Kern River Transitional Care Complaints, Violations and Inspection Records

April 29, 2026, complaint inspection

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

• 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 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)

July 28, 2025, complaint inspection

4 deficiencies cited. Surveyors cited the facility for ensure that residents are fully informed and understand their health status, care and treatments, ensure services provided by the nursing facility meet professional standards of quality, and provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

• F0552Ensure that residents are fully informed and understand their health status, care and treatments. (scope and severity D)
• F0658Ensure services provided by the nursing facility meet professional standards of quality. (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)
• F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (scope and severity D)

May 16, 2025, complaint inspection

1 deficiency cited. Surveyors cited the facility for provide appropriate treatment and care according to orders, resident’s preferences and goals.

• F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity D)

May 15, 2025, complaint inspection

2 deficiencies cited. Surveyors cited the facility for ensure that residents are fully informed and understand their health status, care and treatments and arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

• F0552Ensure that residents are fully informed and understand their health status, care and treatments. (scope and severity D)
• F0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. (scope and severity D)

April 24, 2025, standard inspection

22 deficiencies cited. Surveyors cited the facility for ensure that residents are fully informed and understand their health status, care and treatments, 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, and provide and implement an infection prevention and control program.

• F0552Ensure that residents are fully informed and understand their health status, care and treatments. (scope and severity F)
• F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (scope and severity F)
• F0880Provide and implement an infection prevention and control program. (scope and severity F)
• F0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. (scope and severity F)
• F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (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)
• F0850Hire a qualified full-time social worker in a facility with more than 120 beds. (scope and severity E)
• F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (scope and severity E)
• F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly (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)
• F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (scope and severity D)

• F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (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)
• F0677Provide care and assistance to perform activities of daily living for any resident who is unable. (scope and severity D)
• F0679Provide activities to meet all resident's needs. (scope and severity D)
• F0687Provide appropriate foot care. (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)
• F0698Provide safe, appropriate dialysis care/services for a resident who requires such services. (scope and severity D)
• F0790Provide routine and 24-hour emergency dental care for each resident. (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)
• F0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. (scope and severity D)

February 25, 2025, 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 ensure services provided by the nursing facility meet professional standards of quality.

• 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)

December 31, 2024, 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 9, 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)

December 5, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

• F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (scope and severity D)

September 5, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

• F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (scope and severity D)

August 22, 2024, 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 ensure services provided by the nursing facility meet professional standards of quality.

• 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 D)
• 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)
• F0658Ensure services provided by the nursing facility meet professional standards of quality. (scope and severity D)

• F0837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. (scope and severity D)

August 2, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

• F0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. (scope and severity D)

July 31, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for ensure services provided by the nursing facility meet professional standards of quality.

• F0658Ensure services provided by the nursing facility meet professional standards of quality. (scope and severity D)

July 23, 2024, complaint inspection

3 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, provide appropriate treatment and care according to orders, resident’s preferences and goals, and provide safe, appropriate dialysis care/services for a resident who requires such services.

• 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 D)
• F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity D)
• F0698Provide safe, appropriate dialysis care/services for a resident who requires such services. (scope and severity D)

July 16, 2024, 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)

July 9, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for reasonably accommodate the needs and preferences of each resident.

• F0558Reasonably accommodate the needs and preferences of each resident. (scope and severity D)

June 28, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

• F0742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. (scope and severity D)

June 25, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

• F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (scope and severity D)

May 16, 2024, complaint inspection

15 deficiencies cited. Surveyors cited the facility for 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, honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights, and allow residents to self-administer drugs if determined clinically appropriate.

• 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)
• F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (scope and severity D)
• F0554Allow residents to self-administer drugs if determined clinically appropriate. (scope and severity D)
• 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 D)
• 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)
• F0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (scope and severity D)
• F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (scope and severity D)
• F0645PASARR screening for Mental disorders or Intellectual Disabilities (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)

• F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (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)
• F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (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)
• F0880Provide and implement an infection prevention and control program. (scope and severity D)

April 16, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for ensure services provided by the nursing facility meet professional standards of quality.

• F0658Ensure services provided by the nursing facility meet professional standards of quality. (scope and severity D)

April 9, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

• F0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. (scope and severity D)

March 17, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for provide appropriate pressure ulcer care and prevent new ulcers from developing.

• F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing. (scope and severity D)

February 26, 2024, complaint inspection

1 deficiency 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.

• 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 D)

February 8, 2024, complaint inspection

4 deficiencies cited. Surveyors cited the facility for reasonably accommodate the needs and preferences of each resident, ensure services provided by the nursing facility meet professional standards of quality, and provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

• F0558Reasonably accommodate the needs and preferences of each resident. (scope and severity D)
• F0658Ensure services provided by the nursing facility meet professional standards of quality. (scope and severity D)
• 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 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 10, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for provide appropriate treatment and care according to orders, resident’s preferences and goals.

• F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity D)

January 5, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for employ staff that are licensed, certified, or registered in accordance with state laws.

• F0839Employ staff that are licensed, certified, or registered in accordance with state laws. (scope and severity F)

December 7, 2023, complaint inspection

5 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, develop and implement policies and procedures to prevent abuse, neglect, and theft, and timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

• F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (scope and severity G)
• F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft. (scope and severity E)
• F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (scope and severity E)
• F0610Respond appropriately to all alleged violations. (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)

May 13, 2021, standard inspection

11 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, provide enough food/fluids to maintain a resident's health, and 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.

• 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 E)
• F0692Provide enough food/fluids to maintain a resident's health. (scope and severity E)
• F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (scope and severity E)
• F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (scope and severity E)
• F0880Provide and implement an infection prevention and control program. (scope and severity E)
• F0554Allow residents to self-administer drugs if determined clinically appropriate. (scope and severity D)
• F0558Reasonably accommodate the needs and preferences of each resident. (scope and severity D)
• F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (scope and severity D)
• F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. (scope and severity D)
• F0694Provide for the safe, appropriate administration of IV fluids for a resident when needed. (scope and severity D)
• 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 D)