Overview

Address
57333 Joshua Ln, Yucca Valley, CA 92284
Phone
7608534750
Certified beds
99
Avg daily residents
93 (94% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
2001-06-08
Setting
Urban
4 /5
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
4/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
4/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
3/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
3/5
Quality Measures breakdown
Long-Stay Quality Measures 5/5
Short-Stay Quality Measures 1/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
3.79 3.74 3.92 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
0.33 0.65 0.34 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
1.03 0.83 1.06
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
2.43 2.26 2.51
Licensed (RN + LPN)
Combined licensed nurse coverage.
1.36
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
0.00

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
3.45
hrs / resident / day
RN (weekend)
0.25
hrs / resident / day
Total nurse (adjusted, weekend)
3.56
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
48.0%
annual
RN turnover
16.7%
annual
Administrators departed
1
last 12 months

Resident acuity

Nursing Case-Mix Index
1.32
higher acuity than avg
Case-Mix Index Ratio
0.96
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-12-04 10 10 0 60 1 60
Cycle 2/3 (prior) 2024-11-14 10 4 6 52 1 52
Total weighted health score
58.0
lower is better

Deficiencies (35)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

35 D/E/F Actual harm — potential for minor
Tag Description Scope/Severity Survey date Corrected
0565 Honor the resident's right to organize and participate in resident/family groups in the facility. E 2025-12-04 2025-12-22
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2025-12-04 2025-12-22
0676 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. E 2025-12-04 2025-12-22
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2025-12-04 2025-12-22
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2025-12-04 2025-12-22
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2025-12-04 2025-12-22
0756 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. D 2025-12-04 2025-12-22
0761 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. D 2025-12-04 2025-12-22
0810 Provide special eating equipment and utensils for residents who need them and appropriate assistance. D 2025-12-04 2025-12-22
0880 Provide and implement an infection prevention and control program. F 2025-12-04 2025-12-22
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. D 2025-01-30 2025-02-20
0645 PASARR screening for Mental disorders or Intellectual Disabilities D 2024-11-14 2024-12-05
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2024-11-14 2024-12-05
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2024-11-14 2024-12-05
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2024-11-14 2024-12-05
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2024-03-25 2024-04-05
0584 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. D 2024-01-18 2024-02-08
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2023-11-27 2023-12-14
0573 Let each resident or the resident's legal representative access or purchase copies of all the resident's records. D 2023-11-15 2023-12-06
0642 Ensure a qualified health professional conducts resident assessments. F 2023-10-19 2023-10-30
0557 Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. D 2021-12-10 2022-01-11
0558 Reasonably accommodate the needs and preferences of each resident. D 2021-12-10 2022-01-11
0636 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. D 2021-12-10 2022-01-11
0637 Assess the resident when there is a significant change in condition F 2021-12-10 2022-01-11
0638 Assure that each resident’s assessment is updated at least once every 3 months. F 2021-12-10 2022-01-11
0640 Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. F 2021-12-10 2022-01-11
0642 Ensure a qualified health professional conducts resident assessments. F 2021-12-10 2022-01-11
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2021-12-10 2022-01-11
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2021-12-10 2022-01-11
0711 Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. D 2021-12-10 2022-01-11
0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F 2021-12-10 2022-01-11
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2021-12-10 2022-01-11
0761 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. D 2021-12-10 2022-01-11
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2021-12-10 2022-01-11
0881 Implement a program that monitors antibiotic use. D 2021-12-10 2022-01-11

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 16.1% Medicaid 72.0% Other 11.9%

Operating performance

Operating Margin
9.3%
Total Margin
9.5%
Occupancy Rate
92.1%
Cost per Resident Day
$39

Revenue & costs

Net Patient Revenue
$12.6M
Total Costs
$1.3M
Net Income
$1.2M

Balance sheet

Total Assets
$5.2M
Total Liabilities
$2.4M
Fund Balance
$2.8M
Current Ratio
1.69

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: SWEETWATER CARE

Chain ID
500
Facilities in chain
9
Legal business name
SWEETWATER YV JOSHUA OPCO LLC
Chain-average star ratings (for peer context)
Overall
2.8
Health
2.3
Staffing
2.4
QM
3.8

