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Skilled nursing facility · CMS certified · CCN 056426

Adventist Health Delano

1401 Garces Hwy, Delano, CA 93215 · Kern County · one of 1,165 skilled nursing facilities in California
51
certified beds
2 / 5
overall CMS rating
Nonprofit
ownership type
91.2%
occupancy, Oct 2026: 46 residents a day · California 88.2%
2.98
case mix, 2.12x the national average
6.42
nurse hours per resident day · California 4.52
What if · run the numbers

There is no full-year Medicare cost report on file for this building, so there is nothing to start the calculator from.

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How Adventist Health Delano compares

Better than most of Kern County on 4 of 8 lines.

Occupancy, Oct 202691.2%Better than mostHigher than 10 of the 16 other buildings in Kern County

Residents on an average day as a share of certified beds, from CMS's monthly census. The middle of the set: 90.0%. Source: CMS monthly provider files, Oct 2026.

Nurse hours per resident day6.42Better than mostHigher than all 16 other buildings in Kern County

Nurse and aide hours for each resident, each day, from CMS payroll records. The middle of the set: 4.16. Source: CMS monthly provider files, Oct 2026.

Overall CMS rating2 / 5Mid-packHigher than 8 of the 16 other buildings in Kern County, level with 5

CMS's overall star rating, set from inspections, staffing and quality measures. The middle of the set: 1 / 5. Source: CMS Provider Information, Oct 2026 file.

Health inspection rating2 / 5Mid-packHigher than 7 of the 16 other buildings in Kern County, level with 7

CMS's star rating for the building's recent health inspections. The middle of the set: 2 / 5. Source: CMS Provider Information, Oct 2026 file.

Staffing rating3 / 5Mid-packHigher than 6 of the 16 other buildings in Kern County, level with 7

CMS's star rating for nurse staffing levels and turnover. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Quality measures rating3 / 5Mid-packHigher than 3 of the 16 other buildings in Kern County, level with 8

CMS's star rating for resident-care quality measures. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

RN hours per resident day1.40Better than mostHigher than all 16 other buildings in Kern County

Registered nurse hours for each resident, each day. The middle of the set: 0.40. Source: CMS Provider Information, Oct 2026 file.

Deficiencies cited10Better than mostFewer than 15 of the 16 other buildings in Kern County

Health deficiencies cited at the building's most recent standard survey. Fewer is better. The middle of the set: 19. Source: CMS Provider Information, Oct 2026 file.

Better than most of California on 3 of 8 lines.

Occupancy, Oct 202691.2%Behind mostHigher than 514 of the 1,132 other buildings in California, level with 8

Residents on an average day as a share of certified beds, from CMS's monthly census. The middle of the set: 91.8%. Source: CMS monthly provider files, Oct 2026.

Nurse hours per resident day6.42Better than mostHigher than 1,074 of the 1,133 other buildings in California

Nurse and aide hours for each resident, each day, from CMS payroll records. The middle of the set: 4.24. Source: CMS monthly provider files, Oct 2026.

Overall CMS rating2 / 5Behind mostHigher than 179 of the 1,153 other buildings in California, level with 209

CMS's overall star rating, set from inspections, staffing and quality measures. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Health inspection rating2 / 5Behind mostHigher than 223 of the 1,153 other buildings in California, level with 283

CMS's star rating for the building's recent health inspections. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Staffing rating3 / 5Mid-packHigher than 226 of the 1,145 other buildings in California, level with 402

CMS's star rating for nurse staffing levels and turnover. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Quality measures rating3 / 5Behind mostHigher than 74 of the 1,133 other buildings in California, level with 168

CMS's star rating for resident-care quality measures. The middle of the set: 4 / 5. Source: CMS Provider Information, Oct 2026 file.

RN hours per resident day1.40Better than mostHigher than 1,063 of the 1,138 other buildings in California, level with 1

Registered nurse hours for each resident, each day. The middle of the set: 0.52. Source: CMS Provider Information, Oct 2026 file.

Deficiencies cited10Better than mostFewer than 853 of the 1,164 other buildings in California, the same as 39

Health deficiencies cited at the building's most recent standard survey. Fewer is better. The middle of the set: 17. Source: CMS Provider Information, Oct 2026 file.

From its cost report and Medicaid rate, against California
Net margin00.0%

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Medicaid share of days00.0%

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Medicaid rate$000

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Tap a line for what it measures and the middle of the set. Each count leaves this building out. Source: CMS monthly provider files, Oct 2026; CMS Provider Information, Oct 2026 file.

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Street view of Adventist Health Delano
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Street View
1401 Garces Hwy, Delano, CA
Map around Adventist Health Delano
Map · Kern County
Kern County, California
8 skilled nursing facilities; average overall rating 2.6, California 3.2.
See how Kern County compares ›
Cost report, against California
Each line is what this building filed with Medicare for its latest full year, beside the middle building in California. The rank counts from the top: 1st is the highest figure among California's filing buildings on that line, out of the buildings that filed it. The arrow beside a figure compares it with the building's own full year before: green is better, red is worse, grey is neither. Shares and margins move in points. A line standing on fewer than 20 filings is not ranked. Operating expense is the cost report's own operating line. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus that line. The switch shows the Medicare report, California's own Medicaid cost report, or both side by side. A check means California's filing is within 5 points of the Medicare figure (10% on a dollar line); a not-equal sign means it is further apart, or that one report shows a profit and the other a loss. The state's filing usually covers an earlier year.
Medicare and California cost reports, as filed

No full-year Medicare cost report on file for this building for FY2024 to FY2026. What the buildings in California that did file reported is below.

Line
State median
Reports
OccupancyPatient days as a share of available bed days, both off Worksheet S-3 Part I.
91.7%
1,002
Medicare share of daysTraditional Medicare days as a share of all patient days, off Worksheet S-3 Part I.
17.8%
1,032
Medicaid share of daysMedicaid days as a share of all patient days, off Worksheet S-3 Part I.
63.0%
989
Patient revenue per patient dayNet patient revenue off Worksheet G-3, divided by patient days off Worksheet S-3 Part I. Blended across every payer.
$526
1,032
Operating expense per patient dayTotal operating expense off Worksheet G-3, divided by patient days. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus this line.
$498
1,030
Net income per patient dayNet income off Worksheet G-3, divided by patient days.
$39
1,034
Net marginNet income off Worksheet G-3 over net patient revenue off the same worksheet.
7.5%
1,029

No recent full-year state cost report on file for this building. What the buildings in California that filed reported is below.

Line
State median
Reports
Medicaid revenue per Medicaid dayWhat the building reported receiving from Medicaid, divided by its Medicaid patient days: the Medicaid rate it actually collected. The Medicare cost report does not split this out.
$329
959
OccupancyPatient days as a share of the days its licensed beds could have been filled over the year.
91.5%
1,033
Medicaid share of daysMedicaid patient days as a share of all patient days.
66.8%
992
Medicare share of daysMedicare patient days as a share of all patient days.
21.3%
1,009
Revenue per patient dayTotal revenue the building reported to the state, divided by all patient days. Blended across every payer.
$477
1,040
Expense per patient dayTotal expenses the building reported to the state, divided by all patient days.
$458
1,040
Net marginNet income over total revenue, both as the building reported them to the state.
5.5%
1,027

California Department of Health Care Access and Information, Medicaid cost report as filed.

Quality and staffing
CMS Care Compare · Oct 2026
Overall rating2 / 5 · state 3.2
Health inspection2 / 5 · state 2.8
Staffing3 / 5 · state 3.3
RN hours per resident per day1.4 · state 0.68
Overall rating, last 8 quarters
052Q3’242Q4’241Q1’253Q2’253Q3’253Q4’252Q1’262Q2’26latest
back to 2 / 5 over the 8 quarters shown, having been as low as 1 / 5

CMS sets the overall star rating from health inspections, staffing and quality measures. The occupancy percentage is not the star rating. Occupancy compares average residents with certified beds. Certified beds can include beds the home chooses not to fill; this figure does not tell us why beds are unused.

