Grace Healthcare Center
Fresno, California · CCN 555352
40 surveys since 2011. The first finding at harm level was recorded in 2016.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 194
- Surveys
- 40
- Harm or worse
- 9
- Immediate jeopardy
- 6
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 101
- Ownership
- For profit - Limited Liability company
- Chain
- Independent
- County
- Fresno
- Medicare-certified since
- 1989
CMS ratings
- Overall
- 1
- Health inspection
- 1
- Staffing
- 4
- Quality measures
- 3
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 110 for-profit facilities of 100–127 beds in California.
Last survey on record
Jul 24, 2026
108 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 4.39 | 4.16 |
| Registered-nurse hours per resident day | 0.81 | — |
| Annual nurse turnover | 45.7% | 37.6% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Payment denials
- 1
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G11.3% | H— | I— |
| No harm, potential for more than minimal | D3040.0% | E2938.7% | F1317.3% |
| No harm, potential for minimal | A— | B11.3% | C11.3% |
Most frequently cited here
In CMS’s current monthly file.
- F8805×
Provide and implement an infection prevention and control program.
- F6584×
Ensure services provided by the nursing facility meet professional standards of quality.
- F6923×
Provide enough food/fluids to maintain a resident's health.
- F7273×
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.
- F7613×
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.
In the surveyor’s words
From the most serious findings on record at Grace Healthcare Center, in the surveyor’s own words.
- Immediate jeopardy, widespreadF607Jul 15, 2022
Based on interview and record review, the facility failed to follow their policy and procedure (P&P) on employment screening when nine of 10 current employees (housekeeping [HKA], janitorial [JAN], maintenance supervisor [MS], two dietary aides [DA 1 and DA 2], nursing assistant [NA], two certified nursing assistants [CNA 1 and CNA 3], and a Licensed Vocational Nurse [LVN 1] hired between the first week of April 2022 through 7/13/22 were permitted to work in the facility without first conducting criminal background screening and failed to check the CNA registry. […]
- Immediate jeopardy, patternF684Nov 8, 2022
Based on interview and record review, the facility failed to ensure licensed nurses followed professional standards of nursing practice for two of two residents (Resident 7 and 15) when: 1. Licensed nurses did not assess, recognize, and act on the clinical changes to Resident 7 to provide a higher level of care. Resident 7 was admitted with known insulin (a medication used to control blood sugar) dependent diabetes mellitus (body ' s inability to produce insulin), known history of diabetic ketoacidosis (DKA - serious life-threatening complication of diabetes that can lead to death) and experienced episodes of vomiting, refusing fluids and meals, refused medications, insulin was not administered as ordered for high blood sugar, high blood sugars were not rechecked after readings of 388… […]
- Immediate jeopardy, patternF687Nov 8, 2022
Based on observation, interview and record review, the facility failed to ensure licensed nurse (LN) staff followed Podiatrist 1 ' s (P, a podiatrist is a medical specialist who treats conditions related to foot, ankle, and lower leg) instructions to check Residents 5 and 6 ' s feet daily, apply lotion daily, and elevate their feet to reduce edema (swelling). From 6/14/22 to 11/1/22 (five months), LN staff did not assess foot and toenail care and Certified Nursing Assistants (CNAs) did not provide daily foot and toenail care in accordance with P1 ' s instructions. […]
- Immediate jeopardy, patternF692Nov 8, 2022
Based on observation, interview, and record review, the facility failed to implement a comprehensive systemic approach to ensure effective monitoring and systems to maintain acceptable parameters of nutritional status for two of four sampled residents (Resident 2 and Resident 6) when: 1. Resident 2 experienced a severe weight loss (weight loss greater than 5% in one month) of 12.6 pounds (lbs., unit of measurement for weight) (10.6%), from 118.0 lbs. on 9/7/22 to 105.4 lbs. on 10/29/22. […]
- Immediate jeopardy, patternF584Jul 14, 2021
Based on observation, interview, and record review, the facility failed to maintain a safe, comfortable and homelike environment for 30 of 54 residents (Residents 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 22, 23, 24, 25, 29, 32, 37, 41, 43, 52, and 54) when the temperature levels in seven resident rooms in Building (BLDG) 1, including the resident television room, main halls, nursing station, resident medication room and nutrition room, exceeded 81 degrees Fahrenheit (F- unit of temperature) (comfortable and safe temperature is 71 to 81 degrees F) on 7/1/21 at 3:55 p.m. and continued to climb to 90 degrees F by 6:15 p.m. In BLDG 2, the medication room temperature exceeded 81 degrees F and reached 88.2 degrees F. […]
Read 29 findings in full →The most serious and the most recent: 29 of 194 on record.
Every survey on record
FindingsAt actual harm or above
- Aug 5, 2026Complaint1 finding
- Jul 24, 2026Complaint2 findings
- Jul 10, 2026Complaint3 findings
- May 27, 2026Complaint2 findings
- Mar 20, 2026Standard16 findings
- Sep 5, 2025Complaint1 finding · 1 harm
- Dec 23, 2024Complaint1 finding
- Oct 2, 2024Complaint9 findings
Show the 32 earlier surveys
- Sep 13, 2024Standard17 findings
- May 16, 2024Complaint1 finding
- Jan 4, 2024Complaint1 finding
- Aug 22, 2023Complaint2 findings
- Jun 16, 2023Standard and complaint20 findings
- May 30, 2023Complaint2 findings
- Apr 5, 2023Complaint2 findings
- Mar 16, 2023Complaint3 findings
- Nov 8, 2022Complaint7 findings · 3 harm
- Jul 15, 2022Complaint3 findings · 1 harm
- Jan 20, 2022Complaint1 finding
- Nov 1, 2021Complaint2 findings
- Jul 14, 2021Complaint12 findings · 1 harm
- Jan 22, 2021Infection control1 finding
- Oct 31, 2019Standard11 findings
- Sep 26, 2019Complaint1 finding
- Nov 30, 2018Standard10 findings
- Sep 21, 2017Standard5 findings
- Sep 1, 2017Complaint1 finding
- Oct 28, 2016Complaint2 findings
- Aug 11, 2016Standard15 findings · 1 harm
- May 18, 2016Complaint3 findings · 2 harm
- May 3, 2016Complaint1 finding
- May 1, 2015Standard and complaint5 findings
- Sep 25, 2014Complaint1 finding
- Mar 28, 2014Standard and complaint4 findings
- Mar 19, 2014Complaint1 finding
- Jan 9, 2014—3 findings
- Apr 10, 2013—9 findings
- Mar 14, 2013—2 findings
- Apr 26, 2012—3 findings
- Feb 14, 2011—8 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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