Kingsburg Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 28 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Above-median deficiencies (24 vs median 13.0)
Bottom 25% in CA · Critically understaffed (RN) · Low staff turnover (stable workforce) · Worst in GENESIS HEALTHCARE chain · No penalties on record
What this means for your family
This facility offers excellent support for physical therapy and rehabilitation, with many families praising the kindness of the nursing team. However, you must be extremely vigilant regarding medication administration and dietary needs, as multiple reviewers have reported serious errors in these areas. We recommend frequent, unannounced visits to ensure all medical and hygiene protocols are being strictly followed.
Google Reviews
Google Reviews
28 reviews on Google“Families seeking rehabilitation or short-term recovery may find the nursing and therapy staff to be exceptionally kind, communicative, and helpful. However, there are serious, recurring allegations regarding medication errors, lack of responsiveness to medical concerns, and inadequate nutritional care. While some residents find the environment clean and peaceful, others report significant issues with hygiene assistance and noise levels.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and communicative nursing staff
- Effective rehabilitation and physical therapy
- Clean and well-maintained environment
- Supportive social work and administrative assistance
Concerns
- Medication management errors and inconsistencies (mentioned by 2 reviewers)
- Inadequate nutritional quality and dietary planning (mentioned by 2 reviewers)
- Lack of responsiveness to family concerns or follow-ups (mentioned by 2 reviewers)
- Delays in basic hygiene and personal care assistance (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 31 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1I've heard wonderful things about your nursing and rehab teams; how do you ensure that the high level of care provided by the staff is consistently applied to daily medication schedules?
- 2With the great feedback regarding your clean environment, could you tell me more about how the dining experience is structured and how much input residents have in their meal planning?
- 3How does the communication process work between the nursing staff and family members to ensure we are always updated on any changes in our loved one's health?
- 4What is the protocol for responding to urgent medical needs or emergencies during the overnight hours?
- 5Could you describe the variety of social activities or group outings available to help residents stay engaged with the community?
- 6How do you manage the daily routine for personal care and hygiene to ensure every resident receives timely assistance with their morning and evening needs?
Personalized based on this facility's data
Key Review Excerpts
“Staff have been nothing but gracious, communicative, caring, kind, and patient. My grandpa is not an easy case (dementia) and from what I have seen, they are very patient with him and have shown nothing but understanding and patience towards him.”
“Don’t take your loved ones here. This place failed to do follow ups that were requested and lied to us about them being done. Level of care is not even one star, didn’t listen to concerns and ended up with our loved one in the ER getting emergency surgery for some that was brought to staff’s attention weeks prior.”
“This facility is kept very clean the first facility I have to be to that does not smell like urine, it smells clean when you walk in”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
9
measures
2
measures
6
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents needing more daily help over time
Residents whose walking got worse
Residents vaccinated for pneumonia
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed complaints against Kingsburg Center, triggering recent citations for inadequate treatment and care, and safety hazard violations. The facility shows persistent problems across multiple areas including nutrition and dietary services, medication management, fire safety systems, and care planning. While all deficiencies have correction dates, recurring issues with fire alarms, emergency generators, and food handling suggest ongoing operational challenges that families should carefully evaluate.
Mar 24, 2026Complaint2
Gas, Vacuum, and Electrical Systems Deficiencies
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Jan 7, 2026Complaint1
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
May 21, 2025Complaint1
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Jan 24, 2025Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Oct 14, 2024Routine45
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Nutrition and Dietary Deficiencies
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.
Nutrition and Dietary Deficiencies
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.
Emergency Preparedness Deficiencies
Establish staff and initial training requirements.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Assessment and Care Planning Deficiencies
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 Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
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.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
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.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the use of electrical equipment.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nutrition and Dietary Deficiencies
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies
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.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Emergency Preparedness Deficiencies
Address subsistence needs for staff and patients.
Emergency Preparedness Deficiencies
List the names and contact information of those in the facility.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Smoke Deficiencies
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Smoke Deficiencies
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Miscellaneous Deficiencies
Provide a written emergency evacuation plan.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Jul 11, 2024Complaint4
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Smoke Deficiencies
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Ownership & Operations
Who Operates This Facility
Kingsburg Center
for profit
Chain Affiliation
Genesis Healthcare
187 facilities nationwide
Chain avg rating: 2.4/5 · Rank 164 of 188 (Worst)
Ownership & Management
Owners
Bq Operations Holdings LLC
Owner (parent company) · Organization
Fc Gen Operations Investment LLC
Owner (parent company) · Organization
Tress, Avrohom
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
28 reviews from families & visitors
Official Website
Visit kingsburgcenter.com
Medicare data downloads
Original nursing home datasets
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