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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeCaliforniaFowler Care Center

Fowler Care Center

8448 East Adams Avenue, Fowler, CA 936255598342519
4/5Above Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
3/5
Staffing
3/5
Quality
5/5
Beds
46
certified

Key Findings

• CMS rates this facility 4/5 stars (above average)

• Has 46 certified beds with an average of 41.3 residents per day (90% occupancy)

• Last health inspection found 12 deficiencies (inspected Mar 7, 2025)

• No fines on record

• Total nursing staff: 4.52 hours per resident per day

• Staff turnover rate: 60.7% (high)

• Part of the Ajc Healthcare chain (14 facilities)

Fowler Care Center is a 4-star Medicare and Medicaid certified nursing home in Fowler, California with 46 certified beds. It has been operating since 2019. The facility scored above average compared to California facilities.

Beds
46
Avg Residents/Day
41.3
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Nov 9, 2019
Sprinklers
Yes
Council
Resident
County
Fresno
Last Inspection
Mar 7, 2025
Deficiencies (Cycle 1)
12
Weighted Score
91.0
Infection Citations
0

Deficiency Citations (41)

F0550Potential for Harm

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

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0557Potential for Harm

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0584Potential for Harm

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.

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0658Potential for Harm

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

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0726Potential for Harm

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.

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0810Potential for Harm

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

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0812Potential for Harm

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

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0912Minimal Harm

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

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0921Potential for Harm

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0689Potential for Harm

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

Survey: Nov 13, 2024Corrected: NoCycle: 2
F0689Potential for Harm

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

Survey: Sep 26, 2024Corrected: NoCycle: 2
F0689Potential for Harm

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

Survey: Jun 27, 2024Corrected: NoCycle: 2
F0689Potential for Harm

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

Survey: Jun 7, 2024Corrected: NoCycle: 2
F0585Potential for Harm

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Survey: Mar 15, 2024Corrected: NoCycle: 2
F0658Potential for Harm

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

Survey: Mar 15, 2024Corrected: NoCycle: 2
F0761Potential for Harm

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.

Survey: Mar 15, 2024Corrected: NoCycle: 2
F0812Potential for Harm

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

Survey: Mar 15, 2024Corrected: NoCycle: 2
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Mar 15, 2024Corrected: NoCycle: 2
F0908Potential for Harm

Keep all essential equipment working safely.

Survey: Mar 15, 2024Corrected: NoCycle: 2
F0912Minimal Harm

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

Survey: Mar 15, 2024Corrected: NoCycle: 2
F0921Potential for Harm

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Survey: Mar 15, 2024Corrected: NoCycle: 2
F0726Potential for Harm

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.

Survey: Jan 23, 2024Corrected: NoCycle: 3
F0919Potential for Harm

Make sure that a working call system is available in each resident's bathroom and bathing area.

Survey: Jan 23, 2024Corrected: NoCycle: 3
F0609Potential for Harm

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

Survey: May 8, 2023Corrected: NoCycle: 3
F0755Potential for Harm

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

Survey: Apr 27, 2023Corrected: NoCycle: 3
F0550Potential for Harm

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

Survey: May 8, 2023Corrected: NoCycle: 3
F0623Potential for Harm

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Survey: May 8, 2023Corrected: NoCycle: 3

+ 11 more deficiencies

Total Fines
$0
Number of Fines
0
Payment Denials
1
Total Penalties
1

Penalty History

Payment DenialApr 27, 2023
12 days denied

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.80 hrs
National avg: 2.35 hrs
LPN1.34 hrs
National avg: 0.86 hrs
RN0.38 hrs
National avg: 0.68 hrs
Total Nursing4.52 hrs
National avg: 3.89 hrs
Weekend Total3.98 hrs
National avg: 0.00 hrs
Physical Therapist0.03 hrs
National avg: 0.07 hrs
Total Turnover
60.7%
RN Turnover
71.4%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (10)

NameRoleTypeOwnership %Since
AJC HEALTHCARE LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AFeb 1, 2021
FOWLER CARE CENTER HOLDINGS LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AMay 17, 2019
JBG PARTNERS LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AFeb 1, 2021
SWC CA OPCO, LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AFeb 1, 2021
CHESLEY, AARON5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualN/AFeb 1, 2021
GAMETT, JAMES5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualN/AFeb 1, 2021
FOWLER CARE CENTER HOLDINGS LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AMay 17, 2019
CHESLEY, AARONCORPORATE OFFICERIndividualN/AFeb 1, 2021
GAMETT, JAMESCORPORATE OFFICERIndividualN/AFeb 1, 2021
SMITH, PHYLICIAW-2 MANAGING EMPLOYEEIndividualN/AFeb 1, 2021

Nearby Nursing Homes

All California facilities

Vineyards at Fowler

Fowler, CA · 49 beds

For profit
Health
Staffing
Quality
1.7 mi

Frequently Asked Questions

What is the CMS rating for Fowler Care Center?▾
Fowler Care Center has an overall CMS rating of 4 out of 5 stars, with a health inspection rating of 3/5, staffing rating of 3/5, and quality measures rating of 5/5. This facility is rated above average.
Has Fowler Care Center had any health inspection violations?▾
Fowler Care Center had 12 deficiency citations in its most recent health inspection (Mar 7, 2025). The facility has no fines on record.
What are the staffing levels at Fowler Care Center?▾
Fowler Care Center provides 4.52 total nursing staff hours per resident per day, including 0.38 RN hours, 1.34 LPN hours, and 2.80 nurse aide hours. The total staff turnover rate is 60.7%.
How many beds does Fowler Care Center have?▾
Fowler Care Center has 46 certified beds with an average of 41.3 residents per day, resulting in approximately 90% occupancy. The facility is For profit - Limited Liability company owned and is part of the Ajc Healthcare chain.
Are there other nursing homes near Fowler Care Center?▾
Yes, there are 1 other nursing home in Fowler, California with an average rating of 3/5. You can compare all facilities on the Fowler nursing homes page.

Part of Ajc Healthcare

This chain operates 14 facilities. View all →