Kit Carson Nursing & Rehabilitation Center
Kit Carson Nursing & Rehabilitation Center Information
| Facility Name | Kit Carson Nursing & Rehabilitation Center |
| Location | 811 Court Street, Jackson, CA 95642 |
| County (SSA Code) | Amador (20) |
| Phone Number | 209-223-2231 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 199 |
| Average Number of Residents | 78.1 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Both |
| Provider Business Name | RAY PROPERTIES KIT CARSON INC. |
| Ownership Type | For profit - Corporation |
| Date First Approved | 1970-05-04 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.40155 |
| Reported LPN Staffing Hours per Resident per Day | 1.04832 |
| Reported RN Staffing - Hours per Resident per Day | 0.60436 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.65267 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.05423 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.03726 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 1.9347 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.65833 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.33696 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.93 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.41148 |
| Total Weighted Health Survey Score for three cycles | 121.333 |
| Rating cycle 1 Standard Survey Health Date | 2019-09-06 |
| Rating cycle 1 - Health Deficiency Score | 24 |
| Rating cycle 1 - Total Health Inspection Score | 180 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-07-23 |
| Rating cycle 2 - Health Deficiency Score | 120 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-07-20 |
| Rating cycle 3 - Health Deficiency Score | 44 |
| Rating cycle 3 - Total Health Inspection Score | 44 |
| Number of Facility-Reported Incidents | 15 |
| Number of Substantiated Complaints | 26 |
| Number of Substantiated Complaints | 26 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |