The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited June 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
SAN JOAQUIN NURSING CENTER AND REHABILITATION CENT
BAKERSFIELD, CA · Medicare-certified · 99 beds
Needs attention
For-profitChain member
3 of 5 overall
SAN JOAQUIN NURSING CENTER AND REHABILITATION CENT in Bakersfield has an overall 3-star rating, with 2-star health inspections, 3-star staffing, and 5-star quality measures. It reported 4.28 nurse hours per resident per day, slightly above the 4.1 federal benchmark, and has had $47,242 in fines in the last 24 months including a recent federal penalty.
Facility ratings
Health inspections
Staffing
4.2763 hrs/resident/day
Quality measures
Last inspection: March 12, 2026Penalties, last 24 months: $47,242recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.2763.
Staffing detail
- Registered nurses
- 0.26
- Licensed practical nurses
- 1.40
- Nurse aides
- 2.62
- Weekend nursing
- 3.96
Hours per resident per day.
Total staff turnover: 35%
Registered nurse turnover: 17%
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
0%0%No change
Residents with a fall causing major injury
1.8%4.7%Worsening
Residents with pressure ulcers (bedsores)
0%4%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
7.3%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
0%5.4%Worsening
Residents whose ability to walk got worse
—0%—
Long-stay residents on antianxiety or sleep medication
16.1%15.8%No change
Short-stay residents newly given an antipsychotic
1.8%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
2.2%0%Improving
Residents with depressive symptoms
2.3%11.4%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 seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The nursing home failed to prepare residents for a safe transfer or discharge. Cited August 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 624 — 42 CFR §483.15 — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — 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 February 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The nursing home failed to provide services that met professional standards of quality. Cited March 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $47,242 was recorded.
Penalties & enforcement
On record with Medicare: 1 fine · $47,242 in total fines.
- $47,242
Federal fine
Jun 23, 2025
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of PACS GROUP · 279 homes · 3 stars avg
- Occupancy
- 89.3 residents on an average day (90% of 99 beds)
- Medicare history
- Certified for 54 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.