Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 555912

Kern River Transitional Care

97 federal citations on record , and 1 federal enforcement actions totaling $77,720.

Record summary

Federal record · Q1 2026
97
Total citations
83
Last 3 years
1
Actual harm+
1
Federal penalties
$77,720
Total fines
1
Overall ★ rating

Most common violation categories here

Care Planning30 Quality of Care20 Resident Rights18 Abuse & Neglect8 Administration7

Most common F-tags at this facility

F6589 F6569 F6844 F8424 F6094

Citation history

97 on record
SurveyF-TagViolationSeveritySource
Jul 28, 2025F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DComplaint
Jul 28, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Jul 28, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Jul 28, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.DComplaint
May 16, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
May 15, 2025F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DComplaint
May 15, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.DComplaint
Apr 24, 2025F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.FStandard
Apr 24, 2025F880Provide and implement an infection prevention and control program.FStandard
Apr 24, 2025F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyEStandard
Apr 24, 2025F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.EStandard
Apr 24, 2025F850Hire a qualified full-time social worker in a facility with more than 120 beds.EStandard
Apr 24, 2025F847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.DStandard
Apr 24, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Apr 24, 2025F790Provide routine and 24-hour emergency dental care for each resident.DStandard
Apr 24, 2025F761Ensure 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.EStandard
Apr 24, 2025F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.FStandard
Apr 24, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Apr 24, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Apr 24, 2025F687Provide appropriate foot care.DStandard
Apr 24, 2025F679Provide activities to meet all resident's needs.DStandard
Apr 24, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Apr 24, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Apr 24, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Apr 24, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedEStandard
Apr 24, 2025F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
Apr 24, 2025F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Apr 24, 2025F584Honor 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.DStandard
Apr 24, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.FStandard
Feb 25, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Feb 25, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Dec 31, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Dec 9, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Dec 5, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Sep 5, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Aug 22, 2024F837Establish 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.DComplaint
Aug 22, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Aug 22, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Aug 22, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Aug 2, 2024F585Honor 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.DComplaint
Jul 31, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Jul 23, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DComplaint
Jul 23, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jul 23, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Jul 16, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jul 9, 2024F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Jun 28, 2024F742Provide 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.DComplaint
Jun 25, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
May 16, 2024F880Provide and implement an infection prevention and control program.DComplaint
May 16, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
May 16, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DComplaint
May 16, 2024F761Ensure 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.EComplaint
May 16, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
May 16, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
May 16, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
May 16, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
May 16, 2024F645PASARR screening for Mental disorders or Intellectual DisabilitiesDComplaint
May 16, 2024F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DComplaint
May 16, 2024F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DComplaint
May 16, 2024F584Honor 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.DComplaint
May 16, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
May 16, 2024F554Allow residents to self-administer drugs if determined clinically appropriate.DComplaint
May 16, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Apr 16, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Apr 9, 2024F625Notify 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.DComplaint
Mar 17, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Feb 26, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Feb 8, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Feb 8, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.DComplaint
Feb 8, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Feb 8, 2024F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Jan 10, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jan 5, 2024F839Employ staff that are licensed, certified, or registered in accordance with state laws.FComplaint
Dec 7, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Dec 7, 2023F610Respond appropriately to all alleged violations.DComplaint
Dec 7, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint
Dec 7, 2023F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EComplaint
Dec 7, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Jul 11, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jul 11, 2023F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint
Jul 3, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Jun 26, 2023F730Observe each nurse aide's job performance and give regular training.DComplaint
May 4, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Mar 28, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Mar 1, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Mar 1, 2023F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DComplaint
May 13, 2021F880Provide and implement an infection prevention and control program.EStandard
May 13, 2021F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard
May 13, 2021F761Ensure 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.DStandard
May 13, 2021F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EStandard
May 13, 2021F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DStandard
May 13, 2021F692Provide enough food/fluids to maintain a resident's health.EStandard
May 13, 2021F688Provide 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.DStandard
May 13, 2021F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
May 13, 2021F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
May 13, 2021F558Reasonably accommodate the needs and preferences of each resident.DStandard
May 13, 2021F554Allow residents to self-administer drugs if determined clinically appropriate.DStandard

Federal enforcement history

Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $77,720 .

DateTypeFinePayment denial
Dec 7, 2023Fine$77,720—
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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