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HomeCaliforniaGrand Oaks Care

Grand Oaks Care

897 North M Street, Tulare, CA 932745596871340WebsiteGoogle Maps
4.2on Google(33 reviews)
3/5Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
3/5
Staffing
2/5
Quality
4/5
Beds
99
certified

How Grand Oaks Care 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
3/5
CA average
2.8/5
Close to state average
Staffing rating
2/5
CA average
3.3/5
Below state average
Nursing hours per resident
4.25 hrs/day
CA average
4.52 hrs/day
Below state average
RN hours per resident
0.34 hrs/day
CA average
0.67 hrs/day
Below state average
Staff turnover
50.4%
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

Reported nursing time is 4.25 hours per resident per day, below the state average of 4.52.
Reported RN time is 0.34 hours per resident per day, below the state average of 0.67.
Staff turnover is 50.4%, 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
33
deficiency citations
Inspected Oct 10, 2024
Most recent cycle
10
deficiency citations
Inspected Feb 12, 2026
The most recent cycle recorded 23 fewer deficiency citations than the previous cycle.

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
Tulare County 65+
54,353
11.5% of county
County Population
473,446
Tulare County

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

Swipe tabs for staffing, quality and ownership.

Grand Oaks Care is a 3-star Medicare and Medicaid certified nursing home in Tulare, California with 99 certified beds. It has been operating since 2009. Its overall CMS rating is 3 out of 5.

Beds
99
Avg Residents/Day
93.2
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
Feb 12, 2026
Deficiencies (Cycle 1)
10
Weighted Score
91.0
Infection Citations
0

Deficiency Citations (55)

F0658Potential for Harm

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

Survey: Mar 12, 2026Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Feb 12, 2026Corrected: 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: Feb 12, 2026Corrected: NoCycle: 1
F0658Potential for Harm

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

Survey: Feb 12, 2026Corrected: NoCycle: 1
F0698Potential for Harm

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Survey: Feb 12, 2026Corrected: 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: Feb 12, 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: Feb 12, 2026Corrected: NoCycle: 1
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: 2
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
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: 2
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Oct 10, 2024Corrected: NoCycle: 2
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: 2
F0658Potential for Harm

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

Survey: Oct 10, 2024Corrected: NoCycle: 2
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: 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: Oct 10, 2024Corrected: NoCycle: 2
F0745Potential for Harm

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

Survey: Oct 10, 2024Corrected: NoCycle: 2
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: 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: Oct 10, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Oct 10, 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: Oct 10, 2024Corrected: NoCycle: 2
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: 2
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: 2
F0686Potential for Harm

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

Survey: Oct 10, 2024Corrected: NoCycle: 2
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: 2
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: 2
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: 2
F0804Potential for Harm

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

Survey: Jun 20, 2024Corrected: NoCycle: 3

+ 25 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 Aide2.77 hrs
National avg: 2.32 hrs
LPN1.14 hrs
National avg: 0.86 hrs
RN0.34 hrs
National avg: 0.69 hrs
Total Nursing4.25 hrs
National avg: 3.86 hrs
Weekend Total3.81 hrs
National avg: 0.00 hrs
Physical Therapist0.05 hrs
National avg: 0.07 hrs
Total Turnover
50.4%
RN Turnover
25.0%
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 (5)

NameRoleTypeOwnership %Since
SWC CA OPCO 2 LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%May 1, 2022
CHESLEY, AARON5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividual50%May 1, 2022
LAWRENCE, MICHELLEW-2 MANAGING EMPLOYEEIndividualN/AMay 1, 2022
CHESLEY, AARONCORPORATE OFFICERIndividualN/AMay 1, 2022
GAMETT, JAMESCORPORATE OFFICERIndividualN/AMay 1, 2022

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Grand Oaks Care and nearby alternatives.

All California facilities
Grand Oaks Care
Tulare, CACurrent facility
CMS
3/5
Health
3/5
Staffing
2/5
Recorded fines: None
Tulare Healthcare & Wellness Center, LP
Tulare, CA528 ft
CMS
2/5
Health
2/5
Staffing
2/5
Recorded fines: None
Orchards at Tulare
Tulare, CA528 ft
CMS
1/5
Health
1/5
Staffing
3/5
Recorded fines: $68,938
Westgate Gardens Care Center
Visalia, CA6.9 mi
CMS
3/5
Health
2/5
Staffing
3/5
Recorded fines: $10,317
Sequoia Vista
Visalia, CA6.9 mi
CMS
1/5
Health
1/5
Staffing
2/5
Recorded fines: $46,078
Linwood Meadows Care Center
Visalia, CA7.0 mi
CMS
3/5
Health
2/5
Staffing
3/5
Recorded fines: None
Kaweah Health Skilled Nursing Center
Visalia, CA7.2 mi
CMS
5/5
Health
4/5
Staffing
3/5
Recorded fines: None
FacilityDistanceCMSHealthStaffingRecorded fines
Grand Oaks Care
Tulare, CA · Current facility
—3/53/52/5None recorded
Tulare Healthcare & Wellness Center, LP
Tulare, CA
528 ft2/52/52/5None recorded
Orchards at Tulare
Tulare, CA
528 ft1/51/53/5$68,938
Westgate Gardens Care Center
Visalia, CA
6.9 mi3/52/53/5$10,317
Sequoia Vista
Visalia, CA
6.9 mi1/51/52/5$46,078
Linwood Meadows Care Center
Visalia, CA
7.0 mi3/52/53/5None recorded
Kaweah Health Skilled Nursing Center
Visalia, CA
7.2 mi5/54/53/5None recorded

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 Grand Oaks Care?▾
Grand Oaks Care has an overall CMS rating of 3 out of 5 stars, with a health inspection rating of 3/5, staffing rating of 2/5, and quality measures rating of 4/5. This facility is rated average.
How much does Grand Oaks Care 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). Grand Oaks Care participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Grand Oaks Care had any health inspection violations?▾
Grand Oaks Care had 10 deficiency citations in its most recent health inspection (Feb 12, 2026). The current CMS dataset records no fines for this facility.
What are the staffing levels at Grand Oaks Care?▾
Grand Oaks Care provides 4.25 total nursing staff hours per resident per day, including 0.34 RN hours, 1.14 LPN hours, and 2.77 nurse aide hours. The total staff turnover rate is 50.4%.
How many beds does Grand Oaks Care have?▾
Grand Oaks Care has 99 certified beds with an average of 93.2 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 Grand Oaks Care?▾
Yes. This page lists 6 nearby nursing homes in California, including 2 in Tulare. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Grand Oaks Care?▾
On Google Maps, Grand Oaks Care has a rating of 4.2 out of 5 based on 33 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 →