Kit Carson Nursing & Rehabilitation Center Complaints, Violations and Inspection Records
Data current as of the August 2026 CMS Care Compare release and the CDPH state enforcement dataset of August 27, 2024. State citation records cover July 1, 1997 through June 30, 2024.
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What the public record shows
If you are looking into Kit Carson Nursing & Rehabilitation Center in Jackson, whether a loved one lives there now or you are considering it, the public record is worth reading before you decide. It includes 4 citations in the state's two most serious classes, class A and class AA.
Here is what the record shows for this facility, drawn from CMS Care Compare and the California Department of Public Health:
- CMS overall rating: 1 of 5 stars. The health inspection rating, the most independent of the three categories, is 1 of 5.
- California state citations: 19 on record, including 4 class A and 15 class B, with $63,650 in assessed penalties.
- Staffing: 4.64 nursing hours per resident per day; registered nurse turnover 59.3%.
- Most recent standard inspection: 20 deficiencies cited on August 14, 2025. The most recent inspection since then was on May 8, 2026: 1 deficiency cited in the complaint inspection.
- Federal enforcement: 3 federal fines totaling $28,327 in the reported period.
- Ownership: Ray Properties Kit Carson Inc., for-profit, part of Eva Care Group (9 facilities nationally).
Kit Carson Nursing & Rehabilitation Center ratings and staffing
Kit Carson Nursing & Rehabilitation Center is located at 811 Court Street in Jackson, Amador County. It is a for-profit facility operated by Ray Properties Kit Carson Inc., part of Eva Care Group, with 199 certified beds and an average of 69.8 residents a day. It accepts Medicare and Medicaid.
CMS rates every certified nursing home in three separate categories, and the overall star is a blend of them:
- Health inspections, based on what state surveyors observe in person during unannounced visits. Weight this one most heavily, because it does not rely on data the facility reports about itself.
- Staffing, drawn from payroll-based records of how much nursing time each resident actually receives.
- Quality measures, built largely from data the facility submits. Read a high score here with more caution than the other two.
For Kit Carson Nursing & Rehabilitation Center, those scores are: health inspections 1 of 5, staffing 4 of 5, quality measures 2 of 5.
Staffing. Kit Carson Nursing & Rehabilitation Center reports 4.64 total nursing hours per resident per day, of which 0.83 are registered nurse hours. Over the reporting year, 54.6% of the nursing staff left. Registered nurses supervise aides, catch medication errors before they reach a resident, and notice when a person's condition is changing. Staffing is the single number that most reliably predicts whether a facility catches a problem early or lets it become a crisis.
How this home compares in the public record
CMS publishes each home's star rating and its payroll-based staffing hours, and it publishes the federal fines it has imposed. The California figures beside each number are the averages across those same published records.
These figures are taken from public CMS Care Compare records as of August 2026 (the August 2026 release) and public CDPH records as of June 2024 (the state enforcement dataset of August 27, 2024). They are reported as published and are not a recommendation, endorsement or assessment of any facility by this firm. How these figures were assembled.
Federal inspection findings and penalties
Scope and severity A to C means no actual harm, with potential for minimal harm. Scope and severity D to F means no actual harm, with potential for more than minimal harm. Scope and severity G to I means actual harm that is not immediate jeopardy. Scope and severity J to L means immediate jeopardy to resident health or safety.
May 8, 2026, complaint inspection
1 deficiency cited. Surveyors cited the facility for develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity D)
April 22, 2026, complaint inspection
2 deficiencies cited. Surveyors cited the facility for honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights and reasonably accommodate the needs and preferences of each resident.
- F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (scope and severity D)
- F0558Reasonably accommodate the needs and preferences of each resident. (scope and severity D)
April 15, 2026, complaint inspection
1 deficiency cited. Surveyors cited the facility for provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (scope and severity D)
March 30, 2026, complaint inspection
5 deficiencies cited. Surveyors cited the facility for provide appropriate treatment and care according to orders, resident’s preferences and goals, provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift, and provide enough food/fluids to maintain a resident's health.
- F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity G)
- F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (scope and severity F)
- F0692Provide enough food/fluids to maintain a resident's health. (scope and severity D)
- F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (scope and severity D)
- F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (scope and severity D)
March 17, 2026, complaint inspection
2 deficiencies cited. Surveyors cited the facility for develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured and provide and implement an infection prevention and control program.
