Apple Valley Care Center: Staffing, Turnover, and Inspection Record
Apple Valley Care Center is a 99-bed for-profit nursing home in Apple Valley, California, part of Abraham Bak & Menachem Gastwirth. In the CMS August 2026 release it reported 2.84 nurse aide hours per resident per day, 7% above the California average of 2.65, and 35.1% nursing staff turnover (California average 36.7%).
Apple Valley Care Center
11959 Apple Valley RdApple Valley, CA 92308
San Bernardino County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Apple Valley Care Center, nurse aides logged 2.84 hours per resident per day, 7% above the California average. With about 92 residents a day, that works out to roughly 262 aide hours a day, or about 33 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 17% below the all-days figure.
| Hours per resident per day | This home | California avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.84 | 2.65 | 2.32 |
| Licensed practical nurses | 1.45 | 1.20 | 0.86 |
| Registered nurses | 0.56 | 0.67 | 0.69 |
| All nursing staff | 4.85 | 4.52 | 3.86 |
| All nursing staff, weekends | 4.01 | 4.09 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
35.1% of nursing staff at Apple Valley Care Center left over the year CMS measured, against a California average of 36.7% and a US average of 45.8%. Registered nurse turnover was 27.3%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Dec 18, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 4 health deficiencies (California average 15.7). CMS lists 1 fine totaling $8,021 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Jan 17, 2024 | Fine | $8,021 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Apple Valley Care Center holds 5 of 5 overall; the California average is 3.2.
About Apple Valley Care Center
- Ownership: For profit - Limited Liability company
- Chain: Abraham Bak & Menachem Gastwirth, 18 homes
- Legal name: Jess Ranch Healthcare, LLC
- Medicare and Medicaid certified since: Sep 26, 1991
- Area: urban
Nursing homes near Apple Valley Care Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Knolls West Post Acute LLC Victorville | 3.6 | 118 | 2.73 | 4.65 | 53.8% | 3 | None |
| Spring Valley Post Acute LLC Victorville | 5.1 | 126 | 2.92 | 4.66 | 41.4% | 2 | $57,810 |
| Desert Ridge Transitional Care Center, LP Victorville | 5.3 | — | — | — | — | — | None |
| Mountains Community Hosp DP/SNF Lake Arrowhead · many days without an RN | 14.5 | 19 | 3.93 | 7.12 | 37.5% | 4 | None |
| Hillcrest Nursing Home San Bernardino | 20.7 | 59 | 2.64 | 3.68 | 60.6% | 5 | None |
| Shandin Hills Behavior Therapy Center San Bernardino | 21.0 | 78 | 1.62 | 2.55 | 41.4% | 5 | None |
| Arrowhead Healthcare Center, LLC San Bernardino | 21.0 | 58 | 3.02 | 4.65 | 30.6% | 4 | None |
| Haven Post Acute San Bernardino | 22.7 | 99 | 2.66 | 4.26 | 55.9% | 4 | $37,557 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
Explore next
Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.