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GRACE HEALTHCARE CENTER

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GRACE HEALTHCARE CENTER is a for profit - partnership facility in FRESNO, CA with 99 certified beds and a 1-star overall CMS rating. The facility has 50 deficiency records on file. Total penalties: $50K.

2939 S. PEACH AVENUE, FRESNO, CA 93725

Phone: 5592336248

Overall Rating

1/5

Health Inspection

1/5

Staffing

4/5

Quality Measures

4/5

Long-Stay Quality

4/5

Facility Information

Provider Number
555352
Ownership
For profit - Partnership
Provider Type
Medicare and Medicaid
Beds
99
Residents
59
In Hospital
No
County
Fresno
Last Inspection
Sep 13, 2024
Abuse citation on record

Staffing Data

RN Hours
0.79 (nat'l avg: 0.68)
LPN Hours
0.71
CNA Hours
3.03
Total Nursing Hours
4.52 (nat'l avg: 3.89)
PT Hours
0.00
Nursing Turnover
36.9%
RN Turnover
12.5%

What the CMS Record Reveals About GRACE HEALTHCARE CENTER

GRACE HEALTHCARE CENTER operates 99 certified beds in FRESNO, CA with approximately 59 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (1★), staffing levels (4★), and quality measures (4★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 50 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 7 penalties totaling $50K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 4.52 total nursing hours per resident day (national average 3.89), with RN coverage at 0.79 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Partnership" ownership and operating as a "Medicare and Medicaid" provider, GRACE HEALTHCARE CENTER falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 36.9%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (50 most recent)

G — Isolated - Actual harm Sep 5, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 15, 2025

D — Isolated - Minimal harm Dec 23, 2024 Tag: 0727

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Jan 23, 2025

D — Isolated - Minimal harm Oct 2, 2024 Tag: 0945

Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

Category: Infection Control Deficiencies

Corrected: Nov 15, 2024

E — Pattern - Minimal harm Oct 2, 2024 Tag: 0944

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

Category: Administration Deficiencies

Corrected: Nov 15, 2024

E — Pattern - Minimal harm Oct 2, 2024 Tag: 0940

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Category: Administration Deficiencies

Corrected: Nov 15, 2024

E — Pattern - Minimal harm Oct 2, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Nov 15, 2024

E — Pattern - Minimal harm Oct 2, 2024 Tag: 0835

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Category: Administration Deficiencies

Corrected: Nov 15, 2024

E — Pattern - Minimal harm Oct 2, 2024 Tag: 0757

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Category: Pharmacy Service Deficiencies

Corrected: Nov 15, 2024

F — Widespread - Minimal harm Oct 2, 2024 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Nov 15, 2024

D — Isolated - Minimal harm Oct 2, 2024 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Nov 15, 2024

F — Widespread - Minimal harm Oct 2, 2024 Tag: 0602

Protect each resident from the wrongful use of the resident's belongings or money.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Nov 15, 2024

F — Widespread - Minimal harm Sep 13, 2024 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: Oct 15, 2024

C — Widespread - No harm Sep 13, 2024 Tag: 0911

Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

Category: Environmental Deficiencies

Corrected: Oct 15, 2024

D — Isolated - Minimal harm Sep 13, 2024 Tag: 0908

Keep all essential equipment working safely.

Category: Environmental Deficiencies

Corrected: Oct 15, 2024

F — Widespread - Minimal harm Sep 13, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Oct 15, 2024

E — Pattern - Minimal harm Sep 13, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 15, 2024

F — Widespread - Minimal harm Sep 13, 2024 Tag: 0803

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.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 15, 2024

F — Widespread - Minimal harm Sep 13, 2024 Tag: 0802

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 15, 2024

E — Pattern - Minimal harm Sep 13, 2024 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Oct 15, 2024

D — Isolated - Minimal harm Sep 13, 2024 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Oct 15, 2024

D — Isolated - Minimal harm Sep 13, 2024 Tag: 0700

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.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 15, 2024

E — Pattern - Minimal harm Sep 13, 2024 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 15, 2024

E — Pattern - Minimal harm Sep 13, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 15, 2024

D — Isolated - Minimal harm Sep 13, 2024 Tag: 0644

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 15, 2024

D — Isolated - Minimal harm Sep 13, 2024 Tag: 0640

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 15, 2024

D — Isolated - Minimal harm Sep 13, 2024 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Oct 15, 2024

D — Isolated - Minimal harm Sep 13, 2024 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Oct 15, 2024

