Elder Care Record

California › Amador County › Jackson

Kit Carson Nursing & Rehabilitation Center

811 Court Street, Jackson, CA 95642

CCN 056198 · For-profit, corporation · 199 certified beds · chain Eva Care Group

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Kit Carson Nursing & Rehabilitation Center, in Jackson, California, is certified for 199 beds under for-profit, corporation ownership and belongs to the Eva Care Group chain.

CMS gives it 1 of 5 stars overall, below the California median of 3; the health inspection rating is 1, staffing 4 and quality measures 2.

Inspectors recorded 72 health deficiencies across the three most recent survey cycles (40, 24, 8 by cycle, most recent first), 5 of them at the actual-harm or immediate-jeopardy level. That is 36.2 per 100 beds, fewer than the state median of 51.1.

CMS lists 4 penalties in the period covered: fines totalling $28K and 1 payment denial.

Reported nurse staffing is 4.6 hours per resident per day (0.8 RN), close to the California median of 4.2; nursing staff turnover is 54.6%.

72health deficiencies, 3 survey cycles5 at actual harm or worse
$28Kfines listed by CMS4 penalties in period
4.6nurse hours per resident per daystate median 4.2
35%occupancy (residents ÷ beds)70 residents a day

Compared with county, state and nation

MeasureThis facilityAmador Co. medianCalifornia medianUS average
Overall star rating1133.0
Health citations, 3 cycles72724428.7
Citations per 100 beds36.236.251.126.8
Total nurse hours per resident day4.64.64.23.9
RN hours per resident day0.80.80.50.7
Nursing staff turnover54.6%54.6%36.4%45.8%
Fines listed$28,327$28,327$0—

County and state figures are medians across facilities (1 in the county, 1165 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)40
Cycle 224
Cycle 38

Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 14 Aug 2025, 12 Sep 2024.

