★★★★★Overall Medicare rating
★★★★★Health inspections
★★★★★Staffing
★★★★★Quality measures
Medicare rates every nursing home from 1 to 5 stars. 5 is much above average, 1 is much below.
Findings, latest cycle24
Findings with harm or immediate jeopardy, 3 cycles1
Fines, 3 years$77,720
Beds140
Inspection findings
Inspectors recorded 91 findings in the last three inspection cycles.
Each entry below is a requirement that inspectors found the home did not meet on that date, in the regulator's own English wording.
| Inspection date | Area | Requirement the home did not meet (official wording, in English) | Severity | Corrected |
|---|---|---|---|---|
| Apr 29, 2026 | Resident assessment and care planning | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656) | No harm, but a risk of harm isolated · from a complaint | Corrected: May 28, 2026 |
| Apr 29, 2026 | Resident rights | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (F0580) | No harm, but a risk of harm isolated · from a complaint | Corrected: May 28, 2026 |
| Jul 28, 2025 | Nursing and physician services | 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. (F0726) | No harm, but a risk of harm isolated · from a complaint | Corrected: Aug 28, 2025 |
| Jul 28, 2025 | Quality of life and care | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (F0690) | No harm, but a risk of harm isolated · from a complaint | Corrected: Aug 28, 2025 |
| Jul 28, 2025 | Resident assessment and care planning | Ensure services provided by the nursing facility meet professional standards of quality. (F0658) | No harm, but a risk of harm isolated · from a complaint | Corrected: Aug 28, 2025 |
| Jul 28, 2025 | Resident rights | Ensure that residents are fully informed and understand their health status, care and treatments. (F0552) | No harm, but a risk of harm isolated · from a complaint | Corrected: Aug 28, 2025 |
| May 16, 2025 | Quality of life and care | Provide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684) | No harm, but a risk of harm isolated · from a complaint | Corrected: May 30, 2025 |
Earlier inspections (84)
| Inspection date | Area | Requirement the home did not meet (official wording, in English) | Severity | Corrected |
|---|---|---|---|---|
| May 15, 2025 | Administration | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. (F0849) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jun 20, 2025 |
| May 15, 2025 | Resident rights | Ensure that residents are fully informed and understand their health status, care and treatments. (F0552) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jun 20, 2025 |
| Apr 24, 2025 | Nursing and physician services | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. (F0947) | No harm, but a risk of harm widespread | Corrected: May 12, 2025 |
| Apr 24, 2025 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm widespread | Corrected: May 12, 2025 |
| Apr 24, 2025 | Administration | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly (F0868) | No harm, but a risk of harm pattern | Corrected: May 12, 2025 |
| Apr 24, 2025 | Administration | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (F0867) | No harm, but a risk of harm pattern | Corrected: May 12, 2025 |
| Apr 24, 2025 | Administration | Hire a qualified full-time social worker in a facility with more than 120 beds. (F0850) | No harm, but a risk of harm pattern | Corrected: May 12, 2025 |
| Apr 24, 2025 | Administration | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. (F0847) | No harm, but a risk of harm isolated | Corrected: May 12, 2025 |
| Apr 24, 2025 | Resident assessment and care planning | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (F0842) | No harm, but a risk of harm isolated | Corrected: May 12, 2025 |
| Apr 24, 2025 | Quality of life and care | Provide routine and 24-hour emergency dental care for each resident. (F0790) | No harm, but a risk of harm isolated | Corrected: May 12, 2025 |
| Apr 24, 2025 | Pharmacy and medications | 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. (F0761) | No harm, but a risk of harm pattern | Corrected: May 12, 2025 |
| Apr 24, 2025 | Nursing and physician services | 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. (F0726) | No harm, but a risk of harm widespread | Corrected: May 12, 2025 |
| Apr 24, 2025 | Quality of life and care | Provide safe, appropriate dialysis care/services for a resident who requires such services. (F0698) | No harm, but a risk of harm isolated | Corrected: May 12, 2025 |
| Apr 24, 2025 | Quality of life and care | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (F0690) | No harm, but a risk of harm isolated | Corrected: May 12, 2025 |
| Apr 24, 2025 | Quality of life and care | Provide appropriate foot care. (F0687) | No harm, but a risk of harm isolated | Corrected: May 12, 2025 |
