Vineyards at Fowler

Nursing Home · Fowler, CA

CMS overall rating 2/5 For profit - Limited Liability company

CMS certification number055454

Contact & location

1306 East Sumner Avenue
Fowler, CA 93625
Fresno County

Phone: (559) 834-2542
ZIP code: 93625 – all care providers

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Facility details

Certified beds: 49
Residents per day: 44.1 (90% occupied)
Ownership: For profit - Limited Liability company
Legal name: The Vineyards at Fowler LLC
Chain: Ajc Healthcare (14 facilities, avg 2.2★)
Medicare certified since: July 1, 1973
Participates in: Medicare and Medicaid
Council: Resident council

CMS star ratings

Overall★★★★★ 2/5

State avg 3.2

Health inspections★★★★★ 2/5

State avg 2.8

Staffing★★★★★ 2/5

State avg 3.3

Quality measures★★★★★ 4/5

State avg 4.1

Long-stay quality★★★★★ 4/5

Short-stay quality★★★★★ 3/5

Staffing

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

Total nurse staffing: 4.71 (state 4.52 · U.S. 3.86)
Registered nurses (RN): 0.28 (state 0.67 · U.S. 0.69)
Licensed practical nurses: 1.36 (state 1.20 · U.S. 0.86)
Nurse aides: 3.06 (state 2.65 · U.S. 2.32)
Weekend total: 4.10 (state 4.09 · U.S. 3.42)
Nursing staff turnover: 59.6 (state 36.7 · U.S. 45.8)%
RN turnover: —
Administrators who left: 1 in the last year

Inspections

Last standard inspection: January 9, 2026
Health deficiencies (last cycle): 20.0 (state 15.7 · U.S. 9.3)
From complaints: 6
Citations on record (3 years): 53 health · 27 fire safety · includes immediate jeopardy

Date	Citation	Severity	Status
2026-03-04	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2026-03-27
2026-01-09	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 2026-01-23
2026-01-09	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 2026-01-23
2026-01-09	Dispose of garbage and refuse properly. F0814 · Nutrition and Dietary Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2026-01-23
2026-01-09	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 2026-01-23
2026-01-09	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 2026-01-23
2026-01-09	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	E No actual harm, potential for more than minimal harm	Corrected 2026-01-23
2026-01-09	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 2026-01-23
2026-01-09	PASARR screening for Mental disorders or Intellectual Disabilities F0645 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-01-23
2026-01-09	Post nurse staffing information every day. F0732 · Nursing and Physician Services Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-01-23
2026-01-09	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-01-23
2026-01-09	Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. F0806 · Nutrition and Dietary Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-01-23
2026-01-09	Provide special eating equipment and utensils for residents who need them and appropriate assistance. F0810 · Nutrition and Dietary Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-01-23
2026-01-09	Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. F0911 · Environmental Deficiencies	B No actual harm, potential for minimal harm	No revisit needed
2026-01-09	Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. F0912 · Environmental Deficiencies	B No actual harm, potential for minimal harm	No revisit needed
2025-12-10	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2026-01-16
2025-12-10	Protect each resident from the wrongful use of the resident's belongings or money. F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2026-01-16
2025-12-10	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2026-01-16
2025-12-10	Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757 · Pharmacy Service Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2026-01-16
2025-08-22	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-09-12
2025-02-20	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	D No actual harm, potential for more than minimal harm	Corrected 2025-02-19
2025-02-20	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 · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-02-19
2024-09-20	Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. F0838 · Administration Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2024-10-28
2024-09-20	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2024-10-28
2024-09-20	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. F0561 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-10-28
2024-09-20	Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-10-28
2024-09-20	Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-10-28
2024-09-20	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. F0727 · Nursing and Physician Services Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-10-28
2024-09-20	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F0758 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-10-28
2024-09-20	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 2024-10-28
2024-09-20	Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. F0911 · Environmental Deficiencies	B No actual harm, potential for minimal harm	Corrected 2024-10-28
2024-09-20	Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. F0912 · Environmental Deficiencies	B No actual harm, potential for minimal harm	Corrected 2024-10-28
2024-05-29	Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-07-04
2024-05-29	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 · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-07-04
2024-05-29	Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-07-04
2024-05-29	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	D No actual harm, potential for more than minimal harm	Corrected 2024-07-04
2024-05-29	Provide care or services that was trauma informed and/or culturally competent. F0699 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-07-04
2024-05-29	Provide medically-related social services to help each resident achieve the highest possible quality of life. F0745 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-07-04
2021-05-19	Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies	K Immediate jeopardy to resident health or safety	Corrected 2021-06-21
2021-05-19	Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. F0585 · Resident Rights Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2021-06-21
2021-05-19	Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2021-06-21
2021-05-19	Provide activities to meet all resident's needs. F0679 · Quality of Life and Care Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2021-06-21
2021-05-19	Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. F0800 · Nutrition and Dietary Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2021-06-21
2021-05-19	Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. F0809 · Nutrition and Dietary Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2021-06-21
2021-05-19	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	E No actual harm, potential for more than minimal harm	Corrected 2021-06-21
2021-05-19	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 2021-06-21
2021-05-19	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2021-06-21
2021-05-19	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 2021-06-21
2021-05-19	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 2021-06-21
2021-05-19	Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. F0676 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2021-06-21

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

Name	Role	Since
SWC Ca Opco 2 LLC (organization)	5%+ Direct Ownership Interest · 100%
Chesley, Aaron (individual)	5%+ Indirect Ownership Interest · 50%
Chesley, Aaron (individual)	Corporate Officer · NOT APPLICABLE
Gamett, James (individual)	Corporate Officer · NOT APPLICABLE
Holguin, Simon (individual)	W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Vineyards at Fowler?

Vineyards at Fowler has a 2-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 Vineyards at Fowler have?

It has 49 certified beds and cares for about 44 residents per day.

Has Vineyards at Fowler been fined?

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

Who owns Vineyards at Fowler?

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 Vineyards at Fowler?

(559) 834-2542. The facility is located at 1306 East Sumner Avenue, Fowler, CA 93625.

Other nursing homes in Fowler

Fowler Care Center Nursing Home · Fowler, CA · 46 beds ★★★

Compare all nursing homes in Fowler, CA →

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