Federal inspection record · CMS data as of October 1, 2026
Adventist Health Delano
1401 Garces Hwy, Delano, CA · (661) 721-5591
- Certified beds
- 51
- Residents per day
- 48
- Ownership
- Non-Profit
- Chain
- Adventist Health
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 16, 1974
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in California.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among California homes
Adventist Health Delano carries 131 inspection points. That is fewer than 25% of California's 1,154 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in California: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–33 pts
- 4★ 33–66 pts
- 3★ 66–96 pts
- 2★ 96–146 pts
- 1★ over 146 pts
Bars show every rated home in California by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
58 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
-
G
Assist a resident in gaining access to vision and hearing services.
-
G
Provide appropriate foot care.
Everything else, by area of care
Quality of Life and Care12E
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Ensure the activities program is directed by a qualified professional.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- E
Provide 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.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Resident Assessment and Care Planning9E
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Assure that each resident’s assessment is updated at least once every 3 months.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Freedom from Abuse, Neglect, and Exploitation8D
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Resident Rights6E
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
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.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
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.
- E
Reasonably accommodate the needs and preferences of each resident.
Pharmacy Service5F
- D
Ensure medication error rates are not 5 percent or greater.
- F
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.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
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.
- D
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.
Administration4F
- E
Have a plan that describes the process for conducting QAPI and QAA activities.
- D
Establish 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.
- D
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
- F
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Nutrition and Dietary4E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nursing and Physician Services4F
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- F
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.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Infection Control3F
- E
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- E
Implement a program that monitors antibiotic use.
Environmental1D
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspection history
2026-06-01
11 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2025-04-10
20 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2024-04-11
27 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 6 h 33 min of nursing staff time a day, 1 h 24 min of it from a registered nurse.
This home
6 h 33 min
California average
4 h 33 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 28% of nursing staff and 7% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$123,442 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-07-03 | Fine | $77,740 |
| 2025-07-03 | Payment Denial · 59 day denial | $0 |
| 2024-10-09 | Fine | $45,702 |
| 2024-01-19 | Payment Denial · 56 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.7 pts better | 99.4% | 98.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.1 pts better | 98.0% | 97.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.6 pts better | 0.0% | 1.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms7.6 pts better | 0.0% | 7.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.9 pts better | 2.2% | 4.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.3 pts better | 9.4% | 13.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.4 pts better | 10.9% | 12.3% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.3 pts worse | 0.6% | 0.3% | 0.1% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder5.7 pts worse | 6.4% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.5 pts worse | 1.7% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence9.8 pts better | 0.0% | 9.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.3 pts worse | 4.6% | 4.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine48.9 pts worse | 45.7% | 94.6% | 82.3% |
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Who owns and runs it
15 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Banks, David | Corporate Director · Individual | 0% | 2 facilities |
| Cherry, Robert | Corporate Director · Individual | 0% | 3 facilities |
| Davis, Andrew | Corporate Director · Individual | 0% | 4 facilities |
| Fehr, Joy | Corporate Director · Individual | 0% | 2 facilities |
| Freedman, John | Corporate Director · Individual | 0% | 4 facilities |
| Heinrich, Kerry | Corporate Director · Individual | 0% | 4 facilities |
| Hofheins, Todd | Corporate Director · Individual | 0% | 2 facilities |
| Innocent, Larry | Corporate Director · Individual | 0% | 5 facilities |
| Newton, Bradford | Corporate Director · Individual | 0% | 2 facilities |
| Ocampo, Lucy | Corporate Director · Individual | 0% | 1 facilities |
| Reiner, Richard | Corporate Director · Individual | 0% | 5 facilities |
| Salazar, Velino | Corporate Director · Individual | 0% | 4 facilities |
| Wells, Jason | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Wells, Jason | Corporate Officer · Individual | 0% | 1 facilities |
| Woodson, Marc | Corporate Director · Individual | 0% | 2 facilities |
·
Fire safety
14 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems7F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Meet requirements for the use of electrical equipment.
- E
Ensure proper usage of power strips and extension cords.
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Meet requirements for the use of electrical equipment.
- D
Have proper medical gas storage and administration areas.
Smoke4D
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Install corridor and hallway doors that block smoke.
- D
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- D
Install corridor and hallway doors that block smoke.
Egress2E
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Have properly located and lighted "Exit" signs.
Emergency Preparedness1C
- C
Create arrangements with other facilities to receive patients.
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Other homes nearby
-
Delano District Skilled Nursing Facility
Delano, CA
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 43 min
- Fines
- $17,966
-
Valley View Care Center
Delano, CA · Ajc Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 41 min
- Fines
- $0
-
Shafter Nursing Care
Shafter, CA
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 1 min
- Fines
- $27,439