| Apr 24, 2025 | Quality of life and care | Provide activities to meet all resident's needs. (F0679) | No harm, but a risk of harm isolated | Corrected: May 12, 2025 |
| Apr 24, 2025 | Quality of life and care | Provide care and assistance to perform activities of daily living for any resident who is unable. (F0677) | No harm, but a risk of harm isolated | Corrected: May 12, 2025 |
| Apr 24, 2025 | Resident assessment and care planning | Ensure services provided by the nursing facility meet professional standards of quality. (F0658) | No harm, but a risk of harm isolated | Corrected: May 12, 2025 |
| Apr 24, 2025 | Resident assessment and care planning | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656) | No harm, but a risk of harm isolated | Corrected: May 12, 2025 |
| Apr 24, 2025 | Resident assessment and care planning | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (F0655) | No harm, but a risk of harm pattern | Corrected: May 12, 2025 |
| Apr 24, 2025 | Resident assessment and care planning | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (F0644) | No harm, but a risk of harm isolated | Corrected: May 12, 2025 |
| Apr 24, 2025 | Resident rights | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (F0623) | No harm, but a risk of harm isolated | Corrected: May 12, 2025 |
| Apr 24, 2025 | Resident rights | 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. (F0584) | No harm, but a risk of harm isolated | Corrected: May 12, 2025 |
| Apr 24, 2025 | Resident rights | Ensure that residents are fully informed and understand their health status, care and treatments. (F0552) | No harm, but a risk of harm widespread | Corrected: May 12, 2025 |
| Feb 25, 2025 | Resident assessment and care planning | Ensure services provided by the nursing facility meet professional standards of quality. (F0658) | No harm, but a risk of harm isolated · from a complaint | Corrected: Feb 25, 2025 |
| Feb 25, 2025 | Resident assessment and care planning | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656) | No harm, but a risk of harm isolated · from a complaint | Corrected: Feb 25, 2025 |
| Dec 31, 2024 | Resident assessment and care planning | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656) | No harm, but a risk of harm isolated · from a complaint | Corrected: Feb 7, 2025 |
| Dec 9, 2024 | Quality of life and care | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689) | No harm, but a risk of harm isolated · from a complaint | Corrected: Dec 9, 2024 |
| Dec 5, 2024 | Abuse, neglect and exploitation | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (F0609) | No harm, but a risk of harm isolated · from a complaint | Corrected: Dec 6, 2024 |
| Sep 5, 2024 | Abuse, neglect and exploitation | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (F0609) | No harm, but a risk of harm isolated · from a complaint | Corrected: Sep 20, 2024 |
| Aug 22, 2024 | Administration | 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. (F0837) | No harm, but a risk of harm isolated · from a complaint | Corrected: Sep 17, 2024 |
| Aug 22, 2024 | Resident assessment and care planning | Ensure services provided by the nursing facility meet professional standards of quality. (F0658) | No harm, but a risk of harm isolated · from a complaint | Corrected: Sep 17, 2024 |
| Aug 22, 2024 | Resident assessment and care planning | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (F0657) | No harm, but a risk of harm isolated · from a complaint | Corrected: Sep 17, 2024 |
| Aug 22, 2024 | Resident rights | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (F0580) | No harm, but a risk of harm isolated · from a complaint | Corrected: Sep 17, 2024 |
| Aug 2, 2024 | Resident rights | 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. (F0585) | No harm, but a risk of harm isolated · from a complaint | Corrected: Aug 23, 2024 |
| Jul 31, 2024 | Resident assessment and care planning | Ensure services provided by the nursing facility meet professional standards of quality. (F0658) | No harm, but a risk of harm isolated · from a complaint | Corrected: Sep 10, 2024 |
| Jul 23, 2024 | Quality of life and care | Provide safe, appropriate dialysis care/services for a resident who requires such services. (F0698) | No harm, but a risk of harm isolated · from a complaint | Corrected: Aug 22, 2024 |
| Jul 23, 2024 | Quality of life and care | Provide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684) | No harm, but a risk of harm isolated · from a complaint | Corrected: Aug 22, 2024 |
| Jul 23, 2024 | Resident rights | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (F0580) | No harm, but a risk of harm isolated · from a complaint | Corrected: Aug 22, 2024 |
| Jul 16, 2024 | Resident assessment and care planning | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656) | No harm, but a risk of harm isolated · from a complaint | Corrected: Aug 13, 2024 |
