Franciscan Post-Acute Care Center
3169 M Street · Merced, CA · 95348 · 2097226231
71 certified beds For profit - Corporation Chain: Avalon Health Care
Why this verdict
- 3 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The composite number cleared 73 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 3 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 4 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.44 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.38 | 0.55–0.75 |
| Weekend hours / resident-day | 4.12 | ≈ weekday level |
| Nursing turnover / year | 34% | median 45% |
| Fines (3-yr window) | 1 · $9,110 |
Inspection citations (31 in the current record)
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Potential for harm · D April 20, 2026 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 1, 2026 · Resident Assessment and Care Planning
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Potential for harm · D April 20, 2026 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 1, 2026 · Resident Assessment and Care Planning
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Potential for harm · D April 20, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 1, 2026 · Quality of Life and Care
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Actual harm · G June 12, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected July 4, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 12, 2025 · found via complaint
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected July 4, 2025 · Nutrition and Dietary
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Potential for harm · D April 10, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected May 2, 2025 · Resident Assessment and Care Planning
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Actual harm · G February 5, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 28, 2025 · Quality of Life and Care
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Potential for harm · D February 5, 2025 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected February 28, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 5, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected February 28, 2025 · Resident Assessment and Care Planning
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Potential for harm · E January 13, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected February 12, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 11, 2024 · found via complaint
Provide or get specialized rehabilitative services as required for a resident.
Corrected December 30, 2024 · Quality of Life and Care
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Potential for harm · D September 17, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected October 10, 2024 · Resident Assessment and Care Planning
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Potential for harm · E August 29, 2024 · found via complaint
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected September 30, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 16, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 10, 2024 · Quality of Life and Care
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Actual harm · G April 17, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 16, 2024 · Quality of Life and Care
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Potential for harm · D January 30, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected February 21, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 2, 2023 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected October 24, 2023 · Resident Assessment and Care Planning
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Potential for harm · D October 2, 2023 · found via complaint
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.
Corrected October 24, 2023 · Nursing and Physician Services
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Potential for harm · D July 11, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 1, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E December 1, 2022
Ensure each resident receives an accurate assessment.
Corrected December 22, 2022 · Resident Assessment and Care Planning
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Potential for harm · E December 1, 2022
Provide safe and appropriate respiratory care for a resident when needed.
Corrected December 22, 2022 · Quality of Life and Care
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Potential for harm · E December 1, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 22, 2022 · Nutrition and Dietary
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Potential for harm · D December 1, 2022
Provide and implement an infection prevention and control program.
Corrected December 22, 2022 · Infection Control
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Potential for harm · D February 15, 2019
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 3, 2019 · Resident Rights
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Potential for harm · E February 15, 2019
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.
Corrected April 3, 2019 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 13, 2025 | Fine | $9,110 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 055979 · certified since July 31, 1969. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.