- F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity D)
- F0880Provide and implement an infection prevention and control program. (scope and severity D)
March 10, 2026, complaint inspection
2 deficiencies cited. Surveyors cited the facility for provide appropriate treatment and care according to orders, resident’s preferences and goals and obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
- F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity G)
- F0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. (scope and severity D)
February 19, 2026, complaint inspection
4 deficiencies cited. Surveyors cited the facility for immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident, develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals, and provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (scope and severity G)
- F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (scope and severity D)
- F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity D)
- F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (scope and severity D)
January 6, 2026, complaint inspection
1 deficiency cited. Surveyors cited the facility for develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity D)
December 3, 2025, complaint inspection
1 deficiency cited. Surveyors cited the facility for honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (scope and severity D)
August 20, 2025, complaint inspection
1 deficiency cited. Surveyors cited the facility for provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (scope and severity D)
August 14, 2025, standard inspection
20 deficiencies cited. Surveyors cited the facility for allow residents to easily view the nursing home's survey results and communicate with advocate agencies, procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards, and provide and implement an infection prevention and control program.
- F0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. (scope and severity F)
- F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity F)
- F0880Provide and implement an infection prevention and control program. (scope and severity F)
- F0919Make sure that a working call system is available in each resident's bathroom and bathing area. (scope and severity F)
- F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. (scope and severity E)
- F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity E)
- F0757Ensure each resident’s drug regimen must be free from unnecessary drugs. (scope and severity E)
- F0761Ensure 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. (scope and severity E)
- F0803Ensure 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. (scope and severity E)
- F0887Educate 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. (scope and severity E)
- F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (scope and severity D)
- F0578Honor 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. (scope and severity D)
- F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (scope and severity D)
- F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity D)
- F0658Ensure services provided by the nursing facility meet professional standards of quality. (scope and severity D)
- F0692Provide enough food/fluids to maintain a resident's health. (scope and severity D)
- F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (scope and severity D)
- F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. (scope and severity D)
- F0810Provide special eating equipment and utensils for residents who need them and appropriate assistance. (scope and severity D)
- F0883Develop and implement policies and procedures for flu and pneumonia vaccinations. (scope and severity D)
June 10, 2025, complaint inspection
1 deficiency cited. Surveyors cited the facility for ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity E)
March 28, 2025, complaint inspection
1 deficiency cited. Surveyors cited the facility for ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity G)
September 12, 2024, standard and complaint inspections
22 deficiencies cited. Surveyors cited the facility for protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody, 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, and procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (scope and severity G)
- F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. (scope and severity F)
- F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity F)
- F0814Dispose of garbage and refuse properly. (scope and severity F)
- F0553Allow resident to participate in the development and implementation of his or her person-centered plan of care. (scope and severity E)
- F0578Honor 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. (scope and severity E)
- F0658Ensure services provided by the nursing facility meet professional standards of quality. (scope and severity E)
- F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (scope and severity E)
- F0757Ensure each resident’s drug regimen must be free from unnecessary drugs. (scope and severity E)
- F0758Implement 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. (scope and severity E)
- F0761Ensure 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. (scope and severity E)
- F0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. (scope and severity E)
- F0803Ensure 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. (scope and severity E)
- F0880Provide and implement an infection prevention and control program. (scope and severity E)
- F0584Honor 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. (scope and severity D)
- F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity D)
- F0677Provide care and assistance to perform activities of daily living for any resident who is unable. (scope and severity D)
- F0685Assist a resident in gaining access to vision and hearing services. (scope and severity D)
- F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (scope and severity D)
- F0695Provide safe and appropriate respiratory care for a resident when needed. (scope and severity D)
- F0759Ensure medication error rates are not 5 percent or greater. (scope and severity D)
- F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly (scope and severity D)
January 11, 2024, complaint inspection
1 deficiency cited. Surveyors cited the facility for ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity D)
March 9, 2023, standard inspection
7 deficiencies cited. Surveyors cited the facility for keep residents' personal and medical records private and confidential, provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist, and ensure medication error rates are not 5 percent or greater.
- F0583Keep residents' personal and medical records private and confidential. (scope and severity E)
- F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (scope and severity E)
- F0759Ensure medication error rates are not 5 percent or greater. (scope and severity E)
- F0761Ensure 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. (scope and severity E)
- F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity E)
- F0677Provide care and assistance to perform activities of daily living for any resident who is unable. (scope and severity D)
- F0880Provide and implement an infection prevention and control program. (scope and severity D)
Penalties. Over the reported period, Kit Carson Nursing & Rehabilitation Center received 3 federal fines totaling $28,327 and 1 payment denial. Fines are imposed when a facility is cited for a serious violation or fails to correct a prior deficiency in time.
California state citations
California inspects and cites nursing homes separately from the federal government. The Department of Public Health issues three classes of citation. A class AA citation is a class A violation that the Department of Public Health determined was a direct proximate cause of a resident's death. A class A citation is a violation the Department determined presented an imminent danger of death or serious harm to residents, or a substantial probability that death or serious physical harm would result. A class B citation is a violation the Department determined had a direct or immediate relationship to residents' health, safety or security, other than a class AA or A violation.
State records show 19 citations against Kit Carson Nursing & Rehabilitation Center between March 22, 2000 and March 17, 2022: 4 class A and 15 class B, with $63,650 in assessed penalties.
- March 17, 2022, class B, Patient Rights. $2,000 penalty.
- March 17, 2022, class B, Abuse/Facility Not Self Reported. $2,000 penalty.
- March 27, 2019, class A, Patient Care. $10,000 penalty.
- January 11, 2019, class B, Abuse/Facility Not Self Reported. $2,000 penalty.
- December 24, 2014, class B, Abuse/Facility Not Self Reported. $2,000 penalty.
- September 26, 2013, class B, Patient Care. $1,000 penalty.
- July 12, 2012, class B, Abuse/Facility Not Self Reported. $1,000 penalty.
- October 14, 2010, class B, Patient Rights. $600 penalty.
- October 14, 2010, class B, Abuse/Facility Not Self Reported. $1,000 penalty.
- September 21, 2009, class A, Patient Rights. $20,150 penalty.
- October 13, 2006, class B, Abuse/Facility Not Self Reported. $1,000 penalty.
- July 21, 2006, class B, Patient Rights. $500 penalty.
and 7 earlier citations, in the CDPH record linked under Sources.
Across Amador County's 1 certified facility, the average is about 19 state citations per facility. Kit Carson Nursing & Rehabilitation Center's 19 is close to that average.
A citation records a determination by state surveyors. A citation does not by itself establish that any particular resident was injured or that the facility is liable to anyone.
What to do if you are worried about care at this facility
You will usually notice something is wrong before anyone official does, and you do not need proof before you act. If you are concerned about care at Kit Carson Nursing & Rehabilitation Center, you can take these steps:
Write down what you see. Note dates, times, and specific concerns, and photograph anything relevant. A clear, contemporaneous record matters if an investigation follows.
File a complaint with the California Department of Public Health. CDPH licenses and inspects skilled nursing facilities and investigates complaints, and a serious complaint can trigger an on-site inspection. You can file online through CDPH's Cal Health Find system, which routes your complaint to the Amador County licensing district office.
Contact the Long-Term Care Ombudsman. The ombudsman is a free advocate who will visit your loved one, look into your concerns, and press the facility on their behalf. Amador County's ombudsman program can be reached at (209) 532-6272. This is often the fastest first step when the issue is care quality rather than an emergency.
For the full walkthrough, see How to report nursing home abuse in California.
Injuries that most often signal neglect
The injuries below are the ones most often at issue in California nursing home cases. Any one of them at Kit Carson Nursing & Rehabilitation Center is a reason to ask what the facility's own records show:
- Bedsores and pressure ulcers, especially a wound that reached stage 3 or 4
- Falls and fractures in a resident who was supposed to be supervised
- Wandering and elopement from a building that was not secured
- Dehydration and malnutrition
- Sepsis and untreated infections
- Medication errors
- Wrongful death, when neglect contributed to a resident's passing
Nursing home abuse claims in Amador County
If a loved one was harmed at Kit Carson Nursing & Rehabilitation Center, these pages explain how Amador County families pursue the most common nursing home claims, each with local facility data and the county long-term care ombudsman:
- Amador County bedsore lawyer
- Amador County nursing home neglect lawyer
- Amador County nursing home fall lawyer
- Amador County nursing home wrongful death lawyer
You can also compare every home in the Amador County nursing home directory.
Are There Lawsuits Against Kit Carson Nursing & Rehabilitation Center?
