Kit Carson Nursing & Rehabilitation Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 14 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 (2/5 stars)
- Above-median deficiencies (25 vs median 13.0)
Below average in CA · Meets national RN staffing standard · Above recommended total nurse staffing · Below chain average · $9,110 in fines
What this means for your family
This facility presents significant risks regarding medical safety and communication. While some long-term observers note improvements, the recent reports of medication errors and the inability to contact the facility by phone are critical red flags that require immediate investigation during any tour.
Google Reviews
Google Reviews
14 reviews on Google“Families should exercise extreme caution, as recent reviews highlight severe medical mismanagement and difficulty contacting the facility. While some long-term observers and specific staff members have been praised for kindness, there are alarming reports of medication errors leading to serious health consequences and neglectful communication.”
Quality Themes
Tap a score for detailsStrengths
- Kind nursing staff and helpers
- Visible improvements in resident happiness noted by long-term observers
- Decent-looking facility surface appearance
Concerns
- Severe medical mismanagement and medication errors
- Inability to reach facility via phone or communication breakdown (mentioned by 2 reviewers)
- Unresponsive staff to resident basic needs
Rating Trends
Tap a year to see what changed
Distribution · 16 analyzed
How They Respond to Reviews
The facility uses highly templated, professional language to respond to reviews. While they attempt to provide contact information for management, the responses often rely on boilerplate phrases about 'striving for quality' rather than addressing specific allegations.
Questions for Your Tour
- 1I noticed some wonderful comments about the kindness of your nursing staff; how do you foster that culture of compassion among the team?
- 2With the recent improvements in resident happiness being noted, what specific changes have been implemented to enhance the quality of life here?
- 3How does the clinical team ensure that medication administration is handled with 100% accuracy and that all orders are double-checked?
- 4What is the best way for our family to stay in consistent, reliable contact with the nursing staff or the administrator if we have questions?
- 5How does the facility manage cleanliness and sanitation in the resident rooms and common areas on a daily basis?
- 6In the event of a medical emergency during the night, what is the specific protocol for notifying the family and coordinating care?
Personalized based on this facility's data
Key Review Excerpts
“Kit Carson discontinued my grandmother's heart medication for articular fibrillation and that caused her to have a stroke. They did not have a doctor's permission and not only that but they didn't take her to her kidney doctor appointments for months”
“I have 30 years of experience with Kit Carson and, in the past year or more, have seem significant improvements in happiness, both residents and staff.”
“Excellent care, kind nursing staff & helpers, overall good experience.”
Staffing
Staffing Hours
per resident/day · Medicare 2026This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
10
measures
6
measures
1
measures
Residents on anti-anxiety or sleep medication
Residents whose walking got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
Residents vaccinated for pneumonia
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
This facility has a concerning pattern of recurring safety hazards and families have filed reports about resident protection failures. The most persistent problems involve accident prevention and safety hazards, medication management, and building safety systems including fire protection and electrical equipment. While all 104 deficiencies across 12 surveys show correction dates, the same issues repeatedly resurface, particularly around maintaining safe environments and proper pharmaceutical services, suggesting systemic challenges with sustained compliance.
Apr 22, 2026Complaint2
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Apr 15, 2026Complaint1
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Mar 30, 2026Complaint5
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Mar 17, 2026Complaint2
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Mar 10, 2026Complaint2
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Nursing and Physician Services Deficiencies
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Feb 19, 2026Complaint4
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Federal Penalties
Fine
Feb 19, 2026
$14,380
Fine
Feb 19, 2026
$15,185
Payment Denial
Feb 19, 2026
17-day denial
Fine
Mar 28, 2025
$9,110
Ownership & Operations
Who Operates This Facility
Kit Carson Nursing & Rehabilitation Center
for profit
Chain Affiliation
Eva Care Group
9 facilities nationwide
Chain avg rating: 3.3/5 · Rank 6 of 8
Ownership & Management
Owners
Chen, Jenq
Owner
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
14 reviews from families & visitors
Official Website
Visit kitcarsonnr.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 3 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.