California › Fresno County › Selma
Rolling Hills Care Center
2108 Stillman, Selma, CA 93662
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.
Rolling Hills Care Center, in Selma, California, is certified for 34 beds under for-profit, limited liability company ownership and belongs to the Ajc Healthcare chain.
CMS gives it 2 of 5 stars overall, below the California median of 3; the health inspection rating is 2, staffing 2 and quality measures 4.
Inspectors recorded 35 health deficiencies across the three most recent survey cycles (15, 11, 9 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 102.9 per 100 beds, more than 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 (0.4 RN), close to the California median of 4.2; nursing staff turnover is 40.0%.
Compared with county, state and nation
| Measure | This facility | Fresno Co. median | California median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 35 | 41 | 44 | 28.7 |
| Citations per 100 beds | 102.9 | 53.5 | 51.1 | 26.8 |
| Total nurse hours per resident day | 4.2 | 4.1 | 4.2 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.5 | 0.7 |
| Nursing staff turnover | 40.0% | 45.7% | 36.4% | 45.8% |
| Fines listed | $0 | $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: 22 May 2026, 25 Nov 2024.
Severity mix: G ×1 D ×18 E ×8 F ×7 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 |
|---|---|---|---|---|---|
| 22 May 2026 | 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 Jun 2026 |
| 22 May 2026 | F0881 | Implement a program that monitors antibiotic use. | F | Standard survey | 12 Jun 2026 |
| 22 May 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 12 Jun 2026 |
| 22 May 2026 | F0732 | Post nurse staffing information every day. | E | Standard survey | 12 Jun 2026 |
| 22 May 2026 | 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. | E | Standard survey | 12 Jun 2026 |
| 22 May 2026 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 12 Jun 2026 |
| 22 May 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 | 12 Jun 2026 |
| 22 May 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 12 Jun 2026 |
| 22 May 2026 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 12 Jun 2026 |
| 22 May 2026 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 12 Jun 2026 |
| 22 May 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. | D | Standard survey | 12 Jun 2026 |
| 22 May 2026 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard survey | 12 Jun 2026 |
| 22 May 2026 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard survey | 12 Jun 2026 |
| 22 May 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 | 12 Jun 2026 |
| 22 May 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 12 Jun 2026 |
| 25 Nov 2024 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | Standard survey | 31 Dec 2024 |
| 25 Nov 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 | 31 Dec 2024 |
| 25 Nov 2024 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | F | Standard survey | 31 Dec 2024 |
| 25 Nov 2024 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Standard survey | 31 Dec 2024 |
| 25 Nov 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 | 31 Dec 2024 |
| 25 Nov 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 31 Dec 2024 |
| 25 Nov 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 | 31 Dec 2024 |
| 25 Nov 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 31 Dec 2024 |
| 25 Nov 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 | 31 Dec 2024 |
| 25 Nov 2024 | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Standard survey | 31 Dec 2024 |
| 20 Sep 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 30 Sep 2024 |
| 6 May 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 25 Jun 2024 |
| 14 Jan 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 | 24 Feb 2024 |
| 14 Jan 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 24 Feb 2024 |
| 14 Jan 2024 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Complaint investigation | 24 Feb 2024 |
| 14 Jan 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 24 Feb 2024 |
| 14 Jan 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 24 Feb 2024 |
| 14 Jan 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 | 24 Feb 2024 |
| 14 Jan 2024 | F0908 | Keep all essential equipment working safely. | D | Standard survey | 24 Feb 2024 |
| 14 Jan 2024 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | C | Standard survey | 24 Feb 2024 |
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 40.0%, RNs —; 1 administrator 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 | 1.1% | 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 | 0.0% | 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 | 0.0% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.9% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 0.0% | 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: Rolling Hills Care Center Llc. Chain: Ajc Healthcare (14 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Rolling Hills Care Center Holdings LLC | 5% or greater direct ownership interest | 100% | 07/17/2019 |
| Swc Ca Opco, LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 02/01/2021 |
| Rolling Hills 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 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 Rolling Hills Care Center been cited for?
35 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 Rolling Hills Care Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Rolling Hills 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 Rolling Hills 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 Rolling Hills Care Center Holdings LLC, Swc Ca Opco, LLC and Rolling Hills Care Center Holdings LLC. Individual owners and managers are not listed on this site.
When was Rolling Hills Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 22 May 2026; the most recent standard health survey was 22 May 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.