Inspection citations
7’23
23’24
24’25
31’26
85 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Aug 28, 2026 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Aug 28, 2026 | D · potential | Respond appropriately to all alleged violations. | Complaint |
| Aug 28, 2026 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Complaint |
| Aug 18, 2026 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Complaint |
| Aug 18, 2026 | D · potential | Provide and implement an infection prevention and control program. | Complaint |
| Aug 17, 2026 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Aug 13, 2026 | E · potential | Honor the resident's right to choose his or her attending physician. | Complaint |
| Aug 11, 2026 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Aug 11, 2026 | D · potential | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Complaint |
| Jul 28, 2026 | D · potential | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Complaint |
| Jul 28, 2026 | D · potential | Respond appropriately to all alleged violations. | Complaint |
| Jul 28, 2026 | D · potential | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Complaint |
| Jul 24, 2026 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Complaint |
| May 8, 2026 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Complaint |
| Apr 22, 2026 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Complaint |
| Apr 22, 2026 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Complaint |
| Apr 15, 2026 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Complaint |
| Mar 30, 2026 | G · harm | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Mar 30, 2026 | D · potential | Provide enough food/fluids to maintain a resident's health. | Complaint |
| Mar 30, 2026 | F · potential | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Complaint |
| Mar 30, 2026 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Complaint |
| Mar 30, 2026 | D · potential | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Complaint |
| Mar 17, 2026 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Complaint |
| Mar 17, 2026 | D · potential | Provide and implement an infection prevention and control program. | Complaint |
| Mar 10, 2026 | G · harm | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Mar 10, 2026 | D · potential | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Complaint |
| Feb 19, 2026 | G · harm | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Complaint |
| Feb 19, 2026 | D · potential | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Complaint |
| Feb 19, 2026 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Complaint |
| Feb 19, 2026 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Complaint |
| Jan 6, 2026 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Complaint |
| Dec 3, 2025 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Complaint |
| Aug 20, 2025 | D · potential | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Complaint |
| Aug 14, 2025 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| Aug 14, 2025 | F · potential | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Routine |
| Aug 14, 2025 | D · potential | 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. | Routine |
| Aug 14, 2025 | D · potential | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Routine |
| Aug 14, 2025 | E · potential | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Routine |
| Aug 14, 2025 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Aug 14, 2025 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| Aug 14, 2025 | E · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| Aug 14, 2025 | D · potential | Provide enough food/fluids to maintain a resident's health. | Routine |
| Aug 14, 2025 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Aug 14, 2025 | E · potential | Ensure each resident’s drug regimen must be free from unnecessary drugs. | Routine |
| Aug 14, 2025 | E · potential | 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. | Routine |
| Aug 14, 2025 | E · potential | Ensure 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. | Routine |
| Aug 14, 2025 | D · potential | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Routine |
| Aug 14, 2025 | D · potential | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Routine |
| Aug 14, 2025 | F · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Aug 14, 2025 | F · potential | Provide and implement an infection prevention and control program. | Routine |
| Aug 14, 2025 | D · potential | Develop and implement policies and procedures for flu and pneumonia vaccinations. | Routine |
| Aug 14, 2025 | E · potential | Educate 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. | Routine |
| Aug 14, 2025 | F · potential | Make sure that a working call system is available in each resident's bathroom and bathing area. | Routine |
| Jun 10, 2025 | E · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Mar 28, 2025 | G · harm | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Sep 12, 2024 | E · potential | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Routine |
| Sep 12, 2024 | E · potential | 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. | Routine |
| Sep 12, 2024 | D · potential | Honor 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. | Routine |
| Sep 12, 2024 | G · harm | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Sep 12, 2024 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Sep 12, 2024 | E · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| Sep 12, 2024 | D · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Routine |
| Sep 12, 2024 | D · potential | Assist a resident in gaining access to vision and hearing services. | Routine |
| Sep 12, 2024 | D · potential | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Routine |
| Sep 12, 2024 | D · potential | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| Sep 12, 2024 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Sep 12, 2024 | E · potential | Ensure each resident’s drug regimen must be free from unnecessary drugs. | Routine |
| Sep 12, 2024 | E · potential | 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. | Routine |
| Sep 12, 2024 | D · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Sep 12, 2024 | E · potential | 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. | Routine |
| Sep 12, 2024 | F · potential | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Routine |
| Sep 12, 2024 | E · potential | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Routine |
| Sep 12, 2024 | E · potential | Ensure 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. | Routine |
| Sep 12, 2024 | F · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Sep 12, 2024 | F · potential | Dispose of garbage and refuse properly. | Routine |
| Sep 12, 2024 | D · potential | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Routine |
| Sep 12, 2024 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Jan 11, 2024 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Mar 9, 2023 | E · potential | Keep residents' personal and medical records private and confidential. | Routine |
| Mar 9, 2023 | D · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Routine |
| Mar 9, 2023 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Mar 9, 2023 | E · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Mar 9, 2023 | E · potential | 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. | Routine |
| Mar 9, 2023 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Mar 9, 2023 | D · potential | Provide and implement an infection prevention and control program. | Routine |
Medicare's severity letters: A–C minimal harm, D–F potential for more than minimal harm, G–L actual harm or immediate danger. Source: CMS health deficiencies file, processed October 1, 2026.
Questions to ask on a visit
Kit Carson Nursing & Rehabilitation Center
811 Court Street, Jackson, CA 95642 · (209) 223-2231
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 056198
- Certified beds
- 199
- Legal owner
- Ray Properties Kit Carson INC.
- Part of
- Eva Care Group
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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