nursing home in Jackson, CA

Kit Carson Nursing & Rehabilitation Center

811 Court Street, Jackson, CA 95642 · (209) 223-2231

★★★★★1
Much below average
CMS overall star rating
  • Health inspections★★★★★1
  • Staffing★★★★★4
  • Quality measures★★★★★2

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Kit Carson Nursing & Rehabilitation Center at a glance

Kit Carson Nursing & Rehabilitation Center is a 199-bed for-profit nursing home in Jackson, California (Amador County).

CMS gives it 1 out of 5 stars on its overall star rating, worse than the California average of 3.2.

Residents receive about 4.6 hours of nursing care per day (0.8 of them from registered nurses), close to the state average of 4.5 hours.

Its most recent standard health inspection (August 14, 2025) found 43 health citations. The California average is 15.5.

Federal regulators fined it 3 times in the past three years, totaling $28,327.

Nursing staff turnover is 54.6% per year (state average 36.7%).

Facility details

Type
Nursing home
Ownership
For Profit - Corporation
Beds
199
Certified for
Medicare and Medicaid
Chain / affiliated entity
Eva Care Group
Medicare-certified since
May 4, 1970
Resident/family council
Resident
County
Amador County
CMS Certification Number
056198

Ratings

MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)1 / 53.2 / 53 / 5Worse
Health inspection rating ⓘ (higher is better)1 / 52.8 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)4 / 53.3 / 52.9 / 5Better
Quality measures rating ⓘ (higher is better)2 / 54.1 / 53.6 / 5Worse
Long-stay quality rating (higher is better)2 / 54.4 / 53.8 / 5Worse
Short-stay (rehab) quality rating (higher is better)3 / 53.6 / 53.3 / 5Average

Staffing

This facility4.64 hrsCalifornia average4.52 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. California and U.S. averages
MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)4.64 hrs4.52 hrs3.86 hrsBetter
Registered nurse hours per resident per day (higher is better)0.83 hrs0.67 hrs0.69 hrsBetter
Nurse aide hours per resident per day (higher is better)3.05 hrs2.65 hrs2.32 hrsBetter
Weekend nurse staff hours per resident per day (higher is better)3.83 hrs4.09 hrs3.42 hrsBetter
Nursing staff turnover (yearly) (lower is better)54.6%36.7%45.8%Worse
Registered nurse turnover (yearly) (lower is better)59.3%38.1%42.9%Worse
Administrators who left in the past year (lower is better)101Worse

Inspections

This facility43California average16U.S. average9
Health citations in the most recent inspection: this facility vs. California and U.S. averages
MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)43169Worse
Citations from complaint investigations (latest cycle) (lower is better)2343Worse
Weighted health inspection score ⓘ (lower is better)282105.880.6Worse

Penalties

This facility3California average1U.S. average1
Fines in the past 3 years: this facility vs. California and U.S. averages
MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)311Worse
Total fines in the past 3 years (lower is better)$28,327$23,986$30,972Better
All federal penalties in the past 3 years (lower is better)411Worse

Size

MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Certified beds19999107
Average residents per day708886
Occupancy35.1%88.4%80.9%

Long-stay residents

This facility0%California average1.6%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. California and U.S. averages
MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)0%1.6%3.2%Better
Long-stay residents with pressure ulcers (lower is better)7.7%4.3%4.6%Worse
Long-stay residents given antipsychotic medication (lower is better)22.5%12%15.4%Worse
Long-stay residents with a urinary tract infection (lower is better)0.9%1.2%1.6%Better
Long-stay residents with a catheter left in the bladder (lower is better)0.8%0.8%0.8%Better
Long-stay residents needing more help with daily activities (lower is better)14.9%10.2%13.9%Worse
Long-stay residents whose walking worsened (lower is better)26.5%9.8%14.1%Worse
Long-stay residents who lose too much weight (lower is better)5%4%5.2%Average
Long-stay residents with depressive symptoms (lower is better)0%7.3%12.8%Better
Long-stay residents who were physically restrained (lower is better)0%0.4%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)27.8%13.7%19.5%Worse
Long-stay residents with new or worse incontinence (lower is better)7.6%10.2%19%Better
Long-stay residents given a flu vaccine (higher is better)100%98.2%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)100%98.6%93.6%Better

Short-stay residents

This facility0.4%California average1.5%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. California and U.S. averages
MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)0.4%1.5%1.6%Better
Short-stay residents given a flu vaccine (higher is better)98.7%93.2%79.8%Better
Short-stay residents given a pneumonia vaccine (higher is better)99.7%94.4%82%Better

Inspection citations

State inspectors cited this home for 76 health deficiencies and 43 fire safety deficiencies in the inspection records CMS currently publishes. 5 citations involved actual harm.

DateCitationSeverityStatus
July 28, 2026
Complaint
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610
D
Potential harm, isolated
Deficient, Provider has no plan of correction
July 28, 2026
Complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Deficient, Provider has no plan of correction
July 28, 2026
Complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Tag F0657
D
Potential harm, isolated
Deficient, Provider has no plan of correction
July 24, 2026
Complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
D
Potential harm, isolated
Deficient, Provider has no plan of correction
May 8, 2026
Complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected May 24, 2026
April 22, 2026
Complaint
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Tag F0558
D
Potential harm, isolated
Corrected April 28, 2026
April 22, 2026
Complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
D
Potential harm, isolated
Corrected April 28, 2026
April 15, 2026
Complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
D
Potential harm, isolated
Corrected April 25, 2026
March 30, 2026
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
G
Actual harm, isolated
Corrected April 27, 2026
March 30, 2026
Complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Tag F0725
F
Potential harm, widespread
Corrected April 27, 2026
March 30, 2026
Complaint
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Tag F0692
D
Potential harm, isolated
Corrected April 27, 2026
March 30, 2026
Complaint
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Tag F0756
D
Potential harm, isolated
Corrected April 27, 2026
March 30, 2026
Complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
D
Potential harm, isolated
Corrected April 27, 2026
March 17, 2026
Complaint
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected April 10, 2026
March 17, 2026
Complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected April 10, 2026
March 10, 2026
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
G
Actual harm, isolated
Corrected April 10, 2026
March 10, 2026
Complaint
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Nursing and Physician Services Deficiencies · Tag F0710
D
Potential harm, isolated
Corrected April 10, 2026
February 19, 2026
Complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Tag F0580
G
Actual harm, isolated
Corrected March 19, 2026
February 19, 2026
Complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected April 10, 2026
February 19, 2026
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected March 19, 2026
February 19, 2026
Complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Tag F0657
D
Potential harm, isolated
Corrected April 10, 2026
January 6, 2026
Complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected February 5, 2026
December 3, 2025
Complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
D
Potential harm, isolated
Corrected January 3, 2026
August 20, 2025
Complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Tag F0690
D
Potential harm, isolated
Corrected September 19, 2025
August 14, 2025
Fire safety
Ensure that testing and maintenance of electrical equipment is performed.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921
F
Potential harm, widespread
Corrected August 20, 2025
August 14, 2025
Fire safety
Install corridor and hallway doors that block smoke.
Smoke Deficiencies · Tag K0363
E
Potential harm, pattern
Corrected September 9, 2025
August 14, 2025
Fire safety
Meet requirements for the use of electrical equipment.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0919
D
Potential harm, isolated
Corrected August 20, 2025
August 14, 2025
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
D
Potential harm, isolated
Corrected September 9, 2025
August 14, 2025
Fire safety
Use approved construction type or materials.
Construction Deficiencies · Tag K0161
D
Potential harm, isolated
Corrected August 20, 2025
August 14, 2025
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
D
Potential harm, isolated
Corrected August 20, 2025
August 14, 2025
Fire safety
List the names and contact information of those in the facility.
Emergency Preparedness Deficiencies · Tag E0030
C
No harm, widespread
Corrected August 20, 2025
August 14, 2025
Fire safety
Establish emergency prep training and testing.
Emergency Preparedness Deficiencies · Tag E0036
C
No harm, widespread
Corrected August 20, 2025
August 14, 2025
Fire safety
Conduct testing and exercise requirements.
Emergency Preparedness Deficiencies · Tag E0039
C
No harm, widespread
Corrected August 20, 2025
August 14, 2025
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
C
No harm, widespread
Corrected August 28, 2025
August 14, 2025
Fire safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies · Tag K0355
C
No harm, widespread
Corrected August 20, 2025
August 14, 2025
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
C
No harm, widespread
Corrected August 20, 2025
August 14, 2025
Fire safety
Develop and maintain an Emergency Preparedness Program (EP).
Emergency Preparedness Deficiencies · Tag E0004
C
No harm, widespread
Corrected August 20, 2025
August 14, 2025
Fire safety
Develop Emergency Preparedness policies and procedures.
Emergency Preparedness Deficiencies · Tag E0013
C
No harm, widespread
Corrected August 20, 2025
August 14, 2025
Fire safety
Develop a communication plan.
Emergency Preparedness Deficiencies · Tag E0029
C
No harm, widespread
Corrected August 20, 2025
August 14, 2025
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected September 13, 2025
August 14, 2025
Standard
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights Deficiencies · Tag F0577
F
Potential harm, widespread
Corrected September 13, 2025
August 14, 2025
Standard
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · Tag F0919
F
Potential harm, widespread
Corrected September 13, 2025
August 14, 2025
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
F
Potential harm, widespread
Corrected September 13, 2025
August 14, 2025
Standard
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.
Pharmacy Service Deficiencies · Tag F0761
E
Potential harm, pattern
Corrected September 13, 2025
August 14, 2025
Standard
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Tag F0757
E
Potential harm, pattern
Corrected September 13, 2025
August 14, 2025
Standard
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605
E
Potential harm, pattern
Corrected September 13, 2025
August 14, 2025
Standard
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Infection Control Deficiencies · Tag F0887
E
Potential harm, pattern
Corrected September 13, 2025
August 14, 2025
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
E
Potential harm, pattern
Corrected September 13, 2025
August 14, 2025
Standard
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies · Tag F0803
E
Potential harm, pattern
Corrected September 13, 2025
August 14, 2025
Standard
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
D
Potential harm, isolated
Corrected September 13, 2025
August 14, 2025
Standard
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604
D
Potential harm, isolated
Corrected September 13, 2025
August 14, 2025
Standard
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
D
Potential harm, isolated
Corrected September 13, 2025
August 14, 2025
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected September 13, 2025
August 14, 2025
Standard
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Tag F0692
D
Potential harm, isolated
Corrected September 13, 2025
August 14, 2025
Standard
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Nutrition and Dietary Deficiencies · Tag F0810
D
Potential harm, isolated
Corrected September 13, 2025
August 14, 2025
Standard
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Tag F0883
D
Potential harm, isolated
Corrected September 13, 2025
August 14, 2025
Standard
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · Tag F0806
D
Potential harm, isolated
Corrected September 13, 2025
August 14, 2025
Standard
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
D
Potential harm, isolated
Corrected September 13, 2025
August 14, 2025
Standard
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies · Tag F0578
D
Potential harm, isolated
Corrected September 13, 2025
June 10, 2025
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
E
Potential harm, pattern
Corrected June 10, 2025
March 28, 2025
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
G
Actual harm, isolated
Corrected April 28, 2025
September 12, 2024
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
F
Potential harm, widespread
Corrected October 3, 2024
September 12, 2024
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
F
Potential harm, widespread
Corrected October 3, 2024
September 12, 2024
Fire safety
Have properly located and lighted "Exit" signs.
Egress Deficiencies · Tag K0293
F
Potential harm, widespread
Corrected October 3, 2024
September 12, 2024
Fire safety
Install corridor and hallway doors that block smoke.
Smoke Deficiencies · Tag K0363
F
Potential harm, widespread
Corrected October 3, 2024
September 12, 2024
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
E
Potential harm, pattern
Corrected October 3, 2024
September 12, 2024
Fire safety
Install emergency lighting that can last at least 1 1/2 hours.
Egress Deficiencies · Tag K0291
D
Potential harm, isolated
Corrected October 3, 2024
September 12, 2024
Fire safety
Use approved construction type or materials.
Construction Deficiencies · Tag K0161
D
Potential harm, isolated
Corrected October 3, 2024
September 12, 2024
Fire safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies · Tag K0211
D
Potential harm, isolated
Corrected October 3, 2024
September 12, 2024
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
D
Potential harm, isolated
Corrected October 3, 2024
September 12, 2024
Fire safety
Install a fire alarm system that can be heard throughout the facility.
Smoke Deficiencies · Tag K0341
D
Potential harm, isolated
Corrected October 3, 2024
September 12, 2024
Fire safety
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Smoke Deficiencies · Tag K0342
D
Potential harm, isolated
Corrected October 3, 2024
September 12, 2024
Fire safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Smoke Deficiencies · Tag K0374
D
Potential harm, isolated
Corrected October 3, 2024
September 12, 2024
Fire safety
Have restrictions on the use of portable space heaters.
Miscellaneous Deficiencies · Tag K0781
D
Potential harm, isolated
Corrected October 3, 2024
September 12, 2024
Fire safety
Meet requirements for the use of electrical equipment.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0919
D
Potential harm, isolated
Corrected October 3, 2024
September 12, 2024
Fire safety
Ensure that testing and maintenance of electrical equipment is performed.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921
C
No harm, widespread
Corrected October 3, 2024
September 12, 2024
Fire safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Miscellaneous Deficiencies · Tag K0761
C
No harm, widespread
Corrected October 3, 2024
September 12, 2024
Complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600
G
Actual harm, isolated
Corrected October 11, 2024
September 12, 2024
Standard
Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies · Tag F0814
F
Potential harm, widespread
Corrected October 11, 2024
September 12, 2024
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected October 11, 2024
September 12, 2024
Standard
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and Dietary Deficiencies · Tag F0801
F
Potential harm, widespread
Corrected October 11, 2024
September 12, 2024
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected October 11, 2024
September 12, 2024
Standard
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Tag F0757
E
Potential harm, pattern
Corrected October 11, 2024
September 12, 2024
Standard
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
E
Potential harm, pattern
Corrected October 11, 2024
September 12, 2024
Standard
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies · Tag F0803
E
Potential harm, pattern
Corrected October 11, 2024
September 12, 2024
Standard
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and Dietary Deficiencies · Tag F0802
E
Potential harm, pattern
Corrected October 11, 2024
September 12, 2024
Standard
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
E
Potential harm, pattern
Corrected October 11, 2024
September 12, 2024
Standard
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.
Pharmacy Service Deficiencies · Tag F0761
E
Potential harm, pattern
Corrected October 11, 2024
September 12, 2024
Standard
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies · Tag F0758
E
Potential harm, pattern
Corrected October 11, 2024
September 12, 2024
Standard
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies · Tag F0578
E
Potential harm, pattern
Corrected October 11, 2024
September 12, 2024
Standard
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Resident Rights Deficiencies · Tag F0553
E
Potential harm, pattern
Corrected October 11, 2024
September 12, 2024
Standard
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration Deficiencies · Tag F0868
D
Potential harm, isolated
Corrected October 11, 2024
September 12, 2024
Standard
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Tag F0759
D
Potential harm, isolated
Corrected October 11, 2024
September 12, 2024
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
D
Potential harm, isolated
Corrected October 11, 2024
September 12, 2024
Standard
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Tag F0690
D
Potential harm, isolated
Corrected October 11, 2024
September 12, 2024
Standard
Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care Deficiencies · Tag F0685
D
Potential harm, isolated
Corrected October 11, 2024
September 12, 2024
Standard
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
D
Potential harm, isolated
Corrected October 11, 2024
September 12, 2024
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected October 11, 2024
September 12, 2024
Standard
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.
Resident Rights Deficiencies · Tag F0584
D
Potential harm, isolated
Corrected October 11, 2024
January 11, 2024
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected February 10, 2024
March 9, 2023
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
F
Potential harm, widespread
Corrected April 11, 2023
March 9, 2023
Fire safety
Properly provide smoke detection systems in areas open to corridors.
Smoke Deficiencies · Tag K0347
F
Potential harm, widespread
Corrected April 11, 2023
March 9, 2023
Fire safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies · Tag K0355
F
Potential harm, widespread
Corrected April 11, 2023
March 9, 2023
Fire safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914
F
Potential harm, widespread
Corrected April 11, 2023
March 9, 2023
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
E
Potential harm, pattern
Corrected April 11, 2023
March 9, 2023
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
E
Potential harm, pattern
Corrected April 11, 2023
March 9, 2023
Fire safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies · Tag K0211
D
Potential harm, isolated
Corrected April 11, 2023
March 9, 2023
Fire safety
Use approved construction type or materials.
Construction Deficiencies · Tag K0161
D
Potential harm, isolated
Corrected April 11, 2023
March 9, 2023
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
D
Potential harm, isolated
Corrected April 11, 2023
March 9, 2023
Fire safety
Meet requirements for the use of electrical equipment.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0919
D
Potential harm, isolated
Corrected April 11, 2023
March 9, 2023
Fire safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies · Tag K0741
D
Potential harm, isolated
Corrected April 11, 2023
March 9, 2023
Fire safety
Install corridor and hallway doors that block smoke.
Smoke Deficiencies · Tag K0363
D
Potential harm, isolated
Corrected April 11, 2023
March 9, 2023
Standard
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.
Pharmacy Service Deficiencies · Tag F0761
E
Potential harm, pattern
Corrected April 7, 2023
March 9, 2023
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected April 7, 2023
March 9, 2023
Standard
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Tag F0583
E
Potential harm, pattern
Corrected April 7, 2023
March 9, 2023
Standard
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Tag F0759
E
Potential harm, pattern
Corrected April 7, 2023
March 9, 2023
Standard
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
E
Potential harm, pattern
Corrected April 7, 2023
March 9, 2023
Standard
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
D
Potential harm, isolated
Corrected April 7, 2023
March 9, 2023
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected April 7, 2023

