Elder Care Record

California › Fresno County › Fowler

Vineyards At Fowler

1306 East Sumner Avenue, Fowler, CA 93625

CCN 055454 · For-profit, limited liability company · 49 certified beds · chain Ajc Healthcare

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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.

Vineyards At Fowler, in Fowler, California, is certified for 49 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 53 health deficiencies across the three most recent survey cycles (20, 12, 21 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 108.2 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 4.7 hours per resident per day (0.3 RN), close to the California median of 4.2; nursing staff turnover is 59.6%.

53health deficiencies, 3 survey cycles1 at actual harm or worse
$0fines listed by CMS0 penalties in period
4.7nurse hours per resident per daystate median 4.2
90%occupancy (residents ÷ beds)44 residents a day

Compared with county, state and nation

MeasureThis facilityFresno Co. medianCalifornia medianUS average
Overall star rating2333.0
Health citations, 3 cycles53414428.7
Citations per 100 beds108.253.551.126.8
Total nurse hours per resident day4.74.14.23.9
RN hours per resident day0.30.40.50.7
Nursing staff turnover59.6%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

Cycle 1 (latest)20
Cycle 212
Cycle 321

Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 9 Jan 2026, 20 Sep 2024.

Severity mix: K ×1 D ×32 E ×9 F ×5 B ×6

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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
4 Mar 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation27 Mar 2026
9 Jan 2026F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FStandard survey23 Jan 2026
9 Jan 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey23 Jan 2026
9 Jan 2026F0814Dispose of garbage and refuse properly.FStandard survey23 Jan 2026
9 Jan 2026F0658Ensure services provided by the nursing facility meet professional standards of quality.EStandard survey23 Jan 2026
9 Jan 2026F0759Ensure medication error rates are not 5 percent or greater.EStandard survey23 Jan 2026
9 Jan 2026F0761Ensure 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.EStandard survey23 Jan 2026
9 Jan 2026F0641Ensure each resident receives an accurate assessment.DStandard survey23 Jan 2026
9 Jan 2026F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey23 Jan 2026
9 Jan 2026F0732Post nurse staffing information every day.DStandard survey23 Jan 2026
9 Jan 2026F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey23 Jan 2026
9 Jan 2026F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard survey23 Jan 2026
9 Jan 2026F0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.DStandard survey23 Jan 2026
9 Jan 2026F0911Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.BStandard surveyNo revisit needed
9 Jan 2026F0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.BStandard surveyNo revisit needed
10 Dec 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation16 Jan 2026
10 Dec 2025F0602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint investigation16 Jan 2026
10 Dec 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation16 Jan 2026
10 Dec 2025F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DComplaint investigation16 Jan 2026
22 Aug 2025F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation12 Sep 2025
20 Feb 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation19 Feb 2025
20 Feb 2025F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DComplaint investigation19 Feb 2025
20 Sep 2024F0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.FStandard survey28 Oct 2024
20 Sep 2024F0880Provide and implement an infection prevention and control program.FStandard survey28 Oct 2024
20 Sep 2024F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard survey28 Oct 2024
20 Sep 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey28 Oct 2024
20 Sep 2024F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey28 Oct 2024
20 Sep 2024F0727Have 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.DStandard survey28 Oct 2024
20 Sep 2024F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard survey28 Oct 2024
20 Sep 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey28 Oct 2024
20 Sep 2024F0911Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.BStandard survey28 Oct 2024
20 Sep 2024F0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.BStandard survey28 Oct 2024
29 May 2024F0641Ensure each resident receives an accurate assessment.DComplaint investigation4 Jul 2024
29 May 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation4 Jul 2024
29 May 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation4 Jul 2024
29 May 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation4 Jul 2024
29 May 2024F0699Provide care or services that was trauma informed and/or culturally competent.DComplaint investigation4 Jul 2024
29 May 2024F0745Provide medically-related social services to help each resident achieve the highest possible quality of life.DComplaint investigation4 Jul 2024
19 May 2021F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.KStandard survey21 Jun 2021
19 May 2021F0585Honor 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.EStandard survey21 Jun 2021
19 May 2021F0641Ensure each resident receives an accurate assessment.EStandard survey21 Jun 2021
19 May 2021F0679Provide activities to meet all resident's needs.EStandard survey21 Jun 2021
19 May 2021F0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.EStandard survey21 Jun 2021
19 May 2021F0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.EStandard survey21 Jun 2021
19 May 2021F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey21 Jun 2021
19 May 2021F0584Honor 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.DStandard survey21 Jun 2021
19 May 2021F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey21 Jun 2021
19 May 2021F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey21 Jun 2021
19 May 2021F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey21 Jun 2021
19 May 2021F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard survey21 Jun 2021
19 May 2021F0880Provide and implement an infection prevention and control program.DStandard survey21 Jun 2021
19 May 2021F0911Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.BStandard survey21 Jun 2021
19 May 2021F0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.BStandard survey21 Jun 2021

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing4.71 h
Nurse aides3.06 h
LPN1.36 h
RN0.28 h
Weekend total4.1 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 59.6%, RNs —; 1 administrator left in the reporting year.

Quality measures

MeasureResidentsThis facilityCalifornia medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay7.9%8.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.8%0.3%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.4%0.7%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay4.0%1.3%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.6%0.8%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay0.0%8.6%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay0.5%3.6%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay2.8%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: The Vineyards At Fowler Llc. Chain: Ajc Healthcare (14 facilities).

OrganisationRole in the CMS recordInterestSince
Swc Ca Opco 2 LLC5% or greater direct ownership interest100%11/01/2021

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

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
California Home For the AgedFresno1205553529.2—19 Aug 2025
Community Subacute and Transitional Care CenterFresno1065551312.3—19 Dec 2025
Manning Gardens Care Center, IncFresno595454067.8$12K27 Mar 2026
North Point Healthcare & Wellness Centre LPFresno995532020.2—27 Mar 2025
Oakwood Gardens Care CenterFresno1035432827.2—9 Jan 2026
The Terraces At San Joaquin Gardens VillageFresno545353157.4—23 Apr 2025
Veterans Home of California - FresnoFresno1205452924.2—9 Apr 2026
Vineyard Care CenterReedley564324071.4—1 Apr 2026

All 31 facilities in Fresno County

Questions and answers

How many deficiencies has Vineyards At Fowler been cited for?

53 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 Vineyards At Fowler been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Vineyards At Fowler compare?

Reported total nurse staffing is 4.7 hours per resident per day against a California median of 4.2 and a national average of 3.9.

Who operates Vineyards At Fowler?

It is part of the Ajc Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Swc Ca Opco 2 LLC. Individual owners and managers are not listed on this site.

When was Vineyards At Fowler last inspected?

The most recent survey or investigation in the CMS record is dated 4 Mar 2026; the most recent standard health survey was 9 Jan 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.