Kit Carson Nursing & Rehabilitation Center

Name: Kit Carson Nursing & Rehabilitation Center: CMS nursing home record
Creator: Centers for Medicare & Medicaid Services
License: https://www.usa.gov/government-works

Jackson, Amador County, California · CCN 056198 · For-profit (Corporation) · part of Eva Care Group (9 facilities, chain average 3.4 stars)

CMS rates Kit Carson Nursing & Rehabilitation Center 1 of 5 overall as of August 2026. 199 certified beds, 70 residents a day on average. 72 citations on record from the current inspection cycles, 5 involving actual harm; 3 fines totalling $28,327 and 1 payment denial.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall	★☆☆☆☆ 1 of 5
Health inspections	★☆☆☆☆ 1 of 5
Staffing	★★★★☆ 4 of 5
Quality measures	★★☆☆☆ 2 of 5
Quality: long-stay / short-stay	2 / 3 of 5

Staffing

Total nurse staffing	4.63911 hours per resident per day
Registered nurses	0.83286 hours per resident per day
Weekend total	3.83044 hours per resident per day
Nursing staff turnover	54.6% (registered nurses 59.3%)
Administrators who left	1

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

Survey	Finding	Severity	Status
2026-05-08 complaint survey	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-05-24
2026-04-22 complaint survey	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-04-28
2026-04-22 complaint survey	Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · tag F0558	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-04-28
2026-04-15 complaint survey	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-04-25
2026-03-30 complaint survey	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has date of correction 2026-04-27
2026-03-30 complaint survey	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · tag F0725	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2026-04-27
2026-03-30 complaint survey	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · tag F0692	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-04-27
2026-03-30 complaint survey	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-04-27
2026-03-30 complaint survey	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · tag F0756	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-04-27
2026-03-17 complaint survey	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-04-10
2026-03-17 complaint survey	Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-04-10
2026-03-10 complaint survey	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has date of correction 2026-04-10
2026-03-10 complaint survey	Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. Nursing and Physician Services Deficiencies · tag F0710	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-04-10
2026-02-19 complaint survey	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · tag F0580	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has date of correction 2026-03-19
2026-02-19 complaint survey	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-04-10
2026-02-19 complaint survey	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-03-19
2026-02-19 complaint survey	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · tag F0842	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-04-10
2026-01-06 complaint survey	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-02-05
2025-12-03 complaint survey	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-01-03
2025-08-20 complaint survey	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · tag F0690	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-09-19
2025-08-14	Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · tag F0577	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2025-09-13
2025-08-14	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2025-09-13
2025-08-14	Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2025-09-13
2025-08-14	Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · tag F0919	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2025-09-13
2025-08-14	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0605	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-09-13
2025-08-14	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-09-13
2025-08-14	Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · tag F0757	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-09-13
2025-08-14	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · tag F0761	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-09-13
2025-08-14	Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · tag F0803	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-09-13
2025-08-14	Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Infection Control Deficiencies · tag F0887	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-09-13
2025-08-14	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-09-13
2025-08-14	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. Resident Rights Deficiencies · tag F0578	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-09-13
2025-08-14	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0604	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-09-13
2025-08-14	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-09-13
2025-08-14	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-09-13
2025-08-14	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · tag F0692	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-09-13
2025-08-14	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-09-13
2025-08-14	Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · tag F0806	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-09-13
2025-08-14	Provide special eating equipment and utensils for residents who need them and appropriate assistance. Nutrition and Dietary Deficiencies · tag F0810	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-09-13
2025-08-14	Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · tag F0883	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-09-13
2025-06-10 complaint survey	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2025-06-10
2025-03-28 complaint survey	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has date of correction 2025-04-28
2024-09-12 complaint survey	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600	G Actual harm that is not immediate jeopardy; isolated	Deficient, Provider has date of correction 2024-10-11
2024-09-12	Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Nutrition and Dietary Deficiencies · tag F0801	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2024-10-11
2024-09-12	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2024-10-11
2024-09-12	Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · tag F0814	F No actual harm, with potential for more than minimal harm; widespread	Deficient, Provider has date of correction 2024-10-11
2024-09-12	Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident Rights Deficiencies · tag F0553	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2024-10-11
2024-09-12	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. Resident Rights Deficiencies · tag F0578	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2024-10-11
2024-09-12	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2024-10-11
2024-09-12	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2024-10-11
2024-09-12	Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · tag F0757	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2024-10-11
2024-09-12	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · tag F0758	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2024-10-11
2024-09-12	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · tag F0761	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2024-10-11
2024-09-12	Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Nutrition and Dietary Deficiencies · tag F0802	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2024-10-11
2024-09-12	Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · tag F0803	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2024-10-11
2024-09-12	Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2024-10-11
2024-09-12	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · tag F0584	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-10-11
2024-09-12	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-10-11
2024-09-12	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-10-11
2024-09-12	Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · tag F0685	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-10-11
2024-09-12	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · tag F0690	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-10-11
2024-09-12	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-10-11
2024-09-12	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-10-11
2024-09-12	Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · tag F0868	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-10-11
2024-01-11 complaint survey	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-02-10
2023-03-09	Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · tag F0583	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2023-04-07
2023-03-09	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2023-04-07
2023-03-09	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2023-04-07
2023-03-09	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · tag F0761	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2023-04-07
2023-03-09	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2023-04-07
2023-03-09	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-04-07
2023-03-09	Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-04-07

Fines and payment denials

Date	Penalty	Amount
2026-02-19	Payment denial for 17 days from 2026-04-11	—
2026-02-19	Fine	$9,870
2026-02-19	Fine	$9,347
2025-03-28	Fine	$9,110

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

Name	Role	Share	Since
Chen, Jenq Individual	5% or greater direct ownership interest	100%	2004-08-04
Hawkins, Douglas Individual	adp of the snf	—	2025-04-17
Smith, Gregory Individual	adp of the snf	—	2017-02-03
Chen, Jenq Individual	corporate director	—	2017-11-23
Chen, Tze-Yun Individual	corporate director	—	2017-05-23
Padama, John Individual	managing control - governing body	—	2017-10-02
Hawkins, Douglas Individual	operational/managerial control	—	2025-04-11
Smith, Gregory Individual	operational/managerial control	—	2017-02-03

What changed

Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.

Tell me when this record changes

One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Kit Carson Nursing & Rehabilitation Center.

Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Amador County.