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports 4 federal penalties in the past three years, including $28,327 in fines.

DatePenaltyAmount / length
February 19, 2026Payment Denial17 days from April 11, 2026
February 19, 2026Fine$9,870
February 19, 2026Fine$9,347
March 28, 2025Fine$9,110

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
CHEN, JENQ
Individual
5% or greater direct ownership interest100%08/04/2004
HAWKINS, DOUGLAS
Individual
adp of the snfNOT APPLICABLE04/17/2025
SMITH, GREGORY
Individual
adp of the snfNOT APPLICABLE02/03/2017
CHEN, JENQ
Individual
corporate directorNOT APPLICABLE11/23/2017
CHEN, TZE-YUN
Individual
corporate directorNOT APPLICABLE05/23/2017
PADAMA, JOHN
Individual
managing control - governing bodyNOT APPLICABLE10/02/2017
HAWKINS, DOUGLAS
Individual
operational/managerial controlNOT APPLICABLE04/11/2025
SMITH, GREGORY
Individual
operational/managerial controlNOT APPLICABLE02/03/2017

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Frequently asked questions

What is Kit Carson Nursing & Rehabilitation Center's rating?

Kit Carson Nursing & Rehabilitation Center has 1 out of 5 stars on the CMS overall star rating. The average for California nursing homes is 3.2 stars.

How many inspection citations did Kit Carson Nursing & Rehabilitation Center receive?

Its most recent standard health inspection found 43 citations, compared with a California average of 15.5. Every citation is listed on this page with its severity.

Does Kit Carson Nursing & Rehabilitation Center accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Kit Carson Nursing & Rehabilitation Center?

It is for profit - corporation and part of Eva Care Group. The ownership section on this page lists the owners and managers reported to CMS.

Where is Kit Carson Nursing & Rehabilitation Center and how do I contact it?

Kit Carson Nursing & Rehabilitation Center is at 811 Court Street, Jackson, CA 95642. Phone: (209) 223-2231.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.