaints against this facility, triggering 10 out of 51 total deficiencies. The facility shows recurring problems with fire safety systems, medication management, and care planning that persist across multiple surveys from 2022 to present. While all deficiencies show correction dates, the pattern of repeated violations in critical areas like safety equipment and medication errors suggests ongoing operational challenges families should carefully evaluate.

Mar 12, 2026Complaint
1
0675Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Honor each resident's preferences, choices, values and beliefs.

Jan 21, 2026Complaint
1
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Dec 18, 2025Routine
12
0293Potential for harm · WidespreadCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0347Potential for harm · WidespreadCorrected

Smoke Deficiencies

Properly provide smoke detection systems in areas open to corridors.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0355Potential for harm · WidespreadCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0511Potential for harm · WidespreadCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0161Potential for harm · IsolatedCorrected

Construction Deficiencies

Use approved construction type or materials.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0741Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Nov 18, 2025Complaint
1
0919Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

Jun 9, 2025Complaint
1
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Jan 30, 2025Complaint
1
0842Potential for harm · IsolatedCorrected

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.

Federal Penalties

Fine

Jan 17, 2024

$8,021

Ownership & Operations

Who Operates This Facility

Owner / Operator

Apple Valley Care Center

Organization Type

for profit

Chain Affiliation

Chain Name

Abraham Bak & Menachem Gastwirth

Chain Size

16 facilities nationwide

Chain avg rating: 2.4/5 · Rank 1 of 16 (Best)

Ownership & Management

Owners

Gastwirth, Menachem

Owner

28%

Lehmann, Kenneth

Owner

28%

Key personnel

Bak, AbrahamManagerEscobar, Jay AnneManagerGastwirth, MenachemManagerLehmann, KennethManagerSiddiqui, ImranManager
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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