Owner / manager organizations (3)

Organization Role Association
AJC HEALTHCARE LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 11/01/2018
JBG PARTNERS LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 11/01/2018
SWEETWATER CARE OPCO LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 11/01/2018

Owner / manager individuals (6)

Name Role Association
CHESLEY, AARON 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 11/01/2018
GAMETT, JAMES 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 11/01/2018
JENNINGS, TRAVIS 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 11/01/2018
CHESLEY, AARON CORPORATE OFFICER since 11/01/2018
GAMETT, JAMES CORPORATE OFFICER since 11/01/2018
JENNINGS, TRAVIS W-2 MANAGING EMPLOYEE since 11/01/2018

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $39 metrics.cost_per_resident_day
Cost Report Current Ratio 1.69 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 72.0% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 16.1% metrics.medicare_day_share
Cost Report Net Income ($) $1,199,687 metrics.net_income
Cost Report Net Patient Revenue ($) $12,632,340 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 92.1% metrics.occupancy_rate
Cost Report Operating Margin (%) 9.3% metrics.operating_margin
Cost Report Total Assets ($) $5,227,035 metrics.total_assets
Cost Report Total Costs ($) $1,300,895 metrics.total_costs
Cost Report Total Fund Balances ($) $2,789,784 metrics.fund_balance
Cost Report Total Liabilities ($) $2,437,251 metrics.total_liabilities
Cost Report Total Margin (%) 9.5% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.06401 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.51268 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.33867 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.91536 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.55950 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 93.3 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.82981 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.25525 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.65408 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.73914 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.29566 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.3 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.8 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 3.8 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 2.4 Chain Average Staffing Rating
Provider Information Chain ID 500 Chain ID
Provider Information Chain Name SWEETWATER CARE Chain Name
Provider Information City/Town Yucca Valley City/Town
Provider Information CMS Certification Number (CCN) 555773 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish San Bernardino County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 2001-06-08 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote Geocoding Footnote
Provider Information Health Inspection Rating 4 Health Inspection Rating
Provider Information Health Inspection Rating Footnote Health Inspection Rating Footnote
Provider Information Latitude 34.0978 Latitude
Provider Information Legal Business Name SWEETWATER YV JOSHUA OPCO LLC Legal Business Name
Provider Information Location 57333 Joshua Ln,Yucca Valley,CA,92284 Location
Provider Information Long-Stay QM Rating 5 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote Long-Stay QM Rating Footnote
Provider Information Longitude -116.4 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 1 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 99 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 9 Number of Facilities in Chain
Provider Information Number of Fines 0 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.32461 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.96150 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 4 Overall Rating
Provider Information Overall Rating Footnote Overall Rating Footnote
Provider Information Ownership Type For profit - Limited Liability company Ownership Type
Provider Information Physical Therapist Staffing Footnote Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 57333 Joshua Ln Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name Indian Canyon Post Acute Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 460 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 3 QM Rating
Provider Information QM Rating Footnote QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 60 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 0 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 10 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-12-04 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 60 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 10 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 4 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-11-14 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 52 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 6 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 52 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 10 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.25456 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 16.7 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.35843 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 1.03044 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.43342 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.00355 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.32799 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 3.79185 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 1 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote Short-Stay QM Rating Footnote
Provider Information Special Focus Status Special Focus Status
Provider Information Staffing Rating 3 Staffing Rating
Provider Information Staffing Rating Footnote Staffing Rating Footnote
Provider Information State CA State
Provider Information Telephone Number 7608534750 Telephone Number
Provider Information Total Amount of Fines in Dollars 0.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.44723 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 0 Total Number of Penalties
Provider Information Total nursing staff turnover 48.0 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 58.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 92284 ZIP Code