Resident care
CMS quality measures · 2025Q3 to 2026Q2 · Oct 2026
measurethis buildingCalifornianationrecent quarters
Needed more help with daily activitiestoo few residents to report10.2%13.5%too few quarters to chart
Catheter inserted and left in6.4%worse than state0.7%0.7%2025Q2: 5.3%2025Q3: 9.0%2025Q4: 8.1%2026Q1: 4.6%2026Q2: 4.2%
5.3% → 4.2%
Q2’25 to Q2’26
Urinary tract infection1.7%worse than state1.2%1.5%2025Q2: 7.0%2025Q3: 0.0%2025Q4: 0.0%2026Q1: 4.4%2026Q2: 2.1%
7.0% → 2.1%
Q2’25 to Q2’26
Fall with major injury0.0%better than state1.6%3.2%2025Q2: 0.0%2025Q3: 0.0%2025Q4: 0.0%2026Q1: 0.0%2026Q2: 0.0%
0.0% → 0.0%
Q2’25 to Q2’26
Newly given an antipsychotic (short stay)too few residents to report1.3%1.5%too few quarters to chart
Ability to walk independently worsenedtoo few residents to report8.9%12.7%too few quarters to chart
Pressure ulcers4.6%worse than state4.3%4.5%2025Q2: 4.3%2025Q3: 4.0%2025Q4: 5.2%2026Q1: 5.4%2026Q2: 3.8%
4.3% → 3.8%
Q2’25 to Q2’26
Given an antipsychotic10.9%better than state12.3%15.4%2025Q2: 11.1%2025Q3: 19.2%2025Q4: 13.8%2026Q1: 6.2%2026Q2: 6.2%
11.1% → 6.2%
Q2’25 to Q2’26

Each figure is the share of residents, so lower is better. The building's figure, the state's and the nation's are CMS's four-quarter averages; the small bars are single quarters, which move more than the average does.

Surveys and enforcement
CMS health inspections
Jun 2026
last standard survey
10
deficiencies cited · California avg 19
$123,442
fines, last 3 years
Reported
CMS affiliation

CMS groups homes with shared ownership or management. An affiliation does not establish that a chain owns this building.

Medicaid in California
state rate files
$318
median daily rate across the California buildings in our rate book, Jan 2026 file
Also in Delano, CA
2 other certified skilled nursing facilities in Delano
California at a glance
1,165
buildings
114,991
licensed beds
88%
occupancy
87%
for-profit
What changed in California
Skilled nursing Medi-Cal rate system and quality assurance fee extended through 2027, repeal pushed to 2029
Top Ten States That Lead the Nation in Nursing Home Short-Staffing Violations
The neighborhood
Street map © OpenStreetMap · satellite © Esri · pins: CMS Care Compare · loads as you reach it
Nearby skilled nursing
buildingbedsoveralloccupancyDelano District Skilled Nursing FacilityDelano · 0.1 mi1411 / 5over 85%Valley View Care CenterDelano · 1.1 mi532 / 5over 85%Shafter Nursing CareShafter · 17.7 mi994 / 570-85%Gateway Post AcutePorterville · 23.2 mi623 / 5over 85%River Walk Care CenterPorterville · 24.3 mi992 / 5over 85%Sierra View Medical CenterPorterville · 24.3 mi354 / 5over 85%
The map and the list carry the same facts, from SNFRadar's system.
About this data
What is the CMS overall rating of Adventist Health Delano?
Adventist Health Delano in Delano, CA carries an overall CMS rating of 2 out of 5 stars in the Oct 2026 CMS file.
How many beds does Adventist Health Delano have?
Adventist Health Delano is certified for 51 beds in the Oct 2026 CMS file.
How full is Adventist Health Delano?
CMS's reported average residents put Adventist Health Delano's occupancy in the over 85% band in the Oct 2026 CMS file.
Source: CMS Provider Information, Care Compare and Payroll-Based Journal staffing · CMS files dated October 2026.
Published by 3G Healthcare Real Estate, skilled nursing advisors. Authors: Stan Klos III, Founder · Christian Patrick, President.
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Source: CMS Provider Information and Care Compare, Oct 2026 files. Tracked every month in SNFRadar's system.