Home / California / Delano
1509 Tokay Street, Delano, CA 93215 · Kern County · (661) 720-2100
141 certified beds, about 128 residents a day · Non profit - Corporation · Medicare and Medicaid since 1991
CMS Care Compare ratings, data as of September 1, 2026 · CCN 555479 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on February 6, 2025, inspectors cited 10 health deficiencies (the California average is 15.6, the national average 9.2).
Of 67 health citations since January 2022, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists 2 fines totaling $17,966 in the last three years; the largest was $9,318, and the latest is dated May 29, 2024.
Nurses and nurse aides worked 4.24 hours per resident per day, against 4.52 across California and 3.86 nationally. Registered nurses accounted for 0.48 of those hours.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 67 health citations on file.
Inspectors wroteBased on interview and record review, the facility failed to ensure licensed nurses were monitoring an antidepressant's (medication used to treat depression [persistent feeling of sadness]) adverse reactions (undesired harmful effect from a medication) for one of three sampled residents (Resident 1). This failure had the potential to result in Resident 1 having adverse reactions to Paxil (antidepressant).
Inspectors wroteBased on observation, interview, and record review, the facility failed to:Supervise one of three sampled residents (Resident 1) after Resident 1 attempted to commit suicide (when a person intentionally harms themselves with the goal of ending their life, and they die as a result). This failure resulted in Resident 1's second suicide attempt. Follow their policy and procedure for Suicide Prevention Guidelines, to monitor one of three sampled residents (Resident 1) after Resident 1 attempted to commit suicide. This had the potential for Resident 1 to successfully kill herself and/or harm herself.
Inspectors wroteBased on interview and record review, the facility failed to ensure one of two sampled staff (Certified Nursing Assistant [CNA]) 1, completed annual abuse training. This failure had the potential to put residents at risk for abuse.
Inspectors wroteBased on interview and record review, the facility failed to ensure the follow-up investigation report was completed within five working days for an allegation of abuse for one of three sampled residents (Resident 1). This failure had the potential to result in an incomplete abuse investigation.
Inspectors wroteBased on interview and record review, the facility failed to ensure the Care Plan (CP), was implemented for one of three sampled residents (Resident 1) when wellness checks were not completed. This failure had the potential for staff to be unaware of Resident 1 experiencing an alteration in her well-being.
Inspectors wroteBased on interview and record review, the facility failed to ensure three of three sampled staff (Facility Staff [FS] 1, FS 2, and Activity Director [AD]), were competent to utilize the facility transport vehicle. This failure had the potential for residents to not be transported safely and for injuries to occur.
Inspectors wroteBased on interview and record review, the facility failed to follow their policy and procedure (P&P) titled, Abuse Prevention Program, when references were not checked prior to hire, orientation and abuse training were not provided for one of one sampled staff (certified nursing assistant [CNA 1]). These failures had the potential to place facility's residents at risk for abuse.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure one of three sampled residents (Resident 1) call light was placed within reach. This failure had the potential for Resident 1's unmet care needs.
Inspectors wroteBased on interview and record review, the facility failed to ensure allegations of abuse were reported and investigated timely for one of three sampled residents (Resident 1). This failure resulted in a delay in reporting and Resident 1 not to be protected from further abuse.
Inspectors wroteBased on interview and record review, the facility failed to ensure one of three sampled residents (Resident 1) wound was treated by a licensed nurse. This failure had the potential for allergic reaction (an immune system [a complex network of cells tissues and organs that defend against bacteria] overreaction to a harmless substance, causing symptoms ranging from mild to severe, and life-threatening) and/or infection (occurs when harmful bacteria enter the body, multiply, and trigger an immune response) for Resident 1.
Inspectors wroteBased on interview and record review, the facility failed to: 1. Complete reference checks for two of three sampled employees (Certified Nursing Assistant/CNA 1 and CNA 2) prior to employment and;2. Complete the background check for CNA 1. These failures had the potential to put the residents at risk for abuse.
