Delano District Skilled Nursing Facility
A nursing home in Delano, California 93215
1509 Tokay Street, Delano, California 93215. (661) 720-2100.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 1of 5 CMS’s overall rating
- 24 health citations at the latest inspection cycle California average: 15.7
- 4.72 nurse hours per resident per day California average: 4.54
- 2 fines in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean7
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
24 health citations at the latest inspection cycle
The California average is 15.7.
Last standard inspection Feb 6, 2025.
Most serious in three years: actual harm (G), at a complaint inspection on Jun 5, 2024
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
54 citations in 17 months of the last 36. Last cited Apr 2026. Most serious: actual harm (G). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 56 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 36 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Apr 2, 2026: complaint inspection1 citation
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Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Mar 24, 2026: complaint inspection2 citations
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Mar 19, 2026: complaint inspection2 citations
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
Mar 3, 2026: complaint inspection1 citation
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Help the resident with transportation to and from laboratory services outside of the facility.
Jan 15, 2026: complaint inspection1 citation
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Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Jan 6, 2026: complaint inspection3 citations
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Reasonably accommodate the needs and preferences of each resident.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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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.
Dec 12, 2025: complaint inspection1 citation
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Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Nov 20, 2025: complaint inspection1 citation
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Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Nov 14, 2025: complaint inspection2 citations
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Ensure the transfer/discharge meets the resident’s needs/preferences and that the resident is prepared for a safe transfer/discharge.
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Provide the required documentation or notification related to the resident’s needs, appeal rights, or bed-hold policies.
Aug 5, 2025: complaint inspection1 citation
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Feb 6, 2025: standard inspection10 citations
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Reasonably accommodate the needs and preferences of each resident.
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Ensure each resident receives an accurate assessment.
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Provide enough food/fluids to maintain a resident’s health.
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Provide safe and appropriate respiratory care for a resident when needed.
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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.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Provide special eating equipment and utensils for residents who need them and appropriate assistance.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Provide and implement an infection prevention and control program.
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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.
Dec 16, 2024: complaint inspection1 citation
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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.
Nov 18, 2024: complaint inspection2 citations
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Honor the resident’s right to be treated with respect and dignity and to retain and use personal possessions.
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Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Sep 27, 2024: complaint inspection1 citation
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Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Sep 19, 2024: complaint inspection1 citation
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Sep 18, 2024: complaint inspection2 citations
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Provide or obtain dental services for each resident.
Sep 4, 2024: complaint inspection2 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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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.
Aug 8, 2024: complaint inspection1 citation
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jul 19, 2024: complaint inspection1 citation
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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.
Jun 27, 2024: complaint inspection1 citation
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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.
Jun 20, 2024: complaint inspection1 citation
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Jun 5, 2024: complaint inspection1 citation
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
May 29, 2024: complaint inspection1 citation
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Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Apr 2, 2024: complaint inspection1 citation
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Honor the resident’s right to be treated with respect and dignity and to retain and use personal possessions.
Mar 6, 2024: complaint inspection2 citations
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Honor the resident’s right to be treated with respect and dignity and to retain and use personal possessions.
Jan 11, 2024: standard inspection9 citations
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Ensure each resident receives an accurate assessment.
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Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Ensure services provided by the nursing facility meet professional standards of quality.
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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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.
Jan 11, 2024: standard and complaint inspection1 citation
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Jan 3, 2024: health inspection1 citation
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Provide and implement an infection prevention and control program.
Nov 13, 2023: complaint inspection1 citation
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Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Nov 6, 2023: complaint inspection1 citation
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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.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Nov 20, 1991.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as non profit, corporation.
- 141 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 2 fines in the last three years, $17,966 in all.
- No Medicare payment denials in the last three years.
- 36 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| May 29, 2024 | Fine | $9,318 |
| Jan 3, 2024 | Fine | $8,648 |
Who does the caring?
4.72 nurse hours per resident per day
The California average is 4.54.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | California average |
|---|---|---|
| Nurse hours per resident per day | 4.72 | 4.54 |
| Of which registered nurses | 0.40 | 0.68 |
| At weekends | 4.37 | 4.10 |
| Nursing staff turnover | Not given | 36.6% |
| Registered nurse turnover | Not given | 37.8% |
| Administrators who left | Not given | Not given |
Who owns it?
- 9 owners or officers are people: Janice L Calzo (managing employee (on the payroll), 100%); Bradford Barker (corporate director); Sylvia Soto (corporate director); Ricardo Chavez (corporate director); Ileana A Gavina (corporate officer); Ileana A Gavina (corporate director); Ileana A Gavina (managing employee (on the payroll)); Rosa Lugo (corporate director); Trisha Flores (corporate director).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
How do residents fare?
- CMS rates its quality measures 3 of 5 (California average 4.2).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 2 of 5 |
| Quality measures | 3 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 28.6 miles, this one had the 1st most health citations at the latest inspection cycle (24; the middle value was 12.5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Delano District Skilled Nursing Facility This nursing home | 24 | |
| Adventist Health Delano | 0.1 | 11 |
| Valley View Care Center | 1.1 | 21 |
| Shafter Nursing Care | 17.8 | 6 |
| Gateway Post Acute | 23.2 | 16 |
| River Walk Care Center | 24.2 | 12 |
| Sierra View Medical Center | 24.3 | 5 |
| Sequoia Transitional Care | 24.5 | 10 |
| Sierra Valley Rehab Center | 24.5 | 13 |
| Bayshire Riverwalk Post-Acute | 26.2 | 23 |
| Kern River Transitional Care | 26.7 | 24 |
| San Joaquin Nursing Center and Rehabilitation Cent | 28.6 | 12 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.