GRAND OAKS CARE
GRAND OAKS CARE, in TULARE, California, holds 99 certified beds and has been certified for Medicare and Medicaid since 2009-06-26, averaging 93.2 residents a day.
Has GRAND OAKS CARE been cited for violations?
CMS lists 55 health-inspection deficiencies for GRAND OAKS CARE since 2022-10-13, 43 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is F; the most recent health inspection was 2026-03-12.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-03-12 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D |
| 2026-02-12 | F0880 | Provide and implement an infection prevention and control program. | E |
| 2026-02-12 | F0656, F0658, F0698, F0761, F0812 | Develop 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. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / 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. | D |
| 2025-09-02 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F |
| 2025-07-29 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D |
| 2025-07-03 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D |
| 2025-05-09 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D |
| 2025-01-29 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2024-10-10 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F |
| 2024-10-10 | F0558, F0578, F0658, F0688, F0726, F0745, F0756, F0761, F0880, F0921 | Reasonably accommodate the needs and preferences of each resident. / 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. / Ensure services provided by the nursing facility meet professional standards of quality. / 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. / 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. / Provide medically-related social services to help each resident achieve the highest possible quality of life. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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 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. | E |
| 2024-10-10 | F0584, F0623, F0686, F0755, F0805, F0806 | 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. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. | D |
| 2024-06-20 | F0804, F0837 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / 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. | E |
| 2024-06-20 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2024-05-07 | F0580, F0919 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Make sure that a working call system is available in each resident's bathroom and bathing area. | D |
| 2024-04-23 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D |
| 2024-02-13 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D |
| 2024-02-07 | F0580, F0755 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2023-12-22 | F0655, F0658 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Ensure services provided by the nursing facility meet professional standards of quality. | D |
| 2023-11-02 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E |
| 2023-11-02 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2023-10-10 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2022-10-13 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2022-10-13 | F0676, F0679, F0698, F0755, F0804, F0880 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide activities to meet all resident's needs. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Provide and implement an infection prevention and control program. | E |
| 2022-10-13 | F0578, F0656, F0677, F0688, F0806 | 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. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable. / 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. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D |
How is GRAND OAKS CARE staffed relative to the CA average?
| Measure | This facility | CA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 4.24835 | 4.51570 |
| Total nursing staff turnover (%) | 50.4 | 36.7 |
| Average number of residents per day | 93.2 | 87.9 |
Who owns GRAND OAKS CARE, and what chain is it in?
GRAND OAKS CARE is registered with CMS as For profit - Limited Liability company, operates under the legal business name GRAND OAKS CARE LLC and belongs to the AJC HEALTHCARE chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | SWC CA OPCO 2 LLC | since 05/01/2022 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | CHESLEY, AARON | since 05/01/2022 |
| W-2 MANAGING EMPLOYEE | LAWRENCE, MICHELLE | since 05/01/2022 |
| CORPORATE OFFICER | CHESLEY, AARON, GAMETT, JAMES | since 05/01/2022 |