California › Madera County › Chowchilla
Palms Care Center
1010 Ventura Avenue, Chowchilla, CA 93610
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 65 beds, Palms Care Center serves Chowchilla in Madera County, California and has taken Medicare and Medicaid residents since 1967.
CMS gives it 4 of 5 stars overall, above the California median of 3; the health inspection rating is 4, staffing 3 and quality measures 3.
Inspectors recorded 39 health deficiencies across the three most recent survey cycles (8, 10, 21 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 60.0 per 100 beds, about the same as the state median of 51.1.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 4.2 hours per resident per day (0.3 RN), close to the California median of 4.2; nursing staff turnover is 37.3%.
Compared with county, state and nation
| Measure | This facility | Madera Co. median | California median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 39 | 39 | 44 | 28.7 |
| Citations per 100 beds | 60.0 | 60.0 | 51.1 | 26.8 |
| Total nurse hours per resident day | 4.2 | 4.0 | 4.2 | 3.9 |
| RN hours per resident day | 0.3 | 0.3 | 0.5 | 0.7 |
| Nursing staff turnover | 37.3% | 45.5% | 36.4% | 45.8% |
| Fines listed | $0 | $112,195 | $0 | — |
County and state figures are medians across facilities (5 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: 4 Apr 2025, 19 Apr 2024.
Severity mix: K ×1 G ×1 D ×19 E ×7 F ×11
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 |
|---|---|---|---|---|---|
| 4 Apr 2025 | F0732 | Post nurse staffing information every day. | F | Standard survey | 8 Apr 2025 |
| 4 Apr 2025 | 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 | 8 Apr 2025 |
| 4 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 8 Apr 2025 |
| 4 Apr 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 8 Apr 2025 |
| 4 Apr 2025 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 8 Apr 2025 |
| 4 Apr 2025 | 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. | D | Standard survey | 8 Apr 2025 |
| 4 Apr 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 8 Apr 2025 |
| 4 Apr 2025 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | 8 Apr 2025 |
| 30 Jul 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 4 Sep 2024 |
| 19 Apr 2024 | 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 | 12 May 2024 |
| 19 Apr 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 12 May 2024 |
| 19 Apr 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 12 May 2024 |
| 19 Apr 2024 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 12 May 2024 |
| 19 Apr 2024 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Standard survey | 12 May 2024 |
| 19 Apr 2024 | 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. | D | Standard survey | 12 May 2024 |
| 19 Apr 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 12 May 2024 |
| 19 Apr 2024 | 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 | 12 May 2024 |
| 19 Apr 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. | D | Standard survey | 12 May 2024 |
| 19 Apr 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 12 May 2024 |
| 29 Nov 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 11 Oct 2023 |
| 10 Nov 2021 | 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. | K | Standard survey | 4 Mar 2022 |
| 10 Nov 2021 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Standard survey | 4 Mar 2022 |
| 10 Nov 2021 | 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. | F | Standard survey | 4 Mar 2022 |
| 10 Nov 2021 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 4 Mar 2022 |
| 10 Nov 2021 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | F | Standard survey | 4 Mar 2022 |
| 10 Nov 2021 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Standard survey | 4 Mar 2022 |
| 10 Nov 2021 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 4 Mar 2022 |
| 10 Nov 2021 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Standard survey | 4 Mar 2022 |
| 10 Nov 2021 | 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 | 4 Mar 2022 |
| 10 Nov 2021 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 4 Mar 2022 |
| 10 Nov 2021 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 4 Mar 2022 |
| 10 Nov 2021 | F0760 | Ensure that residents are free from significant medication errors. | E | Standard survey | 4 Mar 2022 |
| 10 Nov 2021 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 4 Mar 2022 |
| 10 Nov 2021 | 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 | 4 Mar 2022 |
| 10 Nov 2021 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 4 Mar 2022 |
| 10 Nov 2021 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard survey | 4 Mar 2022 |
| 10 Nov 2021 | 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 | 4 Mar 2022 |
| 10 Nov 2021 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | D | Standard survey | 4 Mar 2022 |
| 10 Nov 2021 | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D | Standard survey | 4 Mar 2022 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 37.3%, RNs 16.7%; 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 | 13.1% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.3% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.2% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 12.4% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.2% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 2.4% | 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: Palms Care Center Llc. Chain: Ajc Healthcare (14 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Palms Care Center Holdings LLC | 5% or greater direct ownership interest | 100% | 05/17/2019 |
| Swc Ca Opco, LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 02/01/2021 |
| Palms Care Center Holdings LLC | Operational/managerial control | NOT APPLICABLE | 05/17/2019 |
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 Madera County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Chowchilla Memorial Healthcare District | Chowchilla | 29 | 4 | 4 | 3 | 23 | 79.3 | $112K | 19 Feb 2026 |
| Madera Care Center | Madera | 64 | 4 | 4 | 3 | 38 | 59.4 | $42K | 19 Mar 2026 |
| Madera Rehabilitation & Nursing Center | Madera | 176 | 1 | 1 | 3 | 71 | 40.3 | $374K | 24 Feb 2026 |
| Majestic Mountain Care Centerabuse iconSFF Candidate | Oakhurst | 66 | 1 | 1 | 2 | 63 | 95.5 | $253K | 6 May 2026 |
All 5 facilities in Madera County
Questions and answers
How many deficiencies has Palms Care Center been cited for?
39 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.
Has Palms Care Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Palms Care Center compare?
Reported total nurse staffing is 4.2 hours per resident per day against a California median of 4.2 and a national average of 3.9.
Who operates Palms Care Center?
It is part of the Ajc Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Palms Care Center Holdings LLC, Swc Ca Opco, LLC and Palms Care Center Holdings LLC. Individual owners and managers are not listed on this site.
When was Palms Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 4 Apr 2025; the most recent standard health survey was 4 Apr 2025.
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.