California › Fresno County › Fresno
Grace Healthcare Center
2939 S. Peach Avenue, Fresno, CA 93725
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 101 beds, Grace Healthcare Center serves Fresno in Fresno County, California and has taken Medicare and Medicaid residents since 1989.
CMS gives it 1 of 5 stars overall, below the California median of 3; the health inspection rating is 1, staffing 4 and quality measures 3.
Inspectors recorded 70 health deficiencies across the three most recent survey cycles (19, 27, 24 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 69.3 per 100 beds, more than the state median of 51.1.
CMS lists 4 penalties in the period covered: fines totalling $14K and 1 payment denial.
Reported nurse staffing is 4.4 hours per resident per day (0.8 RN), close to the California median of 4.2; nursing staff turnover is 45.7%.
Compared with county, state and nation
| Measure | This facility | Fresno Co. median | California median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 70 | 41 | 44 | 28.7 |
| Citations per 100 beds | 69.3 | 53.5 | 51.1 | 26.8 |
| Total nurse hours per resident day | 4.4 | 4.1 | 4.2 | 3.9 |
| RN hours per resident day | 0.8 | 0.4 | 0.5 | 0.7 |
| Nursing staff turnover | 45.7% | 45.7% | 36.4% | 45.8% |
| Fines listed | $13,761 | $0 | $0 | — |
County and state figures are medians across facilities (31 in the county, 1165 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 20 Mar 2026, 13 Sep 2024.
Severity mix: G ×1 D ×30 E ×26 F ×11 B ×1 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 27 May 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint investigation | 20 Jun 2026 |
| 27 May 2026 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Complaint investigation | 20 Jun 2026 |
| 20 Mar 2026 | F0801 | 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. | F | Standard survey | 16 Apr 2026 |
| 20 Mar 2026 | F0911 | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | F | Standard survey | 16 Apr 2026 |
| 20 Mar 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 16 Apr 2026 |
| 20 Mar 2026 | F0926 | Have policies on smoking. | E | Standard survey | 16 Apr 2026 |
| 20 Mar 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 16 Apr 2026 |
| 20 Mar 2026 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 16 Apr 2026 |
| 20 Mar 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 16 Apr 2026 |
| 20 Mar 2026 | F0646 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | D | Standard survey | 16 Apr 2026 |
| 20 Mar 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 16 Apr 2026 |
| 20 Mar 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 16 Apr 2026 |
| 20 Mar 2026 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Standard survey | 16 Apr 2026 |
| 20 Mar 2026 | F0730 | Observe each nurse aide's job performance and give regular training. | D | Standard survey | 16 Apr 2026 |
| 20 Mar 2026 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 16 Apr 2026 |
| 20 Mar 2026 | F0761 | 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. | D | Standard survey | 16 Apr 2026 |
| 20 Mar 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 16 Apr 2026 |
| 20 Mar 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 16 Apr 2026 |
| 5 Sep 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 15 Oct 2025 |
| 23 Dec 2024 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | D | Complaint investigation | 23 Jan 2025 |
| 2 Oct 2024 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | F | Complaint investigation | 15 Nov 2024 |
| 2 Oct 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | F | Complaint investigation | 15 Nov 2024 |
| 2 Oct 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Complaint investigation | 15 Nov 2024 |
| 2 Oct 2024 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E | Complaint investigation | 15 Nov 2024 |
| 2 Oct 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 15 Nov 2024 |
| 2 Oct 2024 | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | E | Complaint investigation | 15 Nov 2024 |
| 2 Oct 2024 | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | E | Complaint investigation | 15 Nov 2024 |
| 2 Oct 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 15 Nov 2024 |
| 2 Oct 2024 | F0945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | D | Complaint investigation | 15 Nov 2024 |
| 13 Sep 2024 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | Standard survey | 15 Oct 2024 |
| 13 Sep 2024 | F0803 | 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. | F | Standard survey | 15 Oct 2024 |
| 13 Sep 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 15 Oct 2024 |
| 13 Sep 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Standard survey | 15 Oct 2024 |
| 13 Sep 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 15 Oct 2024 |
| 13 Sep 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 15 Oct 2024 |
| 13 Sep 2024 | F0761 | 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. | E | Standard survey | 15 Oct 2024 |
| 13 Sep 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 15 Oct 2024 |
| 13 Sep 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 15 Oct 2024 |
| 13 Sep 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 15 Oct 2024 |
| 13 Sep 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 15 Oct 2024 |
| 13 Sep 2024 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | 15 Oct 2024 |