| Jul 9, 2024 | Resident rights | Reasonably accommodate the needs and preferences of each resident. (F0558) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jul 29, 2024 |
| Jun 28, 2024 | Quality of life and care | Provide 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. (F0742) | No harm, but a risk of harm isolated · from a complaint | Corrected: Aug 23, 2024 |
| Jun 25, 2024 | Resident assessment and care planning | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (F0842) | No harm, but a risk of harm isolated · from a complaint | Corrected: Aug 23, 2024 |
| May 16, 2024 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm isolated · from a complaint | Corrected: May 31, 2024 |
| May 16, 2024 | Resident assessment and care planning | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (F0842) | No harm, but a risk of harm isolated · from a complaint | Corrected: May 31, 2024 |
| May 16, 2024 | Food and nutrition | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812) | No harm, but a risk of harm isolated · from a complaint | Corrected: May 31, 2024 |
| May 16, 2024 | Pharmacy and medications | 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. (F0761) | No harm, but a risk of harm pattern · from a complaint | Corrected: May 31, 2024 |
| May 16, 2024 | Quality of life and care | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (F0690) | No harm, but a risk of harm isolated · from a complaint | Corrected: May 31, 2024 |
| May 16, 2024 | Quality of life and care | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689) | No harm, but a risk of harm isolated · from a complaint | Corrected: May 31, 2024 |
| May 16, 2024 | Resident assessment and care planning | Ensure services provided by the nursing facility meet professional standards of quality. (F0658) | No harm, but a risk of harm isolated · from a complaint | Corrected: May 31, 2024 |
| May 16, 2024 | Resident assessment and care planning | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656) | No harm, but a risk of harm isolated · from a complaint | Corrected: May 31, 2024 |
| May 16, 2024 | Resident assessment and care planning | PASARR screening for Mental disorders or Intellectual Disabilities (F0645) | No harm, but a risk of harm isolated · from a complaint | Corrected: May 31, 2024 |
| May 16, 2024 | Resident assessment and care planning | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (F0644) | No harm, but a risk of harm isolated · from a complaint | Corrected: May 31, 2024 |
| May 16, 2024 | Resident assessment and care planning | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (F0636) | No harm, but a risk of harm isolated · from a complaint | Corrected: May 31, 2024 |
| May 16, 2024 | Resident rights | 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. (F0584) | No harm, but a risk of harm isolated · from a complaint | Corrected: May 31, 2024 |
| May 16, 2024 | Resident rights | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (F0580) | No harm, but a risk of harm isolated · from a complaint | Corrected: May 31, 2024 |
| May 16, 2024 | Resident rights | Allow residents to self-administer drugs if determined clinically appropriate. (F0554) | No harm, but a risk of harm isolated · from a complaint | Corrected: May 31, 2024 |
| May 16, 2024 | Resident rights | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (F0550) | No harm, but a risk of harm isolated · from a complaint | Corrected: May 31, 2024 |
| Apr 16, 2024 | Resident assessment and care planning | Ensure services provided by the nursing facility meet professional standards of quality. (F0658) | No harm, but a risk of harm isolated · from a complaint | Corrected: Apr 30, 2024 |
| Apr 9, 2024 | Resident rights | Notify 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. (F0625) | No harm, but a risk of harm isolated · from a complaint | Corrected: Apr 25, 2024 |
| Mar 17, 2024 | Quality of life and care | Provide appropriate pressure ulcer care and prevent new ulcers from developing. (F0686) | No harm, but a risk of harm isolated · from a complaint | Corrected: Apr 3, 2024 |
| Feb 26, 2024 | Resident rights | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (F0580) | No harm, but a risk of harm isolated · from a complaint | Corrected: Mar 22, 2024 |
| Feb 8, 2024 | Resident assessment and care planning | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (F0842) | No harm, but a risk of harm isolated · from a complaint | Corrected: Feb 26, 2024 |
| Feb 8, 2024 | Nursing and physician services | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (F0725) | No harm, but a risk of harm isolated · from a complaint | Corrected: Feb 26, 2024 |