Severity mix: G ×5 D ×37 E ×22 F ×8

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
8 May 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation24 May 2026
22 Apr 2026F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation28 Apr 2026
22 Apr 2026F0558Reasonably accommodate the needs and preferences of each resident.DComplaint investigation28 Apr 2026
15 Apr 2026F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation25 Apr 2026
30 Mar 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint investigation27 Apr 2026
30 Mar 2026F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint investigation27 Apr 2026
30 Mar 2026F0692Provide enough food/fluids to maintain a resident's health.DComplaint investigation27 Apr 2026
30 Mar 2026F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation27 Apr 2026
30 Mar 2026F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DComplaint investigation27 Apr 2026
17 Mar 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation10 Apr 2026
17 Mar 2026F0880Provide and implement an infection prevention and control program.DComplaint investigation10 Apr 2026
10 Mar 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint investigation10 Apr 2026
10 Mar 2026F0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.DComplaint investigation10 Apr 2026
19 Feb 2026F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.GComplaint investigation19 Mar 2026
19 Feb 2026F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint investigation10 Apr 2026
19 Feb 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation19 Mar 2026
19 Feb 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation10 Apr 2026
6 Jan 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation5 Feb 2026
3 Dec 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation3 Jan 2026
20 Aug 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation19 Sep 2025
14 Aug 2025F0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.FStandard survey13 Sep 2025
14 Aug 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey13 Sep 2025
14 Aug 2025F0880Provide and implement an infection prevention and control program.FStandard survey13 Sep 2025
14 Aug 2025F0919Make sure that a working call system is available in each resident's bathroom and bathing area.FStandard survey13 Sep 2025
14 Aug 2025F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.EStandard survey13 Sep 2025
14 Aug 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard survey13 Sep 2025
14 Aug 2025F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.EStandard survey13 Sep 2025
14 Aug 2025F0761Ensure 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 survey13 Sep 2025
14 Aug 2025F0803Ensure 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.EStandard survey13 Sep 2025
14 Aug 2025F0887Educate 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.EStandard survey13 Sep 2025
14 Aug 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey13 Sep 2025
14 Aug 2025F0578Honor 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.DStandard survey13 Sep 2025
14 Aug 2025F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard survey13 Sep 2025
14 Aug 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey13 Sep 2025
14 Aug 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey13 Sep 2025
14 Aug 2025F0692Provide enough food/fluids to maintain a resident's health.DStandard survey13 Sep 2025
14 Aug 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey13 Sep 2025
14 Aug 2025F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard survey13 Sep 2025
14 Aug 2025F0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.DStandard survey13 Sep 2025
14 Aug 2025F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey13 Sep 2025
10 Jun 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint investigation10 Jun 2025
28 Mar 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation28 Apr 2025
12 Sep 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint investigation11 Oct 2024
12 Sep 2024F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FStandard survey11 Oct 2024
12 Sep 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey11 Oct 2024
12 Sep 2024F0814Dispose of garbage and refuse properly.FStandard survey11 Oct 2024
12 Sep 2024F0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.EStandard survey11 Oct 2024
12 Sep 2024F0578Honor 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.EStandard survey11 Oct 2024
12 Sep 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.EStandard survey11 Oct 2024
12 Sep 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey11 Oct 2024
12 Sep 2024F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.EStandard survey11 Oct 2024
12 Sep 2024F0758Implement 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.EStandard survey11 Oct 2024
12 Sep 2024F0761Ensure 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 survey11 Oct 2024
12 Sep 2024F0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.EStandard survey11 Oct 2024
12 Sep 2024F0803Ensure 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.EStandard survey11 Oct 2024
12 Sep 2024F0880Provide and implement an infection prevention and control program.EStandard survey11 Oct 2024
12 Sep 2024F0584Honor 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 survey11 Oct 2024
12 Sep 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey11 Oct 2024
12 Sep 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey11 Oct 2024
12 Sep 2024F0685Assist a resident in gaining access to vision and hearing services.DStandard survey11 Oct 2024
12 Sep 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey11 Oct 2024
12 Sep 2024F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey11 Oct 2024
12 Sep 2024F0759Ensure medication error rates are not 5 percent or greater.DStandard survey11 Oct 2024
12 Sep 2024F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyDStandard survey11 Oct 2024
11 Jan 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation10 Feb 2024
9 Mar 2023F0583Keep residents' personal and medical records private and confidential.EStandard survey7 Apr 2023
9 Mar 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey7 Apr 2023
9 Mar 2023F0759Ensure medication error rates are not 5 percent or greater.EStandard survey7 Apr 2023
9 Mar 2023F0761Ensure 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 survey7 Apr 2023
9 Mar 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey7 Apr 2023
9 Mar 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey7 Apr 2023
9 Mar 2023F0880Provide and implement an infection prevention and control program.DStandard survey7 Apr 2023

Penalties

DateTypeAmountDetail
19 Feb 2026Payment denial—17 days
19 Feb 2026Fine$9,870
19 Feb 2026Fine$9,347
28 Mar 2025Fine$9,110

Staffing

Total nursing4.64 h
Nurse aides3.05 h
LPN0.76 h
RN0.83 h
Weekend total3.83 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 54.6%, RNs 59.3%; 1 administrator left in the reporting year.

Quality measures

MeasureResidentsThis facilityCalifornia medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay14.9%8.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.8%0.3%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.9%0.7%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay0.0%1.3%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.4%0.8%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay26.5%8.6%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay7.7%3.6%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay22.5%9.1%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, corporation. Legal business name: Ray Properties Kit Carson Inc.. Chain: Eva Care Group (9 facilities).

No organisations are listed in the CMS ownership record for this facility.

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Questions and answers

How many deficiencies has Kit Carson Nursing & Rehabilitation Center been cited for?

72 health deficiencies across the three most recent survey cycles, 5 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.

Has Kit Carson Nursing & Rehabilitation Center been fined?

Yes. CMS lists fines totalling $28K in the period covered, plus 1 payment denial.

How does staffing at Kit Carson Nursing & Rehabilitation Center compare?

Reported total nurse staffing is 4.6 hours per resident per day against a California median of 4.2 and a national average of 3.9.

Who operates Kit Carson Nursing & Rehabilitation Center?

It is part of the Eva Care Group chain. Ownership type is for-profit, corporation. Individual owners and managers are not listed on this site.

When was Kit Carson Nursing & Rehabilitation Center last inspected?

The most recent survey or investigation in the CMS record is dated 8 May 2026; the most recent standard health survey was 14 Aug 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.