Kern River Transitional Care
5151 Knudsen Drive · Bakersfield, CA · 93308 · 6613259900
140 certified beds For profit - Limited Liability company Chain: Pacs Group
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 4.59 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.65 | 0.55–0.75 |
| Weekend hours / resident-day | 3.94 | ≈ weekday level |
| Nursing turnover / year | 49% | median 45% |
| Fines (3-yr window) | 1 · $77,720 |
Inspection citations (95 in the current record)
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Potential for harm · D April 29, 2026 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Deficient, Provider has no plan of correction · Resident Rights
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Potential for harm · D April 29, 2026 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Deficient, Provider has no plan of correction · Resident Assessment and Care Planning
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Potential for harm · D July 28, 2025 · found via complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected August 28, 2025 · Resident Rights
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Potential for harm · D July 28, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected August 28, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 28, 2025 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected August 28, 2025 · Quality of Life and Care
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Potential for harm · D July 28, 2025 · found via complaint
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 August 28, 2025 · Nursing and Physician Services
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Potential for harm · D May 16, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 30, 2025 · Quality of Life and Care
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Potential for harm · D May 15, 2025 · found via complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected June 20, 2025 · Resident Rights
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Potential for harm · D May 15, 2025 · found via complaint
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.
Corrected June 20, 2025 · Administration
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Potential for harm · F April 24, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected May 12, 2025 · Resident Rights
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Potential for harm · D April 24, 2025
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.
Corrected May 12, 2025 · Resident Rights
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Potential for harm · D April 24, 2025
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected May 12, 2025 · Resident Rights
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Potential for harm · D April 24, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected May 12, 2025 · Resident Assessment and Care Planning
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Potential for harm · E April 24, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected May 12, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 24, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 12, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 24, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 12, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 24, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 12, 2025 · Quality of Life and Care
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Potential for harm · D April 24, 2025
Provide activities to meet all resident's needs.
Corrected May 12, 2025 · Quality of Life and Care
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Potential for harm · D April 24, 2025
Provide appropriate foot care.
Corrected May 12, 2025 · Quality of Life and Care
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Potential for harm · D April 24, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected May 12, 2025 · Quality of Life and Care
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Potential for harm · D April 24, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected May 12, 2025 · Quality of Life and Care
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Potential for harm · F April 24, 2025
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 May 12, 2025 · Nursing and Physician Services
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Potential for harm · E April 24, 2025
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 May 12, 2025 · Pharmacy Service
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Potential for harm · D April 24, 2025
Provide routine and 24-hour emergency dental care for each resident.
Corrected May 12, 2025 · Quality of Life and Care
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Potential for harm · D April 24, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected May 12, 2025 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 7, 2023 | Fine | $77,720 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555912 · certified since April 16, 2019. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.