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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.
HomeCaliforniaGrand Oaks Care

Grand Oaks Care

897 North M Street, Tulare, CA 932745596871340
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
2/5
Quality
4/5
Beds
99
certified
1 fine(s) totaling $34,492

Key Findings

• CMS rates this facility 2/5 stars (below average)

• Has 99 certified beds with an average of 91.7 residents per day (93% occupancy)

• Last health inspection found 21 deficiencies (inspected Oct 10, 2024)

• Has been fined a total of $34,492 across 1 fine(s)

• Total nursing staff: 4.20 hours per resident per day

• Staff turnover rate: 44.8%

• Part of the Ajc Healthcare chain (14 facilities)

Grand Oaks Care is a 2-star Medicare and Medicaid certified nursing home in Tulare, California with 99 certified beds. It has been operating since 2009. The facility scored below average compared to California facilities.

Beds
99
Avg Residents/Day
91.7
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jun 26, 2009
Sprinklers
Yes
Council
Resident
County
Tulare
Last Inspection
Oct 10, 2024
Deficiencies (Cycle 1)
21
Weighted Score
157.0
Infection Citations
0

Deficiency Citations (64)

F0725Potential for Harm

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Survey: Sep 2, 2025Corrected: NoCycle: 1
F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Jul 29, 2025Corrected: NoCycle: 1
F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Jul 3, 2025Corrected: NoCycle: 1
F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: May 9, 2025Corrected: NoCycle: 1
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Oct 10, 2024Corrected: NoCycle: 1
F0578Potential for Harm

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.

Survey: Oct 10, 2024Corrected: 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: Oct 10, 2024Corrected: NoCycle: 1
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: Oct 10, 2024Corrected: NoCycle: 1
F0658Potential for Harm

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

Survey: Oct 10, 2024Corrected: NoCycle: 1
F0686Potential for Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Oct 10, 2024Corrected: NoCycle: 1
F0688Potential for Harm

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.

Survey: Oct 10, 2024Corrected: 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: Oct 10, 2024Corrected: NoCycle: 1
F0745Potential for Harm

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Survey: Oct 10, 2024Corrected: NoCycle: 1
F0755Potential for Harm

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

Survey: Oct 10, 2024Corrected: NoCycle: 1
F0756Potential for Harm

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Survey: Oct 10, 2024Corrected: NoCycle: 1
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: Oct 10, 2024Corrected: NoCycle: 1
F0805Potential for Harm

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Survey: Oct 10, 2024Corrected: NoCycle: 1
F0806Potential for Harm

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

Survey: Oct 10, 2024Corrected: NoCycle: 1
F0867Potential for Harm

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Survey: Oct 10, 2024Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Oct 10, 2024Corrected: 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: Oct 10, 2024Corrected: 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: Jan 29, 2025Corrected: NoCycle: 2
F0609Potential for Harm

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

Survey: Jun 20, 2024Corrected: NoCycle: 2
F0804Potential for Harm

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Survey: Jun 20, 2024Corrected: NoCycle: 2
F0837Potential for Harm

Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

Survey: Jun 20, 2024Corrected: NoCycle: 2
F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: May 7, 2024Corrected: NoCycle: 2
F0919Potential for Harm

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

Survey: May 7, 2024Corrected: NoCycle: 2
F0658Potential for Harm

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

Survey: Apr 23, 2024Corrected: NoCycle: 2
F0658Potential for Harm

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

Survey: Feb 13, 2024Corrected: NoCycle: 2
F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Feb 7, 2024Corrected: NoCycle: 2

+ 34 more deficiencies

Total Fines
$34,492
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineMay 15, 2023
$34,492

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

Nurse Aide2.78 hrs
National avg: 2.35 hrs
LPN1.06 hrs
National avg: 0.86 hrs
RN0.36 hrs
National avg: 0.68 hrs
Total Nursing4.20 hrs
National avg: 3.89 hrs
Weekend Total3.86 hrs
National avg: 0.00 hrs
Physical Therapist0.08 hrs
National avg: 0.07 hrs
Total Turnover
44.8%
RN Turnover
27.3%
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 (8)

NameRoleTypeOwnership %Since
SWC CA OPCO 2 LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%May 1, 2022
AJC HEALTHCARE LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AMay 1, 2022
JBG PARTNERS LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AMay 1, 2022
CHESLEY, AARON5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualN/AMay 1, 2022
GAMETT, JAMES5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualN/AMay 1, 2022
CHESLEY, AARONCORPORATE OFFICERIndividualN/AMay 1, 2022
GAMETT, JAMESCORPORATE OFFICERIndividualN/AMay 1, 2022
LAWRENCE, MICHELLEW-2 MANAGING EMPLOYEEIndividualN/AMay 1, 2022

Nearby Nursing Homes

All California facilities

Tulare Healthcare & Wellness Center, LP

Tulare, CA · 97 beds

For profit
Health
Staffing
Quality
511 ft

Orchards at Tulare

Tulare, CA · 99 beds

For profit$132,586 in fines
Health
Staffing
Quality
511 ft

Frequently Asked Questions

What is the CMS rating for Grand Oaks Care?▾
Grand Oaks Care has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 2/5, and quality measures rating of 4/5. This facility is rated below average.
Has Grand Oaks Care had any health inspection violations?▾
Grand Oaks Care had 21 deficiency citations in its most recent health inspection (Oct 10, 2024). The facility has been fined a total of $34,492 across 1 fine(s).
What are the staffing levels at Grand Oaks Care?▾
Grand Oaks Care provides 4.20 total nursing staff hours per resident per day, including 0.36 RN hours, 1.06 LPN hours, and 2.78 nurse aide hours. The total staff turnover rate is 44.8%.
How many beds does Grand Oaks Care have?▾
Grand Oaks Care has 99 certified beds with an average of 91.7 residents per day, resulting in approximately 93% occupancy. The facility is For profit - Limited Liability company owned and is part of the Ajc Healthcare chain.
Are there other nursing homes near Grand Oaks Care?▾
Yes, there are 2 other nursing homes in Tulare, California with an average rating of 1.7/5. You can compare all facilities on the Tulare nursing homes page.

Part of Ajc Healthcare

This chain operates 14 facilities. View all →