Inspectors wroteBased on interview and record review, the facility failed to ensure two of two sampled employees, (Certified Nursing Assistant [CNA 1] and CNA 2), had the required criminal background checks prior to their date of hire. This failure had the potential to expose the residents to staff with criminal backgrounds and exposing residents to risks for abuse.
Inspectors wroteBased on interview and record review, the facility failed to:1. Provide discharge notice before discharging one of three sampled residents (Resident 1) to include the reasons for discharge. This failure had the potential for Resident 1 being discharged inappropriately and not prepared for his discharge.2. Send a copy of the notice of discharge to the Office of the State Long-Term Care Ombudsman (Ombudsman-an elderly advocacy agency) for 12 of 13 residents (Resident 1, Resident 2, Resident 3, Resident 4, Resident 5, Resident 6, Resident 7, Resident 8, Resident 9, Resident 10, Resident 11 and Resident 12). This failure had the potential to prevent the Ombudsman from assisting and advocating for Resident 1, Resident 2, Resident 3, Resident 4, Resident 5, Resident 6, Resident 7, Resident 8, Resident 9, Resident 10, Resident 11 and Resident 12 during their discharge process.
Inspectors wroteBased on interview and record review, the facility failed to implement an effective discharge plan for one of three sampled residents (Resident 1) when Resident 1 was discharged home without home health services (where health care professionals provide health care services to the resident at his home) as ordered by the physician and failed to document a post-discharge plan of care in Resident 1's discharge summary. These failures had the potential to place Resident 1 at risk for not achieving his health care goals and preventable hospital and/or skilled nursing facility readmission.
Inspectors wroteBased on interview and record review, the facility failed to report an allegation of physical abuse for one of three sampled residents (Resident 1) to the California Department of Public Health (CDPH). This failure had the potential for abuse to continue and had the potential for other residents to be abused.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure for five of 72 sampled residents (Resident 47, Resident 86, Resident 96, Resident 105, Resident 92) call lights were answered promptly. This failure had the potential to result in residents' unmet needs.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide pharmaceutical services to meet the needs of three of 27 sampled residents (Resident 93, Resident 128, and Resident 96) when: 1. Staff did not follow Resident 93's physician order to remove a Lidocaine patch (a pain medication applied directly to the skin) from Resident 93's back after 12 hours of application. This failure resulted in Resident 93 having Lidocaine applied for a period longer than prescribed. 2. Staff administered a Nifedipine Extended Release tablet (a medication to treat high blood pressure especially formulated to slowly release the drug into the bloodstream over an extended period and to be administered whole) crushed into a powder to Resident 128. This failure resulted in Resident 128 receiving Nifedipine at a higher dose than prescribed. 3. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure professional standards for food service safety and sanitary kitchen conditions when: 1. Dented canned products were retained in dry storage for use. 2. Dry food storage container lid was not closed and secured per safe storage and guidelines. These failures had the potential to cause foodborne illness (illness caused by the ingestion of contaminated food or beverages) for at-risk vulnerable residents.
Inspectors wroteBased on observation, interview, and record review, the facility failed to implement infection control practices when: 1. Three of three sampled personal laundry cart covers were soiled and discolored. This failure had the potential for contaminating clean linen and spread of infection to residents. 2. One of three sampled clean linen closets had a dark discolored floor with debris. This failure had the potential for contaminating clean linen and spread of infection to residents. 3. Two of two Registered Nurses (RN 1 and RN 3) failed to clean and disinfect glucometers (medical devices used to measure the amount of glucose[sugar] in the blood) according to facility policy and manufacturer's guidelines. after resident use. This failure had the potential to expose residents to bloodborne pathogens (microorganisms [bacteria or virus] in the blood that can cause life threatening disease).
