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
Skilled Nursing Facility - Kern Valley Health District
Registered name: KERN VALLEY HEALTHCARE DISTRICT DP SNF
LAKE ISABELLA, CA · Medicare-certified · 74 beds
Needs attention
Government-run
Data as of July 1, 2026
2 of 5 overall
2 of 5 stars overall. This nursing home has a 1 of 5 staffing rating, with reported nurse staffing below the federal benchmark (3.38 vs 4.1 hours per resident per day), 2 of 5 health inspection, 5 of 5 quality measures, and $31,581 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.3843 hrs/resident/day
Quality measures
Last inspection: April 23, 2026Penalties, last 24 months: $31,581recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3843.
Staffing detail
- Registered nurses
- 0.18
- Licensed practical nurses
- 0.84
- Nurse aides
- 2.36
- Weekend nursing
- 3.11
Hours per resident per day.
Total staff turnover: 33%
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
17.1%17.6%Worsening
Residents with a fall causing major injury
6.1%1.9%Improving
Residents with pressure ulcers (bedsores)
16.3%6%Improving
Residents with a urinary tract infection
0%1.9%Worsening
Residents who lost too much weight
10.9%5.9%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
9.5%14.6%Worsening
Residents whose ability to walk got worse
—0%—
Long-stay residents on antianxiety or sleep medication
17.4%19.6%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
23.4%14.9%Improving
Residents with depressive symptoms
4.3%1.9%Improving
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 April 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited April 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — 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
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
- 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 fine of $21,548 was recorded.
- 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 · $31,581 in total fines · 1 payment denial.
- 51 days
Medicare/Medicaid payment denial
Oct 27, 2025
- $21,548
Federal fine
Oct 27, 2025
- $10,033
Federal fine
Nov 25, 2024
Operator & ownership
- Ownership
- Government - Hospital district
- Occupancy
- 55.7 residents on an average day (75% of 74 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 34 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.