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Complaint Investigation

Desert Canyon Post Acute, Llc

April 25, 2025 · Lancaster, CA · 1642 West Avenue J
Citations 2
CMS Rating 1/5
Beds 99
Provider ID 055307
Healthcare Facility
Desert Canyon Post Acute, Llc
Lancaster, CA  ·  View full profile →
Inspection Summary

Desert Canyon Post Acute, LLC in LANCASTER, CA — inspection on April 25, 2025.

Found 2 citations. 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

FF559
Minimal harm or Resident 2 stated it made her feel horrible and felt like they (staff) just threw us in the other room like a Some that she did not practice her right to make a decision for herself. affected

During a review of Resident 1's Minimum Data Set (MDS - a resident assessment tool), dated 2/3/2025, the MDS indicated Resident 1's thought process was intact and required set-up assistance from staff to complete activities of daily living (ADLs - activities such as bathing, dressing, and toileting a person performs daily).

During an interview on 4/24/2025 at 11:35 a.m., with Resident 1, Resident 1 stated that she was in her previous room for over a year and was moved recently in her current room. Resident 1 stated the facility informed her that she needed to move because they will turn her room as an isolation (apart from others) room. Resident 1 further stated that the facility did not orient her in her new room and Resident 1 was having a hard time to maneuver in the bathroom, room, and keep bumping to her extra dresser because her closet was too small compared to her previous room and she was blind. Resident 1 further stated that she feels that the facility did not care about her by putting her in the farthest room in the very far back of the building because staff know that she was blind. Resident 1 stated she was upset about this room change. Resident 1 stated the room was too small for her and her roommate.

During a review of Resident 2's Admission Record, the Admission Record indicated the facility initially admitted Resident 2 on 2/2/2024 and readmitted on [DATE] with a diagnosis of cerebral infarction (blood flow to the brain is interrupted).

During a review of Resident 2's MDS, dated [DATE], the MDS indicated Resident 2 was intact with thought process and required dependent assistance from staff to complete activities of daily living.

055307

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 055307 B.

Wing 04/25/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Desert Canyon Post Acute, LLC 1642 West Avenue J Lancaster, CA 93534

During a review of Resident 1's Minimum Data Set (MDS - a resident assessment tool), dated 2/3/2025, the MDS indicated Resident 1's thought process was intact and required set-up assistance from staff to complete activities of daily living (ADLs - activities such as bathing, dressing, and toileting a person performs daily).

During an interview on 4/24/2025 at 11:35 a.m., with Resident 1, Resident 1 stated that she was in her previous room for over a year and was moved recently in her current room. Resident 1 stated the facility informed her that she needed to move because they will turn her room as an isolation (apart from others) room. Resident 1 further stated that the facility did not orient her in her new room and Resident 1 was having a hard time to maneuver in the bathroom, room, and keep bumping to her extra dresser because her closet was too small compared to her previous room and she was blind. Resident 1 further stated that she feels that the facility did not care about her by putting her in the farthest room in the very far back of the building because staff know that she was blind. Resident 1 stated she was upset about this room change. Resident 1 stated the room was too small for her and her roommate.

During a review of Resident 2's Admission Record, the Admission Record indicated the facility initially admitted Resident 2 on 2/2/2024 and readmitted on [DATE] with a diagnosis of cerebral infarction (blood flow to the brain is interrupted).

During a review of Resident 2's MDS, dated [DATE], the MDS indicated Resident 2 was intact with thought process and required dependent assistance from staff to complete activities of daily living.

055307

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 055307 B.

Wing 04/25/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Desert Canyon Post Acute, LLC 1642 West Avenue J Lancaster, CA 93534

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 Desert Canyon Post Acute, LLC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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