Staffing
CMS publishes a 3-star staffing rating for this facility.
RN staffing was 0.56 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceAsk Trust Hub Network
Also known publicly as Apple Valley Post Acute Care Center
Apple Valley, CA
CMS overview
No proprietary TrustHub score. These ratings are published separately by CMS.
Facility information
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
State regulatory evidence
California Department of Public Health is the state source for this license record. It does not replace CMS federal certification, ratings, or certified-bed counts.
California Department of Public Health
State regulatory data · checked Aug 2026
Decision guide
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
CMS publishes a 3-star staffing rating for this facility.
RN staffing was 0.56 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Dec 18, 2025 cited 1 deficiencies.
View inspection evidenceCMS-published records list 47 ownership or control parties.
CMS records show an ownership change effective October 2019.
View ownership evidenceCMS groups this facility with a chain covering 18 facilities across 1 states or territories.
View chain evidenceCMS records show a $8,021 fine in the loaded enforcement dataset.
View enforcement evidence →Ownership & operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
Supported by multiple government sources
SeniorTrustHub found evidence connecting this facility to:
6 currently connected nursing homes share this CMS organization identity with HELENE MAYER 2007 IRREVOCABLE EXEMPT TRUST FBO AARON MAYER DATED DECEM.
These figures summarize currently connected CMS-certified nursing homes. Some facilities have incomplete measures; missing values are omitted, not treated as zero. Ownership structures can change. State operator or licensee evidence may differ from CMS ownership disclosures.
Ownership
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 28%
Association date reported to CMS: Oct 1, 2019
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 26, 2013
Other facilities connected through this exact CMS organization identity: 0 across CA.
Organization · ADP OF THE SNF
Association date reported to CMS: Dec 27, 2021
Other facilities connected through this exact CMS organization identity: 0 across CA.
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 26, 2013
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 8, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 26, 2013
Individual · ADP OF THE SNF
Association date reported to CMS: May 13, 2020
Individual · ADP OF THE SNF
Association date reported to CMS: May 13, 2020
Organization · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2014
Other facilities connected through this exact CMS organization identity: 0 across CA.
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 26, 2013
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 26, 2013
Organization · ADP OF THE SNF
Association date reported to CMS: Dec 27, 2021
Other facilities connected through this exact CMS organization identity: 0 across CA.
Individual · ADP OF THE SNF
Association date reported to CMS: May 13, 2020
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 13, 2020
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 9, 2015
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 13, 2020
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 13, 2020
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 13, 2020
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 27.5%
Association date reported to CMS: Oct 1, 2019
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 27.5%
Association date reported to CMS: Oct 10, 2019
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 5%
Association date reported to CMS: Oct 1, 2019
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 2.1%
Association date reported to CMS: Oct 1, 2019
Other facilities connected through this exact CMS organization identity: 5 across CA.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 2.1%
Association date reported to CMS: Oct 1, 2019
Other facilities connected through this exact CMS organization identity: 5 across CA.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 2.1%
Association date reported to CMS: Oct 1, 2019
Other facilities connected through this exact CMS organization identity: 5 across CA.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 2.1%
Association date reported to CMS: Oct 1, 2019
Other facilities connected through this exact CMS organization identity: 5 across CA.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 2.1%
Association date reported to CMS: Oct 1, 2019
Other facilities connected through this exact CMS organization identity: 5 across CA.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 2%
Association date reported to CMS: Oct 1, 2019
Other facilities connected through this exact CMS organization identity: 5 across CA.
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 27.5%
Association date reported to CMS: Oct 1, 2019
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 12.5%
Association date reported to CMS: Oct 1, 2019
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 26, 2013
Other facilities connected through this exact CMS organization identity: 0 across CA.
Organization · ADP OF THE SNF
Association date reported to CMS: Dec 27, 2021
Other facilities connected through this exact CMS organization identity: 6 across CA.