D — Isolated - Minimal harm Sep 13, 2024 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Oct 15, 2024

D — Isolated - Minimal harm May 16, 2024 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jun 4, 2024

D — Isolated - Minimal harm Jan 4, 2024 Tag: 0573

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

Category: Resident Rights Deficiencies

Corrected: Mar 1, 2024

D — Isolated - Minimal harm Aug 22, 2023 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 5, 2023

E — Pattern - Minimal harm Aug 22, 2023 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Sep 5, 2023

E — Pattern - Minimal harm Jun 16, 2023 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 1, 2023

D — Isolated - Minimal harm Jun 16, 2023 Tag: 0925

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Category: Environmental Deficiencies

Corrected: Aug 1, 2023

B — Pattern - No harm Jun 16, 2023 Tag: 0911

Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

Category: Environmental Deficiencies

Corrected: Aug 1, 2023

F — Widespread - Minimal harm Jun 16, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Aug 1, 2023

D — Isolated - Minimal harm Jun 16, 2023 Tag: 0814

Dispose of garbage and refuse properly.

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 1, 2023

F — Widespread - Minimal harm Jun 16, 2023 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 1, 2023

E — Pattern - Minimal harm Jun 16, 2023 Tag: 0806

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 1, 2023

E — Pattern - Minimal harm Jun 16, 2023 Tag: 0805

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 1, 2023

E — Pattern - Minimal harm Jun 16, 2023 Tag: 0802

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 1, 2023

E — Pattern - Minimal harm Jun 16, 2023 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Aug 1, 2023

E — Pattern - Minimal harm Jun 16, 2023 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Aug 1, 2023

E — Pattern - Minimal harm Jun 16, 2023 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Aug 1, 2023

D — Isolated - Minimal harm Jun 16, 2023 Tag: 0727

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Aug 1, 2023

E — Pattern - Minimal harm Jun 16, 2023 Tag: 0700

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.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 1, 2023

D — Isolated - Minimal harm Jun 16, 2023 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 1, 2023

E — Pattern - Minimal harm Jun 16, 2023 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 1, 2023

F — Widespread - Minimal harm Jun 16, 2023 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 1, 2023

E — Pattern - Minimal harm Jun 16, 2023 Tag: 0640

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 1, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 6.3% Yes
Percentage of long-stay residents who lose too much weight Long Stay 1.9% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.9% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.9% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 12.9% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 0.4% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 99.2% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 86.0% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay N/A Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 21.5% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 24.6% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No
Percentage of long-stay residents with pressure ulcers Long Stay 4.3% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 5.2% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 17.2% Yes

Penalty History 7 penalties totaling $50K

Date Type Amount
Sep 5, 2025 Payment Denial -
Sep 5, 2023 Fine $5K
Aug 28, 2023 Fine $5K
Aug 21, 2023 Fine $5K
Aug 14, 2023 Fine $5K
Jul 17, 2023 Fine $14K
Jun 26, 2023 Fine $5K
May 30, 2023 Payment Denial -
May 15, 2023 Fine $13K

Frequently Asked Questions

What is the overall CMS rating for GRACE HEALTHCARE CENTER?
GRACE HEALTHCARE CENTER has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (4★), and quality measures (4★).
What are the staffing levels at GRACE HEALTHCARE CENTER?
GRACE HEALTHCARE CENTER reports 4.52 total nursing hours per resident day (national average: 3.89). RN hours are 0.79 per resident day (national average: 0.68). Nursing staff turnover is 36.9%.
How many beds does GRACE HEALTHCARE CENTER have?
GRACE HEALTHCARE CENTER has 99 certified beds with approximately 59 residents. The facility is located at 2939 S. PEACH AVENUE, FRESNO, CA 93725.
Does GRACE HEALTHCARE CENTER have any deficiencies on record?
Yes, GRACE HEALTHCARE CENTER has 50 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has GRACE HEALTHCARE CENTER received any fines or penalties?
Yes, GRACE HEALTHCARE CENTER has received 7 penalties totaling $50K.
Who owns GRACE HEALTHCARE CENTER?
GRACE HEALTHCARE CENTER is classified as "For profit - Partnership" ownership. The facility type is "Medicare and Medicaid".
When was GRACE HEALTHCARE CENTER last inspected?
The most recent health inspection for GRACE HEALTHCARE CENTER was on Sep 13, 2024. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for GRACE HEALTHCARE CENTER?
GRACE HEALTHCARE CENTER is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial