All citations for Kern River Transitional Care

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Kern River Transitional Care

Last standard health inspection on record

April 24, 2025

Showing 1 to 25 of 91 citations

  1. Harm to a resident

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of December 7, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 22, 2023).

  2. No harm, with potential for more than minimal harm

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Widespread (many residents). CMS level F.

    Health citation F-0552, Resident Rights Deficiencies. Inspection of April 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 12, 2025).

  3. No harm, with potential for more than minimal harm

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Widespread (many residents). CMS level F.

    Health citation F-0726, Nursing and Physician Services Deficiencies. Inspection of April 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 12, 2025).

  4. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of April 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 12, 2025).

  5. No harm, with potential for more than minimal harm

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Widespread (many residents). CMS level F.

    Health citation F-0947, Nursing and Physician Services Deficiencies. Inspection of April 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 12, 2025).

  6. No harm, with potential for more than minimal harm

    Employ staff that are licensed, certified, or registered in accordance with state laws.

    Widespread (many residents). CMS level F.

    Health citation F-0839, Administration Deficiencies. Inspection of January 5, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 19, 2024).

  7. No harm, with potential for more than minimal harm

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Pattern (more than a few residents). CMS level E.

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of April 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 12, 2025).

  8. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of April 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 12, 2025).

  9. No harm, with potential for more than minimal harm

    Hire a qualified full-time social worker in a facility with more than 120 beds.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0850, Administration Deficiencies. Inspection of April 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 12, 2025).

  10. No harm, with potential for more than minimal harm

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0867, Administration Deficiencies. Inspection of April 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 12, 2025).

  11. No harm, with potential for more than minimal harm

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Pattern (more than a few residents). CMS level E.

    Health citation F-0868, Administration Deficiencies. Inspection of April 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 12, 2025).

  12. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of May 16, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (May 31, 2024).

  13. No harm, with potential for more than minimal harm

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0607, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of December 7, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 22, 2023).

  14. No harm, with potential for more than minimal harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of December 7, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 22, 2023).

  15. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of May 13, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 11, 2021).

  16. No harm, with potential for more than minimal harm

    Provide enough food/fluids to maintain a resident's health.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of May 13, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 11, 2021).

  17. No harm, with potential for more than minimal harm

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0726, Nursing and Physician Services Deficiencies. Inspection of May 13, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 11, 2021).

  18. No harm, with potential for more than minimal harm

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of May 13, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 11, 2021).

  19. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of May 13, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 11, 2021).

  20. No harm, with potential for more than minimal harm

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0580, Resident Rights Deficiencies. Inspection of April 29, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 28, 2026).

  21. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of April 29, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 28, 2026).

  22. No harm, with potential for more than minimal harm

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0552, Resident Rights Deficiencies. Inspection of July 28, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 28, 2025).

  23. No harm, with potential for more than minimal harm

    Ensure services provided by the nursing facility meet professional standards of quality.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of July 28, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 28, 2025).

  24. No harm, with potential for more than minimal harm

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of July 28, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 28, 2025).

  25. No harm, with potential for more than minimal harm

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0726, Nursing and Physician Services Deficiencies. Inspection of July 28, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 28, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.