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HomeCaliforniaFowler Care Center

Fowler Care Center

8448 East Adams Avenue, Fowler, CA 936255598342519WebsiteGoogle Maps
3.5on Google(26 reviews)
3/5Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
2/5
Staffing
2/5
Quality
5/5
Beds
46
certified

How Fowler Care Center Compares in California

Facility results compared with averages for CMS-certified nursing homes in California. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
3/5
CA average
3.2/5
Close to state average
Health inspection rating
2/5
CA average
2.8/5
Below state average
Staffing rating
2/5
CA average
3.3/5
Below state average
Nursing hours per resident
4.19 hrs/day
CA average
4.52 hrs/day
Below state average
RN hours per resident
0.19 hrs/day
CA average
0.67 hrs/day
Below state average
Staff turnover
50.8%
CA average
36.7%
Higher than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 2/5 health inspection rating is below the California average of 2.8/5.
Reported nursing time is 4.19 hours per resident per day, below the state average of 4.52.
Reported RN time is 0.19 hours per resident per day, below the state average of 0.67.
Staff turnover is 50.8%, higher than the California average of 36.7%.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
14
deficiency citations
Inspected Mar 15, 2024
Most recent cycle
14
deficiency citations
Inspected Mar 7, 2025
The two inspection cycles recorded the same number of deficiency citations.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$11,476/mo
California median
Private Room
$13,870/mo
California median
Fresno County 65+
125,708
12.5% of county
County Population
1,008,280
Fresno County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

Fowler Care Center is a 3-star Medicare and Medicaid certified nursing home in Fowler, California with 46 certified beds. It has been operating since 2019. Its overall CMS rating is 3 out of 5.

Beds
46
Avg Residents/Day
43.2
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)
14
Weighted Score
104.0
Infection Citations
0

Deficiency Citations (41)

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: May 7, 2026Corrected: NoCycle: 1
F0689Potential for Harm

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

Survey: Apr 3, 2026Corrected: 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
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
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
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
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

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

Provide and implement an infection prevention and control program.

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

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

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
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
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
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
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
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
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
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
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: 3
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: 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
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
F0802Potential for Harm

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Survey: May 8, 2023Corrected: NoCycle: 3
F0812Potential for Harm

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

Survey: May 8, 2023Corrected: NoCycle: 3

+ 11 more deficiencies

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

No penalties on record.

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

Nurse Aide2.74 hrs
National avg: 2.32 hrs
LPN1.26 hrs
National avg: 0.86 hrs
RN0.19 hrs
National avg: 0.69 hrs
Total Nursing4.19 hrs
National avg: 3.86 hrs
Weekend Total3.96 hrs
National avg: 0.00 hrs
Physical Therapist0.02 hrs
National avg: 0.07 hrs
Total Turnover
50.8%
RN Turnover
100.0%
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 (7)

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

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Fowler Care Center and nearby alternatives.

All California facilities
Fowler Care Center
Fowler, CACurrent facility
CMS
3/5
Health
2/5
Staffing
2/5
Recorded fines: None
Vineyards at Fowler
Fowler, CA1.7 mi
CMS
2/5
Health
2/5
Staffing
2/5
Recorded fines: None
Rolling Hills Care Center
Selma, CA4.6 mi
CMS
2/5
Health
2/5
Staffing
2/5
Recorded fines: None
Bethel Lutheran Home
Selma, CA5.2 mi
CMS
3/5
Health
3/5
Staffing
2/5
Recorded fines: None
Grace Healthcare Center
Fresno, CA6.1 mi
CMS
1/5
Health
1/5
Staffing
4/5
Recorded fines: $32,110
Cornerstone Care Center
Sanger, CA6.1 mi
CMS
2/5
Health
2/5
Staffing
3/5
Recorded fines: $27,612
Manning Gardens Care Center, INC
Fresno, CA6.4 mi
CMS
5/5
Health
4/5
Staffing
5/5
Recorded fines: $12,000
FacilityDistanceCMSHealthStaffingRecorded fines
Fowler Care Center
Fowler, CA · Current facility
—3/52/52/5None recorded
Vineyards at Fowler
Fowler, CA
1.7 mi2/52/52/5None recorded
Rolling Hills Care Center
Selma, CA
4.6 mi2/52/52/5None recorded
Bethel Lutheran Home
Selma, CA
5.2 mi3/53/52/5None recorded
Grace Healthcare Center
Fresno, CA
6.1 mi1/51/54/5$32,110
Cornerstone Care Center
Sanger, CA
6.1 mi2/52/53/5$27,612
Manning Gardens Care Center, INC
Fresno, CA
6.4 mi5/54/55/5$12,000

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for Fowler Care Center?▾
Fowler Care Center has an overall CMS rating of 3 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 2/5, and quality measures rating of 5/5. This facility is rated average.
How much does Fowler Care Center cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in California is $11,476/month for a semi-private room and $13,870/month for a private room (Genworth/CareScout 2024). Fowler Care Center participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Fowler Care Center had any health inspection violations?▾
Fowler Care Center had 14 deficiency citations in its most recent health inspection (Mar 7, 2025). The current CMS dataset records no fines for this facility.
What are the staffing levels at Fowler Care Center?▾
Fowler Care Center provides 4.19 total nursing staff hours per resident per day, including 0.19 RN hours, 1.26 LPN hours, and 2.74 nurse aide hours. The total staff turnover rate is 50.8%.
How many beds does Fowler Care Center have?▾
Fowler Care Center has 46 certified beds with an average of 43.2 residents per day, resulting in approximately 94% 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. This page lists 6 nearby nursing homes in California, including 1 in Fowler. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Fowler Care Center?▾
On Google Maps, Fowler Care Center has a rating of 3.5 out of 5 based on 26 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 3/5.

Part of Ajc Healthcare

This chain operates 14 facilities. View all →