| Feb 8, 2024 | Resident assessment and care planning | Ensure services provided by the nursing facility meet professional standards of quality. (F0658) | No harm, but a risk of harm isolated · from a complaint | Corrected: Feb 26, 2024 |
| Feb 8, 2024 | Resident rights | Reasonably accommodate the needs and preferences of each resident. (F0558) | No harm, but a risk of harm isolated · from a complaint | Corrected: Feb 26, 2024 |
| Jan 10, 2024 | Quality of life and care | Provide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684) | No harm, but a risk of harm isolated · from a complaint | Corrected: Feb 5, 2024 |
| Jan 5, 2024 | Administration | Employ staff that are licensed, certified, or registered in accordance with state laws. (F0839) | No harm, but a risk of harm widespread · from a complaint | Corrected: Jan 19, 2024 |
| Dec 7, 2023 | Resident assessment and care planning | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656) | No harm, but a risk of harm isolated · from a complaint | Corrected: Dec 22, 2023 |
| Dec 7, 2023 | Abuse, neglect and exploitation | Respond appropriately to all alleged violations. (F0610) | No harm, but a risk of harm isolated · from a complaint | Corrected: Dec 22, 2023 |
| Dec 7, 2023 | Abuse, neglect and exploitation | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (F0609) | No harm, but a risk of harm pattern · from a complaint | Corrected: Dec 22, 2023 |
| Dec 7, 2023 | Abuse, neglect and exploitation | Develop and implement policies and procedures to prevent abuse, neglect, and theft. (F0607) | No harm, but a risk of harm pattern · from a complaint | Corrected: Dec 22, 2023 |
| Dec 7, 2023 | Abuse, neglect and exploitation | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (F0600) | Actual harm to a resident isolated · from a complaint | Corrected: Dec 22, 2023 |
| May 13, 2021 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm pattern | Corrected: Jun 11, 2021 |
| May 13, 2021 | Food and nutrition | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (F0804) | No harm, but a risk of harm pattern | Corrected: Jun 11, 2021 |
| May 13, 2021 | Pharmacy and medications | 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. (F0761) | No harm, but a risk of harm isolated | Corrected: Jun 11, 2021 |
| May 13, 2021 | Nursing and physician services | 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. (F0726) | No harm, but a risk of harm pattern | Corrected: Jun 11, 2021 |
| May 13, 2021 | Quality of life and care | Provide for the safe, appropriate administration of IV fluids for a resident when needed. (F0694) | No harm, but a risk of harm isolated | Corrected: Jun 11, 2021 |
| May 13, 2021 | Quality of life and care | Provide enough food/fluids to maintain a resident's health. (F0692) | No harm, but a risk of harm pattern | Corrected: Jun 11, 2021 |
| May 13, 2021 | Quality of life and care | 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. (F0688) | No harm, but a risk of harm isolated | Corrected: Jun 11, 2021 |
| May 13, 2021 | Resident assessment and care planning | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656) | No harm, but a risk of harm pattern | Corrected: Jun 11, 2021 |
| May 13, 2021 | Resident assessment and care planning | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (F0655) | No harm, but a risk of harm isolated | Corrected: Jun 11, 2021 |
| May 13, 2021 | Resident rights | Reasonably accommodate the needs and preferences of each resident. (F0558) | No harm, but a risk of harm isolated | Corrected: Jun 11, 2021 |
| May 13, 2021 | Resident rights | Allow residents to self-administer drugs if determined clinically appropriate. (F0554) | No harm, but a risk of harm isolated | Corrected: Jun 11, 2021 |
Fines and payment denials
Federal fines in the last three years: $77,720 (1). Payment denials: 0.
| Date | Type | Amount |
|---|---|---|
| Dec 7, 2023 | Fine | $77,720 |
Staffing
| Nurse staff hours per resident per day | 4.71 | California median: 4.27 |
| Registered nurse hours per resident per day | 0.59 | California median: 0.52 |
| Nurse staff hours on weekends | 4.12 | California median: 3.85 |
| Nursing staff who left within a year | 47.8% | California median: 36.0% |
About this home
| Beds | 140 |
| Residents per day, average | 133.1 |
| Ownership | For-profit, limited liability company |
| Legal business name | Bakersfieldidence Opco LLC |
| Chain | Pacs Group (277 homes) |
| In Medicare/Medicaid since | Apr 16, 2019 |
Questions to ask when you call
- What was corrected after the last inspection?
- How many staff work at night and on weekends?
- Does anyone on staff speak my relative's language?
- May I visit at any time, without an appointment?
Source. Medicare Care Compare (CMS Provider Data), data dated Oct 1, 2026. Open this home on Medicare.gov
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