Kit Carson Nursing & Rehabilitation Center
811 Court Street · Jackson, CA · 95642 · 2092232231
199 certified beds For profit - Corporation Chain: Eva Care Group
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $38,675 in fines in the last 24 months.
- Inspection results are getting worse cycle over cycle, not better.
- 5 citations involved actual harm to residents.
- Staffing hours comfortably above national benchmarks.
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.
3 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
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: 4 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 4.14 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.88 | 0.55–0.75 |
| Weekend hours / resident-day | 3.78 | ≈ weekday level |
| Nursing turnover / year | 49% | median 45% |
| Fines (3-yr window) | 3 · $38,675 |
Inspection citations (71 in the current record)
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Potential for harm · D April 22, 2026 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 28, 2026 · Resident Rights
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Potential for harm · D April 22, 2026 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected April 28, 2026 · Resident Rights
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Potential for harm · D April 15, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 25, 2026 · Pharmacy Service
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Actual harm · G March 30, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 27, 2026 · Quality of Life and Care
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Potential for harm · D March 30, 2026 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected April 27, 2026 · Quality of Life and Care
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Potential for harm · F March 30, 2026 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected April 27, 2026 · Nursing and Physician Services
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Potential for harm · D March 30, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 27, 2026 · Pharmacy Service
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Potential for harm · D March 30, 2026 · found via complaint
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected April 27, 2026 · Pharmacy Service
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Potential for harm · D March 17, 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.
Corrected April 10, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 17, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected April 10, 2026 · Infection Control
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Actual harm · G March 10, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 10, 2026 · Quality of Life and Care
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Potential for harm · D March 10, 2026 · found via complaint
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected April 10, 2026 · Nursing and Physician Services
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Actual harm · G February 19, 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.
Corrected March 19, 2026 · Resident Rights
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Potential for harm · D February 19, 2026 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 10, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 19, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 19, 2026 · Quality of Life and Care
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Potential for harm · D February 19, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 10, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 6, 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.
Corrected February 5, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 3, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected January 3, 2026 · Resident Rights
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Potential for harm · D August 20, 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 September 19, 2025 · Quality of Life and Care
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Potential for harm · D August 14, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 13, 2025 · Resident Rights
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Potential for harm · F August 14, 2025
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected September 13, 2025 · Resident Rights
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Potential for harm · D August 14, 2025
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.
Corrected September 13, 2025 · Resident Rights
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Potential for harm · D August 14, 2025
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected September 13, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E August 14, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected September 13, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 14, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 13, 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 |
|---|---|---|
| February 19, 2026 | Fine | $14,380 |
| February 19, 2026 | Fine | $15,185 |
| February 19, 2026 | Payment Denial | 17 days |
| March 28, 2025 | Fine | $9,110 |
Better-scoring options nearby
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 056198 · certified since May 4, 1970. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.