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Nursing HomeMedicaid Investigative

Desert Canyon Post Acute, LLC

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1642 West Avenue J, Lancaster, CA 9353499 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.1/5

based on 95 Google reviews

5
4
3
2
1
Desert Canyon Post Acute, LLC Nursing Home in Lancaster, CA — Street View
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3/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Above-median deficiencies (30 vs median 13.0)

Bottom 25% in CA · Below recommended RN staffing · Above recommended total nurse staffing · Low staff turnover (stable workforce) · Worst in ABBY GL, LLC chain

Source: Medicare data

What this means for your family

This facility is a strong candidate for patients needing intensive physical therapy and wound care, as many families report significant recovery progress. However, you must be vigilant about hygiene and response times, as multiple reviewers have noted instances of neglect and slow communication during night shifts. We recommend conducting an unannounced visit during evening hours to assess staffing levels personally.

Google Reviews

Google Reviews

95 reviews on Google
Families often praise the facility for its effective rehabilitation services and the compassionate, friendly nature of the nursing and therapy teams. However, there are serious, recurring allegations regarding neglect, specifically concerning hygiene, delayed response to call lights, and inadequate wound care. While many recent visitors find the facility clean and welcoming, some long-term family members report significant issues with staffing levels and communication during night shifts.

Quality Themes

Tap a score for details
Food6.0Staff7.0Clean8.0Activities7.0MedsN/AMemoryN/AComms5.0ValueN/A

Strengths

  • Effective rehabilitation and physical therapy
  • Compassionate and friendly nursing staff
  • Clean and well-maintained environment
  • Welcoming admissions and administrative process

Concerns

  • Neglect regarding hygiene and timely care (mentioned by 3 reviewers)
  • Slow response times from night staff (mentioned by 2 reviewers)
  • Inadequate wound care or infection management (mentioned by 2 reviewers)
  • Poor communication from administrative staff (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2341.02020(2)3.72021(3)2.32022(3)3.12023(7)4.82024(16)4.02025(53)4.92026(18)

Distribution · 102 analyzed

5
76
4
4
3
0
2
1
1
21
12 reviews posted between Jun 22, 2025Jun 28, 2025 · 9 were 5-star

How They Respond to Reviews

33%response rate
Generic

The owner uses personalized, warm, and appreciative language for 5-star reviews, but relies on a single, repetitive template for all 1-star reviews regardless of the specific complaint.

Questions for Your Tour

  • 1I noticed some great feedback about your physical therapy team; how does the rehab process work for new residents?
  • 2Since the nursing staff is often described as so friendly, how do you ensure that level of care continues during the overnight shifts?
  • 3What specific protocols do you have in place to ensure timely hygiene care and regular monitoring for all residents?
  • 4How does the clinical team manage wound care and infection prevention to keep everyone healthy?
  • 5Can you tell me about the daily activities and social events available to keep residents engaged and active?
  • 6In the event of a medical emergency during the night, what is the immediate process for notifying the family and providing care?

Personalized based on this facility's data


Key Review Excerpts

He is stronger & eagerly participated with the therapists. He looks great and seems more like his old self.

Visitor of a rehab patient · 2026★★★★★

The staff at Desert Canyon Post Acute are exceptionally friendly, attentive, and genuinely caring. Every team member I encountered went out of their way to be helpful and make the environment feel comfortable and welcoming.

Visitor · 2025★★★★★

I had a stroke and was able to get better with the amazing team at Desert canyon. I am very blessed to have this family.

Rehab patient · 2026★★★★
Source: 95 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.49hrs
65%
Registered nurses for medical care
Total Nursing
4.14hrs
OK
All nurses + aides combined
Staff Turnover
28%
Lower is better (< 30% = good)
RN Turnover
13%
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

13

measures

Mixed Results

4

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility3.0%
Better than Avg
Here
3.0%
US
19.4%
CA
10.7%
Los angeles
9.7%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility6.8%
Better than Avg
Here
6.8%
US
14.4%
CA
10.4%
Los angeles
12.5%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
CA
98.6%
Los angeles
99.1%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility10.1%
Better than Avg
Here
10.1%
US
15.5%
CA
11.7%
Los angeles
11.3%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility14.8%
Mixed vs Avgs
Here
14.8%
US
19.5%
CA
13.7%
Los angeles
10.8%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
CA
98.2%
Los angeles
97.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility99.3%
Better than Avg
Here
99.3%
US
79.8%
CA
93.2%
Los angeles
92.5%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
CA
94.2%
Los angeles
94.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.9%
Better than Avg
Here
0.9%
US
1.6%
CA
1.5%
Los angeles
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

36deficiencies
1penalties
Well above state avg (15.4)
42 complaint-triggered

This facility shows persistent quality concerns with 131 deficiencies across 28 surveys, including 46 complaint-triggered violations where families reported problems. The most frequent issues involve accident prevention and safety hazards, infection control programs, and medication management including proper labeling and unnecessary drug use. While all deficiencies show correction dates, the recurring patterns across safety, infection control, and pharmacy services suggest ongoing challenges with maintaining consistent standards of care.

Feb 26, 2026Routine
30
0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0604Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0760Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0802Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

0805Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0865Potential for harm · PatternCorrected

Administration Deficiencies

Have a plan that describes the process for conducting QAPI and QAA activities.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0605Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0656Potential for harm · IsolatedCorrected

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.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0694Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0697Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0803Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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.

0806Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

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

0761Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Dec 3, 2025Complaint
1
0627Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Dec 1, 2025Complaint
4
0686Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0813Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Nov 25, 2025Complaint
1
0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Nov 18, 2025Complaint
2
0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Nov 13, 2025Complaint
2
0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0604Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Federal Penalties

Payment Denial

Jun 20, 2024

35-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Desert Canyon Post Acute, LLC

Organization Type

for profit

Ownership & Management

Owners

Abby Gl LLC

Owner · Organization

92%

Ellie LLC

Owner · Organization

6%

Sims, James

Owner

Cruz, Julio

Owner (parent company)

6%

Lynch, Jose

Owner (parent company)

92%

Key personnel

Donohoe, MarkManagerLynch, JoseManagerMousa, AtefManagerEretz Antelope Valley Properties LLCAdp of the SnfPursue Health LLCAdp of the Snf
Source: Medicare provider data

Contact

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References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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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