The Rehabilitation Center of Bakersfield
2211 Mount Vernon Avenue · Bakersfield, CA · 93306 · 6618722121
160 certified beds For profit - Limited Liability company Chain: Citrus Wellness Centre
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
- 5 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
Red flags
Cited under the freedom-from-abuse rule
Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 2 · $23,740 |
Inspection citations (94 in the current record)
-
Potential for harm · D January 16, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 9, 2026 · Resident Rights
-
Potential for harm · D January 16, 2026
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.
Corrected February 9, 2026 · Resident Rights
-
Potential for harm · D January 16, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected February 9, 2026 · Resident Rights
-
Potential for harm · D January 16, 2026
Ensure each resident receives an accurate assessment.
Corrected February 9, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D January 16, 2026
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected February 9, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D January 16, 2026
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected February 9, 2026 · Quality of Life and Care
-
Potential for harm · D January 16, 2026
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected February 9, 2026 · Quality of Life and Care
-
Potential for harm · D January 16, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 9, 2026 · Quality of Life and Care
-
Potential for harm · D January 16, 2026
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected February 9, 2026 · Nutrition and Dietary
-
Potential for harm · F January 16, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 9, 2026 · Nutrition and Dietary
-
Potential for harm · D January 16, 2026
Dispose of garbage and refuse properly.
Corrected February 9, 2026 · Nutrition and Dietary
-
Potential for harm · E January 16, 2026
Provide and implement an infection prevention and control program.
Corrected February 9, 2026 · Infection Control
-
Potential for harm · D January 16, 2026
Implement a program that monitors antibiotic use.
Corrected February 9, 2026 · Infection Control
-
Potential for harm · D January 16, 2026
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected February 9, 2026 · Infection Control
-
Potential for harm · D January 16, 2026
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.
Corrected February 9, 2026 · Infection Control
-
Potential for harm · D August 1, 2025 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected September 12, 2025 · Nutrition and Dietary
-
Potential for harm · E June 16, 2025 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected July 11, 2025 · Nutrition and Dietary
-
Potential for harm · D February 4, 2025 · found via complaint
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected February 19, 2025 · Nutrition and Dietary
-
Potential for harm · D January 9, 2025
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.
Corrected January 27, 2025 · Resident Rights
-
Potential for harm · D January 9, 2025
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected January 27, 2025 · Resident Rights
-
Potential for harm · D January 9, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 27, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D January 9, 2025
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected January 27, 2025 · Quality of Life and Care
-
Potential for harm · D January 9, 2025
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected January 27, 2025 · Nursing and Physician Services
-
Potential for harm · E January 9, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected January 27, 2025 · Pharmacy Service
-
Potential for harm · E January 9, 2025
Provide and implement an infection prevention and control program.
Corrected January 27, 2025 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 10, 2024 | Fine | $14,268 |
| November 6, 2023 | Fine | $9,472 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555256 · certified since December 23, 1986. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.