Vineyards at Fowler

1306 East Sumner Avenue · Fowler, CA · 93625 · 5598342542

49 certified beds For profit - Limited Liability company Chain: Ajc Healthcare

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • No federal fines or payment denials in CMS’s 3-year window.

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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.

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Red flags

1 immediate-jeopardy citation in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

RN staffing in the bottom 10% nationally

0.23 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

Score breakdown

Inspection record 30% of score 39
Serious harm & abuse 20% 94
Staffing 20% 65
Federal penalties 15% 100
Trend 10% 47
Context 5% 100

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: 2 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day4.493.48 min · 4.1 strong
RN hours / resident-day0.230.55–0.75
Weekend hours / resident-day3.92≈ weekday level
Nursing turnover / year49%median 45%
Fines (3-yr window)none

Inspection citations (53 in the current record)

  • Potential for harm · D March 4, 2026 · found via complaint

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

    Corrected March 27, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 9, 2026

    Ensure each resident receives an accurate assessment.

    Corrected January 23, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D January 9, 2026

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected January 23, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E January 9, 2026

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

    Corrected January 23, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D January 9, 2026

    Post nurse staffing information every day.

    Corrected January 23, 2026 · Nursing and Physician Services

  • Potential for harm · D January 9, 2026

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

    Corrected January 23, 2026 · Pharmacy Service

  • Potential for harm · E January 9, 2026

    Ensure medication error rates are not 5 percent or greater.

    Corrected January 23, 2026 · Pharmacy Service

  • Potential for harm · E January 9, 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 January 23, 2026 · Pharmacy Service

  • Potential for harm · F January 9, 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 January 23, 2026 · Nutrition and Dietary

  • Potential for harm · D January 9, 2026

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

    Corrected January 23, 2026 · Nutrition and Dietary

  • Potential for harm · D January 9, 2026

    Provide special eating equipment and utensils for residents who need them and appropriate assistance.

    Corrected January 23, 2026 · Nutrition and Dietary

  • Potential for harm · F January 9, 2026

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

    Corrected January 23, 2026 · Nutrition and Dietary

  • Potential for harm · F January 9, 2026

    Dispose of garbage and refuse properly.

    Corrected January 23, 2026 · Nutrition and Dietary

  • No harm found · B January 9, 2026

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

    No revisit needed · Environmental

  • No harm found · B January 9, 2026

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    No revisit needed · Environmental

  • Potential for harm · D December 10, 2025 · found via complaint

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

    Corrected January 16, 2026 · Resident Rights

  • Potential for harm · D December 10, 2025 · found via complaint

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

    Corrected January 16, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D December 10, 2025 · found via complaint

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

    Corrected January 16, 2026 · Pharmacy Service

  • Potential for harm · D December 10, 2025 · found via complaint

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

    Corrected January 16, 2026 · Pharmacy Service

  • Potential for harm · D August 22, 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 September 12, 2025 · Resident Rights

  • Potential for harm · D February 20, 2025 · found via complaint

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

    Corrected February 19, 2025 · Quality of Life and Care

  • Potential for harm · D February 20, 2025 · 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 February 19, 2025 · Nursing and Physician Services

  • Potential for harm · D September 20, 2024

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Corrected October 28, 2024 · Resident Rights

  • Potential for harm · D September 20, 2024

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

    Corrected October 28, 2024 · Quality of Life and Care

  • Potential for harm · D September 20, 2024

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected October 28, 2024 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 055454 · certified since July 1, 1973. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.