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Complaint Investigation

Antelope Valley Care Center

September 17, 2025 · Lancaster, CA · 44567 North 15th St. West
Citations 1
CMS Rating 2/5
Beds 199
Provider ID 555456
Healthcare Facility
Antelope Valley Care Center
Lancaster, CA  ·  View full profile →
Inspection Summary

ANTELOPE VALLEY CARE CENTER in LANCASTER, CA — inspection on September 17, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0880
Infection Control Deficiencies
Potential for More Than Minimal Harm

During an interview on 9/17/2025 at 11:18 a.m. with Infection Preventionist (IP), the IP stated RNA 1 failed to utilize PPE indicated for providing care to residents on EBP.

The IP stated that RNA 1 should have worn a gown while assisting Resident 2 with PROM exercise to prevent the spread of infection to other residents.

During an interview on 9/17/2025 at 11:30 a.m. with the Director of Nursing (DON), the DON stated EBP are utilized during high-contact activities such as restorative care.

The DON stated the EBP are utilized for residents who have wounds or indwelling catheters and are designed to prevent the spread of infection to other residents in the facility.

The DON stated RNA 1 failed to follow EBP guidelines which had the potential to spread infection among residents.

During a record review of the facility-provided policy and procedure titled, Enhanced Barrier Precautions, last reviewed on 5/30/2025, the policy and procedure indicated, Enhanced barrier precautions (EBPs) are utilized to prevent the spread of multi drug-resistant organisms (MRDOs) to residents.1.

Enhanced barrier precautions (EBPs) refer to infection prevention and control interventions designed to reduce the transmission of multi-drug-resistant organisms (MRDOs) during high contact resident care activities. 2.

Enhanced barrier precautions apply when: .b. A resident is NOT known to be infected or colonized with any MDRO, has a wound, or indwelling medical devices, and does not have secretions or extractions that are unable to be covered or contained.7. EBPs employ targeted gown and glove use in addition to standard precautions during high contact resident care activities when contact precautions do not otherwise apply. a.

Gloves and gown are applied prior to performing the high contact resident care activity (as opposed to before entering the room). 8.

Examples of high-contact resident care activities requiring the use of gown and gloves for EBPs include:. h. prolonged, high-contact with items in the resident's room, with resident's equipment, or with resident's clothing or skin (e.g., in the shower room, therapy gym, or during restorative care).

Facility ID:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in LANCASTER, CA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from ANTELOPE VALLEY CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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