GRACE HEALTHCARE CENTER

Fresno · CA · For profit - Limited Liability company · 101 certified beds · CCN 555352 · R. FELLEN, INC.


GRACE HEALTHCARE CENTER operates 101 certified beds in FRESNO, California. Its Medicare and Medicaid certification dates to 1989-06-01. It averages 58.4 residents a day.

What harm was found in the violations cited at GRACE HEALTHCARE CENTER?

CMS lists 70 health-inspection deficiencies for GRACE HEALTHCARE CENTER since 2023-06-16, 50 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-05-27.

Survey dateTagDeficiencySeverity
2026-05-27F0658, F0692Ensure services provided by the nursing facility meet professional standards of quality. / Provide enough food/fluids to maintain a resident's health.E
2026-03-20F0801, F0911Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. / Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.F
2026-03-20F0880, F0926Provide and implement an infection prevention and control program. / Have policies on smoking.E
2026-03-20F0550, F0580, F0641, F0646, F0656, F0657, F0726, F0730, F0757, F0761, F0812, F0842Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Ensure each resident receives an accurate assessment. / Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / 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. / Observe each nurse aide's job performance and give regular training. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2025-09-05F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2024-12-23F0727Have 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.D
2024-10-02F0602, F0755Protect each resident from the wrongful use of the resident's belongings or money. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.F
2024-10-02F0757, F0835, F0880, F0940, F0944Ensure each resident’s drug regimen must be free from unnecessary drugs. / Administer the facility in a manner that enables it to use its resources effectively and efficiently. / Provide and implement an infection prevention and control program. / Develop, implement, and/or maintain an effective training program for all new and existing staff members. / Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.E
2024-10-02F0607, F0945Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.D
2024-09-13F0802, F0803, F0880, F0921Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. / Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. / Provide and implement an infection prevention and control program. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.F
2024-09-13F0656, F0658, F0761, F0812Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2024-09-13F0550, F0600, F0623, F0640, F0644, F0700, F0755, F0908Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Keep all essential equipment working safely.D
2024-09-13F0911Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.C
2024-05-16F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2024-01-04F0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.D
2023-08-22F0584Honor 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.E
2023-08-22F0677Provide care and assistance to perform activities of daily living for any resident who is unable.D
2023-06-16F0641, F0812, F0880Ensure each resident receives an accurate assessment. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program.F
2023-06-16F0636, F0638, F0640, F0658, F0684, F0700, F0759, F0760, F0761, F0802, F0805, F0806Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Assure that each resident’s assessment is updated at least once every 3 months. / Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. / Ensure medication error rates are not 5 percent or greater. / Ensure that residents are free from significant medication errors. / 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. / Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.E
2023-06-16F0692, F0727, F0814, F0925Provide enough food/fluids to maintain a resident's health. / 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. / Dispose of garbage and refuse properly. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.D
2023-06-16F0911Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.B

Why was GRACE HEALTHCARE CENTER fined 3 times?

DateTypeAmount
2023-09-05Fine$4,587
2023-08-28Fine$4,587
2023-08-21Fine$4,587

Has GRACE HEALTHCARE CENTER had payment denied by Medicare?

Payment denial startLength in days
2025-10-114

How is GRACE HEALTHCARE CENTER staffed relative to the CA average?

MeasureThis facilityCA average
Total nurse staffing hours per resident per day4.393384.51570
Total nursing staff turnover (%)45.736.7
Average number of residents per day58.487.9

Who owns GRACE HEALTHCARE CENTER?

GRACE HEALTHCARE CENTER is registered with CMS as For profit - Limited Liability company, operates under the legal business name R. FELLEN, INC.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTGONZALEZ, LLATISHAsince 08/31/2017
W-2 MANAGING EMPLOYEEGONZALEZ, LLATISHAsince 07/20/2017
CORPORATE DIRECTORGONZALEZ, LLATISHAsince 07/20/2017
CORPORATE OFFICERGONZALEZ, LLATISHAsince 07/20/2017

Were you or a family member harmed at GRACE HEALTHCARE CENTER?