Grace Healthcare Center
2939 S. Peach Avenue · Fresno, CA · 93725 · 5592336248
99 certified beds For profit - Limited Liability company
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
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 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.69 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.54 | 0.55–0.75 |
| Weekend hours / resident-day | 3.27 | ≈ weekday level |
| Nursing turnover / year | 44% | median 45% |
| Fines (3-yr window) | 6 · $36,697 |
Inspection citations (68 in the current record)
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Potential for harm · D March 20, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 16, 2026 · Resident Rights
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Potential for harm · D March 20, 2026
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 16, 2026 · Resident Rights
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Potential for harm · D March 20, 2026
Ensure each resident receives an accurate assessment.
Corrected April 16, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 20, 2026
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Corrected April 16, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 20, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 16, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 20, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 16, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 20, 2026
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 April 16, 2026 · Nursing and Physician Services
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Potential for harm · D March 20, 2026
Observe each nurse aide's job performance and give regular training.
Corrected April 16, 2026 · Nursing and Physician Services
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Potential for harm · D March 20, 2026
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected April 16, 2026 · Pharmacy Service
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Potential for harm · D March 20, 2026
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.
Corrected April 16, 2026 · Pharmacy Service
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Potential for harm · F March 20, 2026
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.
Corrected April 16, 2026 · Nutrition and Dietary
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Potential for harm · D March 20, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 16, 2026 · Nutrition and Dietary
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Potential for harm · D March 20, 2026
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 16, 2026 · Resident Assessment and Care Planning
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Potential for harm · E March 20, 2026
Provide and implement an infection prevention and control program.
Corrected April 16, 2026 · Infection Control
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Potential for harm · F March 20, 2026
Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.
Corrected April 16, 2026 · Environmental
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Potential for harm · E March 20, 2026
Have policies on smoking.
Corrected April 16, 2026 · Environmental
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Actual harm · G September 5, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 15, 2025 · Quality of Life and Care
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Potential for harm · D December 23, 2024 · found via complaint
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.
Corrected January 23, 2025 · Nursing and Physician Services
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Potential for harm · F October 2, 2024 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected November 15, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 2, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected November 15, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · F October 2, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected November 15, 2024 · Pharmacy Service
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Potential for harm · E October 2, 2024 · found via complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected November 15, 2024 · Pharmacy Service
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Potential for harm · E October 2, 2024 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected November 15, 2024 · Administration
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Potential for harm · E October 2, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected November 15, 2024 · Infection Control
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Potential for harm · E October 2, 2024 · found via complaint
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected November 15, 2024 · Administration
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 5, 2025 | Payment Denial | 4 days |
| September 5, 2023 | Fine | $4,587 |
| August 28, 2023 | Fine | $4,587 |
| August 21, 2023 | Fine | $4,587 |
| August 14, 2023 | Fine | $4,587 |
| July 17, 2023 | Fine | $13,762 |
| June 26, 2023 | Fine | $4,587 |
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 555352 · certified since June 1, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.