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KIT CARSON NURSING AND REHABILITATION CENTER
NPI 1467449603
Skilled Nursing Facility in Jackson, CA

Active since October 03, 2005CLIA 05D0725688 · Waiver
4/5
Overall Rating
811 COURT ST, JACKSON, CA 95642(209) 223-2231 Get Directions Write a Review

NPPES record last updated: September 10, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kit Carson Nursing And Rehabilitation Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIT CARSON NURSING AND REHABILITATION CENTER (NPI 1467449603) is a healthcare organization registered as a skilled nursing facility in Jackson, California and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Jenq H Chen, President, as its authorized official.

NPPES Registry Identity

NPI1467449603
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameRAY PROPERTIES KIT CARSON INC.
Location Address811 COURT STJackson, CA 95642-2131
Mailing Address1937 Pontius AveLos Angeles, CA 90025-5611
Phone(209) 223-2231
Organization SubpartNo
Authorized OfficialJenq H ChenPresident · (310) 889-9929
Enumeration DateOctober 3, 2005
Last NPPES UpdateSeptember 10, 2008
✔ NPI 1467449603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License✔ Licensed in CA · 030000053
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
811 COURT ST, Jackson, CA 95642
Open in Google Maps ↗

Other Names 1

Doing Business AsKit Carson Nursing And Rehabilitation Center

Other Identifiers 2

MedicaidZZR06198ICA
Medicare ID-Type Unspecified056198CA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0725688

Kit Carson Nursing And Rehabilitation · Jackson, CA
Active · expires Aug 31, 2026
CLIA Number05D0725688
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorGregory Smith
Laboratory Phone(209) 223-2231
Laboratory LocationKit Carson Nursing And Rehabilitation811 Court St, Jackson, CA 95642
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Kit Carson Nursing & Rehabilitation Center (CMS certification number 056198), from CMS Care Compare.

Kit Carson Nursing & Rehabilitation Center

Nursing home · Jackson, CA
4/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number056198
Certified Beds199 beds81 residents per day on average
Medicare & Medicaid Participant SinceMay 4, 1970
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
4/5
Long-Stay Quality
Quality of care delivered to long-term residents.
4/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
3/5
Staffing
Based on nursing staff hours relative to resident needs.
5/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
77.67
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.88 · LPN 0.52 · RN 1.03
4.43 hrs per resident per day
Weekend Nurse Staffing
4.01 hrs per resident per day
Physical Therapist Staffing
0.07 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
38%
Registered Nurse Turnover
25%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
7
Substantiated Complaints
3
Fines
1 totaling $650.00
Medicare Payment Denials
0
Total Penalties
1
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DENNIS BASALO OTR/L
Occupational Therapist
811 COURT ST
JACKSON, CA 95642
Amador County (415) 218-6644

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ray Properties Kit Carson Inc.'s NPI number?

The NPI number for Ray Properties Kit Carson Inc. is 1467449603. It was assigned to this organization in the NPPES registry on October 3, 2005. The provider is doing business as Kit Carson Nursing And Rehabilitation Center.

Where is Ray Properties Kit Carson Inc. located?

Ray Properties Kit Carson Inc. is located at 811 Court St, Jackson, CA 95642. The listed phone number is (209) 223-2231.

What is Ray Properties Kit Carson Inc.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Ray Properties Kit Carson Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0725688) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Ray Properties Kit Carson Inc. a Medicare-certified nursing home?

Yes. Kit Carson Nursing & Rehabilitation Center is a Medicare-certified nursing home with 199 certified beds.

What quality rating does Ray Properties Kit Carson Inc. have?

CMS rates Kit Carson Nursing & Rehabilitation Center 4 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Ray Properties Kit Carson Inc. was last updated on September 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.