Palms Care Center

Nursing Home · Chowchilla, CA

CMS overall rating 4/5 For profit - Limited Liability company

CMS certification number055047

Contact & location

1010 Ventura Avenue
Chowchilla, CA 93610
Madera County
Phone
(559) 665-4826
ZIP code
93610 – all care providers

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Facility details

Certified beds
65
Residents per day
59.5 (92% occupied)
Ownership
For profit - Limited Liability company
Legal name
Palms Care Center LLC
Chain
Ajc Healthcare (14 facilities, avg 2.2★)
Medicare certified since
January 1, 1967
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 4/5
State avg 3.2
Health inspections★★★★★ 4/5
State avg 2.8
Staffing★★★★★ 3/5
State avg 3.3
Quality measures★★★★★ 3/5
State avg 4.1
Long-stay quality★★★★★ 4/5
Short-stay quality★★★★★ 2/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
4.15 (state 4.52 · U.S. 3.86)
Registered nurses (RN)
0.27 (state 0.67 · U.S. 0.69)
Licensed practical nurses
1.19 (state 1.20 · U.S. 0.86)
Nurse aides
2.69 (state 2.65 · U.S. 2.32)
Weekend total
3.71 (state 4.09 · U.S. 3.42)
Nursing staff turnover
37.3 (state 36.7 · U.S. 45.8)%
RN turnover
16.7 (state 38.1 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
April 4, 2025
Health deficiencies (last cycle)
8.0 (state 15.7 · U.S. 9.3)
From complaints
0
Citations on record (3 years)
39 health · 23 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2025-04-04 Post nurse staffing information every day.
F0732 · Nursing and Physician Services Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2025-04-08
2025-04-04 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-04-08
2025-04-04 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-04-08
2025-04-04 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-04-08
2025-04-04 Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-04-08
2025-04-04 Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
F0801 · Nutrition and Dietary Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-04-08
2025-04-04 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-04-08
2025-04-04 Make sure that a working call system is available in each resident's bathroom and bathing area.
F0919 · Environmental Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-04-08
2024-07-30 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Corrected 2024-09-04
2024-04-19 Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
F0801 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2024-05-12
2024-04-19 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2024-05-12
2024-04-19 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-05-12
2024-04-19 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-12
2024-04-19 Allow resident to participate in the development and implementation of his or her person-centered plan of care.
F0553 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-12
2024-04-19 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.
F0584 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-12
2024-04-19 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-12
2024-04-19 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-12
2024-04-19 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.
F0761 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-12
2024-04-19 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-12
2023-11-29 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2023-10-11
2021-11-10 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.
F0700 · Quality of Life and Care Deficiencies
K
Immediate jeopardy to resident health or safety
Corrected 2022-03-04
2021-11-10 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2022-03-04
2021-11-10 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.
F0726 · Nursing and Physician Services Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2022-03-04
2021-11-10 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2022-03-04
2021-11-10 Have a policy regarding use and storage of foods brought to residents by family and other visitors.
F0813 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2022-03-04
2021-11-10 Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F0835 · Administration Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2022-03-04
2021-11-10 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2022-03-04
2021-11-10 Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
F0882 · Infection Control Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2022-03-04
2021-11-10 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F0921 · Environmental Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2022-03-04
2021-11-10 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-03-04
2021-11-10 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-03-04
2021-11-10 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-03-04
2021-11-10 Keep residents' personal and medical records private and confidential.
F0583 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-03-04
2021-11-10 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-03-04
2021-11-10 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-03-04
2021-11-10 Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
F0693 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-03-04
2021-11-10 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.
F0761 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-03-04
2021-11-10 Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
F0802 · Nutrition and Dietary Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-03-04
2021-11-10 Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
F0943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-03-04

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Palms Care Center Holdings LLC (organization)5%+ Direct Ownership Interest · 100%
Chesley, Aaron (individual)5%+ Indirect Ownership Interest
SWC Ca Opco, LLC (organization)5%+ Indirect Ownership Interest
Chesley, Aaron (individual)Corporate Officer · NOT APPLICABLE
Gamett, James (individual)Corporate Officer · NOT APPLICABLE
Palms Care Center Holdings LLC (organization)Operational/managerial Control · NOT APPLICABLE
Hawk, Regan (individual)W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Palms Care Center?

Palms Care Center has a 4-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in California.

How many beds does Palms Care Center have?

It has 65 certified beds and cares for about 60 residents per day.

Has Palms Care Center been fined?

CMS lists no federal fines or payment denials in the last three years.

Who owns Palms Care Center?

It is part of Ajc Healthcare and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Palms Care Center?

(559) 665-4826. The facility is located at 1010 Ventura Avenue, Chowchilla, CA 93610.

Other nursing homes in Chowchilla

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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.