Inspectors wroteBased on interview and record review, the facility failed to ensure nine of nine employees' (Plant and Maintenance [PM], Housekeeper [HSK] 1, Certified Nursing Assistant [CNA] 1, CNA 2, Registered Nurse [RN] 2, Licensed Vocational Nurse [LVN] 1, Nursing Assistant [NA] 1, NA 2, and NA 3) Covid 19 (infectious respiratory illness) vaccination status were tracked and recorded. This failure had the potential to spread Covid-19 to residents, staff, and visitors.
Inspectors wroteBased on interview and record review, the facility failed to ensure the Minimum Data Set (MDS- a standardized assessment tool that measures the health of nursing home residents) was accurate for one of one sampled resident (Resident 139). This failure resulted in an inaccurate medical record regarding Resident 139's discharge location.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure fluids were accessible at the bedside for one of eight sampled residents (Resident 47). This failure had the potential to result in Resident 47 not having sufficient fluid intake to maintain proper hydration.
Inspectors wroteBased on observation, interview, and record review, the facility failed to monitor two of two sampled residents (Resident 18 and Resident 41) oxygen saturations (how much oxygen is in the blood). This failure had the potential for Resident 18 and Resident 41 to not receive oxygen as ordered and become hypoxic (low levels of oxygen in the blood that can cause headache, difficult breathing, confusion and increased rate of breathing).
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure Registered Nurse (RN) 1 had current cardiopulmonary certification (CPR-healthcare provider demonstrated training in life-saving intervention competency when loss of pulse and/or breathing in a medical emergency) as indicated in the facility's job description titled, Registered Nurse (RN) for one of 15 sampled RN's (RN) 1. This failure resulted in RN 1's CPR certification employment requirement not being met and had the potential for adverse vulnerable resident outcomes.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure one of one sampled resident (Resident 18) was provided adaptive equipment (specialized tools, devices and modifications designed to assist individuals with disabilities or functional limitations with eating) during meals. This failure had the potential to result in nutritional decline.
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain resident shower rooms in a clean and sanitary condition for five of five sampled residents (Resident 1, Resident 2, Resident 3, Resident 4, and Resident 5). This failure had the potential for spread of infection and/or negative health outcomes.
Inspectors wroteBased on observation, interview, and record review, the facility failed to treat one of five sampled residents (Resident 1) with dignity and respect. This failure had the potential for emotional distress for Resident 1.
Inspectors wroteBased on observation, interview, and record review, the facility failed to implement their policy and procedure on Abuse Prevention Program for one of five sampled residents (Resident 1). This failure had the potential for further abuse to occur.
Inspectors wroteBased on observation, interview, and record review, the facility failed to follow its policy and procedure (P&P) on safety for residents when tools were found on the floor unattended. This failure had the potential to result in injury for residents, staff, and visitors.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure two of four sampled residents (Resident 1 and Resident 3) who are high risk for falls were near the nurse's station according to the plan of care. This failure had the potential to result in Resident 1 and Resident 3 falling repeatedly and sustaining injury.
Inspectors wroteBased on observation, interview, and record review, the facility failed to report allegations of abuse to the state agency for five of eight sampled Residents (Resident 1, Resident 2, Resident 3, Resident 4, Resident 5) when: A. Resident 1 reported to staff multiple incidents of physical altercation with Resident 2. B. Resident 3 reported to staff multiple incidents of sexual allegations against Resident 4. C. Staff witnessed Resident 4 being sexually inappropriate with Resident 5. These failures had the potential for delayed investigation and put all residents at risk for further abuse.
Inspectors wroteBased on observation, interview, and record review, the facility failed to obtain dental services for two of eight sampled residents (Resident 6 and Resident 7). This failure had the potential to result in progressive oral health decline, oral pain, infection, and weight loss.
Inspectors wroteBased on interview and record review, the facility failed to ensure four of four sampled residents (Resident 1, Resident 2, Resident 3, Resident 4) complaints were processed according to their policy and procedure. This failure had the potential to jeopardize the health and safety of the residents.
Inspectors wroteBased on interview and record review, the facility failed to ensure a Licensed Vocational Nurse (LVN) 2 was competent to pass medications to one of four sampled residents (Resident 1). This failure had the potential for adverse health outcomes.
Inspectors wroteBased on interview and record review, the facility failed to implement their fall intervention for one of three sampled residents (Resident 1). This failure had the potential for Resident 1 to have serious injury or harm.
Inspectors wroteBased on observation, interview, and record review, the facility failed to follow their policy and procedure titled, Enteral Therapy/Tube Feeding, to ensure two of five sampled residents' (Resident 1 and Resident 5) tube feeding (tube attached to the stomach used to pass through nutrition, hydration, and medication) bags were labeled with dates and time. This failure had a potential to result in Resident 1 and Resident 5 consuming contaminated feeding formula from old tube feeding bags and result in adverse health outcomes.
Inspectors wroteBased on observation, interview, and record review the facility failed to provide a comfortable and safe temperature for one of 13 sampled residents (Resident 1). This failure had the potential for harm due to heat related issues and/or for residents to be uncomfortable.
Inspectors wroteBased on interview and record review the facility failed to implement their policy and procedure (P&P) on abuse for one of three residents (Resident 1) when: a. Certified Nursing Assistant (CNA) 1 did not immediately report an allegation of abuse to facility management. b. CNA 1 was not removed from working with residents immediately after an allegation of abuse. These failures resulted in a potential delay in investigation, had the potential for abuse to continue and had the potential for other residents to be abused.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide physical assistance and/or use of transfer device during ambulation (walking) to ensure safety for one of three sampled residents (Resident 1), when the Director of Rehabilitation (DOR), who was assisting Resident 1 while walking, did not provide a hand support to Resident 1 due to DOR was holding a cellphone on her left hand and holding a wheelchair on her right hand. This failure resulted in Resident 1 falling, sustaining a right shoulder tendon (connective tissue that connects the muscle to the bone) tear, suffering from severe pain, and going to the general acute care hospital.
Inspectors wroteBased on observation, interview, and record review, the facility failed to implement an effective pest control program for two of four sampled residents (Resident 1 and Resident 2). This failure had the potential for negative consequences such as insect bites (both poisonous and non-poisonous) and spreading of pest to resident areas (outdoors and indoors).
Inspectors wroteBased on interview and record review, the facility failed to ensure one of three sampled residents (Resident 1) was treated with dignity and respect when Resident 1 was moved to the dining room to sleep for one night. This failure had the potential to result in psychological harm and Resident 1 experiencing fearfulness.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide the necessary care and services for one of seven sampled residents (Resident 1) when Resident 1 experienced repeated seizures (sudden, uncontrolled electrical disturbance in the brain which can cause changes in behavior, movements, feelings, and consciousness) and the Registered Nurse (RN 1) failed to identify the seizure activity, call the physician promptly, send Resident 1 out to a higher level of care promptly and ensure qualified staff monitored the resident when the resident was experiencing seizures. These failures resulted in a delay in receiving prompt medical attention and resulted in an overall decline in Resident 1 ' s physical condition.
Inspectors wroteBased on interview and record review, the facility failed to treat four of seven sampled residents (Resident 1, Resident 2, Resident 3, and Resident 7) with dignity and respect. This failure had the potential for negative consequences up to and including psychological harm.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure two of 62 sampled resident's (Resident 334 and Resident 25) change in condition notification was not provided when: 1. Resident 334's Responsible party (RP) was not notified for a change in medical treatment plan. This failure resulted in the Resident 334's RP to be unable to participate in the plan of care. 2. Resident 25's Physician (MD) was not notified for refusal of medications. This failure had the potential to result in increased psychological behaviors, memory impairment, swelling, and blood pressure.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure one of 62 residents (Resident 80), received an accurate Minimum Data Set (MDS-a comprehensive assessment used as a care-planning tool) Section B 1000 Vision (uses numerical scale 0-4, a score of 0 indicates Adequate-sees fine details and regular print in newspaper/books, score of 1 indicates Impaired-sees large print but not regular print in newspaper, score of 2 indicates Moderately Impaired-limited vision, not able to see newspaper headlines but can identify objects, score of 3 indicates Highly Impaired-object identification in question, but eyes appear to follow objects, and a score of 4, indicates Severely Impaired-no vision or sees only light, colors or shapes; eyes do not appear to follow objects) assessment by a MDS trained Social Services Assistant (SSA). [...]