This page reports federal and state inspection, complaint and enforcement records for Kit Carson Nursing & Rehabilitation Center. Those records are separate from civil lawsuits: a government citation is not a lawsuit, and a facility can be sued without ever being cited. This site does not track civil court filings. Civil cases against California skilled nursing facilities are usually filed in the Superior Court of the county where the facility is located; records for Amador County are searchable through the Amador County Superior Court's online case records. If your family member was injured at Kit Carson Nursing & Rehabilitation Center, the records that matter most are usually the resident's own: nursing notes, care plans, fall-risk assessments, wound records, medication administration records, physician orders and incident reports. Talk to us about what happened.
Frequently asked questions
- Is Kit Carson Nursing & Rehabilitation Center a good nursing home?
- CMS gives Kit Carson Nursing & Rehabilitation Center an overall rating of 1 of 5 stars, with a health inspection rating of 1 of 5 based on in-person state surveys. California has issued 19 state citations against the facility, including 4 in the state's two most serious classes, class A and class AA. A rating is a starting point, not a verdict. Read it alongside the inspection dates and what you see for yourself.
- What should I do if my loved one was injured at Kit Carson Nursing & Rehabilitation Center?
- Document the injury with dated photos, request the care plan and treatment records, and report your concern to the California Department of Public Health and the Amador County Long-Term Care Ombudsman. If the injury is serious, such as a bedsore, a fall, or an untreated infection, you can also speak with a nursing home attorney about whether you have a claim.
- Has Kit Carson Nursing & Rehabilitation Center been fined or cited for serious violations?
- Public records show 3 federal fines totaling $28,327 and 19 California state citations with $63,650 in state penalties, including 4 class A citations.
- How many state citations does Kit Carson Nursing & Rehabilitation Center have?
- The California Department of Public Health has issued 19 citations against Kit Carson Nursing & Rehabilitation Center in Jackson between March 22, 2000 and March 17, 2022: 4 class A and 15 class B, with $63,650 in assessed penalties.
- How do I report a problem at Kit Carson Nursing & Rehabilitation Center?
- File a complaint with CDPH through its Cal Health Find system, or contact the Amador County Long-Term Care Ombudsman at (209) 532-6272. In an emergency, call Adult Protective Services or 911.
If your loved one was harmed
We came to this work from the other side. We spent years defending nursing homes, which means we know how a facility builds a file to protect itself and where the gaps in that file tend to be. Under California's Elder Abuse Act (Welfare and Institutions Code sections 15600 to 15675), a family that proves, by clear and convincing evidence, that neglect was committed with recklessness, oppression, fraud or malice can recover remedies beyond an ordinary injury claim, including attorney's fees (section 15657).
If your loved one was harmed at Kit Carson Nursing & Rehabilitation Center, talk to our Amador County nursing home abuse lawyers. We handle cases in Jackson and across California. The consultation is free and confidential, we are available around the clock, and you owe nothing unless we recover for you.
Call (888) 999-0169. Available 24/7. Free consultation. No fee unless we win.
Free Case Evaluation
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Sources
- Centers for Medicare & Medicaid Services, Care Compare: Kit Carson Nursing & Rehabilitation Center provider record, CCN 056198. Ratings, staffing, and federal deficiency data processed August 1, 2026.
- CMS Provider Data Catalog: Provider Information, Penalties, and Health Deficiencies datasets.
- California Department of Public Health, Cal Health Find: Kit Carson Nursing & Rehabilitation Center state license record, FACID 030000074, license 30000053.
- California Department of Public Health, Health Facilities State Enforcement Actions dataset (CHHS Open Data), citations July 1, 1997 through June 30, 2024.
Disclaimer
The inspection data, ratings, citations, staffing figures, and ownership information on this page come from public sources, including the Centers for Medicare & Medicaid Services (medicare.gov) and the California Department of Public Health. This information is reported as published by those sources and may not reflect the most current findings or conditions at the facility. Deficiencies and citations listed may have been corrected or appealed since the date shown. Inclusion of Kit Carson Nursing & Rehabilitation Center in this directory is not a statement, allegation, or suggestion that the facility has committed abuse, neglect, or any wrongdoing. This page is attorney advertising and an information resource. It is not legal advice, and using this site does not create an attorney-client relationship. Young & Wallin is not affiliated with Kit Carson Nursing & Rehabilitation Center, and neither the facility nor any government agency endorses this page.