Grand Oaks Care
897 North M Street · Tulare, CA · 93274 · 5596871340
99 certified beds For profit - Limited Liability company Chain: Ajc Healthcare
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The composite number cleared 76 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
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.10 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.39 | 0.55–0.75 |
| Weekend hours / resident-day | 3.76 | ≈ weekday level |
| Nursing turnover / year | 50% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (55 in the current record)
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Potential for harm · D March 12, 2026 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 31, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 12, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 23, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 12, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected February 23, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 12, 2026
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected February 23, 2026 · Quality of Life and Care
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Potential for harm · D February 12, 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 February 23, 2026 · Pharmacy Service
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Potential for harm · D February 12, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 23, 2026 · Nutrition and Dietary
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Potential for harm · E February 12, 2026
Provide and implement an infection prevention and control program.
Corrected February 23, 2026 · Infection Control
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Potential for harm · F September 2, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected September 3, 2025 · Nursing and Physician Services
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Potential for harm · D July 29, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Past Non-Compliance · Resident Rights
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Potential for harm · D July 3, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected July 7, 2025 · Resident Rights
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Potential for harm · D May 9, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected May 9, 2025 · Resident Rights
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Potential for harm · D January 29, 2025 · 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 February 13, 2025 · Resident Assessment and Care Planning
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Potential for harm · E October 10, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected October 24, 2024 · Resident Rights
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Potential for harm · E October 10, 2024
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected October 24, 2024 · Resident Rights
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Potential for harm · D October 10, 2024
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 October 24, 2024 · Resident Rights
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Potential for harm · D October 10, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected October 24, 2024 · Resident Rights
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Potential for harm · E October 10, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected October 24, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 10, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected October 24, 2024 · Quality of Life and Care
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Potential for harm · E October 10, 2024
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected October 24, 2024 · Quality of Life and Care
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Potential for harm · E October 10, 2024
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, 2024 · Nursing and Physician Services
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Potential for harm · E October 10, 2024
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected October 24, 2024 · Quality of Life and Care
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Potential for harm · D October 10, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected October 24, 2024 · Pharmacy Service
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Potential for harm · E October 10, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected October 24, 2024 · Pharmacy Service
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Potential for harm · E October 10, 2024
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 October 24, 2024 · Pharmacy Service
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Potential for harm · D October 10, 2024
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected October 24, 2024 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Better-scoring options nearby
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 555861 · certified since June 26, 2009. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.