| 13 Sep 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 15 Oct 2024 |
| 13 Sep 2024 | F0700 | 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. | D | Standard survey | 15 Oct 2024 |
| 13 Sep 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 15 Oct 2024 |
| 13 Sep 2024 | F0908 | Keep all essential equipment working safely. | D | Standard survey | 15 Oct 2024 |
| 13 Sep 2024 | F0911 | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | C | Standard survey | 15 Oct 2024 |
| 16 May 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 4 Jun 2024 |
| 4 Jan 2024 | F0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D | Complaint investigation | 1 Mar 2024 |
| 22 Aug 2023 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Complaint investigation | 5 Sep 2023 |
| 22 Aug 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 5 Sep 2023 |
| 16 Jun 2023 | F0641 | Ensure each resident receives an accurate assessment. | F | Standard survey | 1 Aug 2023 |
| 16 Jun 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 1 Aug 2023 |
| 16 Jun 2023 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 1 Aug 2023 |
| 16 Jun 2023 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | Standard survey | 1 Aug 2023 |
| 16 Jun 2023 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | Standard survey | 1 Aug 2023 |
| 16 Jun 2023 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | E | Standard survey | 1 Aug 2023 |
| 16 Jun 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 1 Aug 2023 |
| 16 Jun 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 1 Aug 2023 |
| 16 Jun 2023 | F0700 | 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. | E | Standard survey | 1 Aug 2023 |
| 16 Jun 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 1 Aug 2023 |
| 16 Jun 2023 | F0760 | Ensure that residents are free from significant medication errors. | E | Standard survey | 1 Aug 2023 |
| 16 Jun 2023 | F0761 | 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. | E | Standard survey | 1 Aug 2023 |
| 16 Jun 2023 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | Standard survey | 1 Aug 2023 |
| 16 Jun 2023 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | Standard survey | 1 Aug 2023 |
| 16 Jun 2023 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | Standard survey | 1 Aug 2023 |
| 16 Jun 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 1 Aug 2023 |
| 16 Jun 2023 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | D | Standard survey | 1 Aug 2023 |
| 16 Jun 2023 | F0814 | Dispose of garbage and refuse properly. | D | Standard survey | 1 Aug 2023 |
| 16 Jun 2023 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Standard survey | 1 Aug 2023 |
| 16 Jun 2023 | F0911 | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | B | Standard survey | 1 Aug 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 5 Sep 2025 | Payment denial | — | 4 days |
| 5 Sep 2023 | Fine | $4,587 | |
| 28 Aug 2023 | Fine | $4,587 | |
| 21 Aug 2023 | Fine | $4,587 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 45.7%, RNs 44.4%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | California median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 7.4% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.2% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.4% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.0% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 13.6% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.6% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 15.2% | 9.1% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: R. Fellen, Inc..
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Fresno County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| California Home For the Aged | Fresno | 120 | 5 | 5 | 5 | 35 | 29.2 | — | 19 Aug 2025 |
| Community Subacute and Transitional Care Center | Fresno | 106 | 5 | 5 | 5 | 13 | 12.3 | — | 19 Dec 2025 |
| Manning Gardens Care Center, Inc | Fresno | 59 | 5 | 4 | 5 | 40 | 67.8 | $12K | 27 Mar 2026 |
| North Point Healthcare & Wellness Centre LP | Fresno | 99 | 5 | 5 | 3 | 20 | 20.2 | — | 27 Mar 2025 |
| Oakwood Gardens Care Center | Fresno | 103 | 5 | 4 | 3 | 28 | 27.2 | — | 9 Jan 2026 |
| The Terraces At San Joaquin Gardens Village | Fresno | 54 | 5 | 3 | 5 | 31 | 57.4 | — | 23 Apr 2025 |
| Veterans Home of California - Fresno | Fresno | 120 | 5 | 4 | 5 | 29 | 24.2 | — | 9 Apr 2026 |
| Vineyard Care Center | Reedley | 56 | 4 | 3 | 2 | 40 | 71.4 | — | 1 Apr 2026 |
All 31 facilities in Fresno County
Questions and answers
How many deficiencies has Grace Healthcare Center been cited for?
70 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.
Has Grace Healthcare Center been fined?
Yes. CMS lists fines totalling $14K in the period covered, plus 1 payment denial.
How does staffing at Grace Healthcare Center compare?
Reported total nurse staffing is 4.4 hours per resident per day against a California median of 4.2 and a national average of 3.9.
Who operates Grace Healthcare Center?
Ownership type is for-profit, limited liability company. Individual owners and managers are not listed on this site.
When was Grace Healthcare Center last inspected?
The most recent survey or investigation in the CMS record is dated 27 May 2026; the most recent standard health survey was 20 Mar 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.