Fowler Care Center

CMS star ratings

Overall★★★★★ 3/5

State avg 3.2

Health inspections★★★★★ 2/5

State avg 2.8

Staffing★★★★★ 2/5

State avg 3.3

Quality measures★★★★★ 5/5

State avg 4.1

Long-stay quality★★★★★ 5/5

Short-stay qualityNot rated

Staffing

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

Total nurse staffing: 4.19 (state 4.52 · U.S. 3.86)
Registered nurses (RN): 0.19 (state 0.67 · U.S. 0.69)
Licensed practical nurses: 1.26 (state 1.20 · U.S. 0.86)
Nurse aides: 2.74 (state 2.65 · U.S. 2.32)
Weekend total: 3.96 (state 4.09 · U.S. 3.42)
Nursing staff turnover: 50.8 (state 36.7 · U.S. 45.8)%
RN turnover: 100.0 (state 38.1 · U.S. 42.9)%
Administrators who left: 0 in the last year

Inspections

Last standard inspection: March 7, 2025
Health deficiencies (last cycle): 14.0 (state 15.7 · U.S. 9.3)
From complaints: 2
Citations on record (3 years): 41 health · 26 fire safety

Date	Citation	Severity	Status
2026-05-07	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	F No actual harm, potential for more than minimal harm	Corrected 2026-05-11
2026-04-03	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 2026-04-20
2025-03-07	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 2025-03-17
2025-03-07	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 2025-03-17
2025-03-07	Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. F0557 · Resident Rights Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-03-17
2025-03-07	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 2025-03-17
2025-03-07	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 2025-03-17
2025-03-07	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 2025-03-17
2025-03-07	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-03-17
2025-03-07	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-03-17
2025-03-07	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 2025-03-17
2025-03-07	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	D No actual harm, potential for more than minimal harm	Corrected 2025-03-17
2025-03-07	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 2025-03-17
2025-03-07	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 2025-03-17
2024-11-13	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 2024-12-03
2024-09-26	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 2024-10-14
2024-06-27	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 2024-08-06
2024-06-07	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 2024-06-27
2024-03-15	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 2024-04-15
2024-03-15	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 2024-04-15
2024-03-15	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 2024-04-15
2024-03-15	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	E No actual harm, potential for more than minimal harm	Corrected 2024-04-15
2024-03-15	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 2024-04-15
2024-03-15	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 2024-04-15
2024-03-15	Keep all essential equipment working safely. F0908 · Environmental Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-04-15
2024-03-15	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	Deficient, Provider has no plan of correction
2024-01-23	Make sure that a working call system is available in each resident's bathroom and bathing area. F0919 · Environmental Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2024-03-06
2024-01-23	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 2024-03-06
2023-05-08	Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. F0802 · Nutrition and Dietary Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2023-06-01
2023-05-08	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 2023-06-01
2023-05-08	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. F0925 · Environmental Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2023-06-01
2023-05-08	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	E No actual harm, potential for more than minimal harm	Corrected 2023-06-01
2023-05-08	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-06-01
2023-05-08	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-06-01
2023-05-08	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 2023-06-01
2023-05-08	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 2023-06-01
2023-05-08	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 2023-06-01
2023-05-08	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. F0688 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-06-01
2023-05-08	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 2023-06-01
2023-05-08	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 2023-06-01
2023-05-08	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-06-01

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
Chesley, Aaron (individual)	5%+ Indirect Ownership Interest
Fowler Care Center Holdings LLC (organization)	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
Fowler Care Center Holdings LLC (organization)	Operational/managerial Control · NOT APPLICABLE
Smith, Phylicia (individual)	W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Fowler Care Center?

Fowler Care Center has a 3-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 Fowler Care Center have?

It has 46 certified beds and cares for about 43 residents per day.

Has Fowler Care Center been fined?

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

Who owns Fowler 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 Fowler Care Center?

(559) 834-2519. The facility is located at 8448 East Adams Avenue, Fowler, CA 93625.

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Contact & location

Facility details