Inspectors wroteBased on interview and record review, the facility failed to accurately complete and coordinate the Pre-admission Screening and Resident Review (PASRR-federal requirement to help ensure that individuals are not incorrectly placed in nursing homes or long-term care facilities, determines the appropriate setting for the individual, and recommends any specialized services and/or rehabilitative services the individual needs) process for one of 62 sampled residents (Resident 25). This failure had the potential for Resident 25 to not receive necessary services to meet mental and psychosocial needs.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure one of 62 residents (Resident 133) had a baseline care plan (includes measurable objectives and timeframes to meet a resident's medical, nursing, mental, and psychosocial needs) developed which guided his dialysis catheter site (dialysis catheter - a tube inserted into a vein to carry blood to dialysis machine used to filter blood) care. This failure had the potential to place Resident 133 at risk for skin and blood borne infections.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure two of 62 residents (Resident 80 and Resident 95) had a comprehensive care plan (includes measurable objectives and timeframes to meet the resident's medical, nursing, mental, and psychosocial needs) developed and implemented which addressed: 1. Resident 80's visual impairment needs. This failure had the potential to negatively impact Patient 80's safety, psycosocial, and care needs. 2. Resident 95's Foley catheter (FC- a device that drains urine from the bladder into a collection bag). This failure had the potential for Resident 95 to develop an infection and have care needs not met.
Inspectors wroteBased on observation, interview, and record review, the facility failed to meet professional standards of practice for four of 62 sampled residents (Resident 5, Resident 69, Resident 83 and Resident 21) when: 1. CNA 5 served meals without ensuring Resident 5 and Resident 69 had performed hand hygiene. This failure had the potential to affect Resident 5 and Resident 69's health. 2. Housekeeping was not wearing a protective gown while handling unclean residents linen. This failure had the potential to spread infection to residents and staff. 3. Transmission-based precautions (TBP) were not followed for Resident 83. This failure had the potential to result in the transmission of infection and communicable diseases to residents, staff and visitors. 4. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the Low Air Loss (LAL) mattress was set according to weight for one of 62 sampled residents (Resident 21). This failure had the potential to result in a new or worsening pressure injury.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident who was identified as high risk for falls was free from fall hazards for one of 62 sampled residents (Resident 21). This failure had the potential to result in a fall with injury.
Inspectors wroteBased on interview and record review, the facility failed to ensure the controlled substance (highly addictive drug or chemical regulated to prevent abuse) count was being completed before and after each shift for three of four sampled medication carts (East Wing (C2), East Wing (C 2-3), and [NAME] Wing). This failure had the potential to result in loss or diversion (concept involving the transfer of any legally prescribed controlled substance from the individual for whom it was prescribed to another person for any illicit use) of controlled substances.
Inspectors wroteBased on observation, interview, and record review, the facility failed to follow their policy and procedure (P&P) titled, Medication Storage, when medications were improperly stored for one of two sampled medication carts (North Medication Cart). This failure had the potential to result in contamination of medications and adverse outcomes.
Inspectors wroteBased on observation, interview and record review the facility failed to: 1. To implement infection surveillance measures that meet infection prevention standards. 2. Follow transmission-based precautions for one of eight residents sampled (Resident 1). 3. Review infection control policy and procedures (P&P) annually. These failures had the potential to contribute to increased Covid-19 cases, and adverse health outcomes for vulnerable residents.
