Kaweah Health Skilled Nursing Center

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

73.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 253 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 55.9% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 145 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.36 therapist hours per resident per day in 2026Q1 — more than 62% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 14% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 70 beds and averages 44.3 residents a day — about 63% occupied, or roughly 26 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 7.00 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.64 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.79 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 6.68 hrs/resident/day on weekends vs 7.14 on weekdays — 6% thinner on weekends. RN hours go from 1.75 to 1.37 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 24% is below the national median of 45%. 1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

24 citations, most serious first. The 10 most serious are shown; the remaining 14 are one tap away and print in full.

• Potential for harm · D2026-01-29 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure one of two sampled residents (Resident 1) was provided dignified care when Resident 1's urine collection bag was not covered and was visible to other residents, staff, and visitors. This failure had the potential to result in emotional distress for Resident 1. Findings: During an observation on 1/26/26 at 12:33 p.m. in Resident 1's room, Resident 1 was sitting in his wheelchair. A urine collection bag containing yellow liquid was hanging from the right side of Resident 1's wheelchair. The urine collection bag was uncovered and contents were visible. During a concurrent observation and interview on 1/26/26 at 12:48 p.m. with Licensed Vocational Nurse (LVN) 8, in Resident 1's room. Resident 1 had an uncovered urine collection bag hanging from the right side of his wheelchair. LVN 8 stated he did not put the urine bag in a dignity bag because they did not have any in the facility. LVN 8 stated The Foley [urine collection bag] should be covered. During a current interview and record review with Director of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-01-29 · tag F0578 — failed to honor advance directives / code status — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure two of 17 sampled residents (Resident 19 and Resident 23) were provided an opportunity to formulate an Advance Directive (legal document that specifies a person's medical care and end of life wishes, should the person become unable to communicate those wishes). This failure had the potential for residents' rights to formulate an advance directive, and medical care wishes and/or end of life issues to not be honored.Findings: During a concurrent interview and record review on 1/28/26 at 3:14 p.m. with Social Worker (SW), Resident 23's Social Services Evaluation (SSE), dated 4/12/24 was reviewed. SW stated there was no documentation Resident 23 had an Advanced Directive completed or if an Advanced Directive was offered. During a concurrent interview and record review on 1/28/26 at 8:18 a.m. with Director of Nursing (DON), Resident 19's medical record was reviewed. DON stated she was unable to find documentation of an Advanced Directive being offered or discussed with Resident 19 or his representative. During a review…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-01-29 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure hygiene Activities of Daily Living (ADL- fundamental care tasks such as bathing, dressing, eating, toileting, moving in and out of bed or chair) were provided timely to one of three sampled dependent residents (Resident 7). This failure had the potential for skin breakdown and to negatively impact Resident 7's dignity.Findings:During an interview on 1/27/26 at 10:03 a.m. with Family Member (FM) 1, FM 1 stated her father does not always receive good care. FM 1 stated she came into the facility to visit him on a Saturday, and he had dried phlegm on his face and his brief was soiled with bowel movement (BM).During an interview on 1/27/26 at 10:22 a.m. with FM 2, FM 2 stated she had concerns with Resident 7's daily needs not being met. FM 2 stated she came to visit Resident 7 and there were a few times when his brief was soiled with BM.During an interview on 1/27/26 at 12 p.m. with Charge Nurse (CN), CN stated Resident 7 received his nutrition via feeding tube (essential nutrition, fluids, and medication are delivered…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-29 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to follow its policy and procedure (P&P) titled, Pressure Ulcer Prevention and Treatment for one of three sampled residents (Resident 7). This failure had the potential to cause pressure injuries (damaged skin and underlying tissue from prolonged pressure) and had the potential to increase Resident 7's susceptibility to pneumonia.Findings:During an interview on 1/27/26 at 10:03 a.m. with Family Member (FM) 1, FM 1 stated Resident 7 had to go to the hospital every few months for pneumonia.During a concurrent interview and record review on 1/28/26 at 11:22 a.m. with Minimum Data Set (resident assessment tool) Coordinator (MDSC), Resident 7's MDS was reviewed. MDS Section I indicated, Resident 7 had a diagnosis of Chronic Respiratory Failure. MDS Section O indicated, Resident 7 had a tracheostomy (surgical opening in neck to assist in breathing) and was on a ventilator (mechanical method to provide breathing).During a concurrent interview and record review…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-01-29 · tag F0813 — isolated
  Have a policy regarding use and storage of foods brought to residents by family and other visitors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to follow its policy and procedure (P&P), titled SNF Storage of Leftover Patient Food. when a refrigerator was not provided for resident's food brought in by family. This failure had the potential to place residents at risk of foodborne illness due to unmonitored food brought in by the family and could limit food choices and options for residents. Findings: During a concurrent interview and record review on 1/27/26 at 2:50 p.m. in a room next to the nurse's station, with Licensed Vocational Nurse (LVN) 9. The refrigerator in the room had a posted sign on the outside of the refrigerator door. The sign indicated No patient food from home allowed in fridge per policy number: FNS. 615. LVN 9 stated resident's food could not be placed that refrigerator. LVN 9 stated she was unaware of a refrigerator at the facility that was used to store residents' food from home. LVN 9 stated she was not aware family could bring in food for the residents to be stored at the facility. During a concurrent interview and record review…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-29 · tag F0841 — isolated
  Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review the facility failed to ensure the facility Medical Director had oversight over medical services and resident care when the medical director did not attend three quarterly Quality Assurance and Performance Improvement (QAPI- data-driven, comprehensive, and proactive approach to improving safety and quality in healthcare, particularly nursing homes) committee meetings. This failure had the potential to compromise patient safety. Findings:During a concurrent interview and record review on 1/29/26 at 2:47 p.m. with Director of Nursing (DON), the Quarterly Performance Improvement (QPI), committee attendance sign in records dated 6/27/25, 9/19/25, and 1/8/26 were reviewed. The QPI committee attendance sign in records indicated the Medical Director's signature was not documented for the QPI quarterly meetings on 6/27/25, 9/19/25, and 1/8/26. The DON stated the medical director had not attended the last three QPI committee meetings.During a review of the facility's P&P titled, Quality Improvement, dated 3/17/25, the P&P indicated, Membership includes the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-01-29 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review the facility failed to follow infection control standards when a germicidal (substance that destroys germs) wipe container was left open exposing the germicidal wipes. This failure had the potential for the germicidal solution to be ineffective against germs which could lead to the spread of illness and diseases to residents, staff, and visitors.Findings:During a concurrent observation and interview on 1/29/26 8:05 a.m. with Registered Nurse (RN) 1, at the nurses station, a Germicidal wipes container with wipes sticking out through the open top was on a wall near the nurses station. RN 1 stated the Germicidal container needed to be closed. During a concurrent interview and record review on 1/29/26 at 9:20 a.m. with Infection Prevention Manager (IPM) and Infection Preventionist (IP) the facility's training manual, titled, Infection Prevention (undated) was reviewed. The training manual indicated, Germicidal wipes closed lid=[equals] wet wipes=working disinfectant! Germicidal wipe container lids must be kept closed. Germicidal wipe…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-12-03 · tag F0559 — pattern
  Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure three of three sampled residents (Resident 1, Resident 2, and Resident 3) or their legal representative were provided prior notification of receiving a new roommate. This failure resulted in a violation of residents' rights.Findings:During a review of the Summary of Complaint (SC) dated 12/1/25, the SC indicated, A few weeks ago [Resident 2] was placed on comfort care. We [anonymous complainant] were told she would be moved to a private room as she passed. After being moved to a room by herself a few days later without telling family the facility accepted a new admit into the same room. During a review of Resident 1's Facesheet (FS) undated, the FS indicated Resident 1 resided in room [ROOM NUMBER] starting 12/13/2023.During a review of Resident 2's FS undated, the FS indicated Resident 2 resided in room [ROOM NUMBER] starting 10/3/25.During a review of Resident 3's FS undated, the FS indicated Resident 3 resided in room [ROOM NUMBER] starting…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-07-09 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to provide Activities of Daily Living (ADL) care for one of three sampled residents (Resident 1) when Resident 1's fingernails were not cut. This resulted in Resident 1 having long, thick, yellow fingernails and potential for increased risk of nail infection.Findings:During a concurrent observation and interview on 7/9/25 at 10:16 a.m. with Assistant Director of Nurses (ADON) in Resident 1's room, Resident 1 was noted lying in bed. Both hands were contracted (a stiffening/shortening at any joint, that reduces the joint's range of motion), and all ten fingernails were long, thick, and yellow. ADON confirmed Resident 1's fingernails were long, thick, and yellow.During an interview on 7/9/25 at 10:20 a.m. Registered Nurse (RN), RN stated she has been working at the facility for a few years and Resident 1's fingernails has always been thick, long, and yellow.During an interview on 7/9/25 at 10:26 a.m. with Certified Nursing Assistant (CNA 1 and CNA 2), CNA 1 stated she does not recall the last time she had cut or…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-03-20 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to follow infection control standards of practice when: 1. The vinyl cover on two of four linen carts in the hallway were damaged exposing the clean linen. 2. The Infection Preventionist Nurse (IPN) did not ensure infection control surveillance was being done on a regular basis. 3. A Wound Treatment Nurse (WTN) did not change gloves or wear gown in good repair during a wound care treatment for one of one sampled resident (Resident 5). 4. An used urinal was on a bedside table for one of one sampled resident (Resident 291). 5. The glucometer machine (measures the amount of sugar in the blood) was disinfected with unapproved wipes for two of two sampled residents (Resident 20, Resident 343). These failures had the potential to cause infections and spread of bacteria to residents, staff, and visitors. Findings: 1. During a concurrent observation and interview on 3/18/25 at 4:27 p.m. with Registered Nurse (RN) 4 near room [ROOM NUMBER], one linen…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 39 rows in the source record cover these 14 parties — each is shown once here with every role it holds. Nothing is omitted.

2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

What families pay in CA