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Health Inspection Summary

Kingsburg Center

1101 Stroud Ave

Kingsburg, CA 93631

(559) 897-5881

Deficiency Category	Inspection Date: 10/14/24 Complaint Reporting Period: 4/1/24 - 3/31/25	Inspection Date: 7/14/23 Complaint Reporting Period: 4/1/23 - 3/31/24	Inspection Date: 6/28/19 Complaint Reporting Period: 4/1/22 - 3/31/23
Freedom from Abuse, Neglect, and Exploitation Deficiencies	0	0	0
Quality of Life and Care Deficiencies	4	1	2
Infection Control Deficiencies	1	2	0
Resident Assessment and Care Planning Deficiencies	5	5	1
Nursing and Physician Services Deficiencies	0	0	0
Resident Rights Deficiencies	3	2	1
Nutrition and Dietary Deficiencies	7	3	2
Pharmacy Service Deficiencies	3	3	0
Environmental Deficiencies	1	1	0
Administration Deficiencies	0	0	0

Detailed result for inspection on 10/14/24

Date of last standard health inspection:	10/14/24Read the full report (PDF)
Date(s) of complaint inspection(s) between 4/1/24 - 3/31/25	1/24/25Read the full report (PDF) 5/31/24Read the full report (PDF)
Date(s) of infection control inspection(s) between 4/1/24 - 3/31/25	No infection control inspections
Total number of Health Deficiencies for this nursing home:	24
Average number of Health Deficiencies in California:	16.3
Average number of Health Deficiencies in the United States:	9.6

Freedom from Abuse, Neglect, and Exploitation Deficiencies
No Freedom from Abuse, Neglect, and Exploitation Deficiencies were found during this inspection period.

Quality of Life and Care Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	1/24/25	2/12/25	2 - Minimal harm or potential for actual harm	Few
Provide safe and appropriate respiratory care for a resident when needed.	10/14/24	11/6/24	2 - Minimal harm or potential for actual harm	Some
Provide care and assistance to perform activities of daily living for any resident who is unable.	10/14/24	11/6/24	2 - Minimal harm or potential for actual harm	Some
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.	10/14/24	11/6/24	2 - Minimal harm or potential for actual harm	Some

Infection Control Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Provide and implement an infection prevention and control program.	10/14/24	11/6/24	2 - Minimal harm or potential for actual harm	Many

Resident Assessment and Care Planning Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	5/31/24	6/19/24	2 - Minimal harm or potential for actual harm	Few
Ensure services provided by the nursing facility meet professional standards of quality.	10/14/24	11/6/24	2 - Minimal harm or potential for actual harm	Some
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	10/14/24	11/6/24	2 - Minimal harm or potential for actual harm	Some
Ensure each resident receives an accurate assessment.	10/14/24	11/6/24	2 - Minimal harm or potential for actual harm	Few
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	10/14/24	11/6/24	2 - Minimal harm or potential for actual harm	Few

Nursing and Physician Services Deficiencies
No Nursing and Physician Services Deficiencies were found during this inspection period.

Resident Rights Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.	10/14/24	11/6/24	2 - Minimal harm or potential for actual harm	Few
Ensure that residents are fully informed and understand their health status, care and treatments.	10/14/24	11/6/24	2 - Minimal harm or potential for actual harm	Some
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.	10/14/24	11/6/24	2 - Minimal harm or potential for actual harm	Many

Nutrition and Dietary Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.	10/14/24	11/6/24	2 - Minimal harm or potential for actual harm	Few
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.	10/14/24	11/6/24	2 - Minimal harm or potential for actual harm	Some
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.	10/14/24	11/6/24	2 - Minimal harm or potential for actual harm	Few
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.	10/14/24	11/6/24	2 - Minimal harm or potential for actual harm	Many
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.	10/14/24	11/6/24	2 - Minimal harm or potential for actual harm	Many
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.	10/14/24	11/6/24	2 - Minimal harm or potential for actual harm	Few
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	10/14/24	11/6/24	2 - Minimal harm or potential for actual harm	Some

Pharmacy Service Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	10/14/24	11/6/24	2 - Minimal harm or potential for actual harm	Few
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.	10/14/24	11/6/24	2 - Minimal harm or potential for actual harm	Some
Ensure medication error rates are not 5 percent or greater.	10/14/24	11/6/24	2 - Minimal harm or potential for actual harm	Some

Environmental Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.	10/14/24	11/6/24	2 - Minimal harm or potential for actual harm	Few

Administration Deficiencies
No Administration Deficiencies were found during this inspection period.

Detailed result for inspection on 7/14/23

Date of last standard health inspection:	7/14/23Read the full report (PDF)
Date(s) of complaint inspection(s) between 4/1/23 - 3/31/24	7/14/23Read the full report (PDF)
Date(s) of infection control inspection(s) between 4/1/23 - 3/31/24	No infection control inspections
Total number of Health Deficiencies for this nursing home:	17
Average number of Health Deficiencies in California:	17.3
Average number of Health Deficiencies in the United States:	9.4

Freedom from Abuse, Neglect, and Exploitation Deficiencies
No Freedom from Abuse, Neglect, and Exploitation Deficiencies were found during this inspection period.

Quality of Life and Care Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	7/14/23	8/31/23	2 - Minimal harm or potential for actual harm	Few

Infection Control Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Develop and implement policies and procedures for flu and pneumonia vaccinations.	7/14/23	8/31/23	2 - Minimal harm or potential for actual harm	Few
Provide and implement an infection prevention and control program.	7/14/23	8/31/23	2 - Minimal harm or potential for actual harm	Some

Resident Assessment and Care Planning Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	7/14/23	8/31/23	2 - Minimal harm or potential for actual harm	Few
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	7/14/23	8/31/23	2 - Minimal harm or potential for actual harm	Some
Ensure each resident receives an accurate assessment.	7/14/23	8/31/23	2 - Minimal harm or potential for actual harm	Few
Ensure services provided by the nursing facility meet professional standards of quality.	7/14/23	8/31/23	2 - Minimal harm or potential for actual harm	Some
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	7/14/23	8/31/23	2 - Minimal harm or potential for actual harm	Some

Nursing and Physician Services Deficiencies
No Nursing and Physician Services Deficiencies were found during this inspection period.

Resident Rights Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Keep residents' personal and medical records private and confidential.	7/14/23	8/31/23	2 - Minimal harm or potential for actual harm	Few
Ensure that residents are fully informed and understand their health status, care and treatments.	7/14/23	8/31/23	2 - Minimal harm or potential for actual harm	Some

Nutrition and Dietary Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Dispose of garbage and refuse properly.	7/14/23	8/31/23	2 - Minimal harm or potential for actual harm	Some
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.	7/14/23	8/31/23	2 - Minimal harm or potential for actual harm	Few
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	7/14/23	8/31/23	2 - Minimal harm or potential for actual harm	Many

Pharmacy Service Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	7/14/23	8/31/23	2 - Minimal harm or potential for actual harm	Few
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.	7/14/23	8/31/23	2 - Minimal harm or potential for actual harm	Some
Ensure medication error rates are not 5 percent or greater.	7/14/23	8/31/23	2 - Minimal harm or potential for actual harm	Few

Environmental Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Keep all essential equipment working safely.	7/14/23	8/31/23	2 - Minimal harm or potential for actual harm	Many

Administration Deficiencies
No Administration Deficiencies were found during this inspection period.

Detailed result for inspection on 6/28/19

Date of last standard health inspection:	6/28/19Read the full report (PDF)
Date(s) of complaint inspection(s) between 4/1/22 - 3/31/23	3/15/23Read the full report (PDF) 8/26/22Read the full report (PDF)
Date(s) of infection control inspection(s) between 4/1/22 - 3/31/23	No infection control inspections
Total number of Health Deficiencies for this nursing home:	6
Average number of Health Deficiencies in California:	15.3
Average number of Health Deficiencies in the United States:	8.7

Freedom from Abuse, Neglect, and Exploitation Deficiencies
No Freedom from Abuse, Neglect, and Exploitation Deficiencies were found during this inspection period.

Quality of Life and Care Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.	3/15/23	3/31/23	2 - Minimal harm or potential for actual harm	Few
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	6/28/19	9/6/19	3 - Actual harm	Few

Infection Control Deficiencies
No Infection Control Deficiencies were found during this inspection period.

Resident Assessment and Care Planning Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Ensure services provided by the nursing facility meet professional standards of quality.	6/28/19	9/6/19	2 - Minimal harm or potential for actual harm	Many

Nursing and Physician Services Deficiencies
No Nursing and Physician Services Deficiencies were found during this inspection period.

Resident Rights Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.	8/26/22	9/25/22	2 - Minimal harm or potential for actual harm	Few

Nutrition and Dietary Deficiencies
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	6/28/19	9/6/19	2 - Minimal harm or potential for actual harm	Many
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.	6/28/19	9/6/19	2 - Minimal harm or potential for actual harm	Some

Pharmacy Service Deficiencies
No Pharmacy Service Deficiencies were found during this inspection period.

Environmental Deficiencies
No Environmental Deficiencies were found during this inspection period.

Administration Deficiencies
No Administration Deficiencies were found during this inspection period.

Complaints and facility-reported incidents in the past 3 years
Inspectors determined that the nursing home failed to:	Inspection Date	Date of Correction	Level of Harm (Least to most)	Residents Affected (Few, Some, Many)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	1/24/25	2/12/25	2 - Minimal harm or potential for actual harm	Few
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	5/31/24	6/19/24	2 - Minimal harm or potential for actual harm	Few
Provide and implement an infection prevention and control program.	7/14/23	8/31/23	2 - Minimal harm or potential for actual harm	Some
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	7/14/23	8/31/23	2 - Minimal harm or potential for actual harm	Some
Ensure that residents are fully informed and understand their health status, care and treatments.	7/14/23	8/31/23	2 - Minimal harm or potential for actual harm	Some
Provide appropriate treatment and care according to orders, resident’s preferences and goals.	3/15/23	3/31/23	2 - Minimal harm or potential for actual harm	Few
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.	8/26/22	9/25/22	2 - Minimal harm or potential for actual harm	Few

Infection control inspection deficiencies in the past 3 years
This nursing home has not had any infection control inspections in the past 3 years.

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