Inspectors wroteBased on observation, interview, and record review, the facility failed to protect three of four sampled residents (Resident 1, Resident 2, Resident 3) from being inappropriately touched by Resident 4. This failure had the potential to place these residents at risk for further abuse and feeling unprotected in the facility.
Inspectors wroteBased on interview and record review, the facility failed to follow its policy and procedure (P&P) titled, Transfer or Discharge for one of three sampled residents (Resident 1). This failure resulted in Resident 1's inappropriate discharge and violation of resident's rights.
Inspectors wroteased on observation, interview and record review the facility failed to implement their intervention for one of three sampled residents (Resident 1) to ensure she was kept away from Resident 3 who scratched her left forearm during an altercation. This failure resulted in Resident 3 continuing to enter Resident 1's room without consent, Resident 1 being struck again by Resident 3 after the initial physical altercation, resulted in another resident (Resident 2) having his room entered by Resident 3 without consent and had the potential for other residents to be affected.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure: 1. Air mattress (designed to prevent pressure injury from occurring) used were set at the appropriate therapeutic setting for two of nine sampled residents (Resident 2 and Resident 3). 2. Turning and repositioning was performed for two of nine sampled residents (Resident 2 and Resident 3). These failures had the potential for worsening of pressure injury (localized damage to the skin and/or underlying tissue that usually occur over a bony prominence as a result of usually long-term pressure, or pressure in combination with shear or friction) and/or development of new pressure injury.
Inspectors wroteBased on observation, interview, and record review, the facility failed to follow its policy and procedure on General Dose Preparation and Medication Administration for one of four sampled residents (Resident 1) when Licensed Vocational Nurse (LVN) 1 gave the wrong medication to the Family Member (FM) who took Resident 1 out on pass (temporary out of the facility). This failure resulted in Resident 1 taking her medication two hours late and had the potential for Resident 1 having adverse health outcomes.
Inspectors wroteBased on observation, interview, and record review, the facility failed to: 1. Follow the physician's order to provide foot care and/or refer to Podiatry (the study, diagnosis, and treatment of disorders of the foot, and ankle) for one of four sampled residents (Resident 1) when Resident 1 had long, thick, and curled toenails. 2. Develop a plan of care for foot care for Resident 1. 3. Implement plan of care of skin assessment for Resident 1. These failures resulted in Resident 1 having skin breakdown on her toes and potential for skin infection and discomfort.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide supervision and assistance to one of four sampled residents (Resident 1) when Resident 1 who required assistance with toilet use was left in the restroom. This failure resulted in Resident 1 falling and had the potential for injury.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure: 1. Pre-made food items were labeled with use-by-date and discarded when expired. 2. Perishable foods were labeled and dated. 3. Food brought in from outside the facility was dated. These failures had the potential to cause foodborne illness (sickness resulting from contaminated food) to the residents residing in the facility.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure one of four medication carts was locked when left unattended by licensed nurse. This failure had the potential for residents and staff to have access to medications inside the medication cart with the potential to cause adverse outcomes.
Inspectors wroteBased on interview and record review, the facility failed to ensure a resident requested advance directive (AD-legal document for decisions about end-of-life care) was executed for one of 50 sampled residents (Resident 27). This failure had the potential for Resident 27's end-of-life decisions to not be honored.
Inspectors wroteBased on interview and record review, the facility failed to develop and implement a comprehensive person-centered care plan for one of 50 sampled residents (Resident 49). This failure had the potential for unmet care needs.
Inspectors wroteBased on interview and record review, the facility failed to ensure the physician's orders were followed for one of 50 sampled residents (Resident 49). This failure had the potential to result in Resident 49 to have diarrhea (loose stool).