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 26, 2013
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 8, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 26, 2013
Individual · ADP OF THE SNF
Association date reported to CMS: May 13, 2020
Individual · ADP OF THE SNF
Association date reported to CMS: May 13, 2020
Organization · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2014
Other facilities connected through this exact CMS organization identity: 1 across CA.
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 26, 2013
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 26, 2013
Organization · ADP OF THE SNF
Association date reported to CMS: Dec 27, 2021
Other facilities connected through this exact CMS organization identity: 6 across CA.
Individual · ADP OF THE SNF
Association date reported to CMS: May 13, 2020
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 13, 2020
Individual · OPERATIONAL/MANAGERIAL CONTROL
Published ownership percentage: 100%
Association date reported to CMS: Mar 9, 2015
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 13, 2020
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 13, 2020
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 13, 2020
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across CA.
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Chain context
Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 4 is a grouping identifier, not a legal organization.
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 18 | 2.6 | 3.3 |
| Mon Jun | 16 | 2.5 | 3.3 |
| Fri May | 16 | 2.4 | 3.3 |
| Wed Apr | 16 | 2.6 | 3.3 |
| Sun Mar | 16 | 2.4 | 3.1 |
| Sun Feb | 16 | 2.5 | 3.1 |
Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.
View official CMS sourceInspections & deficiencies
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
Honor each resident's preferences, choices, values and beliefs.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 30, 2026)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 30, 2026)
No health-deficiency rows were deterministically linked to this inspection.
Provide and implement an infection prevention and control program.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 16, 2026)
Make sure that a working call system is available in each resident's bathroom and bathing area.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 1, 2025)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 19, 2025)
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 14, 2025)
No health-deficiency rows were deterministically linked to this inspection.
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 15, 2024)
Ensure each resident receives an accurate assessment.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 15, 2024)
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 15, 2024)
Ensure medication error rates are not 5 percent or greater.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 15, 2024)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 26, 2024)
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.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 7, 2024)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 7, 2024)
No health-deficiency rows were deterministically linked to this inspection.
Reasonably accommodate the needs and preferences of each resident.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 27, 2023)
No health-deficiency rows were deterministically linked to this inspection.
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 27, 2022)
Provide safe, appropriate pain management for a resident who requires such services.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 27, 2022)
Ensure medication error rates are not 5 percent or greater.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 27, 2022)
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 27, 2022)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 27, 2022)
Dispose of garbage and refuse properly.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 27, 2022)
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 27, 2022)
Provide and implement an infection prevention and control program.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 27, 2022)
Keep all essential equipment working safely.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 27, 2022)
Penalties & enforcement
Published fine amount: $8,021.00
Questions to ask
Facility history
16 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
Total nurse staffing decreased from 5.08 to 4.85 hours per resident day between 2025Q4 and 2026Q1. Staffing declined across those reported periods.
5.08 → 4.85
CMS · Reported in a source release · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
Total nurse staffing increased from 4.60 to 5.08 hours per resident day between 2025Q3 and 2025Q4. Staffing improved across those reported periods.
4.60 → 5.08
CMS · Reported in a source release · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
4 deficiencies were recorded.
CMS · Recorded event date · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
CMS recorded a $8,021 civil monetary penalty.
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 3 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 5.19 | 4.014 |
| RN categories | 0.652 | 0.343 |
Contract staff accounted for 0.3% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.038 lower than the prior loaded quarter.
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 4.71 | 0.598 | 1.456 | 2.656 | 1.6% | 91 |
| 2025Q3 | 4.602 | 0.53 | 1.416 | 2.656 | 0.3% | 92 |
| 2025Q4 | 5.082 | 0.601 | 1.476 | 3.005 | 0.2% | 92 |
| 2026Q1 | 4.852 | 0.563 | 1.447 | 2.843 | 0.3% | 90 |
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
Planned evidence layers
These areas require separate authoritative CMS datasets. No findings are shown until those sources are ingested and reviewed.
Trust participation
Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.
Source register
No paid placements. Facilities cannot pay to rank higher. We cite. You decide.