12 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Delano, CA
2-star overall rating with 2-star inspections with $123,442 in total fines with 12 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
1401 Garces Hwy, Delano, CA
(661) 721-5591
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
51
Certified beds
Average residents
46
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Adventist Health
Operator or chain grouping
Approved since
1974-01-16
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
5 facilities
Chain averages 4 overall / 4 health / 3 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
RN hours / resident day
1.43
Registered nurse staffing · state 0.65 · national 0.68
LPN hours / resident day
2.40
Licensed practical nurse staffing · state 1.22 · national 0.87
Aide hours / resident day
2.95
Nurse aide staffing · state 2.64 · national 2.35
Total nurse hours
6.78
All reported nurse hours · state 4.51 · national 3.89
Licensed hours
3.83
RN + LPN hours · state 1.87 · national 1.54
Weekend hours
6.40
Weekend nurse staffing · state 4.08 · national 3.43
Weekend RN hours
1.15
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.65
CMS adjusted RN staffing hours
Adjusted total hours
3.05
CMS adjusted total nurse staffing hours
Case-mix index
3.04
Higher values indicate more complex resident acuity
RN turnover
25%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
19%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
2,859
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
47.32
Composite VBP score used to determine payment impact.
Payment multiplier
1.0009
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Total nurse turnover
9.46
Performance 25.00% · Measure score 9.46 · Achievement 9.46 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
0
Baseline 3.50 hours · Performance 3.08 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays 4 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 8 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | Not Available |
1.02
|
Too few residents or stays to report publicly. |
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator 5 · Adjusted rate Not Available · Too few residents or stays to report publicly. |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 5 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 0.96% |
8.2%
7.2 pts worse
|
Numerator 1 · Denominator 104 |
| Staff flu vaccination coverage | 97.03% |
42%
55 pts better
|
Numerator 196 · Denominator 202 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.8% |
98.5%
0.7 pts worse
|
93.4%
4.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 95.8% · Q3 95.5% · Q4 100.0% · 4Q avg 97.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 88.0% |
98.2%
10.2 pts worse
|
95.5%
7.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 88.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
1.6%
1.6 pts better
|
3.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
6.8%
6.8 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 5.0% |
4.1%
0.9 pts worse
|
5.4%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 2.1% · Q3 4.7% · Q4 4.7% · 4Q avg 5.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.6% |
13.7%
1.1 pts better
|
19.6%
7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.9% · Q2 14.6% · Q3 6.8% · Q4 14.0% · 4Q avg 12.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 10.4% |
14.2%
3.8 pts better
|
16.7%
6.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q3 11.1% · Q4 19.2% · 4Q avg 10.4% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.5% |
0.4%
0.1 pts worse
|
0.1%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.3% · Q4 0.0% · 4Q avg 0.5% |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.6% |
10.7%
2.9 pts worse
|
14.9%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 13.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 9.3% |
1.0%
8.3 pts worse
|
1.0%
8.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.4% · Q2 10.2% · Q3 5.3% · Q4 9.0% · 4Q avg 9.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 6.6% |
1.2%
5.4 pts worse
|
1.7%
4.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.4% · Q2 12.5% · Q3 7.0% · Q4 0.0% · 4Q avg 6.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 1.8% |
10.9%
9.1 pts better
|
19.8%
18 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 1.8% |
| Percentage of long-stay residents with pressure ulcers | 5.3% |
4.7%
0.6 pts worse
|
5.1%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 6.3% · Q3 4.3% · Q4 4.0% · 4Q avg 5.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 51.2% |
94.0%
42.8 pts worse
|
81.7%
30.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 51.2% |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.5%
1.5 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Quality of Life and Care (7 deficiencies)
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Top issue: Quality of Life and Care (6 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-04-25
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-05-08
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2025-05-08
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2024-05-03
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-05-03
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-05-03
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2024-05-03
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-05-03
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-04-06
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-04-06
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-04-06
Fire Safety
Meet other general requirements that are deficient.
Corrected 2023-04-06
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-04-06
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-04-06
Inspection history
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Not marked corrected
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-12-20
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-09-15
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2025-10-29
Health
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.
Corrected 2025-10-29
Health
Ensure the activities program is directed by a qualified professional.
Corrected 2025-05-12
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-05-12
Health
Provide and implement an infection prevention and control program.
Corrected 2025-05-12
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-05-12
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-05-12
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-05-12
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2025-05-12
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-02-12
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2025-02-12
Health
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.
Corrected 2025-02-18
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-02-18
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2025-02-18
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-02-18
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-01-20
Health
Provide appropriate foot care.
Corrected 2024-12-27
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-12-27
Health
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.
Corrected 2024-12-27
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-08-07
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-06-13
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-06-13
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-06-13
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-05-06
Health
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.
Corrected 2024-05-06
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2024-05-06
Health
Provide and implement an infection prevention and control program.
Corrected 2024-05-06
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2024-05-06
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-05-06
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-05-06
Health
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.
Corrected 2024-05-06
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-05-06
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2024-05-06
Health
Implement a program that monitors antibiotic use.
Corrected 2024-05-06
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-05-06
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-05-06
Health
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.
Corrected 2024-05-06
Health
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.
Corrected 2024-05-06
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2024-04-15
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-03-20
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-03-01
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-03-01
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-03-01
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-02-08
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-02-08
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-02-08
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-10-18
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-04-06
Health
Provide and implement an infection prevention and control program.
Corrected 2023-04-06
Health
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.
Corrected 2023-04-06
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2023-04-06
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-04-06
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2023-04-06
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-04-06
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-04-06
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-04-06
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-04-06
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-04-06
Health
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.
Corrected 2023-04-06
Penalties and ownership
Fine · fine $77,740
Fine
Payment Denial · denial start 2025-09-12 · 59 days
59 day denial
Fine · fine $45,702
Fine
Payment Denial · denial start 2024-04-19 · 56 days
56 day denial
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Nearby options
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Shafter, CA
2-star overall rating with 3-star inspections with $27,439 in total fines with 6 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
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