San Joaquin Nursing Center and Rehabilitation Cent
3601 San Dimas · Bakersfield, CA · 93301 · 6613232894
99 certified beds For profit - Limited Liability company Chain: Pacs Group
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
Red flags
RN staffing in the bottom 10% nationally
0.26 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.28 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.26 | 0.55–0.75 |
| Weekend hours / resident-day | 3.96 | ≈ weekday level |
| Nursing turnover / year | 35% | median 45% |
| Fines (3-yr window) | 1 · $47,242 |
Inspection citations (63 in the current record)
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Potential for harm · D March 12, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected March 30, 2026 · Resident Rights
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Potential for harm · D March 12, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 30, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 12, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected March 30, 2026 · Resident Assessment and Care Planning
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Potential for harm · E March 12, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 30, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 12, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 30, 2026 · Quality of Life and Care
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Potential for harm · D March 12, 2026
Post nurse staffing information every day.
Corrected March 30, 2026 · Nursing and Physician Services
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Potential for harm · D March 12, 2026
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.
Corrected March 30, 2026 · Pharmacy Service
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Potential for harm · F March 12, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 30, 2026 · Nutrition and Dietary
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Potential for harm · D March 12, 2026
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 30, 2026 · Resident Assessment and Care Planning
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Potential for harm · E March 12, 2026
Provide and implement an infection prevention and control program.
Corrected March 30, 2026 · Infection Control
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Potential for harm · E January 15, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 17, 2026 · Quality of Life and Care
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Potential for harm · D August 27, 2025 · found via complaint
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected September 4, 2025 · Quality of Life and Care
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Potential for harm · D August 18, 2025 · found via complaint
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected September 12, 2025 · Quality of Life and Care
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Potential for harm · D July 11, 2025 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected August 15, 2025 · Quality of Life and Care
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Potential for harm · D July 11, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected August 15, 2025 · Infection Control
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Actual harm · G June 23, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 6, 2025 · Quality of Life and Care
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Potential for harm · D June 23, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 6, 2025 · Quality of Life and Care
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Potential for harm · D June 23, 2025 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected August 6, 2025 · Environmental
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Potential for harm · D April 1, 2025 · found via complaint
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Corrected May 15, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E April 1, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 15, 2025 · Quality of Life and Care
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Potential for harm · D February 13, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected March 3, 2025 · Resident Rights
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Potential for harm · D February 13, 2025
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.
Corrected March 3, 2025 · Resident Rights
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Potential for harm · D February 13, 2025
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected March 3, 2025 · Resident Rights
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Potential for harm · D February 13, 2025
Ensure each resident receives an accurate assessment.
Corrected March 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · E February 13, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 3, 2025 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 23, 2025 | Fine | $47,242 |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 056294 · certified since December 31, 1971. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.