Inspectors wroteBased on observation, interview, and record review, the facility failed to implement infection control and prevention for two of 50 sampled residents (Resident 53 and Resident 6) when: 1. Certified Nursing Assistant (CNA) 2 did not wear appropriate personal protective equipment (PPE-items such as gowns, gloves, and masks used to prevent the spread of infection) while passing meal trays. 2. Housekeeper (HSK) did not wear appropriate PPE while cleaning resident room. 3. Charge Nurse/Treatment Nurse (CN/TN) did not follow infection control protocols while doing wound care treatment.
16 fire safety citations on file: 3 on February 6, 2025, 6 on January 11, 2024, 7 on January 6, 2022.
| Date | Penalty | Amount or length |
|---|---|---|
| May 29, 2024 | Fine | $9,318 |
| January 3, 2024 | Fine | $8,648 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | California | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.24 | 4.52 | 3.86 |
| Registered nurses | 0.48 | 0.67 | 0.69 |
| All nursing staff on weekends | 3.73 | 4.09 | 3.42 |
| Nurse aides | 2.78 | ||
| Licensed practical nurses | 0.99 | ||
| Nursing staff turnover (share who left in a year) | not reported | 36.7% | 45.8% |
| Registered nurse turnover | not reported | 38.1% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.52 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.45 on weekdays and 3.73 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 8.4% of nursing hours, against 5.3% nationally.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.24 | 0.48 | 4.45 | 3.73 | 8.4% | 0 of 90 | 128 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| California, Jan to Mar 2026 | 4.36 | 0.59 | 4.52 | 3.97 | 2.3% | 0.5% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Trains nurse aides: this home runs a state-approved CNA program for its own hires (state list: CDPH Facility Based Nurse Assistant Training Programs, as of February 13, 2026). A nursing home cannot charge aides it employs, or has offered a job, for state-approved training (42 CFR 483.152(c)). See Delano District Skilled Nursing Facility CNA training on CareerFunded, our sister site for career training.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| California, all employers | |||
| CNAs (nursing assistants) | $22.90 | $22.04 to $26.35 | 110,060 |
| LPNs and LVNs | $38.34 | $35.98 to $45.06 | 82,850 |
| Registered nurses | $67.44 | $58.87 to $83.25 | 338,940 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | California | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 12.7 | 10.3 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 2.0 | 0.8 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.4 | 1.2 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.8 | 1.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 11.8 | 9.8 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.7 | 4.3 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 9.2 | 12.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 21.2 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 12.0 | 11.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 2.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.5 | 1.6 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Delano District Skilled Nursing Facility's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (31.1% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
31.1% this home
Worse than the national rate
US median of homes 51.5% · California: 301 better, 190 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 106 eligible stays.
10.7% this home
No different from the national rate
US median of homes 10.7% · California: 10 better, 22 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 133 eligible stays.
8.8% this home
No different from the national rate
US median of homes 7.1% · California: 8 better, 48 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 102 eligible stays.
32.3% this home
Median of homes: California59.2% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 65 residents counted.
1.1% this home
Median of homes: California0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 94 residents counted.
1.4% this home
Median of homes: California0.6% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 94 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: California96.2% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 1 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: NORTH KERN SOUTH TULARE HOSPITAL DISTRICT.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Calzo, Janice | W-2 managing employee | Individual | 11/02/2020 | |
| Gavina, Ileana | W-2 managing employee | Individual | 05/18/2022 | |
| Barker, Bradford | Corporate director | Individual | 02/27/2014 | |
| Chavez, Ricardo | Corporate director | Individual | 11/16/2017 | |
| Flores, Trisha | Corporate director | Individual | 12/28/2020 | |
| Gavina, Ileana | Corporate director | Individual | 05/18/2022 | |
| Lugo, Rosa | Corporate director | Individual | 12/28/2020 | |
| Soto, Sylvia | Corporate director | Individual | 12/08/2020 | |
| Gavina, Ileana | Corporate officer | Individual | 05/18/2022 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
Licensed assisted living homes in the same town or within 5 miles, each with its California inspection record.
These are the official offices in California. NursingHomeClear cannot take or act on complaints.