The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited October 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
Nursing home report
KERN VALLEY HEALTHCARE DISTRICT DP SNF
LAKE ISABELLA, CA · Medicare-certified · 74 beds
Needs attention
Government-run
3 of 5 overall
Kern Valley Healthcare District DP SNF has a 3 out of 5 overall rating, with strong quality measures but a very low staffing rating of 1 out of 5. It also has below-benchmark nurse staffing (3.43 vs. the 4.1 federal benchmark), $43,183 in fines over the last 24 months, and a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.4333 hrs/resident/day
Quality measures
Last inspection: December 17, 2025Penalties, last 24 months: $43,183recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4333.
Staffing detail
- Registered nurses
- 0.22
- Licensed practical nurses
- 1.07
- Nurse aides
- 2.15
- Weekend nursing
- 3.34
Hours per resident per day.
Total staff turnover: 31%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
18.2%19%Worsening
Residents with a fall causing major injury
4.3%3.9%No change
Residents with pressure ulcers (bedsores)
17.8%4.5%Improving
Residents with a urinary tract infection
4.3%2%Improving
Residents who lost too much weight
13.6%6%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
10%4.3%Improving
Residents whose ability to walk got worse
—0%—
Long-stay residents on antianxiety or sleep medication
13.6%20%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
18.6%9.7%Improving
Residents with depressive symptoms
0%2.2%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the pneumonia vaccine
—100%—
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited June 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to provide care or services that were trauma-informed and culturally competent. Cited May 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 699 — 42 CFR §483.25 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $33,150 was recorded.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $10,033 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $43,183 in total fines · 1 payment denial.
- 51 days
Medicare/Medicaid payment denial
Oct 27, 2025
- $33,150
Federal fine
Oct 27, 2025
- $10,033
Federal fine
Nov 25, 2024
Operator & ownership
- Ownership
- Government - Hospital district
- Occupancy
- 53.1 residents on an average day (72% of 74 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 33 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.