Kern County, California · Nursing home
Adventist Health Delano
2 of 5 overall from CMS
1401 Garces Hwy, Delano, CA 93215
At a glance
- Overall rating 2 of 5 Below the state average of 3.2
- Nurse time per resident, per day 6.42 hours Above the state average of 4.52
- Nursing staff who left in a year 25.0% Below the state average of 36.7%
- Health citations, last 3 inspection cycles 59 2 at the harm level or above
- Fines in 3 years $123,442 2 fines
- Certified beds in use 91.2% of 51 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Adventist Health Delano is a 51-bed nursing home in Delano, California (Kern County). CMS rates it 2 of 5 stars overall as of Sep 2026. It reports 6.42 nurse staffing hours per resident per day, above the California average of 4.52. CMS lists 2 fines totaling $123,442 in the past three years.
- Certified beds
- 51
- Residents per day (average)
- 46.5
- Certified since
- 1974 (52 yrs)
Non profit - Corporation Participates in Medicare and MedicaidPart of Adventist Health (5 homes)Located in a hospital
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Adventist Health Delano
Chosen from this home's public data.
- CMS lists 2 fines totaling $123,442 in the past three years. What changed after the most recent one?Penalties in CMS data
- What is the daily private-pay rate, and are Medicaid beds available now?CMS does not publish prices
- Can we visit at a mealtime and again on a weekend?General
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 2 of 5 California average 3.2
- Health inspections 2 of 5 California average 2.8
- Staffing 3 of 5 California average 3.3
- Quality measures 2 of 5 California average 4.1
The vertical line marks the California average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 6.42 h California average 4.52
- Nurse aides 2.76 h California average 2.65
- Licensed practical nurses 2.30 h California average 1.20
- Registered nurses 1.36 h California average 0.67
- All staff, weekends 6.04 h California average 4.09
How much nurse staffing is enough? All bars share one scale, 0 to 12 hours. The vertical line marks the California average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover25.0%
- California average36.7%
- Registered nurse turnover5.9%
- California average38.1%
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the California and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | California | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | Too few residents or stays to report | 10.2% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 3.4% | 4.0% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 6.8% | 0.8% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 2.8% | 1.2% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 0.0% | 7.3% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.6% | 0.4% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% | 1.6% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.9% | 98.6% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | Too few residents or stays to report | 9.8% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.0% | 13.7% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 88.0% | 98.2% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 4.7% | 4.3% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 1.7% | 10.2% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 12.3% | 12.0% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | Too few residents or stays to report | 2.25 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | Too few residents or stays to report | 1.57 | 1.78 |
Short-stay residents
| Measure | This home | California | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 50.0% | 94.4% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | Too few residents or stays to report | 1.5% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Too few residents or stays to report | 93.2% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | Too few residents or stays to report | 23.0% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | Too few residents or stays to report | 11.2% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 59 health deficiencies in the three most recent inspection cycles. Of these, 2 involved actual harm; the rest were graded as no actual harm. 44 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Jul 3, 2025: Assist a resident in gaining access to vision and hearing services.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Jun 1, 2026 | 11 | 6 |
| Apr 10, 2025 | 20 | 3 |
| Apr 11, 2024 | 28 | 5 |
California homes averaged 15.6 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (59)
-
DPotential for more than minimal harm, isolated
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Aug 14, 2026)
-
EPotential for more than minimal harm, pattern
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 18, 2026)
-
EPotential for more than minimal harm, pattern
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 18, 2026)
-
EPotential for more than minimal harm, pattern
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration · Deficient, Provider has date of correction (Jun 18, 2026)
-
DPotential for more than minimal harm, isolated
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights · Deficient, Provider has date of correction (Jun 18, 2026)
Show 25 more
-
DPotential for more than minimal harm, isolated
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.
Resident Rights · Deficient, Provider has date of correction (Jun 18, 2026)
-
DPotential for more than minimal harm, isolated
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jun 18, 2026)
-
DPotential for more than minimal harm, isolated
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care · Deficient, Provider has date of correction (Jun 18, 2026)
-
DPotential for more than minimal harm, isolated
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service · Deficient, Provider has date of correction (Jun 18, 2026)
-
DPotential for more than minimal harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Nov 20, 2025)
-
DPotential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Dec 20, 2025)
-
DPotential for more than minimal harm, isolated
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Sep 15, 2025)
-
GActual harm, isolated
Assist a resident in gaining access to vision and hearing services.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Oct 29, 2025)
-
DPotential for more than minimal harm, isolated
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Complaint investigation · Administration · Deficient, Provider has date of correction (Oct 29, 2025)
-
EPotential for more than minimal harm, pattern
Ensure the activities program is directed by a qualified professional.
Quality of Life and Care · Deficient, Provider has date of correction (May 12, 2025)
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (May 12, 2025)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (May 12, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights · Deficient, Provider has date of correction (May 12, 2025)
-
DPotential for more than minimal harm, isolated
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 12, 2025)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 12, 2025)
-
DPotential for more than minimal harm, isolated
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration · Deficient, Provider has date of correction (May 12, 2025)
-
EPotential for more than minimal harm, pattern
Provide care and assistance to perform activities of daily living for any resident who is unable.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Feb 12, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Feb 12, 2025)
-
FPotential for more than minimal harm, widespread
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.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Feb 18, 2025)
-
EPotential for more than minimal harm, pattern
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Feb 18, 2025)
-
EPotential for more than minimal harm, pattern
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Feb 18, 2025)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Feb 18, 2025)
-
DPotential for more than minimal harm, isolated
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jan 20, 2025)
-
GActual harm, isolated
Provide appropriate foot care.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Dec 27, 2024)
-
DPotential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Dec 27, 2024)
Showing the 30 most recent of 59.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Jul 3, 2025 | Fine | $77,740 |
| Jul 3, 2025 | Payment Denial | 59 days |
| Oct 9, 2024 | Fine | $45,702 |
| Jan 19, 2024 | Payment Denial | 56 days |
California homes averaged 0.8 fines and $23,986 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within California
- Size979 of 1161 by certified beds
- California average residents per day87.9
- ChainAdventist Health
- Chain average overall rating4.0 of 5
- Resident or family councilResident
- Homes in Delano3
- Homes in Kern County17
Common questions
What is the CMS star rating for Adventist Health Delano?
Adventist Health Delano has an overall rating of 2 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 2, staffing is 3 and quality measures is 2.
How many beds does Adventist Health Delano have?
Adventist Health Delano has 51 certified beds. It averages 46.5 residents per day, about 91.2% of its certified beds.
How much nursing care do residents get at Adventist Health Delano?
The home reports 6.42 hours of nurse staffing per resident per day, including 1.36 hours from registered nurses. The California average is 4.52 hours and 0.67 hours from registered nurses.
Has Adventist Health Delano been fined?
Yes. CMS lists 2 fines totaling $123,442 in the past three years. It also lists 2 payment denials.
Does Adventist Health Delano accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 1 of 5 Delano District Skilled Nursing Facility 141beds 90.6%in use 4.24nurse hours a day
- 2 of 5 Valley View Care Center 53beds 96.8%in use 4.60nurse hours a day
- 4 of 5 Shafter Nursing Care 99beds 83.6%in use 3.99nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Kern County
Who to call in California
These offices serve residents of every nursing home in California.
- Long-term care ombudsman Statewide Ombudsman Hotline 1-800-231-4024 (24 hours a day, 7 days a week) An advocate for residents and their families.
- File a complaint about a nursing home Licensing and Certification district offices The state agency that inspects nursing homes.
California staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 056426. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.