Quick answers
- Where is Delano District Skilled Nursing Facility?
- 1509 Tokay Street, Delano, CA 93215, in Kern County, California.
- What is the phone number of Delano District Skilled Nursing Facility?
- (661) 720-2100, as listed by Medicare (CMS).
- What is the Medicare star rating of Delano District Skilled Nursing Facility?
- Medicare overall rating: 1 out of 5 stars (CMS data updated 2026-10-01).
- Has Delano District Skilled Nursing Facility been fined?
- Medicare lists 2 fines totaling $17,966.
- What did inspectors find at Delano District Skilled Nursing Facility?
- In its last three inspection cycles (January 6, 2022 to April 2, 2026), Medicare lists 64 health citations; the most serious was level G. 2 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (January 6, 2022 to April 2, 2026), Delano District Skilled Nursing Facility had 64 health citations; the most serious was level G (actual harm to residents). 2 of them were level G or higher (actual harm or immediate jeopardy). It was fined $17,966 in total (2 fines, the latest on May 29, 2024). Nurse staffing is 4.72 hours per resident per day; the California average is 4.54 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: February 6, 2025 — 24 health citations
Inspections in this cycle: February 6, 2025 (standard health inspection); November 14, 2025 (complaint investigation); November 20, 2025 (complaint investigation); December 12, 2025 (complaint investigation); January 6, 2026 (complaint investigation); January 15, 2026 (complaint investigation); March 3, 2026 (complaint investigation); March 19, 2026 (complaint investigation); March 24, 2026 (complaint investigation); April 2, 2026 (complaint investigation).
Show 24 citations (levels A to F, no actual harm)
F0628 Level F
“Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.”
F0607 Level E
“Develop and implement policies and procedures to prevent abuse, neglect, and theft.”
F0607 Level E
“Develop and implement policies and procedures to prevent abuse, neglect, and theft.”
F0558 Level E
“Reasonably accommodate the needs and preferences of each resident.”
F0755 Level E
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0887 Level E
“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.”
F0740 Level D
“Ensure each resident must receive and the facility must provide necessary behavioral health care and services.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0943 Level D
“Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0774 Level D
“Help the resident with transportation to and from laboratory services outside of the facility.”
F0607 Level D
“Develop and implement policies and procedures to prevent abuse, neglect, and theft.”
F0558 Level D
“Reasonably accommodate the needs and preferences of each resident.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0726 Level D
“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.”
F0627 Level D
“Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0692 Level D
“Provide enough food/fluids to maintain a resident's health.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
F0726 Level D
“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.”
F0810 Level D
“Provide special eating equipment and utensils for residents who need them and appropriate assistance.”
Previous cycle: January 11, 2024 — 14 health citations
Inspections in this cycle: January 11, 2024 (standard health inspection); November 18, 2024 (complaint investigation); December 16, 2024 (complaint investigation); August 5, 2025 (complaint investigation).
Show 14 citations (levels A to F, no actual harm)
F0584 Level E
“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.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0557 Level D
“Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.”
F0607 Level D
“Develop and implement policies and procedures to prevent abuse, neglect, and theft.”
F0580 Level D
“Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0644 Level D
“Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.”
F0655 Level D
“Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0686 Level D
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0761 Level D
“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.”
Earlier cycle: January 6, 2022 — 26 health citations
Inspections in this cycle: January 6, 2022 (standard health inspection); October 3, 2023 (complaint investigation); October 20, 2023 (complaint investigation); November 6, 2023 (complaint investigation); November 13, 2023 (complaint investigation); January 3, 2024 (infection control inspection); January 11, 2024 (complaint investigation); March 6, 2024 (complaint investigation); April 2, 2024 (complaint investigation); May 29, 2024 (complaint investigation); June 5, 2024 (complaint investigation); June 20, 2024 (complaint investigation); June 27, 2024 (complaint investigation); July 19, 2024 (complaint investigation); August 8, 2024 (complaint investigation); September 4, 2024 (complaint investigation); September 18, 2024 (complaint investigation); September 19, 2024 (complaint investigation); September 27, 2024 (complaint investigation).
F0689 Level G
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
F0684 Level G
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 24 less serious citations (levels A to F)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0609 Level E
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0791 Level E
“Provide or obtain dental services for each resident.”
F0550 Level E
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0925 Level E
“Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.”
F0557 Level E
“Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.”
F0607 Level E
“Develop and implement policies and procedures to prevent abuse, neglect, and theft.”
F0607 Level E
“Develop and implement policies and procedures to prevent abuse, neglect, and theft.”
F0761 Level E
“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.”
F0921 Level D
“Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0726 Level D
“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.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0761 Level D
“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.”
F0584 Level D
“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.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0557 Level D
“Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0622 Level D
“Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0578 Level D
“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.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (16)
K0345 Level F
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0920 Level D
“Ensure proper usage of power strips and extension cords.”
E0031 Level C
“Provide emergency officials' contact information.”
K0321 Level D
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0353 Level D
“Inspect, test, and maintain automatic sprinkler systems.”
K0500 Level D
“Meet other general requirements that are deficient.”
K0918 Level D
“Have generator or other power source capable of supplying service within 10 seconds.”
K0920 Level D
“Ensure proper usage of power strips and extension cords.”
K0923 Level D
“Have proper medical gas storage and administration areas.”
E0037 Level E
“Establish staff and initial training requirements.”
K0321 Level E
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0363 Level E
“Install corridor and hallway doors that block smoke.”
E0006 Level D
“Conduct risk assessment and an All-Hazards approach.”
E0030 Level D
“List the names and contact information of those in the facility.”
K0353 Level D
“Inspect, test, and maintain automatic sprinkler systems.”
K0500 Level D
“Meet other general requirements that are deficient.”
Fines and payment denials
Total fines over about the last three years: $17,966 (2 fines). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| May 29, 2024 | Fine | $9,318 |
| January 3, 2024 | Fine | $8,648 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | California | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.40 | 0.68 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.30 | 1.20 | 0.86 |
| Nurse aide hours per resident per day | 3.02 | 2.66 | 2.35 |
| Total nurse staff hours per resident per day | 4.72 | 4.54 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 4.37 | 4.10 | 3.43 |
| RN hours per resident per day on the weekend | 0.35 | 0.52 | 0.48 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 141 |
| Average residents per day | 124.4 |
| Takes part in | Medicare and Medicaid |
| Ownership | Non-profit – corporation |
| Legal business name | North Kern South Tulare Hospital District |
| First approved by Medicare/Medicaid | 1991-11-20 |
| Resident and family councils | None |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 1509 Tokay Street, Delano, CA 93215 |
| County | Kern County |
| State | California |
| Phone | (661) 720‑2100 |
| CMS Certification Number | 555479 |
| Name in Medicare records | DELANO DISTRICT SKILLED NURSING FACILITY |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Adventist Health Delano0.1 mi · Delano, CA · 2 of 5 stars
- Valley View Care Center1.1 mi · Delano, CA · 2 of 5 stars
- Shafter Nursing Care18 mi · Shafter, CA · 4 of 5 stars
- Gateway Post Acute23 mi · Porterville, CA · 3 of 5 stars
- River Walk Care Center24 mi · Porterville, CA · 2 of 5 stars
Nearest hospital emergency rooms
- Adventist Health Delano0.1 mi · Delano, CA · Acute Care Hospital
- Sierra View Medical Center24 mi · Porterville, CA · Acute Care Hospital
- Bakersfield Memorial Hospital29 mi · Bakersfield, CA · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13